Christopher Silveri MD

Christopher P. Silveri, M.D.FAAOS

Board Certified Orthopaedic Surgeon : Spine View Profile
  • I would like to express my sincere appreciation for keeping me up and running. By - Martha Howar

  • After suffering back pain for over 50 years the pain it became unbearable. By - Bob Vandel

  • Dr Silveri performed the first case using the O-Arm 3-D Imaging at Fair Oaks Hospital. Exciting New Technology

  • Thanks for the GREAT WORK! Double Fusion Feb 4, 2003 MARATHON October 30, 2005 By - Tim Bergen

  • Ballroom Dancer Fully Recovers from Back Surgery,A Laminectomy and Three Vertebra Fusion By - Tom Woll

  • Thanks Dr. Silveri.

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Adjacent Segment Disc Disease

Spinal fusion surgery involves the fusion of two or more vertebral bones, and is a standard of care for spinal deformities and conditions such as radiculopathy, myelopathy and spondylolisthesis. However, in the long-run, the surgery may be associated with adjacent segment disc disease, a complication in which the spinal segments above and below the fused portions develop abnormalities such as disc degeneration, instability, spinal stenosis or disc herniation. This occurs because of increased stress on these segments owing to a compromised spinal column. The greater the number of segments involved in the fusion, the greater the stress experienced at the adjacent segments. The complication is more frequently associated with fusions of the lumbar spine (lower back vertebrae) rather than the cervical spine (neck vertebrae).

Adjacent segment disc disease is associated with new degeneration symptoms, but may be asymptomatic and identified only during a follow-up imaging test. Sometimes, clinical evidence of degeneration may not accompany radiographic changes. Surgical intervention is decided only in the presence of clinical as well as imaging findings. Treatment includes fusion as well as decompression of the adjacent segment.

  • Penn Medicine
  • American  Association of Orthopaedic Surgeons
  •  American Board of Orthopaedic Surgery
  • North American Spine Society
  • Georgetown University