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Paraspinal Musculature and Adjacent Segment Disease After Lumbar Fusion: A systematic review and meta-analysis of fusion with and without posterior instrumentation
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DOI：10.1016/j.spinee.2026.05.008.png)
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Abstract
En 中文
Adjacent segment disease (ASD) is the principal long-term complication following lumbar fusion, contributing to pain, disability, and the need for revision surgery. While biomechanical and patient-related factors have been proposed, iatrogenic injury to the paraspinal musculature during posterior exposure may also promote ASD. Minimally invasive anterior, oblique, and lateral approaches, which avoid posterior dissection, may mitigate this risk.
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