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No significant difference was observed in adjacent segment disease incidence between the 2 groups ( = .243). The NS group had better outcomes according to the clinical function scores ( .05). The cerebrospinal fluid occlusion sign on MRI is valuable for evaluating the adjacent segment with pre-existing degeneration. Patients with mild SCS in adjacent segments were more likely to have ASDeg, and the most frequent type of ASDeg was the SCS-aggravated type at early follow-up. The cerebrospinal fluid occlusion sign on MRI is valuable f
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