Lumbar Adjacent Segment Degeneration and Disease After Arthrodesis and Total Disc Arthroplasty

2008350 citationsReview

Authors

James S. Harrop · Thomas Jefferson University

Jim A. Youssef · Boulder Neurosurgical & Spine Associates

Mitchell Maltenfort · Neurological Surgery

P Vorwald · Boulder Neurosurgical & Spine Associates

Pascal Jabbour · Thomas Jefferson University

Christopher M. Bono · Brigham and Women's Hospital

Neil I. Goldfarb

Abstract

Analysis of the literature suggests a correlation between fusion and the development of ASDeg compared to arthroplasty, but this association is dampened by the influence of patient age. There is a stronger correlation between fusion and ASDis compared to arthroplasty. The data supports only a class C recommendation (lowest tier) for the use of arthroplasty to reduce ASDis and disc degeneration compared to arthrodesis.

Topics & Keywords

Spine and Intervertebral Disc Pathology Musculoskeletal pain and rehabilitation Cervical and Thoracic Myelopathy

UN Sustainable Development Goals

Reduced inequalities

Publication Details

Published in: Spine

Volume 33, Issue 15, pp. 1701-1707

DOI: 10.1097/brs.0b013e31817bb956

Field-Weighted Citation Impact: 12.66