Biomechanical assessment of proximal junctional semi-rigid fixation in long-segment thoracolumbar constructs

VK Viswanathan, R Ganguly, AJ Minnema… - … of Neurosurgery: Spine, 2018 - thejns.org
OBJECTIVE Proximal junctional kyphosis (PJK) and failure (PJF) are potentially catastrophic
complications that result from abrupt changes in stress across rigid instrumented and mobile …

Association between the upper instrumented vertebra screw angles and proximal junctional complications in patients with de novo degenerative lumbar scoliosis

W Qiu, Z Sun, S Zhou, G Han, Z Chen, Y Zeng… - … of Neurosurgery: Spine, 2023 - thejns.org
OBJECTIVE The aim of this study was to investigate the impact of upper instrumented
vertebra (UIV) screw angles on proximal junctional complications in patients with de novo …

[HTML][HTML] Biomechanical effects of proximal polyetheretherketone rod extension on the upper instrumented and adjacent levels in a human long-segment construct: a …

B de Andrada Pereira, JN Lehrman, AGU Sawa… - Neurospine, 2022 - ncbi.nlm.nih.gov
Objective The high mechanical stress zone at the sudden transition from a rigid to flexible
region is involved in proximal junctional kyphosis (PJK) physiopathology. We evaluated the …

Posterior polyethylene tethers reduce occurrence of proximal junctional kyphosis after multilevel spinal instrumentation for adult spinal deformity: a retrospective …

EP Rabinovich, MH Snyder, JJ McClure, TJ Buell… - …, 2021 - journals.lww.com
BACKGROUND Proximal junctional kyphosis (PJK) is a common postoperative complication
after adult spinal deformity (ASD) surgery and may manifest with neurological decline …

Complications of surgical treatment of pediatric spinal deformities

MG Lykissas, AH Crawford, VV Jain - Orthopedic Clinics, 2013 - orthopedic.theclinics.com
When spine surgery is recommended for the correction of a young patient's spinal deformity,
many questions arise from the patient and family. In most cases, they wish to know possible …

The impact of the lordosis distribution index on failure after surgical treatment of adult spinal deformity

DG Tobert, BJ Davis, P Annis, WR Spiker… - The Spine Journal, 2020 - Elsevier
ABSTRACT BACKGROUND CONTEXT Proximal junctional failure (PFJ) is a common and
dreaded complication of adult spinal deformity. Previous research has identified parameters …

Semitendinosus tendon augmentation for prevention of proximal junctional failure

R Alluri, A Kim, A Ton, H Kang, F Acosta, R Hah - Spine, 2021 - journals.lww.com
Study Design. Retrospective cohort study. Objective. The aim of this study was to compare
the incidence of proximal junctional kyphosis (PJK), proximal junctional failure (PJF), and …

Recurrent proximal junctional kyphosis: incidence, risk factors, revision rates, and outcomes at 2-year minimum follow-up

HJ Kim, SJ Wang, R Lafage, S Iyer, C Shaffrey… - Spine, 2020 - journals.lww.com
Study Design. Retrospective comparative cohort study. Objective. Assess the incidence, risk
factors, and outcomes of recurrent proximal junctional kyphosis (r-PJK) in PJK revision …

Is a gradual reduction of stiffness on top of posterior instrumentation possible with a suitable proximal implant? A biomechanical study

T Lange, W Schmoelz, G Gosheger, M Eichinger… - The Spine Journal, 2017 - Elsevier
Abstract Background Context Proximal junctional kyphosis (PJK) is a challenging
complication after rigid posterior instrumentation (RI) of the spine. Several risk factors have …

Upper thoracic versus lower thoracic as site of upper instrumented vertebrae for long fusion surgery in adult spinal deformity: a meta-analysis of proximal junctional …

M Luo, P Wang, W Wang, M Shen, G Xu, L Xia - World Neurosurgery, 2017 - Elsevier
Objective A meta-analysis was performed to compare incidence rates of radiographic and
surgical proximal junctional kyphosis (PJK) between upper thoracic (UT) and lower thoracic …