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Research Article

Analysis of the incidence and risk factors for the progression of proximal junctional kyphosis following surgical treatment for lumbar degenerative kyphosis: minimum 2-year follow-up

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Pages 252-258 | Received 11 Oct 2012, Accepted 11 Aug 2013, Published online: 09 Dec 2013

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Takahiro Kozaki, Takuhei Kozaki, Keiji Nagata, Shunji Tsutsui, Yusuke Noda, Howard S An & Hiroshi Yamada. (2023) Dynamic cord compression induced by proximal junctional failure and loose pedicle screws after thoracolumbar fusion surgery: a case report. BMC Musculoskeletal Disorders 24:1.
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Takuhei Kozaki, Shunji Tsutsui, Ei Yamamoto, Akimasa Murata, Ryuichiro Nakanishi & Hiroshi Yamada. (2023) Quantitative Biomechanical Evaluation for Optimal Spinal Instrumentation to Prevent Mechanical Complications in Spinal Fusion from the Lower Thoracic Spine to the Pelvis for Adult Spinal Deformity: A Finite Element Analysis. Spine Surgery and Related Research 7:3, pages 276-283.
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Sang-Kyu Im, Ki Young Lee & Jung-Hee Lee. (2022) The Impact of Upper Instrumented Vertebra Orientation on Proximal Junctional Kyphosis: A Novel and Fixed Parameter, Fused Spinopelvic Angle. Spine 47:23, pages 1651-1658.
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Xin Zhang, Shibin Shu, Zezhang Zhu, Qi Gu, Zhen Liu, Yong Qiu & Hongda Bao. (2022) Proximal junctional kyphosis is a compensation for post-operative negative C2-FH in ASD patients: a cross-sectional study. Journal of Orthopaedic Surgery and Research 17:1.
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Neel Anand, Alisa Alayan, Christopher Kong, Sheila Kahwaty, Babak Khandehroo, David Gendelberg & Andrew Chung. (2022) Management of severe adult spinal deformity with circumferential minimally invasive surgical strategies without posterior column osteotomies: a 13-year experience. Spine Deformity 10:5, pages 1157-1168.
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Timon F. G. Vercoulen, Remco J. P. Doodkorte, Alex Roth, Rob de Bie & Paul C. Willems. (2021) Instrumentation Techniques to Prevent Proximal Junctional Kyphosis and Proximal Junctional Failure in Adult Spinal Deformity Correction: A Systematic Review of Clinical Studies. Global Spine Journal 12:6, pages 1282-1296.
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Hong Jin Kim, Jae Hyuk Yang, Dong-Gune Chang, Se-Il Suk, Seung Woo Suh, Sang-Il Kim, Kwang-Sup Song, Jong-Beom Park & Woojin Cho. (2022) Proximal Junctional Kyphosis in Adult Spinal Deformity: Definition, Classification, Risk Factors, and Prevention Strategies. Asian Spine Journal 16:3, pages 440-450.
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Abdul Fettah Buyuk, John M. Dawson, Stefan Yakel, Eduardo C. Beauchamp, Amir A. Mehbod, Ensor E. Transfeldt & Pierre Roussouly. (2022) Does pelvic incidence tell us the risk of proximal junctional kyphosis in adult spinal deformity surgery?. European Spine Journal 31:6, pages 1438-1447.
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Chan Woong Byun, Jae Hwan Cho, Choon Sung Lee, Dong-Ho Lee & Chang Ju Hwang. (2022) Effect of overcorrection on proximal junctional kyphosis in adult spinal deformity: analysis by age-adjusted ideal sagittal alignment. The Spine Journal 22:4, pages 635-645.
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Junyu Li, Han Xiao, Shuai Jiang, Zexi Yang, Zhongqiang Chen, Xiaoguang Liu, Zhongjun Liu, Feng Wei, Liang Jiang, Chuiguo Sun, Fengliang Wu, Zhaoqing Guo, Jing Li, WeiShi Li & Miao Yu. (2022) Risk Factors and Three Radiological Predictor Models for the Progression of Proximal Junctional Kyphosis in Adult Degenerative Scoliosis Following Posterior Corrective Surgery: 113 Cases With 2-years Minimum Follow-Up. Global Spine Journal, pages 219256822210797.
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Ki Young Lee, Jung-Hee Lee & Sang-Kyu Im. (2021) Optimal Lumbar Lordosis Correction for Adult Spinal Deformity with Severe Sagittal Imbalance in Patients Over Age 60. Spine 46:23, pages E1246-E1253.
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Hwee Weng Dennis Hey, Jun-Hao Tan, Bernard Ong, Akshay Kumar, Gabriel Liu & Hee-Kit Wong. (2021) Pelvic and sacral morphology and their correlation with pelvic incidence, lumbar lordosis, and lumbar alignment changes between standing and sitting postures. Clinical Neurology and Neurosurgery 211, pages 107019.
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Ki Young Lee, Jung-Hee Lee, Kyung-Chung Kang, Sang-Kyu Im, Hae Seong Lim & Sun Whan Choi. (2021) Strategies for prevention of rod fracture in adult spinal deformity: cobalt chrome rod, accessory rod technique, and lateral lumbar interbody fusion. Journal of Neurosurgery: Spine 34:5, pages 706-715.
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Jian Zhao, Kai Chen, Xiao Zhai, Kai Chen, Ming Li & Yanghu Lu. (2020) Incidence and risk factors of proximal junctional kyphosis after internal fixation for adult spinal deformity: a systematic evaluation and meta-analysis. Neurosurgical Review 44:2, pages 855-866.
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Qi WangChi Wang, Xiaobo Zhang, Fanqi HuWenhao HuTeng LiYan WangXuesong Zhang. (2021) Correlation of vertebral trabecular attenuation in Hounsfield units and the upper instrumented vertebra with proximal junctional failure after surgical treatment of degenerative lumbar disease. Journal of Neurosurgery: Spine 34:3, pages 456-463.
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Han Jo Kim, Alexander Dash, Matthew Cunningham, Frank Schwab, James Dowdell, Jonathan Harrison, Caroline Zaworski, Alexandra Krez, Virginie Lafage, Sanchita Agarwal, Brandon Carlson, Donald J. McMahon & Emily M. Stein. (2021) Patients with abnormal microarchitecture have an increased risk of early complications after spinal fusion surgery. Bone 143, pages 115731.
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Whoan Jeang Kim, Hyun Min Shin, Dae Geon Song, Jae Won Lee, Kun Young Park, Shann Haw Chang, Jin Hyun Bae & Won Sik Choy. (2021) Comparison of Clinical Outcomes and Complications of Primary and Revision Surgery Using a Combined Anterior and Posterior Approach in Patients with Adult Spinal Deformity and Sagittal Imbalance. Clinics in Orthopedic Surgery 13:2, pages 196.
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Ki Young Lee, Jung‐Hee Lee, Kyung‐Chung Kang, Sang‐Kyu Im, Dong‐Gune Chang & Sun Hwan Choi. (2020) Spino‐Pelvic Thresholds for Prevention of Proximal Junctional Kyphosis Following Combined Anterior Column Realignment and Short Posterior Spinal Fusion in Degenerative Lumbar Kyphosis. Orthopaedic Surgery 12:6, pages 1674-1684.
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Hyung-Youl ParkYoung-Hoon Kim, Sang-Il Kim, Sung-Bin HanKee-Yong Ha. (2020) Two different types of postoperative sagittal imbalance after long instrumented fusion to the sacrum for degenerative sagittal imbalance. Journal of Neurosurgery: Spine 33:5, pages 613-622.
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Sravisht Iyer, Francis Lovecchio, Jonathan Charles Elysée, Renaud Lafage, Michael Steinhaus, Frank J. Schwab, Virginie Lafage & Han Jo Kim. (2019) Posterior Ligamentous Reinforcement of the Upper Instrumented Vertebrae +1 Does Not Decrease Proximal Junctional Kyphosis in Adult Spinal Deformity. Global Spine Journal 10:6, pages 692-699.
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Sang-Kyu Im, Jung-Hee Lee, Kyung-Chung Kang, Sung Joon Shin, Ki Young Lee, Jong Jun Park & Man Ho Kim. (2020) Proximal Junctional Kyphosis in Degenerative Sagittal Deformity After Under- and Overcorrection of Lumbar Lordosis. Spine 45:15, pages E933-E942.
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Daniel G. Tobert, Bryton J. Davis, Prokopis Annis, William R. Spiker, Brandon D. Lawrence, Darrel S. Brodke & Nicholas Spina. (2020) The impact of the lordosis distribution index on failure after surgical treatment of adult spinal deformity. The Spine Journal 20:8, pages 1261-1266.
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Jong Geol Do, Jong Won Kwon & Sang Jun Kim. (2020) Effectiveness of percutaneous cement injection on proximal junctional failure after posterior lumbar interbody fusion. Medicine 99:2, pages e18682.
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Frank A Segreto, Peter G Passias, Renaud Lafage, Virginie Lafage, Justin S Smith, Breton G Line, Gregory M Mundis, Cole A Bortz, Nicholas D Stekas, Samantha R Horn, Bassel G Diebo, Avery E Brown, Yael Ihejirika, Pierce D Nunley, Alan H Daniels, Munish C Gupta, Jeffrey L Gum, D Kojo Hamilton, Eric O Klineberg, Douglas C Burton, Robert A Hart, Frank J Schwab, Shay Bess, Christopher I Shaffrey & Christopher P Ames. (2020) Incidence of Acute, Progressive, and Delayed Proximal Junctional Kyphosis Over an 8-Year Period in Adult Spinal Deformity Patients. Operative Neurosurgery 18:1, pages 75-82.
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Ki Young Lee, Jung-Hee Lee, Kyung-Chung Kang, Won-Ju Shin, Sang Kyu Im & Seong Jin Cho. (2019) Preliminary report on the flexible rod technique for prevention of proximal junctional kyphosis following long-segment fusion to the sacrum in adult spinal deformity. Journal of Neurosurgery: Spine 31:5, pages 703-710.
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Lixue Zou, Jun Liu & Hougen Lu. (2018) Characteristics and risk factors for proximal junctional kyphosis in adult spinal deformity after correction surgery: a systematic review and meta-analysis. Neurosurgical Review 42:3, pages 671-682.
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Thomas J. BuellShay BessMing XuFrank J. Schwab, Virginie Lafage, Christopher P. Ames, Christopher I. ShaffreyJustin S. Smith. (2019) Optimal tether configurations and preload tensioning to prevent proximal junctional kyphosis: a finite element analysis. Journal of Neurosurgery: Spine 30:5, pages 574-584.
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Kee-Yong Ha, Young-Hoon Kim, In-Soo Oh, Jun-Yeong Seo, Dong-Gune Chang, Hyung-Youl Park, Hyung-Ki Min & Sang-Il Kim. (2019) Clinical and Radiographic Features of Subtypes of Acute Proximal Junctional Failures Following Correction Surgery for Degenerative Sagittal Imbalance. World Neurosurgery 125, pages e304-e312.
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Jun S. Kim, Kevin Phan, Zoe B. Cheung, Nam Lee, Luilly Vargas, Varun Arvind, Robert K. Merrill, Sunder Gidumal, John Di Capua, Samuel Overley, James Dowdell & Samuel K. Cho. (2018) Surgical, Radiographic, and Patient-Related Risk Factors for Proximal Junctional Kyphosis: A Meta-Analysis. Global Spine Journal 9:1, pages 32-40.
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Seung-Jae Hyun, Byoung Hun Lee, Jong-Hwa Park, Ki-Jeong Kim, Tae-Ahn Jahng & Hyun-Jib Kim. (2017) Proximal Junctional Kyphosis and Proximal Junctional Failure Following Adult Spinal Deformity Surgery. Korean Journal of Spine 14:4, pages 126-132.
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Jeong-Hoon Choi, Jee-Soo Jang, Hyeun-Sung Kim & Il-Tae Jang. (2017) What Is the More Appropriate Proximal Fusion Level for Adult Lumbar Degenerative Flat Back?. World Neurosurgery 106, pages 827-835.
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Tobias Lange, Werner Schmoelz, Georg Gosheger, Martin Eichinger, Christian H. Heinrichs, Albert Schulze Boevingloh & Tobias L. Schulte. (2017) Is a gradual reduction of stiffness on top of posterior instrumentation possible with a suitable proximal implant? A biomechanical study. The Spine Journal 17:8, pages 1148-1155.
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Peng Yan, Hongda Bao, Yong Qiu, Mike Bao, Jeffrey J. Varghese, Xu Sun, Zhen Liu, Zezhang Zhu, Bangping Qian, Minghao Zheng & Feng Zhu. (2017) Mismatch Between Proximal Rod Contouring and Proximal Junctional Angle. Spine 42:5, pages E280-E287.
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Y.-P. Charles & J.-P. Steib. (2017) Tratamiento quirúrgico de las cifosis y de las camptocormias. EMC - Técnicas Quirúrgicas - Ortopedia y Traumatología 9:1, pages 1-21.
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Sravisht Iyer, Lawrence G. Lenke, Venu M. Nemani, Michael Fu, Grant D. Shifflett, Todd J. Albert, Brenda A. Sides, Lionel N. Metz, Matthew E. Cunningham & Han Jo Kim. (2016) Variations in Occipitocervical and Cervicothoracic Alignment Parameters Based on Age. Spine 41:23, pages 1837-1844.
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Seung-Jae Hyun, Yongjung J. Kim & Seung-Chul Rhim. (2016) Patients with proximal junctional kyphosis after stopping at thoracolumbar junction have lower muscularity, fatty degeneration at the thoracolumbar area. The Spine Journal 16:9, pages 1095-1101.
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Hui Wang, Lei Ma, Dalong Yang, Tao Wang, Sidong Yang, Yanhong Wang, Qian Wang, Feng Zhang & Wenyuan Ding. (2016) Incidence and risk factors for the progression of proximal junctional kyphosis in degenerative lumbar scoliosis following long instrumented posterior spinal fusion. Medicine 95:32, pages e4443.
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Feng-Yu Liu, Tao Wang, Si-Dong Yang, Hui Wang, Da-Long Yang & Wen-Yuan Ding. (2016) Incidence and risk factors for proximal junctional kyphosis: a meta-analysis. European Spine Journal 25:8, pages 2376-2383.
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Han Jo Kim & Sravisht Iyer. (2016) Proximal Junctional Kyphosis. Journal of the American Academy of Orthopaedic Surgeons 24:5, pages 318-326.
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Cara L. Sedney, Scott D. Daffner, Jared J. Stefanko, Hesham Abdelfattah, Sanford E. Emery & John C. France. (2016) Fracture of fusion mass after hardware removal in patients with high sagittal imbalance. Journal of Neurosurgery: Spine 24:4, pages 639-643.
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