Prophylactic Vertebral Cement Augmentation at the Uppermost Instrumented Vertebra and Rostral Adjacent Vertebra for the Prevention of Proximal Junctional Failure following Long Segment Fusion for Adult Spinal Deformity

2017 ◽  
Vol 17 (10) ◽  
pp. S189-S190
Author(s):  
George M. Ghobrial ◽  
Joseph P. Gjolaj
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Cement Augmentation ◽  
Proximal Junctional Failure ◽  
Adjacent Vertebra

scholarly journals A Rare Case of Proximal Junctional Failure with Delayed Infection after Adult Spinal Deformity Surgery: A Report of Two Cases

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Takuro Iwami ◽  
Mitsuru Yagi ◽  
Eijiro Okada ◽  
Satoshi Suzuki ◽  
Satoshi Nori ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Late Onset ◽  
Adult Spinal Deformity ◽  
Spinal Instrumentation ◽  
Delayed Infection ◽  
First Case ◽  
Hematogenous Seeding ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure ◽  
Adjacent Vertebra

Proximal junctional failure (PJF) is one of the most devastating complications that develop after adult spinal deformity (ASD) surgery. Here, we report 2 rare cases of PJF accompanied by delayed infection after ASD surgery with a review of the relevant literatures. Late-onset infection is an infrequent complication despite acute postoperative infection is common after posterior spinal instrumentation and fusion. Among them, delayed onset pyogenic spondylitis of the adjacent vertebra to the instrumented vertebrae is an extremely rare phenomenon. We do not have a clear explanation for this pathology. Since the delayed infections developed not in the fused segments but in the adjacent vertebra, the cause of the first case can be speculated as stimulation of low-virulent organisms to fester and hematogenous seeding and that of the second case as metal fretting and a sterile inflammatory response causing hematogenous microbial seeding, respectively. Additional studies on this phenomenon are warranted to elucidate the pathogenesis of this complication.

scholarly journals Proximal Junctional Kyphosis and Proximal Junctional Failure Following Adult Spinal Deformity Surgery

2017 ◽  
Vol 14 (4) ◽  
pp. 126-132 ◽  
Author(s):  
Seung-Jae Hyun ◽  
Byoung Hun Lee ◽  
Jong-Hwa Park ◽  
Ki-Jeong Kim ◽  
Tae-Ahn Jahng ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Proximal Junctional Kyphosis ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure ◽  
Junctional Kyphosis

Characterization and Surgical Outcomes of Proximal Junctional Failure in Surgically Treated Patients With Adult Spinal Deformity

Spine ◽  
2014 ◽  
Vol 39 (10) ◽  
pp. E607-E614 ◽  
Author(s):  
Mitsuru Yagi ◽  
Mark Rahm ◽  
Robert Gaines ◽  
Ali Maziad ◽  
Tom Ross ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Surgical Outcomes ◽  
Adult Spinal Deformity ◽  
Proximal Junctional Failure
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