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St. Francisville Chiropractic Care of Adjacent Segment Disease After Fusion

“For every action there is an equal and opposite reaction.” A physics rule only? Not at all! It applies to many things in life, including back pain and neck pain. Adjacent segment disease illustrates this theory! When back pain is addressed with back surgery, especially back surgery involving a spinal fusion, the reaction to the action of the fusion is pressure on the spinal segments above and below the surgical segment. These are the adjacent segments. These segments accept the work of the surgical segment which they were not designed to do. These adjacent segments protest with pain of their own. Family & Sports Chiropractic of St. Francisville eases these rebellious adjacent segments with gentle, non-surgical, pain-relieving chiropractic treatment.

WHAT IS ADJACENT SEGMENT DISEASE?

Researchers describe adjacent segment disease (ASD) as a “disappointing long-term outcome for both the patient and clinician.” Cervical and lumbar spine adjacent segment disease is reportedly between 2% and 4% a year according to one study. It impacts reoperation rates after spinal fusion. Risks for ASD are many including existing degeneration of adjacent segments, predisposition to degenerative changes, and changed biomechanical forces due to a previous fusion. Non-surgical treatment for adjacent segment disease is the first step as long as progressive neurological deficit is not an issue. (1)

HOW DOES BACK SURGERY INFLUENCE ADJACENT SEGMENT DISEASE RISK?

Types of surgical approaches affect the chances of fusion along with adjacent segment disease. Total disc replacements (TDR) for neck pain conditions using a ball and socket are designed to maintain motion and reproduce normal motions of the cervical spine. In a surgery for adjacent segment disease in a patient with a TDR, fusion was noted, yet adjacent segment disease was present too which took the patient back to surgery. (2) Adjacent segment disease after a single level lumbar fusion was a substantial cause of post-surgical issues in a recent report. It generally indicated the necessity of a reoperation following a thoracolumbar fusion, subjecting patients to more post-surgical complications and longer recovery periods. (3) Low back pain patients who underwent fusion surgery had an increased risk of post-surgical work-disability after insurance regulation alterations compared with low back pain patients who were treated non-surgically or with decompression alone. (4) In one study, the reoperation for ASD was 25.2% for L4L5 fusion though adjacent segment disease at L5S1 after an L4L5 fusion surgery was minimal. (5) Another study of 1000 patients who underwent back surgery with fusion reported that 9% experienced adjacent segment disease on average at 4.7 years after the first surgery. Adjacent segment disease was most frequent in degenerative spondylolisthesis at the cranial fusion segment. Risk for adjacent segment disease was elevated in patients whose fusions were longer. Adjacent segment disease happened sooner after fusion in elderly patients and in those with degenerative lumbar scoliosis. (6) Chiropractic non-surgical care may answer the plea for non-operative treatment pain after back surgery including fusion back surgery.

HOW DOES CHIROPRACTIC ADDRESS ADJACENT SEGMENT DISEASE?

Support via research for St. Francisville chiropractic care of post-surgical continued back pain increases. A study of 32 post-surgical back pain patients treated with Cox® Technic reported improvement of 41% to 57%, greater in those who had combined surgeries like fusions. (7) Another study of Cox® Technic treatment stated that 69 post-surgical continued pain (PSCP) patients experienced active chiropractic care in the form of Cox® Technic Flexion Distraction for an average of 11 treatments over a 49 day period. Pain relief was 71.6% (SD: 23.2). Two years later, the lasting pain relief was 70% while 32 patients needed further care to keep their pain relief. PSCP patients showed pain relief following specific chiropractic distraction spinal manipulation. (8)

CONTACT Family & Sports Chiropractic of St. Francisville

Listen to Dr. Lee Hazen on The Back Doctors Podcast with Dr. Michael Johnson about his care of a failed back surgical syndrome (aka post-surgical continued pain) patient with the Cox® Technic System of Spinal Pain Management.

Schedule your St. Francisville chiropractic appointment today. Family & Sports Chiropractic of St. Francisville cares for post-surgical continued pain and adjacent segment disease. It’s not necessary to suffer the reaction to the action of back surgery when St. Francisville chiropractic non-operative care is available at Family & Sports Chiropractic of St. Francisville.

Family & Sports Chiropractic of St. Francisville offers relieving care non-surgically to back pain patients suffering with adjacent level pain after spinal fusion surgery. 
 
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