Optimizing Surgical Strategies for Preventing Proximal Junctional Complications: A Systematic Review and Meta-analysis of Operative Techniques in Adult Spinal Deformity

Surgical strategies such as tethering, hook fixation, and prophylactic vertebral augmentation may reduce the risk of PJK/PJF. Additionally, placing the UIV at or slightly above T10 may enhance junctional stability. Further prospective studies are needed to validate these findings and guide preventive strategies.

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Publication Details

Journal
Neurospine
Published
2025-12-30
DOI
https://doi.org/10.14245/ns.2551254.627
Primary Topic
Scoliosis diagnosis and treatment
Type
article
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0.00
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article

Optimizing Surgical Strategies for Preventing Proximal Junctional Complications: A Systematic Review and Meta-analysis of Operative Techniques in Adult Spinal Deformity

Hyo-won Jin, Byung Ho Lee, S. H. Moon, Kyung-Soo Suk et al.
Neurospine
Scoliosis diagnosis and treatment
article

Optimizing Surgical Strategies for Preventing Proximal Junctional Complications: A Systematic Review and Meta-analysis of Operative Techniques in Adult Spinal Deformity

Hyo-won Jin, Byung Ho Lee, S. H. Moon, Kyung-Soo Suk, Hak-Sun Kim, J. Shin, Si Young Park, Sub-Ri Park, Namhoo Kim, Ji-Won Kwon
article en

Abstract

Surgical strategies such as tethering, hook fixation, and prophylactic vertebral augmentation may reduce the risk of PJK/PJF. Additionally, placing the UIV at or slightly above T10 may enhance junctional stability. Further prospective studies are needed to validate these findings and guide preventive strategies.

NeurospineVol. 22(4)
Yonsei University (KR)
Good health and well-being
Openalex Percentile: Top 25%
Scoliosis diagnosis and treatment
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