Plainville 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 is a truth for many things in life, including back pain and neck pain. Adjacent segment disease illustrates this theory! When back pain is dealt with back surgery, particularly back surgery including a spinal fusion, the reaction to the action of the fusion is pressure on the spinal segments above and below the surgical area. These are the adjacent segments. These segments take over the work of the surgical segment which they were not created to do. These adjacent segments rebel with pain of their own. Layden Chiropractic eases these rebellious adjacent segments with gentle, non-operative, 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 supposedly 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 altered biomechanical forces due to an earlier fusion. Non-surgical treatment for adjacent segment disease is the first option to try 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 preserve motion and replicate normal motions of the cervical spine. In a surgery for adjacent segment disease in a patient with a TDR, fusion was seen, but 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 commonly signaled the need for reoperation following a thoracolumbar fusion, subjecting patients to more post-surgical complications and lengthier recovery periods. (3) Low back pain patients who underwent fusion surgery had an elevated risk of post-surgical work-disability after insurance regulation changes compared with low back pain patients who were treated non-surgically or with decompression only. (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 low. (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 increased in patients whose fusions were longer. Adjacent segment disease arose sooner after fusion in elderly patients and in those with degenerative lumbar scoliosis. (6) Chiropractic non-surgical care may answer the call for non-operative treatment pain after back surgery including back surgery with fusion.

HOW DOES CHIROPRACTIC ADDRESS ADJACENT SEGMENT DISEASE?

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

CONTACT Layden Chiropractic

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

Schedule your Plainville chiropractic appointment today. Layden Chiropractic 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 Plainville chiropractic non-operative care is available at Layden Chiropractic.

Layden Chiropractic offers relieving care non-surgically to back pain patients suffering with adjacent level pain after spinal fusion surgery. 
 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."