Abduljabbar Alhammoud , Paul D. Korytkowski , William F. Lavelle , Umesh S. Metkar
{"title":"Proximal junctional kyphosis in adult spinal deformity: An up-to-date review","authors":"Abduljabbar Alhammoud , Paul D. Korytkowski , William F. Lavelle , Umesh S. Metkar","doi":"10.1016/j.semss.2022.100992","DOIUrl":null,"url":null,"abstract":"<div><p><span>Proximal junctional kyphosis<span> (PJK) is a complication following surgical treatment for adult spinal deformity<span>. Most PJK occurs early within the postoperative period<span> with reported rates ranging from 20% to 40%. Proximal junctional failure is a more severe form of PJK. Many risk factors have been identified suggesting multifactorial causation. Methods to prevent PJK include surgical techniques, reducing the rigidity of the construct, preserving surrounding tissue, constructing, and adhering to age-adjusted alignment goals, vertebroplasty, ligament augmentation, and </span></span></span></span>teriparatide. Revision surgery sometimes results in recurrent PJK and is associated with substantial surgical and financial burdens which highlight the importance of prevention strategies and continued study.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"34 4","pages":"Article 100992"},"PeriodicalIF":0.0000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1040738322000739","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1
Abstract
Proximal junctional kyphosis (PJK) is a complication following surgical treatment for adult spinal deformity. Most PJK occurs early within the postoperative period with reported rates ranging from 20% to 40%. Proximal junctional failure is a more severe form of PJK. Many risk factors have been identified suggesting multifactorial causation. Methods to prevent PJK include surgical techniques, reducing the rigidity of the construct, preserving surrounding tissue, constructing, and adhering to age-adjusted alignment goals, vertebroplasty, ligament augmentation, and teriparatide. Revision surgery sometimes results in recurrent PJK and is associated with substantial surgical and financial burdens which highlight the importance of prevention strategies and continued study.
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.