{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:38:34Z","timestamp":1790775514272,"version":"4.1.0"},"reference-count":64,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National High Level Hospital Clinical Research Funding","award":["2022-PUMCH-A-120"],"award-info":[{"award-number":["2022-PUMCH-A-120"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["82172450"],"award-info":[{"award-number":["82172450"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to assess the impact of surgical approaches and other factors on the incidence of Adjacent Segment Degeneration (ASD) following Spinal Fusion for Adolescent Idiopathic Scoliosis (AIS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a comprehensive search of four electronic databases from their inception until March 30, 2023. Two independent reviewers screened titles, abstracts, and full texts and evaluated the methodological quality of the studies. A random-effects model was used to calculate the incidence of ASD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our analysis included 14 studies involving 651 individuals. The overall incidence of ASD was 47% (95%CI: 0.37, 0.56). Subgroup analyses revealed that the prevalence of ASD increased with postoperative time (53% (95%CI: 0.31, 0.75) versus 48% (95%CI: 0.36, 0.60) versus 39% (95%CI: 0.22, 0.56)). For the number of fused segments, a group with more than 10 segments had a higher prevalence (49% (95%CI: 0.38, 0.60) versus 44% (95%CI: 0.21, 0.69)). In terms of regions, East Asia had the highest prevalence, followed by Occident and West Asia (52% (95%CI: 0.41, 0.62) versus 43% (95%CI: 0.20, 0.68) versus 37% (95%CI: 0.17, 0.59)). However, the surgical approach, male ratio, and the position of the lowest instrumented vertebra (LIV) did not show significant differences between groups. Funnel plots and Egger\u2019s test did not reveal any significant publication bias (Egger\u2019s test: t = 1.62, p-value = .1274).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This meta-analysis found that nearly half of AIS patients following spinal fusion surgery experienced ASD. Long-term follow-up, regular screening, and timely interventions are essential to reduce the prevalence of ASD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536241248711","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T11:03:30Z","timestamp":1713783810000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Half of the adolescent idiopathic scoliosis patients may have lumbar adjacent segment degeneration following spinal fusion: A systemic review and meta-analysis"],"prefix":"10.1177","volume":"32","author":[{"given":"Fuze","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuhui","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Clinical Medical, Weifang Medical University, Weifang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1453-855X","authenticated-orcid":false,"given":"Hai","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,22]]},"reference":[{"key":"bibr1-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2508"},{"key":"bibr2-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60658-3"},{"key":"bibr3-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.67B2.3980521"},{"key":"bibr4-10225536241248711","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557070-00015"},{"key":"bibr5-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-012-0457-4"},{"key":"bibr6-10225536241248711","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00224"},{"key":"bibr7-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s43390-021-00402-7"},{"key":"bibr8-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31817bb956"},{"key":"bibr9-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-02032-7"},{"key":"bibr10-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1060-3"},{"key":"bibr11-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198105000-00008"},{"issue":"2","key":"bibr12-10225536241248711","first-page":"3","volume":"88","author":"Batti\u00e9 MC","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"bibr13-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"bibr14-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.12"},{"key":"bibr15-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"bibr16-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"bibr17-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7129.469"},{"key":"bibr18-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.30"},{"key":"bibr19-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1186\/1748-7161-1-4"},{"key":"bibr20-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31814b851f"},{"key":"bibr21-10225536241248711","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2018.12.6.1060"},{"key":"bibr22-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0530-8"},{"key":"bibr23-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2011.07.006"},{"key":"bibr24-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1186\/s13013-018-0157-z"},{"key":"bibr25-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000002319"},{"key":"bibr26-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200103010-00015"},{"key":"bibr27-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001121"},{"key":"bibr28-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2015.12.001"},{"key":"bibr29-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181ff1ea9"},{"key":"bibr30-10225536241248711","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.L.00781"},{"key":"bibr31-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-021-06874-5"},{"key":"bibr32-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000002362"},{"key":"bibr33-10225536241248711","doi-asserted-by":"publisher","DOI":"10.22603\/ssrr.2019-0048"},{"key":"bibr34-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s43390-023-00652-7"},{"key":"bibr35-10225536241248711","doi-asserted-by":"publisher","DOI":"10.22603\/ssrr.1.2016-0017"},{"key":"bibr36-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2015.04.001"},{"key":"bibr37-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200109010-00011"},{"key":"bibr38-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.12.161"},{"key":"bibr39-10225536241248711","first-page":"795","volume":"98","author":"Franic M","year":"2012","journal-title":"A Meta-Analysis"},{"key":"bibr40-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1695-8"},{"key":"bibr41-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-012-0457-4"},{"key":"bibr42-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181ff1ea9"},{"key":"bibr43-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0539-z"},{"key":"bibr44-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31816f2849"},{"key":"bibr45-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000153342.89478.d2"},{"key":"bibr46-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181aa7d53"},{"key":"bibr47-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198309000-00003"},{"key":"bibr48-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200009150-00011"},{"key":"bibr49-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0515-7"},{"key":"bibr50-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2010.09.026"},{"key":"bibr51-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199512000-00008"},{"key":"bibr52-10225536241248711","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2010.2.3.140"},{"key":"bibr53-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000144833.63581.c1"},{"key":"bibr54-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000256875.17765.e6"},{"key":"bibr55-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199902000-00004"},{"key":"bibr56-10225536241248711","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00020"},{"key":"bibr57-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2021.106634"},{"key":"bibr58-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000002213"},{"key":"bibr59-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.02.113"},{"key":"bibr60-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1002\/art.33462"},{"key":"bibr61-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1080\/028418501127346495"},{"key":"bibr62-10225536241248711","doi-asserted-by":"publisher","DOI":"10.22603\/ssrr.1.2016-0017"},{"key":"bibr63-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2018.04.008"},{"key":"bibr64-10225536241248711","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181e5e36e"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536241248711","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536241248711","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536241248711","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:31:16Z","timestamp":1777678276000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536241248711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":64,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1177\/10225536241248711"],"URL":"https:\/\/doi.org\/10.1177\/10225536241248711","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"10225536241248711"}}