PT  - JOURNAL ARTICLE
AU  - Brendan F. Judy
AU  - Jovanna A. Tracz
AU  - Safwan Alomari
AU  - Timothy F. Witham
TI  - Patient Optimization for the Prevention of Proximal Junctional Kyphosis
AID  - 10.14444/8510
DP  - 2023 Jun 15
TA  - International Journal of Spine Surgery
PG  - 8510
4099  - https://www.ijssurgery.com/content/early/2023/06/15/8510.short
4100  - https://www.ijssurgery.com/content/early/2023/06/15/8510.full
AB  - Proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) are well-recognized challenges of surgery for adult spinal deformity (ASD). Multiple risk factors have been identified for PJK/PJF, including osteoporosis, frailty, neurodegenerative disease, obesity, and smoking. Several surgical techniques to mitigate risk of PJK/PJF have been identified; however, patient optimization is also critical. This review summarizes the data behind these 5 risk factors (osteoporosis, frailty, neurodegenerative disease, obesity, and smoking) and details the related recommendations for patients undergoing surgery for ASD.