Adjacent Segment Disease (ASD), sometimes called Accelerated Adjacent Segment Degeneration, occurs after a spinal fusion surgery. Due to the fusion of multiple vertebrae, there are bio-mechanical changes to the way the spine functions; the area that is fused loses its ability to move properly. When this occurs, the vertebrae and their joints, immediately above and below the fusion will degenerate at an accelerated rate due to an increase in stress on the joints and spinal discs.
So let's back up for a minute. Common causes for spinal fusion surgery included degenerative, bulging, or herniated discs which creates stenosis of the spine and puts pressure on nerves causing nerve pain, numbness/tingling, and loss of function in the extremities.
Usually, these types of disc issues are caused by excessive stress on the spinal discs and joints over a long period of time which slowly weakens the discs until they collapse. So once a spinal fusion has been done to "correct" the issue, because of ASD, there is now a much greater chance that an individual will experience the same problems that landed them in surgery in the first place immediately above and below the place where they initially had problems, but because they have already had a spinal fusion, it is much more difficult to treat.
There are many risk factors associated with spinal fusion surgery, and unless the fusion is done in the presence of an unstable fracture, the long term outcomes for people who have had fusions is far from great. In fact, the question has been raised if it is even medically ethical to perform a spinal fusion unless very specific perimeters have been met. The conclusion in a 2016 study found that "the fact that there isn’t sufficient scientific evidence to support the use of spinal fusion as a modality of treatment for chronic low back pain, should make us reconsider our indications for spinal fusion".
Once a spine has been fused, there is no turning back. There are great treatment options for disc issues and chronic back pain that don't involve drugs or surgery like chiropractic care and non-surgical spinal decompression.
Dhillon K. Spinal Fusion for Chronic Low Back Pain: A “Magic Bullet” or Wishful Thinking? Malaysian Orthopaedic Journal. 2016;10(1):61-68.
So let's back up for a minute. Common causes for spinal fusion surgery included degenerative, bulging, or herniated discs which creates stenosis of the spine and puts pressure on nerves causing nerve pain, numbness/tingling, and loss of function in the extremities.
Usually, these types of disc issues are caused by excessive stress on the spinal discs and joints over a long period of time which slowly weakens the discs until they collapse. So once a spinal fusion has been done to "correct" the issue, because of ASD, there is now a much greater chance that an individual will experience the same problems that landed them in surgery in the first place immediately above and below the place where they initially had problems, but because they have already had a spinal fusion, it is much more difficult to treat.
There are many risk factors associated with spinal fusion surgery, and unless the fusion is done in the presence of an unstable fracture, the long term outcomes for people who have had fusions is far from great. In fact, the question has been raised if it is even medically ethical to perform a spinal fusion unless very specific perimeters have been met. The conclusion in a 2016 study found that "the fact that there isn’t sufficient scientific evidence to support the use of spinal fusion as a modality of treatment for chronic low back pain, should make us reconsider our indications for spinal fusion".
Once a spine has been fused, there is no turning back. There are great treatment options for disc issues and chronic back pain that don't involve drugs or surgery like chiropractic care and non-surgical spinal decompression.
Dhillon K. Spinal Fusion for Chronic Low Back Pain: A “Magic Bullet” or Wishful Thinking? Malaysian Orthopaedic Journal. 2016;10(1):61-68.
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SYPHILIS.
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Epilepsy