ReviewFrontiers in surgery2023
Risk factors for distal junctional kyphosis after posterior spinal surgery in adolescent idiopathic scoliosis: a meta-analysis.
Review in Frontiers in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Predicting the Risk of Distal Junctional Kyphosis After Surgery for Adolescent Idiopathic Scoliosis Using Preoperative Radiographic Indicators and Machine Learning.Global spine journal · 2026Article
- Risk factors for PJK and DJF in operatively corrected adult patients with congenital hemivertebra.Spine deformity · 2026Article
- Principles Underlying Surgical Decision-Making in Lowest-Instrumented Vertebra Level Selection of Adolescent Idiopathic Scoliosis: From Traditional Landmarks to Emerging Predictive Models-A Narrative Review.Journal of clinical medicine · 2026Review
- Fusion proximal to the SSV: when 'no difference' may reflect no power.Spine deformity · 2026Article
- Is fusion to the stable sagittal vertebra necessary to avoid distal junctional kyphosis in thoracic adolescent idiopathic scoliosis?Spine deformity · 2026Article
- Impact of Sagittal Reference Lines on Predicting Distal Junctional Kyphosis in Adolescent Idiopathic Scoliosis.Orthopaedic surgery · 2025Article
- Clinical and Radiographic Results in Thoracic Hyperkyphosis Surgical Treatment Considering the Optimal Distal Fusion Area.Journal of clinical medicine · 2024Article
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
Introduction: Distal junctional kyphosis (DJK) is a serious complication after posterior spinal surgery in managing adolescent idiopathic scoliosis (AIS). Our study aims to investigate the predictors of DJK in AIS patients. Methods: We searched the English databases of PubMed, Embase, and the Cochrane Library for clinical research studies on AIS. To identify the risk factors for DJK, we collected demographic data, such as age, gender, and body mass index (BMI), and sagittal parameters, including preoperative pelvic tilt (PT), sagittal vertical axis (SVA), lumbar lordosis (LL), thoracic kyphosis (TK), thoracolumbar kyphosis (TLK), distal junctional angle (DJA), lowest instrumented vertebrae (LIV) relative to sagittal stable vertebrae (SSV), and postoperative DJA. Data were analyzed by RevMan (5.3 version) and STATA (12.0 version). Results: Finally, six included articles (1,240 patients) showed 9% (98 of 1,240 patients) of patients suffering from DJK. Our findings indicated that preoperative TK [ Conclusions: Regarding the AIS patients, factors such as higher preoperative TK and TLK, higher postoperative DJA, and LIV above the SSV were related to an increased rate of DJK.
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