Proximal Junctional Kyphosis and Failure Prophylaxis Improves Cost Efficacy, While Maintaining Optimal Alignment, in Adult Spinal Deformity Surgery
Despite additional surgical cost, the optimization of radiographic realignment in conjunction with prophylaxis of the proximal junction appeared to be a more cost-effective strategy, primarily because of the minimization of reoperations secondary to mechanical failure. Even among those not achieving optimal alignment, junctional prophylactic measures were shown to improve cost efficiency.
Authors
- Peter Gust Passias (ORCID: https://orcid.org/0000-0002-1479-4070)
- Renaud Lafage (ORCID: https://orcid.org/0000-0002-4820-1835)
- Tyler K. Williamson (ORCID: https://orcid.org/0000-0003-2584-291X)
- Robert A. Hart
- Alex Soroceanu
- Breton Line (ORCID: https://orcid.org/0000-0003-0395-1066)
- D. Kojo Hamilton (ORCID: https://orcid.org/0009-0000-1534-340X)
- Justin K. Scheer
- Themistocles Stavros Protopsaltis (ORCID: https://orcid.org/0000-0002-4978-2600)
- Alan H. Daniels (ORCID: https://orcid.org/0000-0001-9597-4139)
- Jeffrey Lynn Gum (ORCID: https://orcid.org/0000-0003-0471-9437)
- Richard A. Hostin (ORCID: https://orcid.org/0000-0003-4558-003X)
- Claudia Bennett-Caso (ORCID: https://orcid.org/0000-0002-6357-6408)
- Frank Schwab (ORCID: https://orcid.org/0000-0002-6666-725X)
- Oscar Krol (ORCID: https://orcid.org/0000-0002-7839-0032)
- Shay R. Bess (ORCID: https://orcid.org/0000-0002-9697-8999)
- Eric O. Klineberg (ORCID: https://orcid.org/0000-0001-7999-2708)
- Munish Chandra Gupta (ORCID: https://orcid.org/0000-0002-4711-4377)
- Khaled M. Kebaish (ORCID: https://orcid.org/0000-0002-1235-6202)
- Virginie Lafage (ORCID: https://orcid.org/0000-0002-0119-7111)
- Han Jo Kim (ORCID: https://orcid.org/0000-0002-7482-6994)
- Justin S. Smith
- Bassel Diebo
- Douglas C. Burton
- Robert K. Eastlack (ORCID: https://orcid.org/0000-0003-2359-1707)
- Gregory M. Mundis
- Christopher I. Shaffrey
- Christopher P. Ames
Institutions
- Hospital for Special Surgery (US)
- Northwell Health (US)
- Johns Hopkins University (US)
- University of Calgary (CA)
- Duke University (US)
- University of California, San Francisco (US)
- Norton Healthcare (US)
- Washington University in St. Louis (US)
- Brown University (US)
- Lenox Hill Hospital (US)
- Swedish Medical Center (US)
- Orthopaedic Hospital (US)
- University of Kansas Medical Center (US)
- Rocky Mountain Hospital for Children (US)
- University of Pittsburgh Medical Center (US)
- Scripps Clinic (US)
- New York University Langone Orthopedic Hospital (US)
- University of Virginia (US)
- University of California, Davis (US)
Publication Details
- Journal
- Neurosurgery
- Published
- 2025-04-03
- DOI
- https://doi.org/10.1227/neu.0000000000003427
- Citations
- 1
- Primary Topic
- Scoliosis diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 2.01