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great damage to joints, erode joint cartilage, increase the fragility of soft tissues and ligaments around the joints, and deteriorate soft tissue conditions ( 6 ). Acute SA is defined by those patients that present with altered clinical (fever
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decompression surgery at the adjacent level is selected, fusion should also be recommended in order to stabilize the motion of this fragile segment. Non-instrumented and instrumented fusion as risk factors for ASD Currently, rigid internal fixation with