ArticleJournal of spine surgery (Hong Kong)2021
Soft Landing technique as a possible prevention strategy for proximal junctional failure following adult spinal deformity surgery.
Article in Journal of spine surgery (Hong Kong), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The use of hooks in upper instrumented vertebra to prevent proximal junctional complications: a systematic review and meta-analysis.BMC surgery · 2026Pooled it
- Clinical Outcomes and Mechanical Complications After Adult Spinal Deformity Surgery in Patients Aged 80 Years or Older: A Propensity Score-Matched Comparative Study.Global spine journal · 2026Article
- Comparison of Hook Fixation and Vertebroplasty for Prevention of Proximal Junctional Failure: A Retrospective Cohort Study.Global spine journal · 2026Article
- Optimizing Spinal Realignment: A Comparative Analysis of Correction and Complications of Osteotomy Techniques in Adult Spinal Deformity.International journal of spine surgery · 2025Article
- Concordance of the Fracture Risk Assessment Tool With and Without Bone Mineral Density and Its Role in Predicting Postoperative Proximal Junctional Kyphosis After Adult Spinal Deformity Surgery.Neurosurgery practice · 2025Article
- Management of Severe Rigid Scoliosis: Best practices and controversies.Journal of clinical orthopaedics and trauma · 2025Article
- Modeling optimal trajectory for tricortical pedicle screw fixation in adult thoracic spine: an imaging study using the three-dimensional reconstruction technique.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- The Impact of the Thoracolumbar Junction Distraction Technique on Reducing Proximal Junctional Kyphosis: A Comparative Pre- and Post-Implementation Study in Adult Spinal Deformity Surgery.Medicina (Kaunas, Lithuania) · 2025Article
- Iatrogenic posterior translation of the construct at the uppermost instrumented vertebrae is associated with proximal junctional kyphosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Is ABO blood type a risk factor for adjacent segment degeneration after lumbar spine fusion?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Proximal junctional kyphosis after adult spinal deformity operated patients with long fusion to the pelvis. Does the type of proximal anchor matter?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Implant and construct decision-making in metastatic spine tumour surgery: a review of current concepts with a decision-making algorithm.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Review
- An evidence based conceptual framework for the multifactorial understanding of proximal junctional kyphosis.Brain & spine · 2024Review
- Prevention of Proximal Junctional Kyphosis Using Proximal Fixation Techniques.International journal of spine surgery · 2023Article
- Clinical Effect of Transverse Process Hook with K-Means Clustering-Based Stratification of Computed Tomography Hounsfield Unit at Upper Instrumented Vertebra Level in Adult Spinal Deformity Patients.Journal of Korean Neurosurgical Society · 2023Article
- Surgical Treatment of Pediatric Scoliosis: Historical Origins and Review of Current Techniques.Bioengineering (Basel, Switzerland) · 2022Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis cross sectional study describes a "Soft Landing" strategy utilizing hooks for minimizing proximal junctional kyphosis (PJK) and proximal junctional failure (PJF). The technique creates a gradual transition from a rigid segmental construct to unilateral hooks at the upper instrumented level and preservation of the soft tissue attachments on the contralateral side of the hooks. Authors devise a novel classification system for better grading of PJK severity.
methodsThirty-nine consecutive adult spinal deformity (ASD) patients at a single institution received the "Soft Landing" technique. The proximal junctional angle was measured preoperatively and at last follow-up using standing 36-inch spinal radiographs. Changes in proximal junctional angle and rates of PJK and PJF were measured and used to create a novel classification system for evaluating and categorizing ASD patients postoperatively.
resultsThe mean age of the cohort was 61.4 years, and 90% of patients were women. Average follow up was 2.2 years. The mean change in proximal junctional angle was 8° (SD 7.4°) with the majority of patients (53%) experiencing less than 10° and only 1 patients with proximal junctional angle over 20°. Four patients (10%) needed additional surgery for proximal extension of the uppermost instrumented vertebra (UIV) secondary to PJF.
conclusionsSoft Landing technique is a possibly effective treatment strategy to prevent PJK and PJF following ASD that requires further evaluation. The described classification system provides management framework for better grading of PJK. The "Soft Landing" technique warrants further comparison to other techniques currently used to prevent both PJK and failure.
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