Here is a paper where the authors did a cervical fusion and evaluated disc degeneration. This study confirms again why our treatment is important in PREVENTING further pathologies. The authors clearly mention that a lordosis in the cervical spine is extremely important. I feel we must do what we can to preserve our patients spine both in the short and long term. Take a look at what some of the statements the authors make and be sure to cut and paste for your notes and to discuss with your patients for patient education and communication.
“As suggested by some authors preservation or restoration of the physiological sagittal alignment could represent a protective factor against the development of adjacent-level degeneration.”
“Vavruch et al. asserted cervical kyphosis could be disadvantageous in the long term because of increasing degenerative changes at adjacent levels.”
” We found an OR of 0.788 between postoperative SSA and adjacent-level degeneration, suggesting a lordotic SSA angle can be considered a protective factor against adjacent-level degeneration. In particular, for each positive degree of SSA angle, there was a 20% reduced risk of adjacent-level degeneration. Therefore, we observed kyphotic postoperative SSA was related to adjacent-level degeneration and +2.0° was the cutoff value of postoperative SSA predicting adjacent-level degeneration “
We need to preserve our patients lordosis and speak to neurosurgeons about this paper so we can be included in patients post fusion care. Here is the paper: P Sag alignment and DDD