Biomechanical Evaluation of Semi-rigid Junctional Fixation Using a Novel Cable Anchor System to Prevent Proximal Junctional Failure in Adult Spinal Deformity Surgery

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Remco J.P. Doodkorte ◽  
Alex K. Roth ◽  
Eva Jacobs ◽  
Jacobus J.C. Arts ◽  
Paul C. Willems
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Anchor System ◽  
Spinal Deformity Surgery ◽  
Biomechanical Evaluation ◽  
Proximal Junctional Failure

scholarly journals Proximal Junctional Kyphosis and Proximal Junctional Failure Following Adult Spinal Deformity Surgery

2017 ◽  
Vol 14 (4) ◽  
pp. 126-132 ◽  
Author(s):  
Seung-Jae Hyun ◽  
Byoung Hun Lee ◽  
Jong-Hwa Park ◽  
Ki-Jeong Kim ◽  
Tae-Ahn Jahng ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Proximal Junctional Kyphosis ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure ◽  
Junctional Kyphosis

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

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Alan H. Daniels ◽  
Shyam A. Patel ◽  
Daniel B.C. Reid ◽  
Burke Gao ◽  
Eren O. Kuris ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Operative Time ◽  
Adult Spinal Deformity ◽  
Neurological Injury ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure ◽  
Upper Instrumented Vertebra ◽  
Tissue Trauma ◽  
Posterior Soft Tissue ◽  
Junctional Kyphosis

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.

scholarly journals Soft Landing technique as a possible prevention strategy for proximal junctional failure following adult spinal deformity surgery

2021 ◽  
Vol 7 (1) ◽  
pp. 26-36
Author(s):  
Alejandro Cazzulino ◽  
Rikesh Gandhi ◽  
Thaddeus Woodard ◽  
Nissim Ackshota ◽  
M. Burhan Janjua ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Prevention Strategy ◽  
Soft Landing ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure

scholarly journals A Rare Case of Proximal Junctional Failure with Delayed Infection after Adult Spinal Deformity Surgery: A Report of Two Cases

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Takuro Iwami ◽  
Mitsuru Yagi ◽  
Eijiro Okada ◽  
Satoshi Suzuki ◽  
Satoshi Nori ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Late Onset ◽  
Adult Spinal Deformity ◽  
Spinal Instrumentation ◽  
Delayed Infection ◽  
First Case ◽  
Hematogenous Seeding ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure ◽  
Adjacent Vertebra

Proximal junctional failure (PJF) is one of the most devastating complications that develop after adult spinal deformity (ASD) surgery. Here, we report 2 rare cases of PJF accompanied by delayed infection after ASD surgery with a review of the relevant literatures. Late-onset infection is an infrequent complication despite acute postoperative infection is common after posterior spinal instrumentation and fusion. Among them, delayed onset pyogenic spondylitis of the adjacent vertebra to the instrumented vertebrae is an extremely rare phenomenon. We do not have a clear explanation for this pathology. Since the delayed infections developed not in the fused segments but in the adjacent vertebra, the cause of the first case can be speculated as stimulation of low-virulent organisms to fester and hematogenous seeding and that of the second case as metal fretting and a sterile inflammatory response causing hematogenous microbial seeding, respectively. Additional studies on this phenomenon are warranted to elucidate the pathogenesis of this complication.

Low-Density Pedicle Screw Constructs Are Associated With Lower Incidence of Proximal Junctional Failure in Adult Spinal Deformity Surgery

Spine ◽  
2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Wesley M. Durand ◽  
Kevin J. DiSilvestro ◽  
Han Jo Kim ◽  
David K. Hamilton ◽  
Renaud Lafage ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Spinal Deformity ◽  
Lower Incidence ◽  
Adult Spinal Deformity ◽  
Low Density ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure

Economic Impact of Revision Surgery for Proximal Junctional Failure After Adult Spinal Deformity Surgery

Spine ◽  
2016 ◽  
Vol 41 (16) ◽  
pp. E964-E972 ◽  
Author(s):  
Alexander A. Theologis ◽  
Liane Miller ◽  
Matt Callahan ◽  
Darryl Lau ◽  
Corinna Zygourakis ◽  
...  
Keyword(s):  
Economic Impact ◽  
Spinal Deformity ◽  
Revision Surgery ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure
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