Risk factors for distal junctional failure following three-column osteotomy for cervical deformity correction
Patients with cervical deformity undergoing a 3CO are at higher risk for DJF with constructs terminating near the first lordotic vertebra. While LIV selection is complex and patient specific, choosing an LIV at least two levels above the first lordotic vertebra may help prevent DJF.
Authors
- Jae Min Kim (ORCID: https://orcid.org/0000-0003-4217-3228)
- Winward Choy (ORCID: https://orcid.org/0000-0001-9303-408X)
- Christopher Pearson Ames (ORCID: https://orcid.org/0000-0003-2618-3098)
- David J. Mazur-Hart (ORCID: https://orcid.org/0000-0003-3950-6685)
- Thomas A. Wozny (ORCID: https://orcid.org/0000-0002-8396-1960)
- Zach Pennington (ORCID: https://orcid.org/0000-0001-8012-860X)
- Vedat Deviren (ORCID: https://orcid.org/0000-0002-7295-9814)
- Alexa Semonche (ORCID: https://orcid.org/0000-0001-8076-3937)
- Allan Clark (ORCID: https://orcid.org/0000-0003-2965-8941)
- Anthony L. Mikula (ORCID: https://orcid.org/0000-0002-5143-3733)
- Terry H. Nguyen
Institutions
- Mayo Clinic (US)
- Oregon Health & Science University (US)
- University of California, San Francisco (US)
- Neurological Surgery (US)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2025-04-05
- DOI
- https://doi.org/10.3171/2025.1.spine241325
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00