SynthesisActa orthopaedica et traumatologica turcica2022
Risk factors for proximal junctional kyphosis in adult spinal deformity after correction surgery: A systematic review and meta-analysis.
Synthesis in Acta orthopaedica et traumatologica turcica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Assessing the predictive power of the GAP score on mechanical complications: a comprehensive systematic review and meta-analysis.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 · 2024Pooled it
- Staged Lateral Lumbar Interbody Fusion Targeting Driver and Compensatory Structural Segments for Adult Degenerative Scoliosis: A Novel Strategy and Early Outcomes.Orthopaedic surgery · 2026Article
- Vertebral pelvic angles accurately predict risk of proximal junctional kyphosis following long-segment fusion for adult spinal deformity.Spine deformity · 2026Article
- Spinopelvic Realignment and Clinical Outcomes After Surgical Management of Adult Degenerative Lumbar Deformity: A Multicenter Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Neurologic deficits due to proximal junctional kyphosis after adult spinal deformity surgery: how often do they happen and do they improve?Spine deformity · 2026Article
- Key Considerations for the Prevention of Proximal Junctional Kyphosis following Adult Spinal Deformity Surgery: A Literature Review.Spine surgery and related research · 2026Review
- Impact of cephalad versus caudal lumbar lordosis correction on spinal shape and outcomes of complex deformity spine surgery.Spine deformity · 2026Article
- Analysis of the association between lumbar paraspinal muscle atrophy, facet joint degeneration, and degenerative lumbar scoliosis.European journal of medical research · 2025Article
- Postoperative Deterioration of Sagittal Balance in Adult Spinal Deformities: Influence of Preoperative Alignment and Pelvic Incidence.Spine surgery and related research · 2025Article
- Stabilization of L5 pedicle Subtraction osteotomies (PSO) with ≥ 6-rods and bilateral dual pelvic fixation with osseointegrative implants: surgical technique description and early postoperative outcomes.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
- Predicting mechanical complications in adult spinal deformity patients with postoperative proportioned and moderately disproportioned alignment.Acta orthopaedica et traumatologica turcica · 2025Article
- Clinical and Radiographic Results in Thoracic Hyperkyphosis Surgical Treatment Considering the Optimal Distal Fusion Area.Journal of clinical medicine · 2024Article
- Effects of pelvic fixation strategies and multi-rod constructs on biomechanics of the proximal junction in long thoracolumbar posterior instrumented fusions: a finite-element analysis.Spine deformity · 2024Article
- The Effect of Osteoporosis on Complications and Reoperation Rates After Surgical Management of Adult Thoracolumbar Spinal Deformity: A Systematic Review and Meta Analysis.Global spine journal · 2024Review
- Instrumentation Failure in Adult Spinal Deformity Patients.Journal of clinical medicine · 2024Review
- A guide to selecting upper thoracic versus lower thoracic uppermost instrumented vertebra in adult spinal deformity correction.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
- Use of Dynamic Spinal Instruments (Dynesys) in Adult Spinal Deformities According to Silva-Lenke and Berjano-Lamartina Classifications.Diagnostics (Basel, Switzerland) · 2024Article
- An evidence based conceptual framework for the multifactorial understanding of proximal junctional kyphosis.Brain & spine · 2024Review
- Surgical management of thoracolumbar junction fractures: An evidence-based algorithm.World neurosurgery: X · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to conduct a systematic review and meta-analysis to assess the risk factors for proximal junctional kyphosis after the correction surgery of adult spinal deformity.
methodsRelevant studies were systematically retrieved from databases including Cochrane Library, PubMed, and Embase. Based on inclusion and exclusion criteria, literature screening, quality evaluation, and data extraction were conducted. Analysis was performed with Revman 5.3 software.
resultsSixteen studies with 2388 patients, covering 905 cases with proximal junctional kyphosis and 1483 cases without proximal junctional kyphosis, were included in the study. The high-risk factors for the development of proximal junctional kyphosis were found to be high body mass index, osteoporosis, severe fatty infiltration of paravertebral muscles, small functional area of paravertebral muscles, lumbar lordosis over-correction, lack of ligament reinforcement device at the proximal vertebrae and upper instrumented vertebra at the thoracolumbar segment, and pelvic fixation. The results were statistically significant.
conclusionEvidence from this study has revealed that the independent risk factors for proximal junctional kyphosis complications after correction surgery of adult spinal deformity are high body mass index, osteoporosis, severe degeneration of paravertebral muscles, lumbar lordosis overcorrection, fixed fusion to the pelvis, and lack of ligament reinforcement device at the proximal vertebrae and upper instrumented vertebra at the thoracolumbar segment. LEVEL OF EVIDENCE: Level IV, Therapeutic Study.
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