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Updated: Jul 16, 2025

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Proximal Junctional Kyphosis and Failure: Strategies for Prevention
Ayush Arora1, Zachary T Sharfman1, Aaron J Clark2
1Department of Orthopaedic Surgery, UCSF, 500 Parnassus Avenue, MUW 3Road Floor, San Francisco, CA 94143, USA.
Abstract:
Proximal junctional kyphosis (PJK) and proximal junctional failure/fractures (PJF) are common complications following long-segment posterior instrumented fusions for adult spinal deformity. As progression to PJF involves clinical consequences for patients and requires costly revisions that may undermine the utility of surgery and are ultimately unsustainable for health care systems, preventative strategies to minimize the occurrence of PJF are of tremendous importance. In this article, the authors present a detailed outline of PJK and PJF with a focus on surgical strategies aimed at preventing their occurrence..
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