A substantial proportion of patients develop proximal junctional kyphosis following spinal surgery. To combat this postoperative change, several techniques have focused on maintaining the structural integrity of adjacent spinal levels and adapting the proximal end of the fusion construct to accommodate the increased mechanical stressors produced by long spinal fusion. The use of Mersilene tape ...

We reviewed the biological elements supporting the usefulness of a specifically designed particulate form of demineralized bone matrix (DBM) with spinal fusion, and report some limitations of its use described in the medical literature and in the interbody space using a cadaveric biomechanical model. A literature review and description of the techniques used to augment spinal fusion are present...

restoration of the sagittal alignment is one of the fundamental goals in scoliosis correction surgery. having an increase in popularity of segmental spinal instrumentation, thoracic kyphosis (tk) is often sacrificed to achieve frontal and axial plane correction. patients with a lenke type 1 deformity underwent selective thoracic fusion (lowest instrumented vertebra of t12 or l1) using correctiv...

abstract objective: to present the changes in projected thoracic hypokyphosis and the behavior of lumbar lordosis within and below the fusion and to compare these changes between the harrington rod (hr) and posterior multisegmented hook instrumentation. methods: 178 patients with idiopathic scoliosis, who had undergone posterior spinal fusion with harrington technique (106 patients) or multiseg...