Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity

Pope Rodnoi; Hai Le; Luke Hiatt; Joseph Wick; Joshua Barber; Yashar Javidan; Rolando Roberto; Eric O. Klineberg

doi:10.14245/ns.2142420.210

추천

검색

자료유형: 학술저널

저자정보: Pope Rodnoi (Department of Orthopedic Surgery University of California) Hai Le (Department of Orthopedic Surgery University of California) Luke Hiatt (Department of Orthopedic Surgery University of California) Joseph Wick (Department of Orthopedic Surgery University of California) Joshua Barber (Department of Orthopedic Surgery University of California) Yashar Javidan (Department of Orthopedic Surgery University of California) Rolando Roberto (Department of Orthopedic Surgery University of California) Eric O. Klineberg (Department of Orthopedic Surgery University of California)

저널정보: 대한척추신경외과학회 Neurospine Neurospine 제18권 제3호

발행연도: 2021.9

수록면: 580 - 586 (7page)

DOI: 10.14245/ns.2142420.210

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objective: To investigate prevention of proximal junctional kyphosis (PJK) and failure (PJF) following adult spinal deformity (ASD) surgery utilizing a novel technique of posterior ligament augmentation with polyester fiber tether. Methods: This study evaluated ASD adult patients who underwent posterior decompression and instrumented fusion from the thoracolumbar junction (T9?L1) to the pelvis from 2011?2017. Basic demographic data were obtained. Radiographic outcomes included proximal junctional angle (PJA), sagittal vertical axis, PJK, and PJF. The study population was divided into patients who had ASD surgery with and without ligamentous augmentation. Results: A total of 43 subjects were evaluated, including 20 without and 23 with ligamentous augmentation. PJA increased over time for both groups. PJA was smaller for the augmented group, and rate of increase in PJA was slower in the augmented group (p<0.0001). The rate of PJK was significantly higher in the nonaugmented group (p=0.01). PJF was significantly less common in the augmented group (p=0.003). Time to revision surgery was lower in the nonaugmented group (p=0.003). Conclusion: Our novel ligament augmentation technique utilizing polyethylene tape is an effective technique to slow progression of the PJA and lower the risk for proximal junctional disease in ASD surgery.

#Adult spinal deformity #Adjacent segment disease #Proximal junction disease #Proximal junctional kyphosis #Proximal junctional failure #Proximal junctional angle

참고문헌 (23)

참고문헌 신청

Dubousset J / 1994 / The pediatric spine: principles and practice / Raven Press :479~496

Joseph SA Jr / 2009 / Sagittal plane deformity in the adult patient / J Am Acad Orthop Surg 17:378~388

Glassman SD / 2005 / The impact of positive sagittal balance in adult spinal deformity / Spine 30:2024~2029

Sciubba DM / 2015 / A comprehensive review of complication rates after surgery for adult deformity:a reference for informed consent / Spine Deform 3:575~594

Smith JS / 2016 / Prospective multicenter assessment of perioperative and minimum 2-year postoperative complication rates associated with adult spinal deformity surgery / J Neurosurg Spine 25:1~14

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!