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Proximal Junctional Kyphosis Prevention Strategies: A Video Technique Guide.

Publication ,  Journal Article
Safaee, MM; Osorio, JA; Verma, K; Bess, S; Shaffrey, CI; Smith, JS; Hart, R; Deviren, V; Ames, CP
Published in: Operative neurosurgery (Hagerstown, Md.)
October 2017

Proximal junctional kyphosis (PJK) is a well-recognized complication in patients undergoing posterior instrumented fusion procedures for adult spinal deformity. Strategies that reduce rates of PJK have the potential to improve the safety of these operations and decrease cost by eliminating the need for revision surgery.To present a set of surgical techniques that can decrease rates of PJK in adults undergoing surgery for spinal deformity.We summarize the use of vertebroplasty, transverse process hooks, terminal rod contouring, and ligament augmentation as means to reduce rates of PJK.We present PJK prevention strategies and a video technique guide that are safe, technically feasible, and add minimal operative time to these surgical procedures. When applied to appropriate high-risk patients, these techniques have the potential to dramatically reduce rates of PJK, which improves quality of life and decreases the cost associated with this treating adult spinal deformity.PJK prevention strategies represent a critical area for improvement in surgery for adult spinal deformity. We present a summary of techniques that are safe, feasible, and add minimal time to the overall procedure. These techniques warrant investigation in a thoughtful, prospective manner, but are supported by existing data and compelling biomechanical rationale. Our hope is that these strategies can be applied, particularly in high-risk patients, to help reduce rates of PJK.

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Published In

Operative neurosurgery (Hagerstown, Md.)

DOI

EISSN

2332-4260

ISSN

2332-4252

Publication Date

October 2017

Volume

13

Issue

5

Start / End Page

581 / 585

Related Subject Headings

  • Video Recording
  • Vertebroplasty
  • Treatment Outcome
  • Spinal Cord Diseases
  • Sacrum
  • Orthopedic Procedures
  • Kyphosis
  • Humans
  • Adult
 

Citation

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Chicago
ICMJE
MLA
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Safaee, M. M., Osorio, J. A., Verma, K., Bess, S., Shaffrey, C. I., Smith, J. S., … Ames, C. P. (2017). Proximal Junctional Kyphosis Prevention Strategies: A Video Technique Guide. Operative Neurosurgery (Hagerstown, Md.), 13(5), 581–585. https://doi.org/10.1093/ons/opx054
Safaee, Michael M., Joseph A. Osorio, Kushagra Verma, Shay Bess, Christopher I. Shaffrey, Justin S. Smith, Robert Hart, Vedat Deviren, and Christopher P. Ames. “Proximal Junctional Kyphosis Prevention Strategies: A Video Technique Guide.Operative Neurosurgery (Hagerstown, Md.) 13, no. 5 (October 2017): 581–85. https://doi.org/10.1093/ons/opx054.
Safaee MM, Osorio JA, Verma K, Bess S, Shaffrey CI, Smith JS, et al. Proximal Junctional Kyphosis Prevention Strategies: A Video Technique Guide. Operative neurosurgery (Hagerstown, Md). 2017 Oct;13(5):581–5.
Safaee, Michael M., et al. “Proximal Junctional Kyphosis Prevention Strategies: A Video Technique Guide.Operative Neurosurgery (Hagerstown, Md.), vol. 13, no. 5, Oct. 2017, pp. 581–85. Epmc, doi:10.1093/ons/opx054.
Safaee MM, Osorio JA, Verma K, Bess S, Shaffrey CI, Smith JS, Hart R, Deviren V, Ames CP. Proximal Junctional Kyphosis Prevention Strategies: A Video Technique Guide. Operative neurosurgery (Hagerstown, Md). 2017 Oct;13(5):581–585.
Journal cover image

Published In

Operative neurosurgery (Hagerstown, Md.)

DOI

EISSN

2332-4260

ISSN

2332-4252

Publication Date

October 2017

Volume

13

Issue

5

Start / End Page

581 / 585

Related Subject Headings

  • Video Recording
  • Vertebroplasty
  • Treatment Outcome
  • Spinal Cord Diseases
  • Sacrum
  • Orthopedic Procedures
  • Kyphosis
  • Humans
  • Adult