RT Journal Article
SR Electronic
T1 Patient Optimization for the Prevention of Proximal Junctional Kyphosis
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 8510
DO 10.14444/8510
A1 Judy, Brendan F.
A1 Tracz, Jovanna A.
A1 Alomari, Safwan
A1 Witham, Timothy F.
YR 2023
UL https://www.ijssurgery.com/content/early/2023/06/15/8510.abstract
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.