Proximal junctional kyphosis in adult spinal deformity: An up-to-date review

Q4 Medicine
Abduljabbar Alhammoud , Paul D. Korytkowski , William F. Lavelle , Umesh S. Metkar
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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.

成人脊柱畸形中的近端关节后凸:最新综述
近端关节后凸(PJK)是成人脊柱畸形手术治疗后的并发症。大多数PJK发生在术后早期,报道的发生率从20%到40%不等。近端连接功能衰竭是一种更严重的PJK。许多危险因素已被确定,表明是多因素导致的。预防PJK的方法包括手术技术、降低构造刚度、保留周围组织、构造并坚持年龄调整的对齐目标、椎体成形术、韧带增强和特立帕肽。翻修手术有时会导致复发性PJK,并与大量的手术和经济负担相关,这突出了预防策略和继续研究的重要性。
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来源期刊
Seminars in Spine Surgery
Seminars in Spine Surgery Medicine-Surgery
CiteScore
0.50
自引率
0.00%
发文量
53
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.
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