Adjacent Level Disk Disease-Is it Really a Fusion Disease?

被引:140
作者
Lund, Teija [1 ]
Oxland, Thomas R. [2 ,3 ]
机构
[1] ORTON Orthopaed Hosp, Helsinki 00280, Finland
[2] Univ British Columbia, Dept Orthopaed, Vancouver, BC V5Z 1L8, Canada
[3] Univ British Columbia, Dept Mech Engn, Vancouver, BC V5Z 1L8, Canada
关键词
Spine; Fusion; Motion-preserving; Adjacent segment; Biomechanics;
D O I
10.1016/j.ocl.2011.07.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Adjacent segment degeneration (ASD) is a relatively common phenomenon after spinal fusion surgery. Whether ASD is a consequence of the previous fusion or an individual's predisposition to continued degeneration remains unsolved to date. This article summarizes the existing biomechanical and clinical literature on the causes and clinical impact of ASD, as well as possible risk factors. Further, the theoretical advantage of motion-preserving technologies that aim to preserve the adjacent segment is discussed.
引用
收藏
页码:529 / +
页数:14
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