2021
DOI: 10.1177/21925682211001812
|View full text |Cite
|
Sign up to set email alerts
|

The Impact of Global Alignment and Proportion Score and Bracing on Proximal Junctional Kyphosis in Adult Spinal Deformity

Abstract: Study Design: Retrospective chart review. Objective: The goal of this study is to examine the relationship between global alignment and proportion (GAP) score and postoperative orthoses with likelihood of developing proximal junctional kyphosis (PJK). Methods: Patients who underwent thoracic or lumbar fusions of ≥4 levels for adult spinal deformity (ASD) with 1-year post-operative alignment x-rays were included. Chart review was conducted to determine spinopelvic alignment parameters, PJK, and reoperation. Res… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1

Citation Types

0
10
0

Year Published

2022
2022
2024
2024

Publication Types

Select...
9

Relationship

0
9

Authors

Journals

citations
Cited by 15 publications
(10 citation statements)
references
References 34 publications
0
10
0
Order By: Relevance
“…Surgical intervention is considered in patients with progressive neurological deficits, persistent pain, or those who experience significant deterioration in their quality of life [ 6 - 8 ]. Additionally, further PJF commonly developed after revision surgery for PJF [ 8 , 69 - 71 ]. Surgery typically involves extension of the fusion to more proximal levels, revision of the instrumentation, or even vertebral column resection (VCR) in severe cases.…”
Section: Treatment Of Pjfmentioning
confidence: 99%
“…Surgical intervention is considered in patients with progressive neurological deficits, persistent pain, or those who experience significant deterioration in their quality of life [ 6 - 8 ]. Additionally, further PJF commonly developed after revision surgery for PJF [ 8 , 69 - 71 ]. Surgery typically involves extension of the fusion to more proximal levels, revision of the instrumentation, or even vertebral column resection (VCR) in severe cases.…”
Section: Treatment Of Pjfmentioning
confidence: 99%
“…Given the high frequency of mechanical failures, some surgeons may have a stronger preference for brace treatment after ASD surgery than for other types of post-operative interventions to minimize the occurrence of post-operative mechanical failures. Therefore, it is worthwhile to understand the reasons behind brace prescriptions among surgeons managing ASD, despite the lack of supporting evidence for the prevention of complications [ 6 , 7 ]. The objective of the present study was to capture the current trend in surgeon preference for brace use following ASD surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Patients with ASD suffer from severe back pain, radiculopathy, gait disturbance, and disability due to compression of the nerve root and spinal cord caused by deformation of the coronal and sagittal alignment, and the quality of life is decreases. These symptoms are an important factor in determining correction surgery [ 4 , 5 ]. Correction surgery using long segment instrumentation for ASD requires high skill among spine surgeries.…”
Section: Introductionmentioning
confidence: 99%