A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion

• Published in: Acta biomedica scientifica Vol. 5; no. 5; pp. 53 - 59
• Main Authors: Zhivotenko, A. P., Potapov, V. E., Koshkareva, Z. V., Sorokovikov, V. A.
• Format: Journal Article
• Language: English
• Published: Scientific Сentre for Family Health and Human Reproduction Problems 09.11.2020
• Subjects: adjacent segment degeneration (asdeg); adjacent segment disease (asdis); adjacent segment pathology (asp); failed back surgery syndrome (fbss); spondilodesis
• ISSN: 2541-9420; 2587-9596
• DOI: 10.29413/ABS.2020-5.5.7

Every year, the number of operations on the lumbar spine with the use of various spinal fusion techniques increases, which leads to an increase in the number of cases in the long-term period of surgical treatment, the formation of pathology of the adjacent segment (ASP), which is part of the structure of the failed back surgery  syndrome (FBSS). It is known that the pathology of the adjacent segment is a general term and covers two concepts: the degeneration of the adjacent segment (ASDeg) and the disease of the adjacent segment (ASDis). ASDeg is represented by radiographic changes occurring in the adjacent spinal motion segments during spinal surgery with spinal fusion, and ASDis refers to the clinical symptoms that develop during radiographic changes in these segments. With the pathology of an adjacent segment, clinically significant degenerative changes in it are not always formed. If these X-ray changes are formed and correlate with clinical and neurological manifestations, then surgical treatment is indicated. This pathology can be treated with repeated surgical intervention, which this article demonstrate with the clinical example of surgical treatment of the adjacent segment of the spine during fusion.