Proximal Junctional Kyphosis and Proximal Junctional Failure

Robert A. Hart, Ian McCarthy, Christopher P. Ames, Christopher I. Shaffrey, David Kojo Hamilton, Richard Hostin

Research output: Contribution to journalReview articlepeer-review

99 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)213-218
Number of pages6
JournalNeurosurgery clinics of North America
Issue number2
StatePublished - Apr 2013


  • Complications
  • Proximal junctional failure
  • Proximal junctional kyphosis
  • Spine deformity

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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