Patient Optimization for the Prevention of Proximal Junctional Kyphosis

Overview

Journal Int J Spine Surg

Date 2023 Jun 15

PMID 37321646

Authors

Brendan F Judy

Jovanna A Tracz

Safwan Alomari

Timothy F Witham

Affiliations

Soon will be listed here.

Abstract

Proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) are well-recognized challenges of surgery for adult spinal deformity (ASD). Multiple risk factors have been identified for PJK/PJF, including osteoporosis, frailty, neurodegenerative disease, obesity, and smoking. Several surgical techniques to mitigate risk of PJK/PJF have been identified; however, patient optimization is also critical. This review summarizes the data behind these 5 risk factors (osteoporosis, frailty, neurodegenerative disease, obesity, and smoking) and details the related recommendations for patients undergoing surgery for ASD.

Citing Articles

Bone Health Optimization in Adult Spinal Deformity Patients: A Narrative Review.

Al-Najjar Y, Quraishi D, Kumar N, Hussain I J Clin Med. 2024; 13(16).

PMID: 39201032 PMC: 11355164. DOI: 10.3390/jcm13164891.

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