Related Experiment Video
Updated: Jun 6, 2025

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Proximal junctional kyphosis above long spinal fusions
Léonard Chatelain1, Abbas Dib1, Louise Ponchelet1
1Service de chirurgie orthopédique, Hôpital Européen Georges Pompidou, APHP, Université Paris Cité, 20 rue Leblanc, Paris, France.
Proximal junctional kyphosis (PJK) is a common complication after spinal fusion surgery. Prevention through careful patient assessment, surgical planning, and postoperative monitoring is key to minimizing this risk.
Area of Science:
- Orthopedic Surgery
- Spinal Deformity
- Adult Spinal Fusion
Background:
- Adult spinal deformity poses a significant public health challenge.
- Spinal fusion surgery improves outcomes but carries risks, including proximal junctional kyphosis (PJK) in 10-40% of cases.
Purpose of the Study:
- To identify risk factors for proximal junctional kyphosis (PJK).
- To outline strategies for preventing and managing PJK after spinal fusion.
Main Methods:
- Review of patient-related factors (age, comorbidities, osteoporosis, sarcopenia).
- Analysis of radiological factors (sagittal alignment, thoracolumbar kyphosis).
- Evaluation of surgical factors (fusion technique, implant choice).
Main Results:
- Patient, radiological, and surgical factors contribute to PJK risk.
- Early detection and intervention are crucial for managing PJK.
- Not all PJK necessitates surgical revision; conservative management is sometimes sufficient.
Conclusions:
- PJK is a significant challenge in spinal surgery.
- Prevention is paramount, involving pre-operative risk assessment and tailored surgical strategies.
- Regular clinical and radiological follow-up is essential for early PJK detection and management.
More Related Videos
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
07:44Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis
Published on: March 23, 2019
Related Concept Videos
Vertebral Column: Regions and Curvature
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Sutures of the Skull
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
General Structure of a Vertebra
Articulations of the Vertebral Column
Overview of the Axial Skeleton
The axial skeleton of the...
Cranial Bones: Superior and Posterior View
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...