The incidence of adjacent segment disease after lumbar discectomy: A study of 751 patients

Highlights • 751 patients underwent single-level lumbar discectomy. • The incidence of adjacent segment disease requiring reoperation was 4%. • The incidence of adjacent level discectomy was 1.86%. • Rostral ASD is more common than caudal ASD. • Lower extremity radiculopathy was the strongest indepe...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2017-01, Vol.35, p.42-46
Main Authors: Bydon, Mohamad, Macki, Mohamed, Kerezoudis, Panagiotis, Sciubba, Daniel M, Wolinsky, Jean-Paul, Witham, Timothy F, Gokaslan, Ziya L, Bydon, Ali
Format: Article
Language:English
Subjects:
Adjacent level discectomy
Adjacent segment disease
Adult
Aged
Diskectomy - adverse effects
Female
Follow-Up Studies
Humans
Incidence
Lumbar discectomy
Lumbar Vertebrae - surgery
Male
Middle Aged
Neurology
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Postoperative Complications - surgery
Reoperation
Reoperation - trends
Retrospective Studies
Spinal Cord Diseases - diagnosis
Spinal Cord Diseases - epidemiology
Spinal Cord Diseases - surgery
Treatment Outcome
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Summary:Highlights • 751 patients underwent single-level lumbar discectomy. • The incidence of adjacent segment disease requiring reoperation was 4%. • The incidence of adjacent level discectomy was 1.86%. • Rostral ASD is more common than caudal ASD. • Lower extremity radiculopathy was the strongest independent predictor of ASD.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2016.09.027