Title: The Effect of Spinopelvic Parameters on the Development of Proximal Junctional Kyphosis in Early Onset: Mean 4.5-Year Follow-up Publication
Authors: Jaime A. Gomez, Ozren Kubat, Mayra A. Tovar Castro, Regina Hanstein, Tara Flynn, Virginie Lafage, Jennifer K. Hurry, Alexandra Soroceanu, Frank Schwab, David L. Skaggs, Ron El-Hawary, MD, and Pediatric Spine Study Group (PSSG)
Journal: Journal of Pediatric Orthopaedics
Date: July 01, 2020
Excerpt:
In EOS patients undergoing growth-friendly surgery for EOS, preoperative TK >50 degrees was associated with increased risk for radiographic PJK. Postoperative PI-LL>20 degrees, PT =30 degrees, and overcorrection of PT and PI-LL increased risk for PJF. Rib-based distraction constructs decreased the risk for radiographic PJK in contrast with the spine-based constructs.
Keywords: spine, early-onset scoliosis, EOS, proximal junctional kyphosis, PJK, growth-friendly surgery, distraction-based growth friendly implants, pelvic tilt, distraction