Adjacent Segment Disease after Lumbar Spine Fixation (Systematic Review and Meta-analysis)

Articles in Press

Document Type : Original Article

Authors

1 Orthopedic Surgery Department, Faculty of Medicine - Al Azhar University (Cairo)

2 Professor of Orthopedic Surgery, Faculty of Medicine - Al Azhar University (Cairo)

3 Lecturer of Orthopedic Surgery, Faculty of Medicine - Al Azhar University (Cairo)

Abstract

Background: Disc degeneration is a common form of adjacent segment disease (ASD) that occurs less frequently than laxity, instability, stenosis, nucleus pulposus herniation, hypertrophic facet arthritis, and vertebral compression fractures.

Aim: a systematic review for the determination of the prevalence of disease in adjacent segments after lumbar spine fixation.

Subjects and Methods: In this systematic review, conducted during the period from January 2021 to January 2022 was searched up to 2022: 57 paper were included and 28 of these were excluded and only 19 paper were met our inclusion criteria.

Results: 8 studies (1750 of 2896 patients) reported SS before and postoperatively, Pfirrmann classification, 6 studies (650 of 2896 patients) of 2896 patients) reported fusion with S1, fusion type (PLIF versus TLIF), 5 studies (669 of 2896 patients) reported pre- and postoperative PI, PT pre- and postoperatively, 12 studies (1423 of 2896 patients) reported LL between ASD group and non-ASD group.

Conclusion: In this systematic review associated with a significant increase in detailed information on the prevalence of radiological and symptomatic ASD

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International Journal of Medical Arts

Articles in Press, Accepted Manuscript
Available Online from 18 April 2025

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