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Adjacent segment pathology of the cervical spine: A case report

Adjacent segment pathology (ASP) refers to degenerative changes at segments immediately contiguous to previous spinal fusion. Its pathophysiology is hypothesized as being possibly due to altered biomechanical stresses on adjacent levels following spinal fusion or due to patient propensity to develop...

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Detalles Bibliográficos
Autores principales: Chu, Eric C. P., Lee, Linda Y. K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963601/
https://www.ncbi.nlm.nih.gov/pubmed/35360775
http://dx.doi.org/10.4103/jfmpc.jfmpc_1380_21
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author Chu, Eric C. P.
Lee, Linda Y. K.
author_facet Chu, Eric C. P.
Lee, Linda Y. K.
author_sort Chu, Eric C. P.
collection PubMed
description Adjacent segment pathology (ASP) refers to degenerative changes at segments immediately contiguous to previous spinal fusion. Its pathophysiology is hypothesized as being possibly due to altered biomechanical stresses on adjacent levels following spinal fusion or due to patient propensity to develop progressive degenerative change. This case report describes a 61-year-old female who presented with neck pain and cervical radiculopathy attributed to an anterior cervical discectomy and spinal fusion performed for degenerative disc disease 30 years earlier. ASP was seen on magnetic resonance imaging (MRI) and radiograph. Treatment consisted of cervical manipulation, soft-tissue mobilization, flexion-distraction decompression, and therapeutic ultrasound to release restriction and restore muscle strength. Following 34 sessions of chiropractic intervention, her symptoms were resolved. Patients with ASP will have ongoing shared care between general practitioners and secondary or tertiary care pain units. This report aims to build a shared understanding from the wider vision of ASP and help primary practitioners to manage ASP effectively.
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spelling pubmed-89636012022-03-30 Adjacent segment pathology of the cervical spine: A case report Chu, Eric C. P. Lee, Linda Y. K. J Family Med Prim Care Case Report Adjacent segment pathology (ASP) refers to degenerative changes at segments immediately contiguous to previous spinal fusion. Its pathophysiology is hypothesized as being possibly due to altered biomechanical stresses on adjacent levels following spinal fusion or due to patient propensity to develop progressive degenerative change. This case report describes a 61-year-old female who presented with neck pain and cervical radiculopathy attributed to an anterior cervical discectomy and spinal fusion performed for degenerative disc disease 30 years earlier. ASP was seen on magnetic resonance imaging (MRI) and radiograph. Treatment consisted of cervical manipulation, soft-tissue mobilization, flexion-distraction decompression, and therapeutic ultrasound to release restriction and restore muscle strength. Following 34 sessions of chiropractic intervention, her symptoms were resolved. Patients with ASP will have ongoing shared care between general practitioners and secondary or tertiary care pain units. This report aims to build a shared understanding from the wider vision of ASP and help primary practitioners to manage ASP effectively. Wolters Kluwer - Medknow 2022-02 2022-02-16 /pmc/articles/PMC8963601/ /pubmed/35360775 http://dx.doi.org/10.4103/jfmpc.jfmpc_1380_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Chu, Eric C. P.
Lee, Linda Y. K.
Adjacent segment pathology of the cervical spine: A case report
title Adjacent segment pathology of the cervical spine: A case report
title_full Adjacent segment pathology of the cervical spine: A case report
title_fullStr Adjacent segment pathology of the cervical spine: A case report
title_full_unstemmed Adjacent segment pathology of the cervical spine: A case report
title_short Adjacent segment pathology of the cervical spine: A case report
title_sort adjacent segment pathology of the cervical spine: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963601/
https://www.ncbi.nlm.nih.gov/pubmed/35360775
http://dx.doi.org/10.4103/jfmpc.jfmpc_1380_21
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