RT Journal Article
SR Electronic
T1 Proximal Junctional Kyphosis Prevention Strategies Focused on Alignment
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 8513
DO 10.14444/8513
A1 Balmaceno-Criss, Mariah
A1 Alsoof, Daniel
A1 Lafage, Renaud
A1 Diebo, Bassel G.
A1 Daniels, Alan H.
A1 Schwab, Frank
A1 Lafage, Virginie
YR 2023
UL https://www.ijssurgery.com/content/early/2023/06/22/8513.abstract
AB Adult spinal deformity (ASD) is a complex pathology associated with spinal malalignment in the coronal, sagittal, and axial planes. Proximal junction kyphosis (PJK) is a complication of ASD surgery, affecting 10%–48% of patients, and can result in pain and neurological deficit. It is defined radiographically as a greater than 10° Cobb angle between the upper instrumented vertebrae and the 2 vertebrae proximal to the superior endplate. Risk factors are classified according to the patient, surgery, and overall alignment, but it is important to consider the interplay between various factors. This article reviews the risk factors of PJK and considers alignment-focused prevention strategies.