Adjacent Segment Disease in the Cervical and Lumbar Spine.

Abstract:

:Adjacent segment disease (ASD) is disappointing long-term outcome for both the patient and clinician. In contrast to adjacent segment degeneration, which is a common radiographic finding, ASD is less common. The incidence of ASD in both the cervical and lumbar spine is between 2% and 4% per year, and ASD is a significant contributor to reoperation rates after spinal arthrodesis. The etiology of ASD is multifactorial, stemming from existing spondylosis at adjacent levels, predisposed risk to degenerative changes, and altered biomechanical forces near a previous fusion site. Numerous studies have sought to identify both patient and surgical risk factors for ASD, but a consistent, sole predictor has yet to be found. Spinal arthroplasty techniques seek to preserve physiological biomechanics, thereby minimizing the risk of ASD, and long-term clinical outcome studies will help quantify its efficacy. Treatment strategies for ASD are initially nonoperative, provided a progressive neurological deficit is not present. The spine surgeon is afforded many surgical strategies once operative treatment is elected. The goal of this manuscript is to consider the etiologies of ASD, review its manifestations, and offer an approach to treatment.

journal_name

Clin Spine Surg

journal_title

Clinical spine surgery

authors

Tobert DG,Antoci V,Patel SP,Saadat E,Bono CM

doi

10.1097/BSD.0000000000000442

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

94-101

issue

3

eissn

2380-0186

issn

2380-0194

journal_volume

30

pub_type

杂志文章,评审
  • A Genetic Test Predicts Providence Brace Success for Adolescent Idiopathic Scoliosis When Failure Is Defined as Progression to >45 Degrees.

    abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:To determine whether a genetic test is associated with successful Providence bracing for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Genetic factors have been defined that predict the risk of progression of AIS in a polygenic fashion. From these data,...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0b013e3182aa4ce1

    authors: Bohl DD,Telles CJ,Ruiz FK,Badrinath R,DeLuca PA,Grauer JN

    更新日期:2016-04-01 00:00:00

  • Surgical Approaches for the Treatment of Thoracic Disk Herniation: Results of a Decision Analysis.

    abstract:STUDY DESIGN:A decision analysis. OBJECTIVE:To perform a decision analysis utilizing postoperative complication data, in conjunction with health-related quality of life (HRQoL) utility scores, to rank order the average health utility associated with various surgical approaches used to treat symptomatic thoracic disk h...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000375

    authors: Nayak NR,Bauman JA,Stein SC,Thawani JP,Malhotra NR

    更新日期:2017-08-01 00:00:00

  • Current Concepts: Central Cord Syndrome.

    abstract::Central cord syndrome (CCS) represents a clinical phenomenon characterized by disproportionately greater motor impairment of the upper than of the lower extremities, bladder dysfunction. CSS is the most common form of incomplete traumatic spinal cord injury. The initial description of CSS was reported in 1887 secondar...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000731

    authors: Hashmi SZ,Marra A,Jenis LG,Patel AA

    更新日期:2018-12-01 00:00:00

  • Conservative and Operative Treatment in Extension Teardrop Fractures of the Axis.

    abstract:STUDY DESIGN:A retrospective case series describing teardrop fracture of the axis. OBJECT:The purpose of the study was to clarify the clinical features, the mechanism of injury, and the potential instability of extension teardrop fractures of the axis, so as to emphasize the importance of recognizing this injury as a ...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0b013e31828984f9

    authors: Hu Y,Kepler CK,Albert TJ,Hann S,Ma WH,Yuan ZS,Dong WX,Xu RM

    更新日期:2016-02-01 00:00:00

  • Power Analysis for Null Hypothesis Significance Testing.

    abstract::Before conducting a scientific study, a power analysis is performed to determine the sample size required to test an effect within allowable probabilities of Type I error (α) or Type II error (β). The power of a study is related to Type II error by 1-β. Most scientific studies set α=0.05 and power=0.80 as minimums. Mo...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000001079

    authors: Nicholson KJ,Reyes AA,Sherman M,Divi SN,Vaccaro AR

    更新日期:2020-09-22 00:00:00

  • Clinical Outcome After Anterior Lumbar Interbody Fusion With a New Osteoinductive Bone Substitute Material: A Randomized Clinical Pilot Study.

    abstract:STUDY DESIGN:Pilot, single-center, single-blinded, parallel-group, randomized clinical study. OBJECTIVE:The aim of this study was to pilot a randomized clinical study to evaluate whether instrumented anterior lumbar interbody fusion (ALIF) with a new nanocrystalline hydroxyapatite embedded in a silica gel matrix (NH-S...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BSD.0000000000000802

    authors: Rickert M,Fleege C,Papachristos I,Makowski MR,Rauschmann M,Arabmotlagh M

    更新日期:2019-08-01 00:00:00

  • Degenerative Spondylolisthesis in the Fifth Lumbar Vertebra and Radiographic Parameters: A Correlation Analysis.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:This study aimed to analyze the relationships between degenerative spondylolisthesis in the fifth lumbar vertebra (L5-DS) and radiographic parameters and to further determine the radiographic predictors of the development of L5-DS. SUMMARY OF BACKGROUND DATA:Degenerative ...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000427

    authors: Chen Q,Cao L,Bian C,Wang HR,Lin H,Li XL,Jiang YQ,Dong J

    更新日期:2017-11-01 00:00:00

  • Repeat Percutaneous Vertebroplasty for Recurrent Pain Arising From Previously Treated Vertebrae in Patients With Osteoporotic Vertebral Compression Fractures.

    abstract:STUDY DESIGN:A retrospective study. SUMMARY OF BACKGROUND DATA:Percutaneous vertebroplasty (PV) changes mechanical stress of vertebral column and can cause recurrent pain at the treated level. However, there were a few reports on the therapeutic effects of the repeat PV for patients with recurrent pain at the treated ...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0b013e318288a900

    authors: Li L,Lu Y,Li M,Liu X,Jin P,Wang L,Sun G

    更新日期:2016-11-01 00:00:00

  • Clinical Outcomes, Complications, and Cost-effectiveness in Surgically Treated Adult Spinal Deformity Over 70 Years: A Propensity score-Matched Analysis.

    abstract:STUDY DESIGN:This is a multicentered retrospective study. SUMMARY OF BACKGROUND DATA:Surgical correction for the adult spinal deformity (ASD) is effective but carries substantial risks for complications. The diverse pathologies of ASD make it difficult to determine the effect of advanced age on outcomes. OBJECTIVE:Th...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BSD.0000000000000842

    authors: Yagi M,Fujita N,Okada E,Tsuji O,Nagoshi N,Asazuma T,Nakamura M,Matsumoto M,Watanabe K

    更新日期:2020-02-01 00:00:00

  • Success of Surgical Simulation in Orthopedic Training and Applications in Spine Surgery.

    abstract:STUDY DESIGN:This was a narrative review. OBJECTIVE:This study aimed to review the current literature on surgical simulation in orthopedics and its application to spine surgery. SUMMARY OF BACKGROUND DATA:As orthopedic surgery increases in complexity, training becomes more relevant. There have been mandates in the Un...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000001070

    authors: Sayari AJ,Chen O,Harada GK,Lopez GD

    更新日期:2020-10-09 00:00:00

  • Limitations of Using Microsoft Excel Version 2016 (MS Excel 2016) for Statistical Analysis for Medical Research.

    abstract::Microsoft Excel (MS Excel) is a commonly used program for data collection and statistical analysis in biomedical research. However, this program has many limitations, including fewer functions that can be used for analysis and a limited number of total cells compared with dedicated statistical programs. MS Excel canno...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000382

    authors: Tanavalee C,Luksanapruksa P,Singhatanadgige W

    更新日期:2016-06-01 00:00:00

  • Recovery Process After Anterior Cervical Decompression in Patients With Cervical Spondylotic Myelopathy With Different Natural History.

    abstract:STUDY DESIGN:An observational prospective cohort study. OBJECTIVE:To investigate the influence of natural history on the recovery of patients with cervical spondylotic myelopathy (CSM) after anterior cervical decompression. SUMMARY OF BACKGROUND DATA:The natural history of CSM has not been clearly elucidated, it rema...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000873

    authors: Li P,Zhang H,Cheng H,Meng F,Li J

    更新日期:2019-10-01 00:00:00

  • Timing of Surgery for Thoracolumbar Spine Trauma: Patients With Neurological Injury.

    abstract:STUDY DESIGN:Large multicenter retrospective cohort study. OBJECTIVE:The objective of this study was to analyze the effect of fusion timing on inpatient outcomes in a nationally representative population with thoracolumbar fracture and concurrent neurological injury. SUMMARY OF BACKGROUND DATA:Among thoracolumbar tra...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000001078

    authors: Ruddell JH,DePasse JM,Tang OY,Daniels AH

    更新日期:2020-10-06 00:00:00

  • Patient Perceptions of Iliac Crest Bone Grafting in Minimally Invasive Transforaminal Lumbar Interbody Fusion.

    abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:The objective of this study was to determine patients' perception of iliac crest bone graft (ICBG) harvesting and donor site pain following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA:The incidence of donor site pain has...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000781

    authors: Haws BE,Khechen B,Patel DV,Cardinal KL,Guntin JA,Singh K

    更新日期:2019-12-01 00:00:00

  • Surgeon Procedure Volume and Complication Rates in Anterior Cervical Discectomy and Fusions: Analysis of a National Longitudinal Database.

    abstract:STUDY DESIGN:Retrospective study using the MarketScan longitudinal database (2006-2010). OBJECTIVE:Compare complication rates between groups of patients undergoing anterior cervical discectomy and fusion (ACDF) procedures performed by surgeons with high versus low mean annual ACDF volume. SUMMARY OF BACKGROUND DATA:O...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000238

    authors: Cole T,Veeravagu A,Zhang M,Ratliff JK

    更新日期:2017-06-01 00:00:00

  • Correlation of Lower Instrumented Vertebra With Spinal Mobility and Health-related Quality of Life After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.

    abstract:STUDY DESIGN:This is a retrospective single-center and single-surgeon study. OBJECTIVE:We investigated the correlation between lower instrumented vertebra (LIV) and spinal mobility 2 years after posterior spinal fusion with pedicle screws for adolescent idiopathic scoliosis (AIS) for optimal LIV selection. SUMMARY OF...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000794

    authors: Uehara M,Takahashi J,Ikegami S,Kuraishi S,Futatsugi T,Oba H,Takizawa T,Munakata R,Koseki M,Kato H

    更新日期:2019-08-01 00:00:00

  • Impact of L4/5 Posterior Interbody Fusion With or Without Decompression on Spinopelvic Alignment and Health-related Quality-of-Life Outcomes.

    abstract:STUDY DESIGN:This was a retrospective case control study. OBJECTIVE:The objective was to determine the impact of single-level interbody fusion at L4/5 with or without concomitant decompression on various spinopelvic parameters and health-related quality-of-life (HRQOL) outcomes. SUMMARY OF BACKGROUND DATA:Recently, f...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000001013

    authors: Lugue MKT,Watanabe K,Yamazaki A,Izumi T,Tashi H,Wakasugi M,Katsumi K,Ohashi M,Endo N

    更新日期:2020-12-01 00:00:00

  • Modic Change and Clinical Assessment Scores in Patients Undergoing Lumbar Surgery for Disk Herniation.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To examine the relationship between preoperative Modic change (MC) and postoperative clinical assessment scores for patients receiving lumbar discectomy or transforaminal lumbar interbody fusion for lumbar disk herniation. SUMMARY OF BACKGROUND DATA:Lumbar disk herni...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000001076

    authors: MacLean MA,Kureshi N,Shankar J,Stewart SA,Christie SD

    更新日期:2020-09-25 00:00:00

  • Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model.

    abstract:STUDY DESIGN:Open-label laboratory investigational study; non-animal surgical simulation. OBJECTIVE:The authors perform a comparison of dural closure strength in a durotomy simulator across 2 different suture materials. SUMMARY OF BACKGROUND DATA:Incidental durotomy leading to persistent cerebrospinal fluid leak adds...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000169

    authors: Ghobrial GM,Maulucci CM,Viereck MJ,Beygi S,Chitale A,Prasad S,Jallo J,Heller J,Sharan AD,Harrop JS

    更新日期:2017-07-01 00:00:00

  • Sleep Disturbance in Patients With Lumbar Spinal Stenosis: Association With Disability and Quality of Life.

    abstract:STUDY DESIGN:This was a cross-sectional cohort study. OBJECTIVE:The objective of this study was to identify the prevalence of sleep disturbance in patients with symptomatic lumbar spinal stenosis (LSS) and to establish the relationship between sleep disturbance and both functional disability and health-related quality...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000944

    authors: Lee NK,Jeon SW,Heo YW,Shen F,Kim HJ,Yoon IY,Chang BS,Lee CK,Chun HJ,Yeom JS

    更新日期:2020-05-01 00:00:00

  • Impact of Epidural Versus General Anesthesia on Major Lumbar Surgery in Elderly Patients.

    abstract:STUDY DESIGN:This was a retrospective comparative study. OBJECTIVE:The main objective of this study was to investigate the effects of epidural anesthesia (EA) versus general anesthesia (GA) in elderly patients undergoing lower lumbar spine fusion surgeries. SUMMARY OF BACKGROUND DATA:Lumbar spine surgery can be perfo...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000708

    authors: Li Z,Long H,Huang F,Zhang Y,Xu J,Wang X

    更新日期:2019-02-01 00:00:00

  • A New Entrance Technique for C2 Pedicle Screw Placement and the Use in Patients With Atlantoaxial Instability.

    abstract:STUDY DESIGN:A prospective study and a technique note. OBJECTIVES:To introduce a new entrance technique for C2 pedicle screw placement and to measure the related linear and angular parameters about the entrance point on computed tomography (CT) images. The safety of this technique for patients with atlantoaxial instab...

    journal_title:Clinical spine surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/BSD.0000000000000164

    authors: Liu JM,Jiang J,Liu ZL,Long XH,Chen WZ,Zhou Y,Gao S,He LC,Huang SH

    更新日期:2017-06-01 00:00:00

  • A New Method of Measuring the Occipitocervical Angle That Could be Applied as an Intraoperative Indicator During Occipitocervical Fusion.

    abstract:STUDY DESIGN:A method for measuring occipitocervical angle. OBJECTIVE:To develop a new method of measurement for assessing the occipitocervical angle using intraoperative fluoroscopic imaging, and to examine its reliability. SUMMARY OF BACKGROUND DATA:To avoid postoperative complications following occipitocervical fu...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000478

    authors: Nagashima S,Nagae M,Arai Y,Tonomura H,Takatori R,Sukenari T,Fujiwara H,Sawada K,Mikami Y,Kubo T

    更新日期:2017-08-01 00:00:00

  • Patient-specific Rods for Surgical Correction of Sagittal Imbalance in Adults: Technical Aspects and Preliminary Results.

    abstract:STUDY DESIGN:This was an innovative concept and a preliminary prospective series. OBJECTIVE:The aim of this study was to present the concept and the technical aspects of patient-specific rods (PSR), and compare preoperative and postoperative sagittal parameters (after PSR implantation), with a special focus on the dif...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000721

    authors: Solla F,Barrey CY,Burger E,Kleck CJ,Fière V

    更新日期:2019-03-01 00:00:00

  • Cervical Versus Thoracolumbar Spinal Deformities: A Comparison of Baseline Quality-of-Life Burden.

    abstract:STUDY DESIGN:Retrospective analysis of 2 prospectively collected multicenter databases, one for cervical deformity (CD) and the other for general adult spinal deformity. OBJECTIVE:To investigate the relative quality-of-life and disability burden in patients with uncompensated cervical, thoracolumbar, or cervical and t...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BSD.0000000000000743

    authors: Passias PG,Poorman GW,Lafage V,Smith J,Ames C,Schwab F,Shaffrey C,Segreto FA,Horn SR,Bortz CA,Varlotta CG,Hockley A,Wang C,Daniels A,Neuman B,Hart R,Burton D,Javidan Y,Line B,LaFage R,Bess S,Sciubba D,ISSG.

    更新日期:2018-12-01 00:00:00

  • The Correlation of Spinopelvic Parameters With Biomechanical Parameters Measured by Gait and Balance Analyses in Patients With Adult Degenerative Scoliosis.

    abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:The objective of this study was to establish the correlation between radiographic spinopelvic parameters with objective biomechanical measures of function in patients with adult degenerative scoliosis (ADS). SUMMARY OF BACKGROUND DATA:Gait and balance analyses can pr...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000939

    authors: Haddas R,Hu X,Lieberman IH

    更新日期:2020-02-01 00:00:00

  • A Novel Groove-Entry Technique for Inserting Thoracic Percutaneous Pedicle Screws.

    abstract:STUDY DESIGN:Surgical technique. OBJECTIVE:To evaluate the efficacy of a novel groove-entry technique for thoracic percutaneous pedicle screw (PPS) insertion. SUMMARY OF BACKGROUND DATA:Minimally invasive spine stabilization (MISt) using posterior thoracolumbar instrumentation has many advantages over open procedures...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000461

    authors: Ishii K,Shiono Y,Funao H,Singh K,Matsumoto M

    更新日期:2017-03-01 00:00:00

  • Current Strategies for Reconstruction of Soft Tissue Defects of the Spine.

    abstract::Spinal surgery has been revolutionized by advances in instrumentation, bone graft substitutes, and perioperative care. Extensive dissection, creation of large areas of dead space, and the use of instrumentation in compromised patients, however, predisposes to high rates of wound complications. Postoperative wound comp...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章,评审

    doi:10.1097/BSD.0000000000000936

    authors: Dolan RT,Butler JS,Vaccaro AR,White AP,Giele HP

    更新日期:2020-02-01 00:00:00

  • All Disclosure is Good Disclosure: Patient Awareness of the Sunshine Act and Perceptions of Surgeon-Industry Relationships.

    abstract:STUDY DESIGN:This was a prospective study. OBJECTIVE:To determine patient awareness of surgeon-industry relationships, how these relationships affect patient perceptions of surgeons, and which relationships cause the greatest concern to patients. SUMMARY OF BACKGROUND DATA:The prevalence of orthopedic surgeon-industr...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000000915

    authors: Iyer S,Yoo JS,Jenkins NW,Parrish JM,Khechen B,Haws BE,Nolte MT,Brundage TS,Hrynewycz NM,Phillips FM,Singh K

    更新日期:2020-04-01 00:00:00

  • Assessing the Early Impact of the COVID-19 Pandemic on Spine Surgery Fellowship Education.

    abstract:STUDY DESIGN:This was a cross-sectional study. OBJECTIVE:The objective of this study is to report the impact of COVID-19 on spine surgery fellow education and readiness for practice. SUMMARY OF BACKGROUND DATA:COVID-19 has emerged as one of the most devastating global health crises of our time. To minimize transmissi...

    journal_title:Clinical spine surgery

    pub_type: 杂志文章

    doi:10.1097/BSD.0000000000001073

    authors: Swiatek PR,Weiner JA,Butler BA,McCarthy MH,Louie PK,Wolinsky JP,Hsu WK,Patel AA

    更新日期:2020-10-02 00:00:00