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2021•Techniques in OrthopaedicsRequires access

Proximal Junctional Kyphosis Following Adolescent Idiopathic Scoliosis Correction

Alex Ha, Paul J. Park, Matthew M. Levitsky, Matthew Königsberg, Yongjung J. Kim

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Abstract

Proximal junctional kyphosis (PJK) following surgical correction of adolescent idiopathic scoliosis (AIS) is a postoperative radiographic finding observed in the sagittal plane. Development of PJK has not been shown to lead to a negative clinical outcome following spinal fusion for AIS. Long-term satisfactory outcome following spinal deformity surgery is related to the status of the sagittal plane. Proper understanding and prevention of PJK in AIS surgery is needed to preserve the best sagittal plane following surgical correction of AIS.

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What this paper is about

Proximal junctional kyphosis (PJK) following surgical correction of adolescent idiopathic scoliosis (AIS) is a postoperative radiographic finding observed in the sagittal plane. Development of PJK has not been shown to lead to a negative clinical outcome following spinal fusion for AIS. Long-term satisfactory outcome following spinal deformity surgery is related to the status of the sagittal plane. Proper understanding and prevention of PJK in AIS surgery is needed to preserve the best sagittal plane following surgical correction of AIS.

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Available abstract

Proximal junctional kyphosis (PJK) following surgical correction of adolescent idiopathic scoliosis (AIS) is a postoperative radiographic finding observed in the sagittal plane. Development of PJK has not been shown to lead to a negative clinical outcome following spinal fusion for AIS. Long-term satisfactory outcome following spinal deformity surgery is related to the status of the sagittal plane. Proper understanding and prevention of PJK in AIS surgery is needed to preserve the best sagittal plane following surgical correction of AIS.

Key concepts: Medicine, Kyphosis, Sagittal plane, Idiopathic scoliosis, Scoliosis, Deformity, Spinal fusion, Spinal deformity

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