The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Byvaltsev V.A.

Irkutsk State Medical University;
Private Healthcare Institution «Clinical Hospital «Russian Railways-Medicine»;
Irkutsk State Medical Academy of Postgraduate Education

Kalinin A.A.

Irkutsk State Medical University;
Private Healthcare Institution «Clinical Hospital «Russian Railways-Medicine»

Pestryakov Yu.Ya.

Irkutsk State Medical University

Spiridonov A.V.

Irkutsk State Medical University;
Regional Clinical Hospital

Analysis of preoperative risk factors of adjacent segment disease after transforaminal lumbar interbody fusion

Authors:

Byvaltsev V.A., Kalinin A.A., Pestryakov Yu.Ya., Spiridonov A.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2023;87(2): 48‑55

DOI: 10.17116/neiro20238702148

Read: 3159 times

Download PDF (RU)
Download PDF
Contact the author
Table of contents

ANALYSIS OF PREOPERATIVE RISK FACTORS OF ADJACENT SEGMENT DISEASE AFTER TRANSFORAMINAL LUMBAR INTERBODY FUSION
ANALYSIS OF PREOPERATIVE RISK FACTORS OF ADJACENT SEGMENT DISEASE AFTER TRANSFORAMINAL LUMBAR INTERBODY FUSION

To cite this article:

Byvaltsev VA, Kalinin AA, Pestryakov YuYa, Spiridonov AV. Analysis of preoperative risk factors of adjacent segment disease after transforaminal lumbar interbody fusion. Burdenko's Journal of Neurosurgery. 2023;87(2):48‑55. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20238702148

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Comparison of models for prediction of spontaneous preterm birth. Medi­cal Technologies. Asse­ssment and Choice. 2024;(4):10-19
Stru­ctural and functional features of the main arte­ries of the brain and tumor necrosis factor-alpha in people with chro­nic non-infectious diseases. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(11):178-184
Gastric cancer: inci­dence, risk factors, screening. Russian Journal of Preventive Medi­cine. 2024;(12):135-139
Features of primary and recu­rrent ischemic stroke in men aged 18—50 years. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(12-2):65-74
Treatment of children with blunt spleen injury throughout 25-year period in Seva­stopol and the Repu­blic of Crimea. Piro­gov Russian Journal of Surgery. 2025;(2):67-76
Difficult intu­bation risk asse­ssment in bariatric surgery. Russian Journal of Anesthesiology and Reanimatology. 2025;(1):62-68
Risk factors and adve­rse outcomes of cardiovascular diseases in people with high normal blood pressure of the Ryazan region. (5-year prospective follow-up). Russian Journal of Preventive Medi­cine. 2025;(2):31-37
Asso­ciations of subclinical athe­rosclerosis with soma­tic diseases. Russian Journal of Preventive Medi­cine. 2025;(2):109-113
Popu­lation models for the gene­ral and primary inci­dence of borderline mental diso­rders in the Russian Fede­ration in 1992—2022. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):113-121
Early complications after surgical treatment of spontaneous pneumothorax: risk factors analysis. Piro­gov Russian Journal of Surgery. 2025;(3):24-32
Abstract:

Currently, there is no information on the combined effect of body mass index (BMI), age, gender, main spinal-pelvic parameters and parameters of adjacent functional spinal unit (FSU) degeneration according to magnetic resonance imaging on development of adjacent segment degenerative disease (ASDd).

OBJECTIVE

To evaluate the effect of preoperative biometric and instrumental parameters of adjacent FSU on the risk of ASDd after transforaminal lumbar interbody fusion and determine personalized neurosurgical approach.

MATERIAL AND METHODS

We retrospectively studied patients after single-level transforaminal lumbar interbody fusion (group I, n=54), single-level transforaminal lumbar interbody fusion and interspinous stabilization of adjacent level (group II, n=55), preventive rigid fusion of adjacent segment (group III, n=56). Preoperative parameters and long-term clinical outcomes were assessed.

RESULTS

Paired correlation analysis established the main predictors of ASDd. Regression analysis determined absolute values of these predictors for each type of surgical intervention.

CONCLUSION

Surgical intervention at the level of asymptomatic proximal adjacent segment is recommended as interspinous stabilization for moderate degenerative lesions, BMI <25 kg/m2, difference between pelvic index and lumbar lordosis 10.5—15°, segmental lordosis 6.5—10.5°. In case of severe degenerative lesions, BMI 25.1—31.1 kg/m2, significant deviations of spinal-pelvic parameters (segmental lordosis 5.5—10.5°, difference between pelvic index and lumbar lordosis 15.2—20°), preventive rigid stabilization is indicated.

Keywords:

lumbosacral spine
degenerative disease
posterior lumbar fixation
adjacent segment disease
prognosis
risk factors

Authors:

Byvaltsev V.A.

Irkutsk State Medical University;
Private Healthcare Institution «Clinical Hospital «Russian Railways-Medicine»;
Irkutsk State Medical Academy of Postgraduate Education

Kalinin A.A.

Irkutsk State Medical University;
Private Healthcare Institution «Clinical Hospital «Russian Railways-Medicine»

Pestryakov Yu.Ya.

Irkutsk State Medical University

Spiridonov A.V.

Irkutsk State Medical University;
Regional Clinical Hospital

Received:

26.05.2022

Accepted:

27.01.2023

Close metadata

References:

  1. Masevnin SV, Ptashnikov DA, Volkov IV, Konovalov NA. The impact of spinopelvic parameters on the rate of adjacent segment instabibiliti after short — segment spinal fusion. Burdenko’s Journal of Neurosurgery. 2019;83(2):80-84. (In Russ.).
  2. Byvaltsev VA, Kalinin AA, Shepelev VV, Pestryakov YY, Jubaeva BA. Minimally invasive decompression alone versus fusion surgery for acute lumbar disk herniation combined incomplete cauda equina syndrome. Clinical Neurology and Neurosurgery. 2023;225:107589. https://doi.org/10.1016/j.clineuro.2023.107589
  3. Ebrahimkhani M, Arjmand N, Shirazi-Adl A. Biomechanical effects of lumbar fusion surgery on adjacent segments using musculoskeletal models of the intact, degenerated and fused spine. Scientific Reports. 2021;11:17892. https://doi.org/10.1038/s41598-021-97288-2
  4. Symmons DP, van Hemert AM, Vandenbroucke JP, Valkenburg HA. A longitudinal study of back pain and radiological changes in the lumbar spines of middle aged women. I. Clinical findings. Annals of Rheumatic Diseases. 1991;50(3):158-161.  https://doi.org/10.1136/ard.50.3.158
  5. Byvaltsev VA, Kalinin AA, Shepelev VV, Pestryakov YY, Biryuchkov MY, Jubaeva BA, Boddapati V, Lehman RA, Riew KD. The Relationship of Radiographic Parameters and Morphological Changes at Various Stages of Degeneration of the Lumbar Facet Joints: Cadaver Study. Global Spine Journal. 2022;21925682221099471. https://doi.org/10.1177/21925682221099471
  6. Imagama S, Kawakami N, Matsubara Y, Tsuji T, Ohara T, Katayama Y, Ishiguro N, Kanemura T. Radiographic Adjacent Segment Degeneration at 5 Years After L4/5 Posterior Lumbar Interbody Fusion With Pedicle Screw Instrumentation: Evaluation by Computed Tomography and Annual Screening With Magnetic Resonance Imaging. Clinical Spine Surgery. 2016;29(9):442-451.  https://doi.org/10.1097/BSD.0b013e31828aec78
  7. Wu AM, Zhou Y, Li QL, Wu XL, Jin YL, Luo P, Chi YL, Wang XY. Interspinous spacer versus traditional decompressive surgery for lumbar spinal stenosis: a systematic review and meta-analysis. PLoS One. 2014;9(5):e97142. https://doi.org/10.1371/journal.pone.0097142
  8. Mo Z, Li D, Zhang R, Chang M, Yang B, Tang S. Comparative effectiveness and safety of posterior lumbar interbody fusion, Coflex, Wallis, and X-stop for lumbar degenerative diseases: A systematic review and network meta-analysis. Clinical Neurology and Neurosurgery. 2018;172:74‐81.  https://doi.org/10.1016/j.clineuro.2018.06.030
  9. Park P, Garton HJ, Gala VC, Hoff JT, McGillicuddy JE. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine. 2004;29(17):1938-44.  https://doi.org/10.1097/01.brs.0000137069.88904.03
  10. Korovessis P, Repantis T, Zacharatos S, Zafiropoulos A. Does Wallis implant reduce adjacent segment degeneration above lumbosacral instrumented fusion? European Spine Journal. 2009;18(6):830-840.  https://doi.org/10.1007/s00586-009-0976-y
  11. Zhang X, Zhu J, Li Y, Hao D, Gao W. A modified method to treat severe asymptomatic pre-existing degeneration of adjacent segment: a retrospective case-control study. BMC Surgery. 2021;21(1):161.  https://doi.org/10.1186/s12893-021-01163-w
  12. Anandjiwala J, Seo JY, Ha KY, Oh IS, Shin DC. Adjacent segment degeneration after instrumented posterolateral lumbar fusion: a prospective cohort study with a minimum five-year follow-up. European Spine Journal. 2011;20(11):1951-1960. https://doi.org/10.1007/s00586-011-1917-0
  13. Kaner T, Dalbayrak S, Oktenoglu T, Sasani M, Aydin AL, Ozer AF. Comparison of posterior dynamic and posterior rigid transpedicular stabilization with fusion to treat degenerative spondylolisthesis. Orthopedics. 2010;33(5). https://doi.org/10.3928/01477447-20100329-09
  14. Augustus AW III, Panjabi MV. Clinical Biomechanics of the Spine. 2 ed. Philadelphia: Lippincott Williams and Wilkins; 1990.
  15. Wang H, Ma L, Yang D, Wang T, Liu S, Yang S, Ding W. Incidence and risk factors of adjacent segment disease following posterior decompression and instrumented fusion for degenerative lumbar disorders. Medicine. 2017;96(5):6032. https://doi.org/10.1097/MD.0000000000006032
  16. Lee CS, Hwang CJ, Lee SW, Ahn YJ, Kim YT, Lee DH, Lee MY. Risk factors for adjacent segment disease after lumbar fusion. European Spine Journal. 2009;18(11):1637-1643. https://doi.org/10.1007/s00586-009-1060-3
  17. Senteler M, Weisse B, Snedeker JG, Rothenfluh DA. Pelvic incidence-lumbar lordosis mismatch results in increased segmental joint loads in the unfused and fused lumbar spine. European Spine Journal. 2014;23(7):1384-1393. https://doi.org/10.1007/s00586-013-3132-7
  18. Konev VP, Krivoshein AE, Kolesov SV, Moskovsky SN, Gayzer SV. Morfological changes in facet joints at varios degrees of degeneration of intervertebral disk. Modern problems of science and education. 2020;2:130. (In Russ.).
  19. Bredow J, Löhrer L, Oppermann J, Scheyerer MJ, Sobottke R, Eysel P, Siewe J. Pathoanatomic Risk Factors for Instability and Adjacent Segment Disease in Lumbar Spine: How to Use Topping Off? BioMed Research International. 2017;2017:2964529. https://doi.org/10.1155/2017/2964529
  20. Gruber HE, Rhyne AL 3rd, Hansen KJ, Phillips RC, Hoelscher GL, Ingram JA, Norton HJ, Hanley EN Jr. Deleterious effects of discography radiocontrast solution on human annulus cell in vitro: changes in cell viability, proliferation, and apoptosis in exposed cells. Spine Journal. 2012;12(4):329-335.  https://doi.org/10.1016/j.spinee.2012.02.003
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.