دورية أكاديمية
Proximal Junctional Failure in Adult Spinal Deformity Surgery: An In-depth Review
| العنوان: | Proximal Junctional Failure in Adult Spinal Deformity Surgery: An In-depth Review |
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| المؤلفون: | Mitsuru Yagi, Kento Yamanouchi, Naruhito Fujita, Haruki Funao, Shigeto Ebata |
| المصدر: | Neurospine, Vol 20, Iss 3, Pp 876-889 (2023) |
| بيانات النشر: | Korean Spinal Neurosurgery Society, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | proximal junctional failure, adult spinal deformity surgery, postoperative complications, risk factors, prevention, treatment, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Adult spinal deformity (ASD) surgery aims to correct abnormal spinal curvature in adults, leading to improved functionality and reduced pain. However, this surgery is associated with various complications, one of which is proximal junctional failure (PJF). PJF can have a significant impact on a patient’s quality of life, necessitating a comprehensive understanding of its causes and the development of effective management strategies. This review aims to provide an in-depth understanding of PJF in ASD surgery. PJF is a complex complication resulting from a multitude of factors including patient characteristics, surgical techniques, and postoperative management. Age, osteoporosis, overcorrection of sagittal alignment, and poor bone quality are identified as significant risk factors. The clinical implications of PJF are substantial, often requiring revision surgery and causing a considerable decrease in patients’ quality of life. Prevention strategies include careful preoperative planning, appropriate patient selection, and optimization of surgical techniques. Treatment often necessitates a multifaceted approach, including surgical intervention and the management of underlying risk factors. Predictive modeling is an emerging field that may offer a promising avenue for the risk stratification of patients and individualized preventive strategies. A thorough understanding of PJF’s pathogenesis, risk factors, and clinical implications is essential for surgeons involved in ASD surgery. Current preventive measures and treatment strategies aim to mitigate the risk and manage the complications of PJF, but the complication cannot be entirely prevented. Future research should focus on the development of more effective preventive and treatment strategies, and predictive models could be valuable in this pursuit. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2586-6583 2586-6591 |
| العلاقة: | http://e-neurospine.org/upload/pdf/ns-2346566-283.pdfTest; https://doaj.org/toc/2586-6583Test; https://doaj.org/toc/2586-6591Test |
| DOI: | 10.14245/ns.2346566.283 |
| الوصول الحر: | https://doaj.org/article/d64a728adec44cef98ddb7dc2d83dcbeTest |
| رقم الانضمام: | edsdoj.64a728adec44cef98ddb7dc2d83dcbe |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25866583 25866591 |
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| DOI: | 10.14245/ns.2346566.283 |