Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Proximal junctional thoracic kyphosis (PJK) is common following adult spinal deformity (ASD) surgery and may require revision operations. In this case series, we present delayed complications associated with the use of sublaminar banding (SLBs) for PJK prophylaxis.
Case Description: Three patients underwent long-segment thoracolumbar decompression and fusions for ASD. All had undergone SLB placement for PJK prophylaxis. All three subsequently developed neurologic complications secondary to cephalad spinal cord compression/stenosis requiring urgent revision surgery.
Conclusion: The placement of SLBs placed to prevent PJK may lead to sublaminar inflammation contributing to severe cephalad spinal canal stenosis and myelopathy following ASD surgery. Surgeons should be aware of this potential complication and may consider alternatives to SLB placement to avoid this complication.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316135 | PMC |
| http://dx.doi.org/10.25259/SNI_375_2022 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Timing and neurological recovery in metastatic spinal cord compression: short and long-term outcomes of the internal bracing technique.
Eur J Orthop Surg Traumatol
August 2025
Università Campus Bio-Medico, Rome, Italy.
Purpose: Spinal metastases, affecting up to 40% of cancer patients, often arise from lung, prostate, and breast cancers. Metastatic spinal cord compression (MSCC) causes pain and neurological deficits, requiring timely surgical or radiotherapy interventions. This study evaluates neurological recovery after decompressive surgery and fixation using the "internal bracing" technique in patients with acute MSCC-related deficits, examining overall survival (OS) and its correlation with neurological outcomes.
View Article and Find Full Text PDFPosterior Ligamentous Augmentation is Associated With Reduced Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity Surgery: A Systematic Review and Meta-Analysis of 1333 Patients.
Spine (Phila Pa 1976)
July 2025
Department of Neurosurgery, Northwestern Memorial Hospital, Chicago, IL.
Study Design: Systematic review and meta-analysis.
Objective: To evaluate the impact of posterior ligamentous augmentation (PLA) on proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) in adult spinal deformity (ASD) surgery.
Summary Of Background Data: Adult spinal deformity (ASD) surgery is frequently complicated by PJK and PJF, with reported rates ranging from 17% to 61.
Basilar invagination and atlantoaxial dislocation as a complication of severe dystrophic cervical kyphosis correction in neurofibromatosis type 1: Report of a rare case and review of literature.
Int J Surg Case Rep
December 2024
Research Center for Neuromodulation and Pain, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:
Introduction And Importance: Neurofibromatosis type 1 (NF1) affects the musculoskeletal system as well as the cervical spine. It is associated with severe, progressive cervical kyphosis. Surgical intervention is the treatment of choice to avoid neurological impairment and malalignment.
View Article and Find Full Text PDF[Short-term effectiveness of unilateral biportal endoscopy technique in treatment of lumbar lateral saphenous fossa combined with intervertebral foramina stenosis via contralateral sublaminar approach].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
July 2024
Department of Orthopaedics, Affiliated Hospital of Guizhou Medical University, Guizhou Guiyang, 550004, P. R. China.
Objective: To investigate the short-term effectiveness of unilateral biportal endoscopy (UBE) in treatment of lumbar lateral saphenous fossa combined with intervertebral foramina stenosis via contralateral sublaminar approach.
Methods: A clinical data of 15 patients with lumbar lateral saphenous fossa combined with intervertebral foramina stenosis, who were admitted between September 2021 and December 2023 and met selective criteria, was retrospectively analyzed. There were 5 males and 10 females with an average age of 70.
An Effective and Safe Surgical Technique for Salvage of Postoperative Proximal Junctional Failure in Pediatric Patients-A Case Series.
J Pediatr Soc North Am
August 2023
Department of Orthopaedic Surgery and Musculoskeletal Sciences, Children's Mercy Hospital, Kansas City, MO.
Unlabelled: Proximal junctional failure (PJF) is a known complication following posterior spinal instrumentation surgery and can be defined simply as proximal junctional kyphosis that requires surgical revision of the proximal instrumentation. PJF can be associated with pain, decreased neurologic function, infection, and increased morbidity. There is little literature on this topic in children and especially on specific surgical techniques for revision surgery.
View Article and Find Full Text PDF