Proximal junctional kyphosis: What we didn't know, what we think we know, and what we need to know

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2023-12-01 DOI:10.1016/j.semss.2023.101065

Austin C. Kaidi , Justin S. Smith , Han Jo Kim

引用次数: 0

Abstract

Proximal junctional kyphosis (PJK) is a common post-operative phenomenon among patients with adult spinal deformity. In a subset of cases, PJK can progress to proximal junctional failure (PJF) which is PJK with structural failure and usually requires revision surgery. Many patient and surgical risk factors for PJK have been identified in an attempt to predict and prevent the development of PJF. In this paper, we summarize the existing literature regarding the risk factors for and treatment of PJK and PJF. We further provide evidence guided treatment recommendations for surgeons managing spinal deformity patients.

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近端交界性脊柱后凸：我们不知道的，我们认为我们知道的，以及我们需要知道的

近端交界脊柱后凸（PJK）是成人脊柱畸形患者术后常见的一种现象。在一部分病例中，PJK 可发展为近端连接失败（PJF），即结构性失败的 PJK，通常需要进行翻修手术。为了预测和预防 PJF 的发生，已经确定了许多 PJK 的患者和手术风险因素。在本文中，我们总结了有关 PJK 和 PJF 风险因素和治疗的现有文献。我们进一步为外科医生提供了以证据为指导的治疗建议，以管理脊柱畸形患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Spine Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

2 days

期刊介绍： Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.