作者
Cathleen C Kuo, Mohamed AR Soliman, Alexander O Aguirre, Nicco Ruggiero, Marissa Kruk, Asham Khan, Moleca M Ghannam, Neil D Almeida, Patrick K Jowdy, David E Smolar, John Pollina, Jeffrey P Mullin
发表日期
2023/5/1
期刊
Neurosurgery
卷号
92
期号
5
页码范围
945-954
出版商
LWW
简介
BACKGROUND:
Proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) can be catastrophic complications associated with adult spinal deformity (ASD) surgery. These complications are markedly influenced by osteoporosis, leading to additional vertebral fracture and pedicle screw loosening. The MRI-based vertebral bone quality score (VBQ) is a newly developed tool that can be used to assess bone quality.
OBJECTIVE:
To investigate the utility of the VBQ score in predicting PJK and/or PJF (PJF/PJK) after ASD correction.
METHODS:
We conducted a retrospective chart review to identify patients age≥ 50 years who had received ASD surgery of 5 or more thoracolumbar levels. Demographic, spinopelvic parameters, and procedure-related variables were collected. Each patient's VBQ score was calculated using preoperative T1-weighted MRI. Univariate analysis and multivariate logistic regression …
学术搜索中的文章
CC Kuo, MAR Soliman, AO Aguirre, N Ruggiero… - Neurosurgery, 2023