Predicting the Risk of Adjacent Segment Pathology After Lumbar Fusion
Spine2012Vol. 37(22 Suppl), pp. S123–S132
Citations Over TimeTop 10% of 2012 papers
Brandon D. Lawrence, Jeff Wang, Paul M. Arnold, Jeff Hermsmeyer, Daniel C. Norvell, Darrel S. Brodke
Abstract
1. The risk of developing CASP after lumbar fusion occurs at a mean annual incidence of 0.6% to 3.9%. Strength of Statement: Strong. 2. Patients older than 60 years or who have pre-existing facet/disc degeneration may have an increased risk of developing CASP. Strength of Statement: Strong. 3. The risk of developing CASP may be greater after multilevel fusions and fusions adjacent to but not including the L5–S1 level, and may increase when performing a laminectomy adjacent to a fusion. Strength of Statement: Strong.
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