Adjacent Segment Disease after Lumbar Spine Fixation (Systematic Review and Meta-analysis) | ||||
| International Journal of Medical Arts | ||||
| Articles in Press, Accepted Manuscript, Available Online from 18 April 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2023.240377.1826 | ||||
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| Authors | ||||
ahmed reda hamouda  1; Muhammed Abd ElMenem negm2; Lotfy Mohamed Aly Shwitter Shwitter3
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| 1Orthopedic Surgery Department, Faculty of Medicine - Al Azhar University (Cairo) | ||||
| 2Professor of Orthopedic Surgery, Faculty of Medicine - Al Azhar University (Cairo) | ||||
| 3Lecturer of Orthopedic Surgery, Faculty of Medicine - Al Azhar University (Cairo) | ||||
| 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. Aim: a systematic review for the determination of the prevalence of disease in adjacent segments after lumbar spine fixation. Subjects and Methods: In this systematic review, conducted during the period from January 2021 to January 2022 was searched up to 2022: 57 paper were included and 28 of these were excluded and only 19 paper were met our inclusion criteria. Results: 8 studies (1750 of 2896 patients) reported SS before and postoperatively, Pfirrmann classification, 6 studies (650 of 2896 patients) of 2896 patients) reported fusion with S1, fusion type (PLIF versus TLIF), 5 studies (669 of 2896 patients) reported pre- and postoperative PI, PT pre- and postoperatively, 12 studies (1423 of 2896 patients) reported LL 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 | ||||
| Keywords | ||||
| ASD; Disc degeneration; symptomatic; lumbar spin fixation | ||||
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