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Impact of iatrogenic alterations on adjacent segment degeneration after lumbar fusion surgery: a systematic review.

J Orthop Surg Res · 2025 · PMC12039085 · PMID 40301982

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showed a trendno p-value reported
Accordingly, studies that examined the relationship between muscle damage and ASDeg showed a trend toward lower ASDeg rates for muscle-sparing approaches.

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