Proximal junctional failure prevention in adult spinal deformity surgery utilizing interlaminar fixation constructs

Alan H. Daniels, Shyam A. Patel, Daniel B.C. Reid, Burke Gao, Eren O. Kuris, Jacob M. Babu, J. Mason Depasse

Research output: Contribution to journalArticlepeer-review

Abstract

Proximal junctional kyphosis (PJK) is a common complication following fusion for Adult Spinal Deformity. PJK and proximal junctional failure (PJF) may lead to pain, neurological injury, reoperation, and increased healthcare costs. Efforts to prevent PJK and PJF have aimed to preserve or reconstruct the posterior spinal tension band and/or modifying instrumentation to allow for more gradual transitions in stiffness at the cranial end of long spinal constructs. We describe placement of an interlaminar fixation construct at the upper instrumented vertebra which may decrease PJK/PJF severity, and is placed with little additional operative time and minimal posterior soft tissue trauma.

Original languageEnglish (US)
Article number8068
Pages (from-to)66-69
Number of pages4
JournalOrthopedic Reviews
Volume11
Issue number2
DOIs
StatePublished - May 23 2019
Externally publishedYes

Keywords

  • Proximal junctional failure
  • Proximal junctional kyphosis
  • Spinal deformity

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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