A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion

Every year, the number of operations on the lumbar spine with the use of various spinal fusion techniques increases, which leads to an increase in the number of cases in the long-term period of surgical treatment, the formation of pathology of the adjacent segment (ASP), which is part of the structu...

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Main Authors: A. P. Zhivotenko, V. E. Potapov, Z. V. Koshkareva, V. A. Sorokovikov
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2020-11-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/2440
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author A. P. Zhivotenko
V. E. Potapov
Z. V. Koshkareva
V. A. Sorokovikov
author_facet A. P. Zhivotenko
V. E. Potapov
Z. V. Koshkareva
V. A. Sorokovikov
author_sort A. P. Zhivotenko
collection DOAJ
description Every year, the number of operations on the lumbar spine with the use of various spinal fusion techniques increases, which leads to an increase in the number of cases in the long-term period of surgical treatment, the formation of pathology of the adjacent segment (ASP), which is part of the structure of the failed back surgery  syndrome (FBSS). It is known that the pathology of the adjacent segment is a general term and covers two concepts: the degeneration of the adjacent segment (ASDeg) and the disease of the adjacent segment (ASDis). ASDeg is represented by radiographic changes occurring in the adjacent spinal motion segments during spinal surgery with spinal fusion, and ASDis refers to the clinical symptoms that develop during radiographic changes in these segments. With the pathology of an adjacent segment, clinically significant degenerative changes in it are not always formed. If these X-ray changes are formed and correlate with clinical and neurological manifestations, then surgical treatment is indicated. This pathology can be treated with repeated surgical intervention, which this article demonstrate with the clinical example of surgical treatment of the adjacent segment of the spine during fusion.
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spelling doaj.art-e4a65c0cfa7a42468c296b03914c7a772024-03-28T07:49:23ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962020-11-0155535910.29413/ABS.2020-5.5.72061A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during FusionA. P. Zhivotenko0V. E. Potapov1Z. V. Koshkareva2V. A. Sorokovikov3Irkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and Traumatology;Every year, the number of operations on the lumbar spine with the use of various spinal fusion techniques increases, which leads to an increase in the number of cases in the long-term period of surgical treatment, the formation of pathology of the adjacent segment (ASP), which is part of the structure of the failed back surgery  syndrome (FBSS). It is known that the pathology of the adjacent segment is a general term and covers two concepts: the degeneration of the adjacent segment (ASDeg) and the disease of the adjacent segment (ASDis). ASDeg is represented by radiographic changes occurring in the adjacent spinal motion segments during spinal surgery with spinal fusion, and ASDis refers to the clinical symptoms that develop during radiographic changes in these segments. With the pathology of an adjacent segment, clinically significant degenerative changes in it are not always formed. If these X-ray changes are formed and correlate with clinical and neurological manifestations, then surgical treatment is indicated. This pathology can be treated with repeated surgical intervention, which this article demonstrate with the clinical example of surgical treatment of the adjacent segment of the spine during fusion.https://www.actabiomedica.ru/jour/article/view/2440spondilodesisfailed back surgery syndrome (fbss)adjacent segment pathology (asp)adjacent segment degeneration (asdeg)adjacent segment disease (asdis)
spellingShingle A. P. Zhivotenko
V. E. Potapov
Z. V. Koshkareva
V. A. Sorokovikov
A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion
Acta Biomedica Scientifica
spondilodesis
failed back surgery syndrome (fbss)
adjacent segment pathology (asp)
adjacent segment degeneration (asdeg)
adjacent segment disease (asdis)
title A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion
title_full A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion
title_fullStr A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion
title_full_unstemmed A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion
title_short A Clinical Case of Surgical Treatment of the Adjacent Segment of the Spine during Fusion
title_sort clinical case of surgical treatment of the adjacent segment of the spine during fusion
topic spondilodesis
failed back surgery syndrome (fbss)
adjacent segment pathology (asp)
adjacent segment degeneration (asdeg)
adjacent segment disease (asdis)
url https://www.actabiomedica.ru/jour/article/view/2440
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