Clinical Incidence of PJK/ASD in Adult Deformity Surgery A Comparison of Rigid Fixation and Semirigid Fixation-Rigid

被引：3

作者：

Berven, Sigurd H. ^{[1
]}

机构：

[1] Univ Calif San Francisco, 400 Parnassus Ave,ACC,Third Floor, San Francisco, CA USA

来源：

SPINE | 2016年 / 41卷 / 07期

关键词：

deformity; dynamic; PJK; PROXIMAL JUNCTIONAL KYPHOSIS; SPINAL-FUSION; SCOLIOSIS; LUMBAR; L1;

D O I：

10.1097/BRS.0000000000001439

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Proximal junctional kyphosis (PJK) and adjacent segment degeneration (ASD) are important causes of reoperation for adult spinal deformity (Figure 1). Reducing junctional complications can improve outcomes and cost-effectiveness of treatment. Rigid fixation is associated with significant proximal junctional pathology, but no clinical evidence indicates that less rigid fixation may reduce PJK. In lumbar degeneration, semirigid fixation has been associated with implant loosening, nonunion, and revision surgery. Rigid fixation is more reliable than semirigid fixation for management of spinal deformity.

引用

页码：A35 / A36

页数：2

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