دورية أكاديمية
أعرض في EDS

Does pelvic incidence tell us the risk of proximal junctional kyphosis in adult spinal deformity surgery?

التفاصيل البيبلوغرافية
العنوان: Does pelvic incidence tell us the risk of proximal junctional kyphosis in adult spinal deformity surgery?
المؤلفون: Buyuk AF; Twin Cities Spine Center, Minneapolis, MN, USA., Dawson JM; Twin Cities Spine Center, Minneapolis, MN, USA. jmdawson@tcspine.com., Yakel S; Twin Cities Spine Center, Minneapolis, MN, USA., Beauchamp EC; Twin Cities Spine Center, Minneapolis, MN, USA.; Gillette Children's Specialty Healthcare, St. Paul, MN, USA., Mehbod AA; Twin Cities Spine Center, Minneapolis, MN, USA., Transfeldt EE; Twin Cities Spine Center, Minneapolis, MN, USA., Roussouly P; Department of Spine Surgery, Centre Medico Chirurgical et de Réadaptation des Massues - Croix Rouge Francaise, Lyon, France.
المصدر: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2022 Jun; Vol. 31 (6), pp. 1438-1447. Date of Electronic Publication: 2022 Apr 22.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9301980 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0932 (Electronic) Linking ISSN: 09406719 NLM ISO Abbreviation: Eur Spine J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Heidelberg, Federal Republic of Germany : Springer-Verlag, c1992-
مواضيع طبية MeSH: Kyphosis*/diagnostic imaging , Kyphosis*/epidemiology , Kyphosis*/surgery , Musculoskeletal Abnormalities*/complications , Spinal Fusion*/adverse effects, Adult ; Humans ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Retrospective Studies ; Risk Factors ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/surgery
مستخلص: Purpose: To investigate the relationship between pelvic incidence (PI) and proximal junctional kyphosis (PJK) in patients treated surgically for adult spinal deformity (ASD) with fusion from thoracolumbar junction to sacrum.
Methods: A consecutive series of ASD patients who underwent fusion from the thoracolumbar junction to the sacrum with a minimum of 2-year follow-up was studied. Patients were divided into low PI (≤ 50°) and high PI (> 50°) groups. We compared radiographic parameters and the rates of PJK, between the two groups. A sub-analysis was performed on patients with a postoperative PI minus lumbar lordosis mismatch between - 10° and 10° (i.e., ideally corrected).
Results: Sixty-three patients were included: 19 low PI and 44 high PI. Median follow-up was 34 months (range 24-103). Overall PJK rate was 38%. PJK was observed in 16% of low PI and 48% of high PI patients (p = 0.02). The odds ratio for developing PJK with a high PI compared to a low PI was 4.9 (p = 0.03). There were 32 ideally corrected patients. Eleven of these were in the low PI group, and 21 patients were in the high PI group. The incidence of PJK was 25% for ideally corrected patients. PJK occurred in none of these patients in the low PI group and 38% of patients in the high PI group (p = 0.03).
Conclusion: When the upper-instrumented vertebra includes the thoracolumbar junction, patients with a PI > 50° are at a significantly higher risk of developing PJK compared to patients with a PI ≤ 50°.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
التعليقات: Comment in: Eur Spine J. 2022 Sep;31(9):2453-2454. (PMID: 35704107)
Comment in: Eur Spine J. 2022 Sep;31(9):2452. (PMID: 35716325)
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فهرسة مساهمة: Keywords: Patient-reported outcome; Pelvic incidence; Proximal functional failure; Proximal junctional kyphosis
تواريخ الأحداث: Date Created: 20220422 Date Completed: 20220617 Latest Revision: 20220913
رمز التحديث: 20240628
DOI: 10.1007/s00586-022-07214-x
PMID: 35451667
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-0932
DOI:10.1007/s00586-022-07214-x