What is it about?
This report aims to build a shared understanding from the wider vision of ASP and help primary practitioners to manage ASP effectively.
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Why is it important?
Adjacent segment pathology (ASP) refers to degenerative changes at segments immediately contiguous to previous spinal fusion. Its pathophysiology is hypothesized as being possibly due to altered biomechanical stresses on adjacent levels following spinal fusion or due to patient propensity to develop progressive degenerative change.
Perspectives
This case report describes a 61-year-old female who presented with neck pain and cervical radiculopathy attributed to an anterior cervical discectomy and spinal fusion performed for degenerative disc disease 30 years earlier. ASP was seen on magnetic resonance imaging (MRI) and radiograph. Treatment consisted of cervical manipulation, soft-tissue mobilization, flexion-distraction decompression, and therapeutic ultrasound to release restriction and restore muscle strength. Following 34 sessions of chiropractic intervention, her symptoms were resolved. Patients with ASP will have ongoing shared care between general practitioners and secondary or tertiary care pain units.
Dr Eric Chun-Pu Chu
New York Medical Group
Read the Original
This page is a summary of: Adjacent segment pathology of the cervical spine: A case report, Journal of Family Medicine and Primary Care, January 2022, Medknow,
DOI: 10.4103/jfmpc.jfmpc_1380_21.
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