Discuss the issue of adjacentlevel problems in the cervical spine following nonfusion and fusion procedures

Adjacent segment degeneration and adjacent segment disease are common findings when patients are evaluated over time following cervical spine surgery. The annual incidence of adjacent segment disease requiring additional cervical surgery following an initial cervical spine procedure (ACDF or a posterior cervical foraminotomy) is 3% per year. Because the rates of adjacent segment problems are similar following fusion and nonfusion procedures, it remains uncertain whether adjacent segment degeneration (radiographic degenerative changes) and adjacent segment disease (symptoms requiring additional surgical intervention) reflect a natural progression of cervical spondylosis or a consequence of arthrodesis.

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