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Research ArticleFocus Issue Article

Proximal Junctional Kyphosis Prevention Strategies Focused on Alignment

Mariah Balmaceno-Criss, Daniel Alsoof, Renaud Lafage, Bassel G. Diebo, Alan H. Daniels, Frank Schwab and Virginie Lafage
International Journal of Spine Surgery October 2023, 17 (S2) S38-S46; DOI: https://doi.org/10.14444/8513
Mariah Balmaceno-Criss
1 Department of Orthopedics, Brown University Warren Alpert Medical School, Providence, RI, USA
BS
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Daniel Alsoof
1 Department of Orthopedics, Brown University Warren Alpert Medical School, Providence, RI, USA
MBBS
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Renaud Lafage
2 Department of Orthopedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA
MS
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Bassel G. Diebo
1 Department of Orthopedics, Brown University Warren Alpert Medical School, Providence, RI, USA
MD
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Alan H. Daniels
1 Department of Orthopedics, Brown University Warren Alpert Medical School, Providence, RI, USA
MD
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Frank Schwab
2 Department of Orthopedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA
MD
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Virginie Lafage
2 Department of Orthopedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA
PhD
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  • For correspondence: virginie.lafage@gmail.com
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Article Figures & Data

Figures

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    Figure 1

    Example of different severity of junctional pathology from the radiographic finding on the left to catastrophic failure on the right.

  • Figure 2
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    Figure 2

    Global Alignment and Proportion score method.

  • Figure 3
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    Figure 3

    Sagittal age-adjusted score (SAAS) and age-alignment targets. PI-LL, pelvic incidence-lumbar lordosis; TPA, T1 pelvic angle; PT, pelvic tilt

  • Figure 4
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    Figure 4

    Change in thoracic kyphosis (TK) curvature between positions varied from an increase in TK from standing to supine (left) to a decrease in TK from standing to supine (right).

  • Figure 5
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    Figure 5

    Increase in fat infiltration in posterior muscle from left to right.

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In this issue

International Journal of Spine Surgery: 17 (S2)
International Journal of Spine Surgery
Vol. 17, Issue S2
1 Oct 2023
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Proximal Junctional Kyphosis Prevention Strategies Focused on Alignment
Mariah Balmaceno-Criss, Daniel Alsoof, Renaud Lafage, Bassel G. Diebo, Alan H. Daniels, Frank Schwab, Virginie Lafage
International Journal of Spine Surgery Oct 2023, 17 (S2) S38-S46; DOI: 10.14444/8513

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Proximal Junctional Kyphosis Prevention Strategies Focused on Alignment
Mariah Balmaceno-Criss, Daniel Alsoof, Renaud Lafage, Bassel G. Diebo, Alan H. Daniels, Frank Schwab, Virginie Lafage
International Journal of Spine Surgery Oct 2023, 17 (S2) S38-S46; DOI: 10.14444/8513
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  • Article
    • Abstract
    • Introduction
    • Alignment-Related Risk Factors for PJK
    • Limitations of Current Literature and The Future of Alignment Research
    • Conclusion
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
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More in this TOC Section

  • The Future of Arthroplasty in the Spine
  • Osteoimmunology: Interactions With the Immune System in Spinal Fusion
  • Implant Surface Technologies to Promote Spinal Fusion: A Narrative Review
Show more Focus Issue Article

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Keywords

  • adult spinal deformity
  • proximal junctional kyphosis
  • prevention
  • alignment

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