TY - JOUR
T1 - Proximal Junctional Kyphosis and Proximal Junctional Failure
AU - Hart, Robert A.
AU - McCarthy, Ian
AU - Ames, Christopher P.
AU - Shaffrey, Christopher I.
AU - Hamilton, David Kojo
AU - Hostin, Richard
PY - 2013/4
Y1 - 2013/4
N2 - Proximal junctional failure (PJF) should be distinguished from proximal junctional kyphosis, which is a recurrent deformity with limited clinical impact. PJF includes mechanical failure, and is a significant complication following adult spinal deformity surgery with potential for neurologic injury and increased need for surgical revision. Risk factors for PJF include age, severity of sagittal plane deformity, and extent of operative sagittal plane realignment. Techniques for avoiding PJF will likely require refinements in both perioperative and surgical strategies.
AB - Proximal junctional failure (PJF) should be distinguished from proximal junctional kyphosis, which is a recurrent deformity with limited clinical impact. PJF includes mechanical failure, and is a significant complication following adult spinal deformity surgery with potential for neurologic injury and increased need for surgical revision. Risk factors for PJF include age, severity of sagittal plane deformity, and extent of operative sagittal plane realignment. Techniques for avoiding PJF will likely require refinements in both perioperative and surgical strategies.
KW - Complications
KW - Proximal junctional failure
KW - Proximal junctional kyphosis
KW - Spine deformity
UR - http://www.scopus.com/inward/record.url?scp=84875874622&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875874622&partnerID=8YFLogxK
U2 - 10.1016/j.nec.2013.01.001
DO - 10.1016/j.nec.2013.01.001
M3 - Review article
C2 - 23561560
AN - SCOPUS:84875874622
SN - 1042-3680
VL - 24
SP - 213
EP - 218
JO - Neurosurgery clinics of North America
JF - Neurosurgery clinics of North America
IS - 2
ER -