The Relationship of CT Hounsfield Units at UIV+1 and UIV+2 Relative to UIV Predicts Proximal Junctional Kyphosis in Patients with Long Spinal Constructs
CTHU under 160 was a risk factor for developing PJK in ASD patients undergoing deformity correction with long fusion constructs. CTHU at UIV+1 ≥UIV were significantly less likely to develop PJK, even among those with CTHU <160 at the UIV. These findings highlight the critical role of regional bone health in mitigating PJK risk.
Authors
- Lawrence G. Lenke (ORCID: https://orcid.org/0000-0002-5595-4958)
- Joseph M. Lombardi (ORCID: https://orcid.org/0000-0002-0484-3027)
- Ronald A. Lehman (ORCID: https://orcid.org/0000-0002-5799-9885)
- Natalia Czerwonka (ORCID: https://orcid.org/0000-0003-2445-7833)
- Justin L. Reyes (ORCID: https://orcid.org/0000-0001-6596-6488)
- Fthimnir M. Hassan (ORCID: https://orcid.org/0000-0003-3928-8972)
- Josephine R. Coury (ORCID: https://orcid.org/0000-0003-4033-4905)
- Zeeshan M. Sardar (ORCID: https://orcid.org/0000-0002-8417-3798)
- Oluwademilade Tega
- Gabriela Greisberg
- Luke Whitmer
Institutions
- NewYork–Presbyterian Hospital (US)
- Columbia University Irving Medical Center (US)
- Barro Colorado Island (PA)
Publication Details
- Journal
- Spine
- Published
- 2025-06-03
- DOI
- https://doi.org/10.1097/brs.0000000000005413
- Citations
- 1
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 2.01