Does segmental alignment matter? A novel understanding of segmental compensation and reciprocal change following single-level lumbar reconstruction
The postoperative reciprocation of the adjacent levels implies a preoperative segmental compensatory mechanism. Normative restoration of the surgical level lordosis may therefore have a preventative impact on the otherwise negative consequences of ongoing compensation mechanisms at the adjacent segmental levels in the lumbar spine. This could relate to the risk of adjacent segment disease and deserves further long-term analysis.
Authors
- C W Colwell
- Hani Malone (ORCID: https://orcid.org/0000-0002-4180-7017)
- Saagar Dhanjani (ORCID: https://orcid.org/0009-0007-1771-2732)
- Behrooz A. Akbarnia (ORCID: https://orcid.org/0000-0002-6270-2695)
- Amber Price (ORCID: https://orcid.org/0000-0003-1179-913X)
- Daniel J. Thibaudeau
- Gregory M. Mundis (ORCID: https://orcid.org/0000-0002-1483-7245)
- Michael Pompliano (ORCID: https://orcid.org/0000-0002-3749-8581)
- Ali Bagheri (ORCID: https://orcid.org/0000-0003-3994-9187)
- Stephen Stephan (ORCID: https://orcid.org/0000-0003-2598-0984)
- Robert K. Eastlack (ORCID: https://orcid.org/0000-0003-2359-1707)
- Camille Nosewicz
Institutions
- Scripps Health (US)
- Scripps Clinic Medical Group (US)
- San Diego Spine Institute (US)
- Scripps Clinic (US)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2025-09-26
- DOI
- https://doi.org/10.3171/2025.5.spine25651
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00