Age-Adjusted Alignment Goals Have the Potential to Reduce PJK
| Autor: | Eric O. Klineberg, Han-Jo Kim, Jensen K. Henry, Doug Burton, Steve Glassman, Bradley Harris, Robert A. Hart, Justin K. Sheer, Frank J. Schwab, Shay Bess, Christopher P. Ames, Breton Line, Renaud Lafage, Virginie Lafage |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pelvic tilt
Male medicine.medical_specialty Age adjustment Kyphosis 03 medical and health sciences 0302 clinical medicine Medicine Humans Orthopedics and Sports Medicine Orthopedic Procedures Young adult Pelvis Aged Retrospective Studies 030222 orthopedics business.industry Incidence (epidemiology) Age Factors Retrospective cohort study Middle Aged medicine.disease Surgery medicine.anatomical_structure Cohort Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Spine. 42(17) |
| ISSN: | 1528-1159 |
| Popis: | STUDY DESIGN Retrospective cohort. OBJECTIVE To explore proximal junctional kyphosis (PJK) as a function of age-adjusted surgical correction goals. SUMMARY OF BACKGROUND DATA Recent adult spinal deformity (ASD) studies show that alignment targets are age-specific. Despite recognizing age and malalignment as PJK risk factors, no study has assessed the age-specific effects of alignment on PJK. METHODS ASD patients with fusions to the pelvis were included and stratified into three groups: young adults (YA 65 years old). Analysis of variance compared the groups with respect to 1-year postoperative alignments and 1-year offsets from age-specific alignment targets. RESULTS A total of 679 patients were enrolled (mean age = 61 years old, 77% female, body mass index = 28.1). At 1 year postoperatively, there was a significant decrease in pelvic tilt (PT; 29-23°), spinopelvic mismatch (pelvic incidence [PI]-lumbar lordosis [LL]) (28-5°), and sagittal vertical axis (SVA; 110-37 mm); overall incidence of PJK was 45.1%. Stratification by age (YA, n = 28; MA, n = 389; ED, n = 262) revealed an increase in PJK incidence with age: YA = 17.9%, MA = 43.8%, and ED = 50.2% (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|