Fig. 2A–C.

Images illustrate the case of a 55-year-old woman who underwent anterior lumbar interbody fusion and experienced clinical adjacent segment degeneration at followup. Compared with the (A) initial findings, disc herniation of the cranial segment continued to enlarge after (B) 5 and (C) 10 years. The patient complained of back and left leg pain at the 10-year followup examination. She underwent two epidural steroid injections and took medications.