Diebo B G, Shah N V, Stroud S G, Paulino C B, Schwab F J, Lafage V
Department of Orthopaedic Surgery, State University of New York, Downstate Medical Center, 450 Clarkson Ave, Box 30, 11203, Brooklyn, NY, USA.
Spine Service, Hospital for Special Surgery, New York, NY, USA.
Orthopade. 2018 Apr;47(4):301-309. doi: 10.1007/s00132-018-3536-5.
Although surgical techniques pertaining to adult spinal deformity (ASD) have advanced over the last decade, proximal junctional kyphosis (PJK) is still a complication following surgery for ASD that continues to significantly challenge clinicians. This article aimed to report on the prevalence of PJK as well as enhance understanding of surgically modifiable and non-modifiable risk factors of PJK to guide management of this postoperative complication of ASD. As the understanding of the pathogenesis as well as surgical modifications aimed at reducing the incidence of PJK have advanced, so too should clinicians' ability to implement more patient-specific operative plans and improve outcomes following realignment surgery for ASD.
尽管在过去十年中，与成人脊柱畸形（ASD）相关的手术技术有所进步，但近端交界性后凸畸形（PJK）仍然是ASD手术后的一种并发症，持续给临床医生带来重大挑战。本文旨在报告PJK的患病率，并加深对PJK的手术可修正和不可修正风险因素的理解，以指导ASD这种术后并发症的管理。随着对发病机制以及旨在降低PJK发生率的手术改良的认识不断进步，临床医生制定更具个体化的手术方案以及改善ASD矫形手术后疗效的能力也应有所提高。
