Proximal junctional failure prevention in adult spinal deformity surgery utilizing interlaminar fixation constructs

Autor:	Alan H. Daniels, Shyam A. Patel, Daniel B.C. Reid, Burke Gao, Eren O. Kuris, Jacob M. Babu, J. Mason Depasse
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Spinal Deformity Proximal Junctional Kyphosis Proximal Junctional Failure Orthopedic surgery RD701-811
Zdroj:	Orthopedic Reviews, Vol 11, Iss 2 (2019)
Druh dokumentu:	article
ISSN:	2035-8237 2035-8164
DOI:	10.4081/or.2019.8068
Popis:	Proximal junctional kyphosis (PJK) is a common complication following fusion for Adult Spinal Deformity. PJK and proximal junctional failure (PJF) may lead to pain, neurological injury, reoperation, and increased healthcare costs. Efforts to prevent PJK and PJF have aimed to preserve or reconstruct the posterior spinal tension band and/or modifying instrumentation to allow for more gradual transitions in stiffness at the cranial end of long spinal constructs. We describe placement of an interlaminar fixation construct at the upper instrumented vertebra which may decrease PJK/PJF severity, and is placed with little additional operative time and minimal posterior soft tissue trauma.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/d9925a62bfa74dfcb40b79111dad0656 Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF