scholarly journals Pre-existing vertebral fracture is a risk factor for postoperative proximal junctional fracture after adult spinal deformity surgery: A propensity score-matched analysis

2021 ◽  
Author(s):  
Junya Katayanagi ◽  
Takahiro Iida ◽  
Atsuki Hayamizu ◽  
Kazuyuki Matsumoto ◽  
Hirokazu Furukawa ◽  
...  
Keyword(s):  
Risk Factor ◽  
Vertebral Fracture ◽  
Propensity Score ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery

scholarly journals Operative Time Is an Independent Risk Factor for Complications in Adult Spinal Deformity Surgery

2017 ◽  
Vol 17 (10) ◽  
pp. S189 ◽  
Author(s):  
Robert K. Eastlack ◽  
Justin B. Ledesma ◽  
Gregory M. Mundis ◽  
Stacie Nguyen ◽  
Eric O. Klineberg ◽  
...  
Keyword(s):  
Risk Factor ◽  
Spinal Deformity ◽  
Independent Risk Factor ◽  
Operative Time ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery

Risk Factor Analysis for PJK After Adult Spinal Deformity Surgery: A New Simple Scoring System Based on 417 Patients with Two-Year Follow-Up

2017 ◽  
Vol 17 (10) ◽  
pp. S187-S188
Author(s):  
Renaud Lafage ◽  
Frank J. Schwab ◽  
Eric O. Klineberg ◽  
Douglas C. Burton ◽  
Shay Bess ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Risk Factor ◽  
Spinal Deformity ◽  
Scoring System ◽  
Adult Spinal Deformity ◽  
Risk Factor Analysis ◽  
Spinal Deformity Surgery

scholarly journals Risk Factor Analysis for Proximal Junctional Kyphosis After Adult Spinal Deformity Surgery: A New Simple Scoring System to Identify High-Risk Patients

2019 ◽  
Vol 10 (7) ◽  
pp. 863-870
Author(s):  
Renaud Lafage ◽  
George Beyer ◽  
Frank Schwab ◽  
Eric Klineberg ◽  
Douglas Burton ◽  
...  
Keyword(s):  
Risk Factor ◽  
Thoracic Spine ◽  
Spinal Deformity ◽  
Scoring System ◽  
Adult Spinal Deformity ◽  
Proximal Junctional Kyphosis ◽  
Point Score ◽  
Spinal Deformity Surgery ◽  
Upper Thoracic ◽  
Junctional Kyphosis

Study Design: Retrospective cohort study. Objective: Develop a simple scoring system to estimate proximal junctional kyphosis (PJK) risk. Methods: A total of 417 adult spinal deformity (ASD) patients (80% females, 57.8 years) with 2-year follow-up were included. PJK was defined as a >10° kyphotic angle between the upper-most instrumented vertebra (UIV) and the vertebrae 2 levels above the UIV (UIV+2). Based on a previous literature review, the following point score was attributed to parameters likely to impact PJK development: age >55 years (1 point), fusion to S1/ilium (1 point), UIV in the upper thoracic spine (UIV-UT: 1 point), UIV in the lower thoracic region (UIV-LT: 2 points), flattening of the thoracic kyphosis (TK) relative to the lumbar lordosis (LL; ie, ▵LL − ▵TK) greater than 10° (1 point). Results: At 2 years, the overall PJK rate was 43%. The odds ratios for each risk factor were the following: age >55 years (2.52), fusion to S1/ilium (5.17), UIV-UT (6.63), UIV-LT (8.24), and ▵LL − ▵TK >10° (1.59). Analysis by risk factor revealed a significant impact on PJK (no PJK vs PJK): age >55 years (28% vs 51%, P < .001), LIV S1/ilium (16.3% vs 51.4%, P < .001), UIV in lower thoracic spine (12.0% vs 38.7% vs 52.9%, P < .001), and a >10° surgical reduction in TK relative to LL increase (40.0% vs 51.5%, P < .001). The PJK rate by point score was as follows: 1 = 17%, 2 = 29%, 3 = 40%, 4 = 53%, and 5 = 69%. Conclusion: A pragmatic scoring system was developed that is tied to the increasing risk of PJK. These findings are helpful for surgical planning and preoperative counseling.

scholarly journals Diabetes Mellitus as a Risk Factor for Acute Postoperative Complications Following Elective Adult Spinal Deformity Surgery

2018 ◽  
Vol 8 (6) ◽  
pp. 615-621 ◽  
Author(s):  
John Di Capua ◽  
Nahyr Lugo-Fagundo ◽  
Sulaiman Somani ◽  
Jun S. Kim ◽  
Kevin Phan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Postoperative Complications ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Spinal Deformity Surgery
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