Letter to the editor regarding “Caudally directed upper-instrumented vertebra pedicle screws associated with minimized risk of proximal junctional failure in patients with long posterior spinal fusion for adult spinal deformity” by Andrew BH, et al. (Spine J. 2021 Mar 12; S1529-9430(21)00120-0.)

2021 ◽  
Vol 21 (12) ◽  
pp. 2124-2125
Author(s):  
Quan Zhou ◽  
Linnan Wang ◽  
Xi Yang
Keyword(s):  
Spinal Fusion ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Pedicle Screws ◽  
Posterior Spinal Fusion ◽  
Letter To The Editor ◽  
Proximal Junctional Failure ◽  
Upper Instrumented Vertebra

scholarly journals Proximal junctional failure prevention in adult spinal deformity surgery utilizing interlaminar fixation constructs

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Alan H. Daniels ◽  
Shyam A. Patel ◽  
Daniel B.C. Reid ◽  
Burke Gao ◽  
Eren O. Kuris ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Operative Time ◽  
Adult Spinal Deformity ◽  
Neurological Injury ◽  
Spinal Deformity Surgery ◽  
Proximal Junctional Failure ◽  
Upper Instrumented Vertebra ◽  
Tissue Trauma ◽  
Posterior Soft Tissue ◽  
Junctional Kyphosis

Proximal junctional kyphosis (PJK) is a common complication following fusion for Adult Spinal Deformity. PJK and proximal junctional failure (PJF) may lead to pain, neurological injury, reoperation, and increased healthcare costs. Efforts to prevent PJK and PJF have aimed to preserve or reconstruct the posterior spinal tension band and/or modifying instrumentation to allow for more gradual transitions in stiffness at the cranial end of long spinal constructs. We describe placement of an interlaminar fixation construct at the upper instrumented vertebra which may decrease PJK/PJF severity, and is placed with little additional operative time and minimal posterior soft tissue trauma.

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