{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:39Z","timestamp":1787169759015,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>Adjacent segment pathology (ASP) refers to degenerative changes at segments immediately contiguous to previous spinal fusion. Its pathophysiology is hypothesized as being possibly due to altered biomechanical stresses on adjacent levels following spinal fusion or due to patient propensity to develop progressive degenerative change. This case report describes a 61-year-old female who presented with neck pain and cervical radiculopathy attributed to an anterior cervical discectomy and spinal fusion performed for degenerative disc disease 30 years earlier. ASP was seen on magnetic resonance imaging (MRI) and radiograph. Treatment consisted of cervical manipulation, soft-tissue mobilization, flexion-distraction decompression, and therapeutic ultrasound to release restriction and restore muscle strength. Following 34 sessions of chiropractic intervention, her symptoms were resolved. Patients with ASP will have ongoing shared care between general practitioners and secondary or tertiary care pain units. This report aims to build a shared understanding from the wider vision of ASP and help primary practitioners to manage ASP effectively.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1380_21","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T11:54:47Z","timestamp":1645876487000},"page":"787-789","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Adjacent segment pathology of the cervical spine: A case report"],"prefix":"10.4103","volume":"11","author":[{"given":"Eric C. P.","family":"Chu","sequence":"first","affiliation":[{"name":"New York Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong SAR, China"},{"name":"School of Nursing and Health Studies, The Open University of Hong Kong, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda Y. K.","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Studies, The Open University of Hong Kong, Hong Kong SAR, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,2,16]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1016\/j.spinee.2020.05.100","article-title":"Current incidence of adjacent segment pathology following lumbar fusion versus motion-preserving procedures:A systematic review and meta-analysis of recent projections","volume":"20","author":"Donnally","year":"2020","journal-title":"Spine J"},{"issue":"2 Suppl","key":"B2-20240828","doi-asserted-by":"crossref","first-page":"S61","DOI":"10.1177\/2192568219898154","article-title":"Cervical arthroplasty:Long-term outcomes of FDA IDE trials","volume":"10","author":"Parish","year":"2020","journal-title":"Global Spine J"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"2911","DOI":"10.3390\/jcm10132911","article-title":"The relationship between adjacent segment pathology and facet joint violation by pedicle screw after posterior lumbar instrumentation surgery","volume":"10","author":"Oh","year":"2021","journal-title":"J Clin Med"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"2309499020968295","DOI":"10.1177\/2309499020968295","article-title":"Association of cervical sagittal alignment with adjacent segment degeneration and heterotopic ossification following cervical disc replacement with Prestige-LP disc","volume":"28","author":"Wang","year":"2020","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1302\/0301-620X.100B8.BJJ-2018-0120.R1","article-title":"Total disc replacement versus anterior cervical discectomy and fusion:A systematic review with meta-analysis of data from a total of 3160 patients across 14 randomized controlled trials with both short- and medium- to long-term outcomes","volume":"100-B","author":"Findlay","year":"2018","journal-title":"Bone Joint J"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"269","DOI":"10.14444\/7036","article-title":"Adjacent segment pathology after treatment with cervical disc arthroplasty or anterior cervical discectomy and fusion, part 1:Radiographic results at 7-year follow-up","volume":"14","author":"Nunley","year":"2020","journal-title":"Int J Spine Surg"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"2309499020960560","DOI":"10.1177\/2309499020960560","article-title":"Treatment of adjacent segment disease with percutaneous transforaminal endoscopic discectomy:Early experience and results","volume":"28","author":"Kapetanakis","year":"2020","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"22 Suppl","key":"B8-20240828","doi-asserted-by":"crossref","first-page":"S113","DOI":"10.1097\/BRS.0b013e31826d6284","article-title":"Treatment of cervical adjacent segment pathology:A systematic review","volume":"37","author":"Fourney","year":"2012","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1380_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:45Z","timestamp":1787166705000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1380_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1380_21","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2]]},"assertion":[{"value":"2021-07-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}