Servikal Komşu Segment Hastalığı

Öz

Servikal komşu segment hastalığı; servikal cerrahi sonrası komşu seviyelerde gelişen disk patolojilerinin genel adıdır. Klinik bulgusu ve yeniden operasyon gereksinimi olmayanlarına radyolojik servikal komşu segment patolojisi, radikülopati, myelopati veya instabilite gelişimine neden olanlarına klinik komşu segment patolojisi denir. 10 yıllık izlemde insidansı %2.4-%2.9’tür. Servikal komşu segment hastalığının; doğal dejeneratif sürecin bir sonucu mu oluştuğu yoksa yapılan cerrahi işlem sonrası mı geliştiği konusu halen belirsizliğini korumaktadır.

Anahtar Kelimeler

• servikal,komşu,disk,dejenerasyon

Cervical Adjacent Segment Disease

Öz

Cervical adjacent segment disease; is the general name of disc pathologies that develop in adjacent levels after cervical surgery. If the cervical adjacent segment disease that do not require reoperation and it does not cause clinical signs is called radiological cervical adjacent segment pathology, but those causing radiculopathy, myelopathy or instability is called clinic cervical adjacent segment pathology. The incidence of cervical adjacent segment disease in 10-year follow-up is 2.4% -2.9%. Whether cervical adjacent segment disease is a natural degenerative process or development after surgery is still unclear.

Anahtar Kelimeler

• cervical,adjacent,disk

Kaynakça

1. Hilibrand AS, Robbins M. Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion? Spine J. 2004;4(6 Suppl):190-194.
2. Greenberg Mark S. Handbook of Neurosurgery 8th Edition; Degenerative Cervical Disk Disease and Cervical Myelopathy- Late Developments, Theıme, 2016;109.
3. Kaye D, Hilibrand AS. Adjacent level disease-background and update based on disc replacement data. Curr Rev Musculoskelet Med 2017;10:147–152.
4. Lee JC, Lee SH. Peters C, et al. Risk-factor analysis of adjacent-segment pathology requiring surgery following anterior, posterior, fusion, and nonfusion cervical spine operations. JBJS Am. 2014; 6:1761–7.
5. Hilibrand AS, Bohlman HH. Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. JBJS Am. 1999;81:519–28.
6. Nunley PD, Jawahar A, Kerr EJ, et al. Factors affecting the incidence of symptomatic adjacent-level disease in cervical spine after total disc arthroplasty. 2 to 4 year follow-up of 3 prospective randomized trials. Spine 2012;37:445–51.
7. Lee JC, Lee SH, Peters C, et al. Adjacent segment pathology requiring reoperation after anterior cervical arthrodesis: the influence of smoking, sex, and number of operated levels. Spine. 2015;40:571–577.
8. Nassr A, Lee JY, Bashir RS, et al. Does incorrect level needle localization during anterior cervical discectomy and fusion lead to accelerated disc degeneration? Spine 2009;34:189–92.

9. Saavedra-Pozo FM, Deusdara RAM, Benzel EC. Adjacent Segment Disease Perspective and Review of the Literature The Ochsner Journal 2014;14:78–83.
10. Park MS, Kelly MP, Lee D-H, et al. Sagittal Alignment As a Predictor of Clinical Adjacent Segment Pathology requiring Surgery after Anterior Cervical Arthrodesis. Spine J. 2014;1;14(7):1228-34.
11. Herkowitz HN, Kurz LT, Overholt DP. Surgical management of cervical soft disc herniation. A comparison between the anterior and posterior approach. Spine. 1990;15:1026–30.
12. Henderson CM, Hennessy RG, Shuey Jr HM, et al. Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy: a review of 846 consecutively operated cases. Neurosurgery 1983;13:504–12