Lumbar fusion with adjacent degenerative disc stress and disease Lumbar fusion with adjacent degenerative disc stress and disease. Lateral radiograph of the lumbar spine shows L3-S1 posterior fusion via rods and pedicle screws, with large anterior marginal osteophyte seen at L2-L3 (arrow) with marked endplate subchondral sclerosis indicative of vertebral body degenerative changes and discogenic sclerosis as a result of abnormal stress at the site of the fused and unfused segments. Source: Orthopedic Hardware and Complications, Basic Musculoskeletal Imaging Citation: Tehranzadeh J, MD. Basic Musculoskeletal Imaging; 2016 Available at: http://accessphysiotherapy.mhmedical.com/DownloadImage.aspx?image=/data/books/1788/ch10fg22.png&sec=123933588&BookID=1788&ChapterSecID=123771991&imagename= Accessed: November 03, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved