ArticleGlobal spine journal2022
Instrumentation Techniques to Prevent Proximal Junctional Kyphosis and Proximal Junctional Failure in Adult Spinal Deformity Correction: A Systematic Review of Clinical Studies.
Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- A finite element analysis of the biomechanical stability of tri-cortical versus traditional pedicle screw fixation in adult thoracic spine.BMC musculoskeletal disorders · 2026Article
- Key Considerations for the Prevention of Proximal Junctional Kyphosis following Adult Spinal Deformity Surgery: A Literature Review.Spine surgery and related research · 2026Review
- Standardized translaminar spinal tethering to prevent proximal junctional kyphosis in adult spinal deformity correction surgery.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 · 2026Article
- Article
- Thoracic and Lumbar Spine Dissection for Pediatric Deformity.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Article
- Comparison of robot-assisted versus fluoroscopically guided treatment of atlantoaxial dislocation in combination with high-riding vertebral artery: a preliminary study.Journal of orthopaedic surgery and research · 2024Article
- 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
- Biomechanical analysis of a trans-discal, multi-level stabilization screw (MLSS) at the upper instrumented vertebra (UIV) of long posterior thoracolumbar instrumentations.Spine deformity · 2024Article
- Patient-specific spinal rods in adult spinal deformity surgery reduce proximal junctional failure: a review of patient outcomes and surgical technique in a prospective observational cohort.Journal of spine surgery (Hong Kong) · 2023Article
- The Impact of Spine Pathology on Posterior Ligamentous Complex Structure and Function.Current reviews in musculoskeletal medicine · 2023Review
- Lateral access minimally invasive spine surgery in adult spinal deformity.Journal of orthopaedics · 2023Article
- Use of Tethers for Proximal Junctional Kyphosis Prophylaxis in Adult Spinal Deformity Surgery: A Review of Current Clinical Evidence.International journal of spine surgery · 2023Article
- Analysis of Mechanical Failure Using the GAP Score After Surgery With Lateral and Posterior Fusion for Adult Spinal Deformity.Global spine journal · 2023Article
- Patient Optimization for the Prevention of Proximal Junctional Kyphosis.International journal of spine surgery · 2023Article
- Proximal Junctional Kyphosis or Failure After Adult Spinal Deformity Surgery - Review of Risk Factors and Its Prevention.Neurospine · 2023Article
- Pitfalls and management of corrective spinal surgery in trisomy 9 mosaicism: a report of three cases.Spine deformity · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic review.
objectivesTo summarize the results of clinical studies investigating spinal instrumentation techniques aiming to reduce the postoperative incidence of proximal junctional kyphosis (PJK) and/or failure (PJF) in adult spinal deformity (ASD) patients.
methodsEMBASE and Medline® were searched for articles dating from January 2000 onward. Data was extracted by 2 independent authors and methodological quality was assessed using ROBINS-I.
results18 retrospective- and prospective cohort studies with a severe or critical risk of bias were included. Different techniques were applied at the upper instrumented vertebra (UIV): tethers in various configurations, 2-level prophylactic vertebroplasty (2-PVP), transverse process hooks (TPH), flexible rods (FR), sublaminar tapes (ST) and multilevel stabilization screws (MLSS). Compared to a pedicle screw (PS) group, significant differences in PJK incidence were found using tethers in various configurations (18% versus 45%,
conclusionAlthough the studies are of low quality, the most frequently studied techniques, namely 2-PVP as anterior reinforcement and (tensioned) tethers or TPH as posterior semi-rigid fixation, show promising results. To provide a reliable comparison, more controlled studies need to be performed, including the use of clinical outcome measures and a uniform definition of PJF.
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