Adjacent segment degeneration and disease after dorsal decompressionstabilizing interventions at the lumbar spine: a review of the literature

The paper is a review of modern literature on the etiology, risk factors for development, the prevalence of the adjacent segment degeneration (ASD) and the adjacent segment disease (ASd) after performing dorsal decompressionstabilizing interventions at the lumbar spine. The term ASD is understood to mean the presence of instrumentally confirmed degeneration of segments adjacent to the operated, accompanied by certain neurological symptoms. In the absence of clinical manifestations and the presence of only instrumental signs of degeneration of segments adjacent to the operated segment, the term ASd is eligible. The analysis of experimental and clinical studies studying the problem of ASD and ASd. The authors set out modern data on approaches to the treatment of ASd, as well as the rationale for choosing a rational treatment and diagnostic tactics for managing patients with the specified pathology. Relevant outstanding issues are identified, which necessitates further research in order to develop uniform clinical recommendations for the diagnosis and treatment of patients with ASD and ASd.

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