PT  - JOURNAL ARTICLE
AU  - Balmaceno-Criss, Mariah
AU  - Alsoof, Daniel
AU  - Lafage, Renaud
AU  - Diebo, Bassel G.
AU  - Daniels, Alan H.
AU  - Schwab, Frank
AU  - Lafage, Virginie
TI  - Proximal Junctional Kyphosis Prevention Strategies Focused on Alignment
AID  - 10.14444/8513
DP  - 2023 Oct 01
TA  - International Journal of Spine Surgery
PG  - S38--S46
VI  - 17
IP  - S2
4099  - https://www.ijssurgery.com/content/17/S2/S38.short
4100  - https://www.ijssurgery.com/content/17/S2/S38.full
SO  - Int J Spine Surg2023 Oct 01; 17
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.