Current status of diagnosis and treatment of adjacent segment diseases after lumbar fusion surgery
10.3760/cma.j.cn115396-20240225-00047
- VernacularTitle:腰椎融合术后邻近节段疾病的诊疗现状
- Author:
Tianqi FAN
1
;
Menghao WU
;
Yuquan LIU
;
Weiyang ZUO
;
Yong YANG
Author Information
1. 首都医科大学附属北京友谊医院骨科，北京 100050
- Keywords:
Lumbar vertebrae;
Spinal fusion;
Diagnosis;
Treatment outcome;
Adjacent segment diseases;
Percutaneous endoscopic technique
- From:
International Journal of Surgery
2024;51(7):493-499
- CountryChina
- Language:Chinese
-
Abstract:
Adjacent segment disease(ASD) refers to the degeneration of adjacent segments after lumbar fusion surgery, including intervertebral disc herniation, stress vertebral fractures, slippage, segmental scoliosis, spinal canal stenosis, and facet joint degeneration, which can lead to corresponding clinical symptoms such as lumbosacral pain, root lower limb pain, or intermittent claudication. The treatment of different pathological types of ASD varies. The patients with mild symptoms require conservative treatment and patients with severe symptoms require surgical treatment. In the past, open fusion surgery with posterior approach or intervertebral foramen approach was commonly used for surgical treatment, which had definite therapeutic effects. However, there were drawbacks such as large surgical trauma, excessive intraoperative blood loss, and slow postoperative recovery. With the booming development of minimally invasive spinal surgery technology in recent years, spinal surgeons actively use minimally invasive surgery for the treatment of ASD. It has advantages such as less bleeding, short hospital stay, fast recovery, and fewer complications (such as deep vein thrombosis and pulmonary embolism), but its indications are limited. Therefore, this article provides a reference for the choice of ASD treatment by reviewing the treatment modalities of ASD with different pathological types.
