Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine

Adjacent segment pathology (ASP) is a major cause of disability, and the recognition of the surgical risk factors associated with the development of this condition is essential for its prevention. Different surgical approaches, from decompression without fusion to non-instrumented and instrumented f...

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Bibliographic Details
Published in:EFORT Open Reviews 2021-10, Vol.6 (10), p.966-972
Main Authors: Pinto, Eduardo Moreira, Teixeira, Artur, Frada, Ricardo, Atilano, Pedro, Miranda, António
Format: Article
Language:English
Subjects:
Adjacent Segment Degeneration
Adjacent Segment Disease
Adjacent Segment Pathology
Decompression
Lumbar Fusion
Lumbar Spine
Pathology
Risk factors
Spine
Spine (lumbar)
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Summary:Adjacent segment pathology (ASP) is a major cause of disability, and the recognition of the surgical risk factors associated with the development of this condition is essential for its prevention. Different surgical approaches, from decompression without fusion to non-instrumented and instrumented fusion, have distinct contributions to the development of ASP. Although motion-preservation procedures could reduce the prevalence of ASP, these are also associated with a higher percentage of complications. Several risk factors associated with previous surgery, namely the chosen surgical approach and anatomical dissection, the choice of interbody fusion, the increment and length of the fusion, and the restoration of sagittal alignment, may influence the development of ASP. Cite this article: EFORT Open Rev 2021;6:966-972. DOI: 10.1302/2058-5241.6.210050
ISSN:2396-7544
2058-5241
2058-5241
DOI:10.1302/2058-5241.6.210050