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

  • Alan H. Daniels Division of Spine Surgery, Spinal Deformity Service, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence RI, United States.
  • Shyam A. Patel | SAP.0521@gmail.com Division of Spine Surgery, Spinal Deformity Service, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence RI, United States.
  • Daniel B.C. Reid Division of Spine Surgery, Spinal Deformity Service, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence RI, United States.
  • Burke Gao Division of Spine Surgery, Spinal Deformity Service, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence RI, United States.
  • Eren O. Kuris Division of Spine Surgery, Spinal Deformity Service, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence RI, United States.
  • Jacob M. Babu Division of Spine Surgery, Spinal Deformity Service, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence RI, United States.
  • J. Mason Depasse Division of Spine Surgery, Spinal Deformity Service, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence RI, United States.

Abstract

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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Published
2019-05-23
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Keywords:
Spinal Deformity, Proximal Junctional Kyphosis, Proximal Junctional Failure
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How to Cite
Daniels, A., Patel, S., Reid, D., Gao, B., Kuris, E., Babu, J., & Depasse, J. (2019). Proximal junctional failure prevention in adult spinal deformity surgery utilizing interlaminar fixation constructs. Orthopedic Reviews, 11(2). https://doi.org/10.4081/or.2019.8068