Proximal junctional kyphosis and failure after spinal deformity surgery: A systematic review of the literature as a background to classification development

Spine

Volumn 39, Issue 25, 2014, Pages 2093-2102

  Lau, Darryl ^a   Clark, Aaron J ^a   Scheer, Justin K ^b   Daubs, Michael D ^c   Coe, Jeffrey D ^d   Paonessa, Kenneth J ^e   LaGrone, Michael O ^f   Kasten, Michael D ^g   Amaral, Rodrigo A ^h   Trobisch, Per D ⁱ   Lee, Jung Hee ^j   Fabris Monterumici, Daniel ^k   Anand, Neel ^l   Cree, Andrew K ^m   Hart, Robert A ⁿ   Hey, Lloyd A ^o   Ames, Christopher P ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

^c UNIVERSITY OF NEVADA   (United States)

^d Silicon Valley Spine Institute   (United States)

^e Norwich Pediatric Group   (United States)

^f Bronson HealthCare Midwest Spine and Scoliosis Specialists ^*  (United States)

^g Bronson HealthCare Midwest Spine and Scoliosis Specialists   (United States)

^h Instituto de Patologia da Coluna   (Brazil)

ⁱ OTTO VON GUERICKE UNIVERSITY   (Germany)

^j Kyung Hee University Hospital   (South Korea)

^k Chirurgia del Rachide   (Italy)

^l CEDARS SINAI MEDICAL CENTER   (United States)

^m UNIVERSITY OF SYDNEY   (Australia)

ⁿ OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^o Hey Clinic   (United States)

more..

Author keywords

classification; complications; deformity; epidemiology; fusion; instrumentation; prevention strategies; proximal junctional failure; proximal junctional kyphosis; risk factors; sagittal alignment

Indexed keywords

CLINICAL CLASSIFICATION; CLINICAL EFFECTIVENESS; CLINICAL FEATURE; DISEASE CLASSIFICATION; DISEASE SEVERITY; EVIDENCE BASED PRACTICE; HUMAN; INCIDENCE; KYPHOSIS; MEDLINE; ORTHOPEDIC SURGEON; PEDICLE SCREW; PERCUTANEOUS VERTEBROPLASTY; PROXIMAL JUNCTIONAL FAILURE; PROXIMAL JUNCTIONAL KYPHOSIS; QUALITY OF LIFE; REVIEW; RISK ASSESSMENT; RISK FACTOR; SCORING SYSTEM; SPINE DISEASE; SPINE FUSION; SPINE MALFORMATION; SPINE SURGERY; SURGICAL HOOK; SURGICAL PATIENT; SYSTEMATIC REVIEW; VERTEBRAL CEMENT AUGMENTATION; ADVERSE EFFECTS; DEVICES; ECONOMICS; FEMALE; MALE; MIDDLE AGED; PATHOPHYSIOLOGY; PROCEDURES; SCOLIOSIS; SPINE; TREATMENT OUTCOME;

FEMALE; HUMANS; KYPHOSIS; MALE; MIDDLE AGED; RISK FACTORS; SCOLIOSIS; SPINAL FUSION; SPINE; TREATMENT OUTCOME;

EID: 84916884111     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0000000000000627     Document Type: Review

References (54)

1. Schwab F, Patel A, Ungar B, et al. Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine 2010;35:2224-31.
2. Glassman SD, Bridwell K, Dimar JR, et al. The impact of positive sagittal balance in adult spinal deformity. Spine 2005;30:2024-9.
3. Berven SH, Deviren V, Smith JA, et al. Management of fixed sagittal plane deformity: outcome of combined anterior and posterior surgery. Spine 2003;28:1710-5; discussion 6.
4. Bess S, Boachie-Adjei O, Burton D, et al. Pain and disability determine treatment modality for older patients with adult scoliosis, while deformity guides treatment for younger patients. Spine 2009;34:2186-90.
5. Smith JS, Sansur CA, Donaldson WF III, et al. Short-term morbidity and mortality associated with correction of thoracolumbar fixed sagittal plane deformity: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine 2011;36:958-64.
6. Pichelmann MA, Lenke LG, Bridwell KH, et al. Revision rates following primary adult spinal deformity surgery: six hundred forty-three consecutive patients followed-up to twenty-two years postoperative. Spine 2010;35:219-26.
7. Kim HJ, Lenke LG, Shaffrey CI, et al. Proximal junctional kyphosis as a distinct form of adjacent segment pathology after spinal deformity surgery: a systematic review. Spine 2012;37:S144-64.
8. Yagi M, Akilah KB, Boachie-Adjei O. Incidence, risk factors and classification of proximal junctional kyphosis: surgical outcomes review of adult idiopathic scoliosis. Spine 2011;36:E60-8.
9. Hart R, McCarthy I, O'Brien M, et al. Identification of decision criteria for revision surgery among patients with proximal junctional failure following surgical treatment for spinal deformity. Spine 2013;38:E1223-7.
10. Arlet V, Aebi M. Junctional spinal disorders in operated adult spinal deformities: present understanding and future perspectives. Eur Spine J 2013;22 (suppl 2): S276-95.
11. McClendon J, Jr, O'Shaughnessy BA, Sugrue PA, et al. Techniques for operative correction of proximal junctional kyphosis of the upper thoracic spine. Spine 2012;37:292-303.
12. Glattes RC, Bridwell KH, Lenke LG, et al. Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion: incidence, outcomes, and risk factor analysis. Spine 2005;30:1643-9.
13. Anderson AL, McIff TE, Asher MA, et al. The effect of posterior thoracic spine anatomical structures on motion segment flexion stiffness. Spine 2009;34:441-6.
14. Oxland TR, Panjabi MM, Southern EP, et al. An anatomic basis for spinal instability: a porcine trauma model. J Orthop Res 1991;9:452-62.
15. Koller H, Juliane Z, Umstaetter M, et al. Surgical treatment of Scheuermann's kyphosis using a combined antero-posterior strategy and pedicle screw constructs: efficacy, radiographic and clinical outcomes in 111 cases [published online ahead of print Jul 27, 2013]. Eur Spine J 2014;23:180-91.
16. Maruo K, Ha Y, Inoue S, et al. Predictive factors for proximal junctional kyphosis in long fusions to the sacrum in adult spinal deformity. Spine 2013;38:E1469-76.
17. Kim HJ, Yagi M, Nyugen J, et al. Combined anterior-posterior surgery is the most important risk factor for developing proximal junctional kyphosis in idiopathic scoliosis. Clin Orthop Relat Res 2012;470:1633-9.
18. Wang J, Zhao Y, Shen B, et al. Risk factor analysis of proximal junctional kyphosis after posterior fusion in patients with idiopathic scoliosis. Injury 2010;41:415-20.
19. Yagi M, King AB, Boachie-Adjei O. Incidence, risk factors, and natural course of proximal junctional kyphosis: surgical outcomes review of adult idiopathic scoliosis. Minimum 5 years of follow-up. Spine 2012;37:1479-89.
20. Kim HJ, Bridwell KH, Lenke LG, et al. Proximal junctional kyphosis results in inferior SRS pain subscores in adult deformity patients. Spine 2013;38:896-901.
21. Kim YJ, Bridwell KH, Lenke LG, et al. Proximal junctional kyphosis in adult spinal deformity after segmental posterior spinal instrumentation and fusion: minimum five-year follow-up. Spine 2008;33:2179-84.
22. Kim YJ, Lenke LG, Bridwell KH, et al. Proximal junctional kyphosis in adolescent idiopathic scoliosis after 3 different types of posterior segmental spinal instrumentation and fusions: incidence and risk factor analysis of 410 cases. Spine 2007;32:2731-8.
23. Lee GA, Betz RR, Clements DH III, et al. Proximal kyphosis after posterior spinal fusion in patients with idiopathic scoliosis. Spine 1999;24:795-9.
24. Mendoza-Lattes S, Ries Z, Gao Y, et al. Proximal junctional kyphosis in adult reconstructive spine surgery results from incomplete restoration of the lumbar lordosis relative to the magnitude of the thoracic kyphosis. Iowa Orthop J 2011;31:199-206.
25. Ha Y, Maruo K, Racine L, et al. Proximal junctional kyphosis and clinical outcomes in adult spinal deformity surgery with fusion from the thoracic spine to the sacrum: a comparison of proximal and distal upper instrumented vertebrae. J Neurosurg Spine 2013;19:360-9.
26. Denis F, Sun EC, Winter RB. Incidence and risk factors for proximal and distal junctional kyphosis following surgical treatment for Scheuermann kyphosis: minimum five-year follow-up. Spine 2009;34:E729-34.
27. Hyun SJ, Rhim SC. Clinical outcomes and complications after pedicle subtraction osteotomy for fixed sagittal imbalance patients:a long-term follow-up data. J Korean Neurosurg Soc 2010;47:95-101.
28. O'Shaughnessy BA, Bridwell KH, Lenke LG, et al. Does a longfusion "T3-sacrum portend a worse outcome than a shortfusion "T10-sacrum" in primary surgery for adult scoliosis? Spine 2012;37:884-90.
29. Kim HJ, Bridwell KH, Lenke LG, et al. Patients with proximal junctional kyphosis requiring revision surgery have higher postop lumbar lordosis and larger sagittal balance corrections. Spine 2014;39:E576-80.
30. Helgeson MD, Shah SA, Newton PO, et al. Evaluation of proximal junctional kyphosis in adolescent idiopathic scoliosis following pedicle screw, hook, or hybrid instrumentation. Spine 2010;35:177-81.
31. Kim YJ, Bridwell KH, Lenke LG, et al. Proximal junctional kyphosis in adolescent idiopathic scoliosis following segmental posterior spinal instrumentation and fusion: minimum 5-year follow-up. Spine 2005;30:2045-50.
32. Bridwell KH, Lenke LG, Cho SK, et al. Proximal junctional kyphosis in primary adult deformity surgery: evaluation of 20 degrees as a critical angle. Neurosurgery 2013;72:899-906.
33. Sacramento-Dominguez C, Vayas-Diez R, Coll-Mesa L, et al. Reproducibility measuring the angle of proximal junctional kyphosis using the first or the second vertebra above the upper instrumented vertebrae in patients surgically treated for scoliosis. Spine 2009;34:2787-91.
34. Hart RA, McCarthy I, Ames CP, et al. Proximal junctional kyphosis and proximal junctional failure. Neurosurg Clin N Am 2013;24:213-8.
35. O'Leary PT, Bridwell KH, Lenke LG, et al. Risk factors and outcomes for catastrophic failures at the top of long pedicle screw constructs: a matched cohort analysis performed at a single center. Spine 2009;34:2134-9.
36. Watanabe K, Lenke LG, Bridwell KH, et al. Proximal junctional vertebral fracture in adults after spinal deformity surgery using pedicle screw constructs: analysis of morphological features. Spine 2010;35:138-45.
37. Hart RA, Prendergast MA, Roberts WG, et al. Proximal junctional acute collapse cranial to multi-level lumbar fusion: a cost analysis of prophylactic vertebral augmentation. Spine J 2008;8:875-81.
38. Shufflebarger H, Suk SI, Mardjetko S. Debate: determining the upper instrumented vertebra in the management of adult degenerative scoliosis: stopping at T10 versus L1. Spine 2006;31:S185-94.
39. Cammarata M, Aubin CE, Wang X, et al. Biomechanical risk factors for proximal junctional kyphosis: a detailed numerical analysis of surgical instrumentation variables. Spine 2014;39:E500-7.
40. Lonner BS, Newton P, Betz R, et al. Operative management of Scheuermann's kyphosis in 78 patients: radiographic outcomes, complications, and technique. Spine 2007;32:2644-52.
41. Lowe TG, Kasten MD. An analysis of sagittal curves and balance after Cotrel-Dubousset instrumentation for kyphosis secondary to Scheuermann's disease. A review of 32 patients. Spine 1994;19:1680-5.
42. Hostin R, McCarthy I, O'Brien M, et al. Incidence, mode, and location of acute proximal junctional failures following surgical treatment for adult spinal deformity. Spine 2012;38:1008-15.
43. Kayanja MM, Schlenk R, Togawa D, et al. The biomechanics of 1, 2, and 3 levels of vertebral augmentation with polymethylmethacrylate in multilevel spinal segments. Spine 2006;31:769-74.
44. Kebaish KM, Martin CT, O'Brien JR, et al. Use of vertebroplasty to prevent proximal junctional fractures in adult deformity surgery: a biomechanical cadaveric study. Spine J 2013;13:1897-903.
45. Verlaan JJ, Oner FC, Slootweg PJ, et al. Histologic changes after vertebroplasty. J Bone Joint Surg Am 2004;86-A:1230-8.
46. Trout AT, Kallmes DF, Kaufmann TJ. New fractures after vertebroplasty: adjacent fractures occur significantly sooner. AJNR Am J Neuroradiol 2006;27:217-23.
47. Fernandez-Baillo N, Sanchez Marquez JM, Sanchez Perez-Grueso FJ, et al. Proximal junctional vertebral fracturesubluxation after adult spine deformity surgery. Does vertebral augmentation avoid this complication? A case report. Scoliosis 2012;7:16.
48. Hassanzadeh H, Gupta S, Jain A, et al. Type of anchor at the proximal fusion level has a significant effect on the incidence of proximal junctional kyphosis and outcome in adults after long posterior spinal fusion. Spine Deformity 2013;1:299-305.
49. Li Y, Gold M, Karlin L. Proximal junctional kyphosis after vertical expandable prosthetic titanium rib insertion. Spine Deformity 2013;1:425-33.
50. Thompson GH, Akbarnia BA, Campbell RM, Jr. Growing rod techniques in early-onset scoliosis. J Pediatr Orthop 2007;27:354-61.
51. Hasler CC, Mehrkens A, Hefti F. Efficacy and safety of VEPTR instrumentation for progressive spine deformities in young children without rib fusions. Eur Spine J 2010;19:400-8.
52. Cahill PJ, Wang W, Asghar J, et al. The use of a transition rod may prevent proximal junctional kyphosis in the thoracic spine after scoliosis surgery: a finite element analysis. Spine 2012;37:E687-95.
53. Yagi M, Rahm M, Gaines R, et al. Characterization and surgical outcomes of proximal junctional failure in surgically treated adult spine deformity patients. Spine 2014;39:E607-14.
54. Hart R, Bess S, Burton DC, et al. Proximal Junctional Failure (PJF) Classification and Severity Scale: development and validation of a standardized system. Paper presented at: 2013 Annual Meeting of the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves; 2013; Phoenix, AZ.