Early Proximal Junctional Failure in Patients with Preoperative Sagittal Imbalance

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Early Proximal Junctional Failure in Patients with Preoperative Sagittal Imbalance

Study Type Retrospective review. Introduction Sagittal imbalance has been associated with lower health-related quality of life outcomes, and restoration of imbalance is associated with improved outcomes.123 The long constructs used in adult spinal deformity have potential consequences such as proximal junctional kyphosis (PJK). Clinically, the development of PJK may not be as important as failu...

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The Role of Spinopelvic Parameters in Clinical Outcomes of Spinal Osteotomies in Patients with Sagittal Imbalance

Background: Sagittal imbalance is known as the main radiographic driver of disability in adult spinal deformity (ASD).In this study, the association of radiological spinopelvic parameters and clinical outcomes was evaluated following thecorrective surgery of sagittal imbalance, in order to explore the predictive ability of each parameter.Methods: A total of 23 patients, who underwent corrective...

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Proximal Junctional Kyphosis in Early Onset Scoliosis

In adults and adolescents, proximal junctional failures above deformity constructs have been well established with different risk factors identified; however, the incidence, nature and clinical significance of this kyphosis remains unclear. Several reports in the literature have shed light on PJK in adults and adolescents with variable definition, incidence, prevalence, acuteness, risk factors,...

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Diagnosis and Classification of Proximal Junctional Kyphosis and Proximal Junctional Failure

Pedicle screw instrumentation constructs have become a cornerstone in the treatment of adult spinal deformity and instability. They are known to provide greater rigidity and enhanced ability to correct and maintain spinal alignment. Biomechanical data, however, demonstrate that increased construct stiffness is associated with increased loading within adjacent segments [1– 9]. Increasingly stiff...

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The purpose of this review is the current understanding of proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) following adult spinal deformity (ASD) surgery. We carried out a systematic search of PubMed for literatures published up to September 2017 with "proximal junctional kyphosis," "proximal junctional failure," and "adult spinal deformity" as search terms. A total of ...

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ژورنال

عنوان ژورنال: Evidence-Based Spine-Care Journal

سال: 2013

ISSN: 1663-7976,1869-4136

DOI: 10.1055/s-0033-1357366