Research ArticleFocus Issue Article

Patient Optimization for the Prevention of Proximal Junctional Kyphosis

Brendan F. Judy, Jovanna A. Tracz, Safwan Alomari and Timothy F. Witham
International Journal of Spine Surgery October 2023, 17 (S2) S18-S25; DOI: https://doi.org/10.14444/8510

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  • Table

    Recommendation summary for patient optimization to prevent PJK.

    Osteoporosis

    • Medications including bisphosphonates (antiresorptive), teriparatide (anabolic), denosumab (antiresorptive)

    • Calcium + vitamin D supplementation

    Frailty

    • Triage patients using scoring system

    • Prehabilitation

    • Increase protein intake

    Neurodegenerative disease

    • Involve movement disorder specialist

    • Treat Parkinson disease–associated osteoporosis

    Obesity

    • Body mass index <30 ideal, <35 realistic

    • Offer assistance with diet, exercise, and weight loss plans

    • Involve dietitian

    Smoking

    • Smoking cessation; most important postoperatively

    • Nicotine replacement (eg, gum, patches)

    • Abbreviation: PJK, proximal junctional kyphosis.

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Patient Optimization for the Prevention of Proximal Junctional Kyphosis
Brendan F. Judy, Jovanna A. Tracz, Safwan Alomari, Timothy F. Witham
International Journal of Spine Surgery Oct 2023, 17 (S2) S18-S25; DOI: 10.14444/8510
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