Is it advisable for elderly people with spinal stenosis, scoliosis and spondylolisthesis to have multilevel spinal fusion ? What is the possibility of getting Adjacent Segment Disease (ASD) requiring further treatment at a later date?
Multi level fusion is a high risk procedure. Though age specifically is not a contraindication factor, the comorbidities associated with it may limit the chances of a successful surgery. Degeneration as such does not spread, however the chances of adjacent segment disease may depend on the presence of risk factors. I would be best to discuss the situation and the suggested management plan in detail with a neuro-surgeon or an orthopedician.
Hope this helps.
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