STUDY DESIGN: A retrospective analysis of 150 adolescents who underwent spinal fusion for idiopathic scoliosis. OBJECTIVE: To analyse the incidence of the postoperative proximal junctional kyphosis after posterior fusion to the upper thoracic vertebra in adolescents with idiopathic scoliosis and to explore its risk factors. SUMMARY OF BACKGROUND DATA: The reported incidence of the proximal junctional kyphosis after the posterior fusion in patients with idiopathic scoliosis varies depending on surgical methods and strategies adopted by the institution. METHODS: The changes in the Cobb angle of the proximal junctional kyphosis on the lateral spine X-ray were measured and the presence of PJK was recorded. The risk factors were screened using statistical analysis. RESULTS: PJK occurred in 35 out of 123 patients with an overall incidence of 28%. Among them, 28 patients (80%) experienced PJK within 1.5 years after surgery. The PJK-inducing factors included greater than 10 degrees intraoperative decrease in thoracic kyphosis, thoracoplasty, the use of a pedicle screw at the top vertebra, autogenous bone graft and fusion to the lower lumbar vertebra (below L2). CONCLUSIONS: There is a high incidence of postoperative proximal junctional kyphosis after posterior fusion to the upper thoracic vertebra within 1.5 years after surgery in adolescents with idiopathic scoliosis. In order to reduce its incidence, the risk factors for PJK should be carefully evaluated before surgery. Copyright (c) 2010 Elsevier Ltd. All rights reserved.
STUDY DESIGN: A retrospective analysis of 150 adolescents who underwent spinal fusion for idiopathic scoliosis. OBJECTIVE: To analyse the incidence of the postoperative proximal junctional kyphosis after posterior fusion to the upper thoracic vertebra in adolescents with idiopathic scoliosis and to explore its risk factors. SUMMARY OF BACKGROUND DATA: The reported incidence of the proximal junctional kyphosis after the posterior fusion in patients with idiopathic scoliosis varies depending on surgical methods and strategies adopted by the institution. METHODS: The changes in the Cobb angle of the proximal junctional kyphosis on the lateral spine X-ray were measured and the presence of PJK was recorded. The risk factors were screened using statistical analysis. RESULTS: PJK occurred in 35 out of 123 patients with an overall incidence of 28%. Among them, 28 patients (80%) experienced PJK within 1.5 years after surgery. The PJK-inducing factors included greater than 10 degrees intraoperative decrease in thoracic kyphosis, thoracoplasty, the use of a pedicle screw at the top vertebra, autogenous bone graft and fusion to the lower lumbar vertebra (below L2). CONCLUSIONS: There is a high incidence of postoperative proximal junctional kyphosis after posterior fusion to the upper thoracic vertebra within 1.5 years after surgery in adolescents with idiopathic scoliosis. In order to reduce its incidence, the risk factors for PJK should be carefully evaluated before surgery. Copyright (c) 2010 Elsevier Ltd. All rights reserved.
Authors: Michael M Safaee; Joseph A Osorio; Kushagra Verma; Shay Bess; Christopher I Shaffrey; Justin S Smith; Robert Hart; Vedat Deviren; Christopher P Ames Journal: Oper Neurosurg (Hagerstown) Date: 2017-10-01 Impact factor: 2.703
Authors: Han Jo Kim; Mitsuru Yagi; Joseph Nyugen; Matthew E Cunningham; Oheneba Boachie-Adjei Journal: Clin Orthop Relat Res Date: 2012-06 Impact factor: 4.176