Abstract
Adjacent segment degeneration (ASD) is a common complication after spine surgery and often requires surgical revision. Given its importance and the multifactorial development, numerous articles on etiology, treatment options and prevention have been published. Prior to surgery, patient-related risk factors such as BMI, age, spinal anatomy and alignment need to be part of the decision-making process. The type and extent of surgery contribute to the development of ASD as well as the damage of dorsal anatomical structures such as facet joints and the paraspinal musculature. Current literature does not justify the use of motion-preserving procedures to diminish ASD occurrence. Importantly, it is recommended to act with regard to the individual spinopelvic alignment and limit the invasiveness of the given surgical procedure in order to prevent ASD. Nevertheless, despite significant research efforts, ASD remains a complication that has not yet been adequately addressed.
Schlüsselwörter
Anschlussdegeneration - Lendenwirbelsäule - Fusion - Dekompression - Spinopelvines Alignment - Prävention
Keywords
adjacent segment degeneration - lumbar spine - fusion - decompression - spinopelvic alignment - prevention
