Use of Tethers for Proximal Junctional Kyphosis Prophylaxis in Adult Spinal Deformity Surgery: A Review of Current Clinical Evidence

T Sursal, HJ Kim, JP Sardi, CP Yen… - International Journal of …, 2023 - ijssurgery.com
Background Surgery for adult spinal deformity (ASD) often involves long-segment posterior
instrumentation that introduces stress at the proximal junction that can result in proximal …

A novel weave tether technique for proximal junctional kyphosis prevention in 71 adult spinal deformity patients: a preliminary case series assessing early …

EP Rabinovich, TJ Buell, JP Sardi… - Operative …, 2021 - journals.lww.com
BACKGROUND Proximal junctional kyphosis (PJK) rates may be as high as 69.4% after
adult spinal deformity (ASD) surgery. PJK is one of the greatest unsolved challenges in long …

Effect of spinous process tether tension for prophylactic treatment of proximal junctional kyphosis in adult spinal deformity surgery

DE Mar, SJ Clary, DC Burton… - The Spine Journal, 2017 - thespinejournalonline.com
BACKGROUND CONTEXT: Tethering of the mobile segment (s) above long adult spinal
deformity (ASD) constructs is increasingly performed in an attempt to decrease proximal …

State of the evidence for proximal junctional kyphosis prevention in adult spinal deformity surgery: a systematic review of current literature

NA Shlobin, N Le, JK Scheer, LA Tan - World Neurosurgery, 2022 - Elsevier
Objective Proximal junctional kyphosis (PJK) is a widely recognized complication of adult
spinal deformity surgery, and various PJK prevention strategies have been reported in …

Posterior polyethylene tethers reduce occurrence of proximal junctional kyphosis after multilevel spinal instrumentation for adult spinal deformity: a retrospective …

EP Rabinovich, MH Snyder, JJ McClure, TJ Buell… - …, 2021 - journals.lww.com
BACKGROUND Proximal junctional kyphosis (PJK) is a common postoperative complication
after adult spinal deformity (ASD) surgery and may manifest with neurological decline …

Instrumentation techniques to prevent proximal junctional kyphosis and proximal junctional failure in adult spinal deformity correction: a systematic review of clinical …

TFG Vercoulen, RJP Doodkorte, A Roth… - Global Spine …, 2022 - journals.sagepub.com
Study Design: Systematic review. Objectives: To summarize the results of clinical studies
investigating spinal instrumentation techniques aiming to reduce the postoperative …

Prevention of Proximal Junctional Kyphosis Using Proximal Fixation Techniques

E Solomon, RS Bronheim… - International Journal of …, 2023 - ijssurgery.com
Background Adult spinal deformity (ASD) is a disorder characterized by abnormal curvature
of the spine resulting from progressive degeneration of spinal elements. Although operative …

Biomechanics of prophylactic tethering for proximal junctional kyphosis: comparison of posterior tether looping techniques

DE Mar, DC Burton, TE McIff - Spine deformity, 2019 - Elsevier
Abstract Study Design Biomechanical study. Objectives Compare effects of four spinous
process (SP) tether looping methods on segmental flexion range of motion (ROM) …

Prevention of proximal junctional kyphosis or failure: soft landings and tension band augmentation

VA Mehta, TY Wang, EW Sankey… - Techniques in …, 2021 - journals.lww.com
As adult spinal deformity surgery becomes more prevalent, the rates of proximal junctional
kyphosis (PJK) will rise proportionally. The exact mechanism of PJK is unknown. However, it …

Biomechanics of prophylactic tethering for proximal junctional kyphosis: effects of cyclic loading on tether strength and failure properties

DE Mar, SJ Clary, B Ansley, JT Bunch, DC Burton… - Spine Deformity, 2020 - Springer
Study design Biomechanical evaluation of woven polyester tethers. Objectives To quantify
changes in tether elongation, stiffness, and failure characteristics after cyclic loading …