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Adjacent level disease or adjacent segment degeneration is a condition that can occur after a spinal fusion. It impacts the motion segments (i.e., the disc and facet joints) above and below the surgery site. After a fusion surgery, you lose movement at the spine segment where the procedure was done. But motion has to come from somewhere to accommodate your daily activity—twisting, walking, reaching, and lifting. Usually, it comes from the joints next to the surgery site. These joints have to do double duty in order to make up for the (now) immovable portion of your spine. As such they are subject to extra stress, and this may lead to degenerative changes. Adjacent level disease is the result of extra wear and tear on the intervertebral joints above and below your surgery site. More details: https://premiaspine.com/topstm-system... #premiaspine #spinalfusionalternative #sciaticapain #spinalstenosis #topssystem