Adjacent segment disease following cervical spine surgery

Samuel K. Cho, K. Daniel Riew

Research output: Contribution to journalReview articlepeer-review

95 Scopus citations

Abstract

Cervical spine surgery is broadly divided into fusion and nonfusion procedures. Anterior cervical diskectomy and fusion (ACDF) is a common procedure, although adjacent segment disease following the surgery is an ongoing clinical concern. Adjacent segment cervical disease occurs in approximately 3% of patients per year, with an expected incidence of 25% within the first 10 years following fusion. Nonfusion procedures such as anterior diskectomy and posterior foraminotomy do not decrease the rate of adjacent segment disease compared with ACDF. Recently, enthusiasm has developed for artificial disk replacement as a motion-sparing alternative to fusion. To date, however, multiple clinical trials and subsequent follow-up studies have failed to demonstrate significant reduction of adjacent segment disease when artificial disk replacement is performed instead of fusion.

Original languageEnglish
Pages (from-to)3-11
Number of pages9
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume21
Issue number1
DOIs
StatePublished - Jan 2013

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