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Questions/purposes the aim of this research was to develop an etiology-based classification system for ASDz after lumbar fusion. Methods We conducted a retrospective chart overview of 65 successive customers who had undergone both a lumbar fusion carried out by just one doctor and a subsequent procedure for ASDz. We established an etiology-based category system for lumbar ASDz with all the after six categories "degenerative" (degenerative disc disease or spondylosis), "neurologic" (disc herniation,