Etiology-Based Classification of Adjacent Segment Disease Following Lumbar Spine Fusion.

ABSTRACT:

Background

Adjacent segment disease (ASDz) is a potential complication following lumbar spinal fusion. A common nomenclature based on etiology and ASDz type does not exist and is needed to assist with clinical prognostication, decision making, and management.

Questions/purposes

The objective of this study was to develop an etiology-based classification system for ASDz following lumbar fusion.

Methods

We conducted a retrospective chart review of 65 consecutive patients who had undergone both a lumbar fusion performed by a single surgeon and a subsequent procedure for ASDz. We established an etiology-based classification system for lumbar ASDz with the following six categories: "degenerative" (degenerative disc disease or spondylosis), "neurologic" (disc herniation, ste

SUBMITTER: Louie PK 

PROVIDER: S-EPMC7253547 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature