Preventing adjacent segment disease after lumbar fusion: a new perspective emphasizing individualized factors

ASD after PLIF is closely associated with systemic inflammation, lumbar muscle degeneration, cage subsidence, and nonunion. Interventions targeting these risk factors-such as optimizing inflammatory status preoperatively, enhancing lumbar muscle rehabilitation, improving surgical techniques to prevent cage subsidence, and promoting bone fusion-may reduce the incidence of ASD and improve long-term outcomes.

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Publication Details

Journal
Quantitative Imaging in Medicine and Surgery
Published
2025-12-31
DOI
https://doi.org/10.21037/qims-2025-1462
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
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article

Preventing adjacent segment disease after lumbar fusion: a new perspective emphasizing individualized factors

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Quantitative Imaging in Medicine and Surgery
Spine and Intervertebral Disc Pathology
article

Preventing adjacent segment disease after lumbar fusion: a new perspective emphasizing individualized factors

Yue Cao, Yusen Qiao, Zhen Wang, Haifu Sun, Don Young Park, W. Joyce Tang, Jiafei Ji, Yoji Ogura, Junfeng Shi
article en

Abstract

ASD after PLIF is closely associated with systemic inflammation, lumbar muscle degeneration, cage subsidence, and nonunion. Interventions targeting these risk factors-such as optimizing inflammatory status preoperatively, enhancing lumbar muscle rehabilitation, improving surgical techniques to prevent cage subsidence, and promoting bone fusion-may reduce the incidence of ASD and improve long-term outcomes.

Quantitative Imaging in Medicine and SurgeryVol. 16(1)
Nantong University (CN), University of California, Irvine (US), Soochow University (CN), Affiliated Hospital of Nantong University (CN), Second Affiliated Hospital of Soochow University (CN), Tachikawa Hospital (JP), First Affiliated Hospital of Soochow University (CN)
Good health and well-being
Openalex Percentile: Top 28%
Spine and Intervertebral Disc Pathology
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