A Hybrid Surgical Management Approach for Adjacent Segment Disease in the Lumbar Region

Rodrigo Ramos-Zúñiga, Francisco Velázquez-García, Sandra A Trejo-Gallegos, Laura Lara-Reynoso, Carlos I Ramírez-Bañales, Rudy Mercado-Lopez

Adjacent segment disease (ASD) is a well-recognized clinical entity associated with surgical instrumentation history. A hybrid approach to achieving an extension of the transpedicular system without altering the already stable segment is another alternative for the selective management of ASD.
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