{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T20:08:37Z","timestamp":1774382917185,"version":"3.50.1"},"reference-count":40,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2017,9]]},"DOI":"10.1016\/j.spinee.2017.04.027","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T12:30:17Z","timestamp":1493209817000},"page":"1264-1271","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["There is no increased risk of adjacent segment disease at the cervicothoracic junction following an anterior cervical discectomy and fusion to C7"],"prefix":"10.1016","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4787-1538","authenticated-orcid":false,"given":"Philip K.","family":"Louie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6547-9495","authenticated-orcid":false,"given":"Steven M.","family":"Presciutti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie E.","family":"Iantorno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel D.","family":"Bohl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8883-4055","authenticated-orcid":false,"given":"Kevin","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grant D.","family":"Shifflett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard S.","family":"An","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.spinee.2017.04.027_bib0010","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.2106\/00004623-199309000-00005","article-title":"Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients","volume":"75","author":"Bohlman","year":"1993","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.spinee.2017.04.027_bib0015","doi-asserted-by":"crossref","first-page":"S85","DOI":"10.1097\/BRS.0b013e31826d6628","article-title":"Kinematics of the cervical adjacent segments after disc arthroplasty compared with anterior discectomy and fusion","volume":"37","author":"Anderson","year":"2012","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0020","doi-asserted-by":"crossref","first-page":"555","DOI":"10.2106\/JBJS.K.00599","article-title":"A meta-analysis comparing the results of cervical disc arthroplasty with anterior cervical discectomy and fusion (ACDF) for the treatment of symptomatic cervical disc disease","volume":"95","author":"Gao","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.spinee.2017.04.027_bib0025","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1016\/j.spinee.2010.08.014","article-title":"Total disc arthroplasty does not affect the incidence of adjacent segment degeneration in cervical spine: results of 93 patients in three prospective randomized clinical trials","volume":"10","author":"Jawahar","year":"2010","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0030","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1097\/BRS.0b013e31823da169","article-title":"A meta-analysis of comparative outcomes following cervical arthroplasty or anterior cervical fusion: results from 4 prospective multicenter randomized clinical trials and up to 1226 patients","volume":"37","author":"McAfee","year":"2012","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0035","doi-asserted-by":"crossref","first-page":"2253","DOI":"10.1097\/BRS.0000000000000052","article-title":"Rate of adjacent segment disease in cervical disc arthroplasty versus single-level fusion: meta-analysis of prospective studies","volume":"38","author":"Verma","year":"2013","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0040","doi-asserted-by":"crossref","first-page":"S190","DOI":"10.1016\/j.spinee.2004.07.007","article-title":"Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion?","volume":"4","author":"Hilibrand","year":"2004","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0045","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4103\/2152-7806.130676","article-title":"Adjacent segment disease after anterior cervical discectomy and fusion: incidence and clinical outcomes of patients requiring anterior versus posterior repeat cervical fusion","volume":"5","author":"Bydon","year":"2014","journal-title":"Surg Neurol Int"},{"key":"10.1016\/j.spinee.2017.04.027_bib0050","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1227\/NEU.0000000000000204","article-title":"Adjacent segment disease after anterior cervical discectomy and fusion in a large series","volume":"74","author":"Bydon","year":"2014","journal-title":"Neurosurgery"},{"key":"10.1016\/j.spinee.2017.04.027_bib0055","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1016\/j.spinee.2013.05.050","article-title":"Evidence-based analysis of adjacent segment degeneration and disease after ACDF: a systematic review","volume":"13","author":"Carrier","year":"2013","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0060","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1097\/BRS.0000000000000074","article-title":"Adjacent segment disease after anterior cervical discectomy and fusion","volume":"39","author":"Xu","year":"2014","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0065","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.jocn.2014.08.019","article-title":"Adjacent segment degeneration after single-level anterior cervical decompression and fusion: disc space distraction and its impact on clinical outcomes","volume":"22","author":"Li","year":"2015","journal-title":"J Clin Neurosci"},{"key":"10.1016\/j.spinee.2017.04.027_bib0070","first-page":"29","article-title":"Adjacent segment degeneration following spinal fusion for degenerative disc disease","volume":"65","author":"Levin","year":"2007","journal-title":"Bull NYU Hosp Jt Dis"},{"issue":"Suppl. 3","key":"10.1016\/j.spinee.2017.04.027_bib0075","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s00586-011-1916-1","article-title":"Adjacent-level degeneration after cervical disc arthroplasty versus fusion","volume":"20","author":"Maldonado","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0080","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1227\/NEU.0b013e318232d4f2","article-title":"The incidence of adjacent segment disease requiring surgery after anterior cervical diskectomy and fusion","volume":"70","author":"Wu","year":"2012","journal-title":"Neurosurgery"},{"key":"10.1016\/j.spinee.2017.04.027_bib0085","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/BRS.0b013e3181b8a80d","article-title":"Anterior cervical decompression and fusion accelerates adjacent segment degeneration: comparison with asymptomatic volunteers in a ten-year magnetic resonance imaging follow-up study","volume":"35","author":"Matsumoto","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0090","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5435\/JAAOS-21-01-3","article-title":"Adjacent segment disease following cervical spine surgery","volume":"21","author":"Cho","year":"2013","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.spinee.2017.04.027_bib0095","doi-asserted-by":"crossref","first-page":"2431","DOI":"10.1097\/00007632-200211150-00003","article-title":"Biomechanical study on the effect of cervical spine fusion on adjacent-level intradiscal pressure and segmental motion","volume":"27","author":"Eck","year":"2002","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0100","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1007\/s005860000243","article-title":"Kyphotic malalignment after anterior cervical fusion is one of the factors promoting the degenerative process in adjacent intervertebral levels","volume":"10","author":"Katsuura","year":"2001","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0105","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/s10143-008-0164-2","article-title":"Effect of cervical dynamics on adjacent segment degeneration after anterior cervical fusion with cages","volume":"32","author":"Elsawaf","year":"2008","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.spinee.2017.04.027_bib0110","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.jocn.2013.02.039","article-title":"Prevalence of adjacent segment disc degeneration in patients undergoing anterior cervical discectomy and fusion based on pre-operative MRI findings","volume":"21","author":"Lundine","year":"2014","journal-title":"J Clin Neurosci"},{"key":"10.1016\/j.spinee.2017.04.027_bib0115","doi-asserted-by":"crossref","first-page":"2788","DOI":"10.1097\/01.brs.0000190453.46472.08","article-title":"Does anterior plating of the cervical spine predispose to adjacent segment changes?","volume":"30","author":"Rao","year":"2005","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0120","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1097\/00007632-199603010-00003","article-title":"Morphological survey of the cervicothoracic junctional region","volume":"21","author":"Boyle","year":"1996","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0125","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1055\/s-0035-1546418","article-title":"Biomechanical determination of distal level for fusions across the cervicothoracic junction","volume":"05","author":"Cheng","year":"2015","journal-title":"Global Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0130","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.nec.2007.02.012","article-title":"The cervicothoracic junction","volume":"18","author":"Wang","year":"2007","journal-title":"Neurosurg Clin N Am"},{"key":"10.1016\/j.spinee.2017.04.027_bib0135","first-page":"323","article-title":"Managing disorders of the cervicothoracic junction","volume":"31","author":"Daffner","year":"2002","journal-title":"Am J Orthop"},{"key":"10.1016\/j.spinee.2017.04.027_bib0140","doi-asserted-by":"crossref","first-page":"2557","DOI":"10.1097\/00007632-199411001-00011","article-title":"Spinal disorders at the cervicothoracic junction","volume":"19","author":"An","year":"1994","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0145","doi-asserted-by":"crossref","first-page":"519","DOI":"10.2106\/00004623-199904000-00009","article-title":"Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis","volume":"81","author":"Hilibrand","year":"1999","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.spinee.2017.04.027_bib0150","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1016\/j.spinee.2013.09.043","article-title":"Sagittal alignment as a predictor of clinical adjacent segment pathology requiring surgery after anterior cervical arthrodesis","volume":"14","author":"Park","year":"2014","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0155","doi-asserted-by":"crossref","first-page":"2143","DOI":"10.1097\/BRS.0000000000000636","article-title":"The revision rate and occurrence of adjacent segment disease after anterior cervical discectomy and fusion","volume":"39","author":"van Eck","year":"2014","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0160","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1007\/s00586-015-3975-1","article-title":"Cervical canal stenosis and adjacent segment degeneration after anterior cervical arthrodesis","volume":"24","author":"Zhang","year":"2015","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0165","doi-asserted-by":"crossref","first-page":"172","DOI":"10.3171\/2011.10.SPINE11116","article-title":"Adjacent-level biomechanics after single versus multilevel cervical spine fusion","volume":"16","author":"Prasarn","year":"2012","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0170","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1097\/00007632-200103150-00015","article-title":"Increased fusion rates with cervical plating for three-level anterior cervical discectomy and fusion","volume":"26","author":"Wang","year":"2001","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0175","doi-asserted-by":"crossref","first-page":"S149","DOI":"10.1097\/BRS.0b013e3182a7f449","article-title":"Cervical radiographical alignment","volume":"38","author":"Ames","year":"2013","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0180","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1016\/j.spinee.2010.08.031","article-title":"The use of the T1 sagittal angle in predicting overall sagittal balance of the spine","volume":"10","author":"Knott","year":"2010","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0185","doi-asserted-by":"crossref","first-page":"E630","DOI":"10.1097\/BRS.0000000000000281","article-title":"Is it possible to evaluate the parameters of cervical sagittal alignment on cervical computed tomographic scans?","volume":"39","author":"Jun","year":"2014","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0190","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.spinee.2013.06.059","article-title":"Factors determining cervical spine sagittal balance in asymptomatic adults: correlation with spinopelvic balance and thoracic inlet alignment","volume":"15","author":"Lee","year":"2015","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0195","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/BRS.0000000000001353","article-title":"Influence of T1 slope on the cervical sagittal balance in degenerative cervical spine: an analysis using kinematic MRI","volume":"41","author":"Weng","year":"2016","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.04.027_bib0205","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.spinee.2012.12.009","article-title":"Update on the evidence for adjacent segment degeneration and disease","volume":"13","author":"Helgeson","year":"2013","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.04.027_bib0210","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1016\/j.spinee.2004.04.011","article-title":"Adjacent segment disease after anterior cervical interbody fusion","volume":"4","author":"Ishihara","year":"2004","journal-title":"Spine J"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943017301845?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943017301845?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,2]],"date-time":"2018-09-02T05:57:51Z","timestamp":1535867871000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943017301845"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":40,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["S1529943017301845"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2017.04.027","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2017,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"There is no increased risk of adjacent segment disease at the cervicothoracic junction following an anterior cervical discectomy and fusion to C7","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2017.04.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}