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Prevention of proximal junctional kyphosis or failure: Soft landings and tension band augmentation

Publication ,  Conference
Mehta, VA; Wang, TY; Sankey, EW; Goodwin, CR; Abd-El-Barr, MM; Karikari, IO
Published in: Techniques in Orthopaedics
March 1, 2021

As adult spinal deformity surgery becomes more prevalent, the rates of proximal junctional kyphosis (PJK) will rise proportionally. The exact mechanism of PJK is unknown. However, it is thought to be multifactorial and includes violation of the facets and disruption of the posterior ligamentous complex. There are multiple techniques that are aimed at reducing the pathologic forces at the interface of the proximal aspect of the construct and normal anatomy. In this review, the authors shall discuss the causes of PJK and new techniques such as spinous process hooks, transitional rods, and tethering that have been developed to reduce the rates of PJK.

Duke Scholars

Published In

Techniques in Orthopaedics

DOI

EISSN

2333-0600

ISSN

0885-9698

Publication Date

March 1, 2021

Volume

36

Issue

1

Start / End Page

30 / 34

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mehta, V. A., Wang, T. Y., Sankey, E. W., Goodwin, C. R., Abd-El-Barr, M. M., & Karikari, I. O. (2021). Prevention of proximal junctional kyphosis or failure: Soft landings and tension band augmentation. In Techniques in Orthopaedics (Vol. 36, pp. 30–34). https://doi.org/10.1097/BTO.0000000000000526
Mehta, V. A., T. Y. Wang, E. W. Sankey, C. R. Goodwin, M. M. Abd-El-Barr, and I. O. Karikari. “Prevention of proximal junctional kyphosis or failure: Soft landings and tension band augmentation.” In Techniques in Orthopaedics, 36:30–34, 2021. https://doi.org/10.1097/BTO.0000000000000526.
Mehta VA, Wang TY, Sankey EW, Goodwin CR, Abd-El-Barr MM, Karikari IO. Prevention of proximal junctional kyphosis or failure: Soft landings and tension band augmentation. In: Techniques in Orthopaedics. 2021. p. 30–4.
Mehta, V. A., et al. “Prevention of proximal junctional kyphosis or failure: Soft landings and tension band augmentation.” Techniques in Orthopaedics, vol. 36, no. 1, 2021, pp. 30–34. Scopus, doi:10.1097/BTO.0000000000000526.
Mehta VA, Wang TY, Sankey EW, Goodwin CR, Abd-El-Barr MM, Karikari IO. Prevention of proximal junctional kyphosis or failure: Soft landings and tension band augmentation. Techniques in Orthopaedics. 2021. p. 30–34.

Published In

Techniques in Orthopaedics

DOI

EISSN

2333-0600

ISSN

0885-9698

Publication Date

March 1, 2021

Volume

36

Issue

1

Start / End Page

30 / 34

Related Subject Headings

  • Orthopedics
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering