Adjacent Segment Disease after Lumbar Spine Fixation [A Systematic Review]

Document Type : Original Article

Authors

1 Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

2 Department of Orthopedic Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

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.
The aim of the work: A systematic review for the determination of the prevalence of disease in adjacent segments after lumbar spine fixation.
Patients and Methods: In this systematic review, conducted during the period from January 2021 to January 2022 was searched up to 2022: 57 papers were included and 28 of these were excluded and only 19 papers were met our inclusion criteria.
Results: lumbar lordosis [degree] showed in 8 studies with highly significant differences [95% CI, -5.49[-7.58, -3.39]; [p value <0.0001]. Lumbopelvic mismatch [degree] reported in 2 studies with highly significant differences [95% CI, 4.55 [0.99, 8.16]; [p value <0.01]. Pelvic tilt incidence [degree] recorded in 4 studies with highly significant differences [95% CI, 3.59 [0.57, 6.69]; [p value <0.01]. Pelvic tilt [degree] reported in 5 studies and showed  highly significant differences [95% CI, 3.19 [1.65, 4.69]; [p value <0.01] 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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