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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Autores principales: Pinto, Eduardo Moreira, Teixeira, Artur, Frada, Ricardo, Atilano, Pedro, Miranda, António
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2021
Materias:
Spine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559561/
https://www.ncbi.nlm.nih.gov/pubmed/34760295
http://dx.doi.org/10.1302/2058-5241.6.210050
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author Pinto, Eduardo Moreira
Teixeira, Artur
Frada, Ricardo
Atilano, Pedro
Miranda, António
author_facet Pinto, Eduardo Moreira
Teixeira, Artur
Frada, Ricardo
Atilano, Pedro
Miranda, António
author_sort Pinto, Eduardo Moreira
collection PubMed
description 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
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spelling pubmed-85595612021-11-09 Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine Pinto, Eduardo Moreira Teixeira, Artur Frada, Ricardo Atilano, Pedro Miranda, António EFORT Open Rev 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 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 British Editorial Society of Bone and Joint Surgery 2021-10-19 /pmc/articles/PMC8559561/ /pubmed/34760295 http://dx.doi.org/10.1302/2058-5241.6.210050 Text en © 2021 The author(s) https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Spine
Pinto, Eduardo Moreira
Teixeira, Artur
Frada, Ricardo
Atilano, Pedro
Miranda, António
Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine
title Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine
title_full Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine
title_fullStr Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine
title_full_unstemmed Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine
title_short Surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine
title_sort surgical risk factors associated with the development of adjacent segment pathology in the lumbar spine
topic Spine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559561/
https://www.ncbi.nlm.nih.gov/pubmed/34760295
http://dx.doi.org/10.1302/2058-5241.6.210050
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