Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity
| Autor: | Luke Hiatt, Joseph B. Wick, Hai Le, Eric O. Klineberg, Rolando Figueroa Roberto, Yashar Javidan, Pope Rodnoi, Joshua Barber |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatric Research Initiative
medicine.medical_specialty Radiography Proximal junctional kyphosis Kyphosis Adult spinal deformity Proximal junctional angle Clinical Research Slow progression Adjacent segment disease Medicine RC346-429 Pelvis Proximal junctional failure Proximal junction disease business.industry medicine.disease Sagittal plane Surgery Rate of increase medicine.anatomical_structure Ligament Spinal deformity Original Article Neurology (clinical) Neurology. Diseases of the nervous system business |
| Zdroj: | Neurospine Neurospine, Vol 18, Iss 3, Pp 580-586 (2021) Neurospine, vol 18, iss 3 |
| ISSN: | 2586-6591 2586-6583 2011-2017 |
| Popis: | Author(s): Rodnoi, Pope; Le, Hai; Hiatt, Luke; Wick, Joseph; Barber, Joshua; Javidan, Yashar; Roberto, Rolando; Klineberg, Eric O | Abstract: ObjectiveTo investigate prevention of proximal junctional kyphosis (PJK) and failure (PJF) following adult spinal deformity (ASD) surgery utilizing a novel technique of posterior ligament augmentation with polyester fiber tether.MethodsThis study evaluated ASD adult patients who underwent posterior decompression and instrumented fusion from the thoracolumbar junction (T9-L1) to the pelvis from 2011-2017. Basic demographic data were obtained. Radiographic outcomes included proximal junctional angle (PJA), sagittal vertical axis, PJK, and PJF. The study population was divided into patients who had ASD surgery with and without ligamentous augmentation.ResultsA total of 43 subjects were evaluated, including 20 without and 23 with ligamentous augmentation. PJA increased over time for both groups. PJA was smaller for the augmented group, and rate of increase in PJA was slower in the augmented group (p l 0.0001). The rate of PJK was significantly higher in the nonaugmented group (p = 0.01). PJF was significantly less common in the augmented group (p = 0.003). Time to revision surgery was lower in the nonaugmented group (p = 0.003).ConclusionOur novel ligament augmentation technique utilizing polyethylene tape is an effective technique to slow progression of the PJA and lower the risk for proximal junctional disease in ASD surgery. |
| Databáze: | OpenAIRE |
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