Journal
ORTHOPEDIC CLINICS OF NORTH AMERICA
Volume 42, Issue 4, Pages 529-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ocl.2011.07.006
Keywords
Spine; Fusion; Motion-preserving; Adjacent segment; Biomechanics
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Adjacent segment degeneration (ASD) is a relatively common phenomenon after spinal fusion surgery. Whether ASD is a consequence of the previous fusion or an individual's predisposition to continued degeneration remains unsolved to date. This article summarizes the existing biomechanical and clinical literature on the causes and clinical impact of ASD, as well as possible risk factors. Further, the theoretical advantage of motion-preserving technologies that aim to preserve the adjacent segment is discussed.
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