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Current Reviews in Musculoskeletal Medicine
Erschienen in: Current Reviews in Musculoskeletal Medicine 3/2016

09.06.2016 | Complications in Spine Surgery (E Klineberg, Section Editor)

Proximal junctional kyphosis and failure—diagnosis, prevention, and treatment

verfasst von: Ngoc-Lam M. Nguyen, Christopher Y. Kong, Robert A. Hart

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 3/2016

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Abstract

Technical advancements have enabled the spinal deformity surgeon to correct severe spinal mal-alignment. However, proximal adjacent segment pathology (ASP) remains a significant issue. Examples include proximal junctional kyphosis (PJK) and proximal junctional failure (PJF). Agreement on the definition, classification, and pathophysiology of PJK and PJF remains incomplete, and an understanding of the risk factors, means of prevention, and treatment of this problem remains to be elucidated. In general, PJK is a relatively asymptomatic radiographic diagnosis managed with patient reassurance and monitoring. On the other hand, PJF is characterized by mechanical instability, pain, and more severe kyphosis, with potential for neurologic compromise. Patients who develop PJF more often require revision surgery than those with PJK. This chapter will review the current understanding of PJK and PJF.
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Metadaten
Titel
Proximal junctional kyphosis and failure—diagnosis, prevention, and treatment
verfasst von
Ngoc-Lam M. Nguyen
Christopher Y. Kong
Robert A. Hart
Publikationsdatum
09.06.2016
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 3/2016
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-016-9353-8

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