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31 Results Found

  • Article
  • Open Access
12 Citations
3,384 Views
12 Pages

Can Proximal Junctional Kyphosis after Surgery for Adult Spinal Deformity Be Predicted by Preoperative Dynamic Sagittal Alignment Change with 3D Gait Analysis? A Case–Control Study

  • Tomoyuki Asada,
  • Kousei Miura,
  • Masao Koda,
  • Hideki Kadone and ,
  • Toru Funayama,
  • Hiroshi Takahashi,
  • Hiroshi Noguchi,
  • Yosuke Shibao,
  • Kosuke Sato and
  • Masashi Yamazaki
  • + 7 authors+ 2 authors

4 October 2022

Background: Severe spinal deformity is a risk factor for proximal junctional kyphosis (PJK) in surgery for adult spinal deformity (ASD). However, standing X-ray imaging in patients with dynamic spinal imbalance can underestimate the risk of PJK becau...

(This article belongs to the Special Issue Minimally Invasive Spinal Treatment: State of the Art)
  • Systematic Review
  • Open Access
3 Citations
2,669 Views
19 Pages

Sagittal Balance Parameters and Proximal Junctional Kyphosis in Adolescent Idiopathic Scoliosis

  • Galateia Katzouraki,
  • Elias S. Vasiliadis,
  • Angelos Kaspiris,
  • Dimitrios-Stergios Evangelopoulos and ,
  • Theodoros B. Grivas and
  • Spiros G. Pneumatikos
  • + 1 author+ 0 author

25 March 2024

Background: To review and evaluate multiple preoperative and postoperative sagittal parameters and their association with the risk of developing proximal junctional kyphosis (PJK) in patients with adolescent idiopathic scoliosis (AIS) who undergo cor...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
3 Citations
1,344 Views
10 Pages

How Much Variance Exists Among Published Definitions of Proximal Junctional Kyphosis? A Retrospective Cohort Study of Adult Spinal Deformity

  • Tim T. Bui,
  • Karan Joseph,
  • Alexander T. Yahanda,
  • Samuel Vogl and ,
  • Miguel Ruiz-Cardozo and
  • Camilo A. Molina
  • + 1 author+ 0 author

4 August 2025

Background/Objectives: We sought to characterize the variance and overlap among definitions of Proximal Junctional Kyphosis (PJK) used in the adult spinal deformity (ASD) literature. PJK is defined as excess in PJK angle, a Cobb angle between the upp...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
14 Citations
3,419 Views
10 Pages

17 November 2021

Several studies have reported incidence and risk factors for the development of proximal junctional kyphosis (PJK) in patients with adolescent idiopathic scoliosis (AIS). However, there is little information regarding long-term follow-up after pedicl...

(This article belongs to the Special Issue Recent Advances in Spine Surgery)
  • Article
  • Open Access
15 Citations
4,615 Views
8 Pages

Risk Factors of Proximal Junctional Kyphosis in Adolescent Idiopathic Scoliosis—The Spinous Processes and Proximal Rod Contouring

  • Kathrin Boeckenfoerde,
  • Albert Schulze Boevingloh,
  • Georg Gosheger,
  • Sebastian Bockholt and ,
  • Lukas Peter Lampe and
  • Tobias Lange
  • + 1 author+ 0 author

16 October 2022

Proximal junctional kyphosis (PJK), as one of the most discussed problems after corrective surgery in adolescent idiopathic scoliosis (AIS), is still not fully clarified and seems to be multifactorial. Biomechanical and a few clinical studies have sh...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
4 Citations
3,754 Views
12 Pages

Analysis of Risk Factors Associated with Proximal Junctional Kyphosis Following Long Instrumented Fusion from L1 to Sacrum: Age Itself Does Not Independently Increase the Risk

  • Joonghyun Ahn,
  • Young-Hoon Kim,
  • Yong-Chan Kim,
  • Ki-Tack Kim and ,
  • Sung-Min Kim,
  • Jun Bum Park and
  • Kee-Yong Ha
  • + 2 authors+ 0 author

3 September 2024

Background and Objectives: This study is a retrospective analysis aimed at understanding the incidence and risk factors of proximal junctional kyphosis (PJK) following long-instrumented spinal fusion from L1 to the sacrum in patients with mild to mod...

(This article belongs to the Section Surgery)
  • Article
  • Open Access
7 Citations
1,764 Views
17 Pages

The Paraspinal Sarcopenia at the Upper Instrumented Vertebra Is a Predictor of Discoligamentous but Not Bony Proximal Junctional Kyphosis

  • Zach Pennington,
  • Anthony L. Mikula,
  • Abdelrahman Hamouda,
  • Maria Astudillo Potes and ,
  • Ahmad Nassr,
  • Brett A. Freedman,
  • Arjun S. Sebastian,
  • Jeremy L. Fogelson and
  • Benjamin D. Elder
  • + 4 authors+ 0 author

12 February 2025

Background/Objectives: Both poor bone quality and paraspinal sarcopenia have been suggested as risk factors for proximal junctional kyphosis (PJK) at the upper instrumented vertebra (UIV) following long-segment thoracolumbar fusion. Methods: Adults &...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
2 Citations
1,790 Views
13 Pages

Characterization of Patients with Poor Clinical Outcome after Adult Spinal Deformity Surgery: A Multivariate Analysis of Mean 8-Year Follow-Up Data

  • Se-Jun Park,
  • Hyun-Jun Kim,
  • Jin-Sung Park,
  • Dong-Ho Kang and ,
  • Minwook Kang,
  • Kyunghun Jung and
  • Chong-Suh Lee
  • + 2 authors+ 0 author

8 October 2024

Background/Objective: Limited data exist regarding the long-term clinical outcomes and related factors after adult spinal deformity (ASD) surgery. This study aims to characterize patients who experienced poor clinical outcomes during long-term follow...

(This article belongs to the Special Issue Current Progress and Future Directions of Spine Surgery)
  • Article
  • Open Access
16 Citations
5,435 Views
10 Pages

The Relationship between the Hounsfield Units Value of the Upper Instrumented Vertebra and the Severity of Proximal Junctional Fracture after Adult Spinal Deformity Surgery

  • Norichika Yoshie,
  • Keishi Maruo,
  • Fumihiro Arizumi,
  • Kazuya Kishima and ,
  • Tomoyuki Kusukawa and
  • Toshiya Tachibana
  • + 1 author+ 0 author

4 June 2023

Background and Objectives: In this retrospective cohort study, we investigate associations between the Hounsfield units (HU) value of upper instrumented vertebra (UIV) and proximal junctional kyphosis (PJK) after adult spinal deformity (ASD) surgery....

(This article belongs to the Section Surgery)
  • Article
  • Open Access
1 Citations
956 Views
15 Pages

Thoracolumbar Kyphosis Is a Risk Factor for Proximal Junctional Kyphosis After Isolated Posterior Surgery for Lenke-5C Curvature

  • Nobuki Tanaka,
  • Tetsuro Ohba,
  • Kotaro Oda,
  • Marina Katsu and ,
  • Hayato Takei,
  • Kai Mizukami,
  • Go Goto and
  • Hirotaka Haro
  • + 3 authors+ 0 author

10 July 2025

Background/Objectives: This study aimed to examine the occurrence and risk factors for proximal junctional kyphosis (PJK) in relation to preoperative sagittal alignment, particularly the shape of thoracolumbar kyphosis (TLK) and the proportion of lum...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
1 Citations
2,327 Views
14 Pages

Risk Factor Analysis for Proximal Junctional Kyphosis in Neuromuscular Scoliosis: A Single-Center Study

  • Tobias Lange,
  • Kathrin Boeckenfoerde,
  • Georg Gosheger,
  • Sebastian Bockholt and
  • Albert Schulze Bövingloh

22 May 2025

Background/Objectives: Proximal junctional kyphosis (PJK) is one of the most frequently discussed complications following corrective surgery in patients with neuromuscular scoliosis (NMS). Despite its clinical relevance, the etiology of PJK remains i...

(This article belongs to the Special Issue Clinical New Insights into Management of Scoliosis)
  • Article
  • Open Access
5 Citations
4,252 Views
24 Pages

Can We Rely on Prophylactic Two-Level Vertebral Cement Augmentation in Long-Segment Adult Spinal Deformity Surgery to Reduce the Incidence of Proximal Junctional Complications?

  • Yoichi Tani,
  • Nobuhiro Naka,
  • Naoto Ono,
  • Koki Kawashima and ,
  • Masaaki Paku,
  • Masayuki Ishihara,
  • Takashi Adachi,
  • Muneharu Ando,
  • Shinichirou Taniguchi and
  • Takanori Saito
  • + 5 authors+ 0 author

Background and Objectives: Proximal junctional kyphosis (PJK) and failure (PJF), the most prevalent complications following long-segment thoracolumbar fusions for adult spinal deformity (ASD), remain lacking in defined preventive measures. We studied...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
388 Views
14 Pages

Fused Spinopelvic Angle in Adult Spinal Deformity with Pure Sagittal Malalignment: A Postoperative Threshold Associated with Proximal Junctional Kyphosis

  • Ki Young Lee,
  • Jung-Hee Lee,
  • Kyung-Chung Kang,
  • Hong-Sik Park and ,
  • Woo-Jae Jang and
  • Eugene J. Park
  • + 1 author+ 0 author

11 September 2026

Background: Determining the appropriate magnitude of lumbar lordosis (LL) correction in adult spinal deformity (ASD) remains controversial. The fused spinopelvic angle (FSPA), a posture-independent parameter, may provide a geometric measure of fused-...

(This article belongs to the Special Issue New Challenges and Perspectives in Surgical Treatment of Spinal Deformity)
  • Feature Paper
  • Article
  • Open Access
9 Citations
4,409 Views
11 Pages

Comparative Analysis of Outcomes in Adult Spinal Deformity Patients with Proximal Junctional Kyphosis or Failure Initially Fused to Upper Versus Lower Thoracic Spine

  • Oluwatobi O. Onafowokan,
  • Renaud Lafage,
  • Peter Tretiakov,
  • Justin S. Smith and ,
  • Breton G. Line,
  • Bassel G. Diebo,
  • Alan H. Daniels,
  • Jeffrey L. Gum,
  • Themistocles S. Protopsaltis and
  • Peter G. Passias
  • + 30 authors+ 25 authors

18 December 2024

Background: Patients with proximal junctional kyphosis (PJK) or failure (PJF) may demonstrate disparate outcomes and recovery when fused to the upper (UT) versus lower (LT) thoracic spine. Few studies have distinguished the reoperation and recovery a...

(This article belongs to the Section Orthopedics)
  • Feature Paper
  • Article
  • Open Access
547 Views
18 Pages

21 August 2026

Background/Objectives: Proximal junctional kyphosis (PJK) is a frequent mechanical complication following adult spinal deformity (ASD) surgery, and osteoporosis is a well-recognized risk factor. However, whether the underlying risk factor profiles fo...

(This article belongs to the Special Issue Advances in Spinal Deformity: Current Challenges and Future Directions)
  • Article
  • Open Access
1 Citations
536 Views
14 Pages

20 July 2026

Background/Objectives: Poor bone quality significantly increases the risk of mechanical complications after adult spinal deformity (ASD) surgery, including proximal junctional kyphosis (PJK) and proximal junctional failure (PJF). Although teriparatid...

(This article belongs to the Special Issue Advances in Spinal Deformity: Current Challenges and Future Directions)
  • Article
  • Open Access
1 Citations
1,452 Views
12 Pages

30 June 2025

Background and Objectives: Proximal junctional kyphosis (PJK) remains a significant complication in adult spinal deformity (ASD) surgery, often resulting in severe clinical consequences. This study evaluates the effectiveness of the thoracolumbar jun...

(This article belongs to the Section Orthopedics)
  • Review
  • Open Access
7 Citations
4,214 Views
18 Pages

Instrumentation Failure in Adult Spinal Deformity Patients

  • David P. Falk,
  • Ravi Agrawal,
  • Bijan Dehghani,
  • Rohit Bhan and ,
  • Sachin Gupta and
  • Munish C. Gupta
  • + 1 author+ 0 author

24 July 2024

In recent years, advances in the surgical treatment of adult spinal deformity (ASD) have led to improved outcomes. Although these advances have helped drive the development of deformity surgery to meet the rising volume of patients seeking surgical t...

(This article belongs to the Special Issue Challenges in Spinal Deformity)
  • Article
  • Open Access
8 Citations
2,750 Views
12 Pages

Impact of Self-Reported Loss of Balance and Gait Disturbance on Outcomes following Adult Spinal Deformity Surgery

  • Bassel G. Diebo,
  • Daniel Alsoof,
  • Renaud Lafage,
  • Mohammad Daher and ,
  • Mariah Balmaceno-Criss,
  • Peter G. Passias,
  • Christopher P. Ames,
  • Christopher I. Shaffrey,
  • Douglas C. Burton and
  • Alan H. Daniels
  • + 26 authors+ 21 authors

11 April 2024

Background: The objective of this study was to evaluate if imbalance influences complication rates, radiological outcomes, and patient-reported outcomes (PROMs) following adult spinal deformity (ASD) surgery. Methods: ASD patients with baseline and 2...

(This article belongs to the Special Issue Structural Rehabilitation of the Spine and Posture: Analysis, Techniques, and Outcomes in Clinical Research)
  • Case Report
  • Open Access
2 Citations
3,964 Views
8 Pages

Posterior Spinal Fusion for Severe Kyphosis in a Child with Gaucher Disease: A Case Report and Review of the Literature

  • Tengfei Zhao,
  • Ning Zhang,
  • Linwei Chen,
  • Jun Li and ,
  • Qixin Chen and
  • Fangcai Li
  • + 1 author+ 0 author

6 August 2024

Background: Skeleton involvement is one of the most significant aspects of Gaucher disease (GD). However, the treatment for spinal involvement in GD among patients undergoing enzyme replacement therapy (ERT) is poorly characterized. We present a case...

  • Article
  • Open Access
589 Views
13 Pages

CT-Based Analysis of Rod Trace Length Changes During Posterior Spinal Correction in Adult Spinal Deformity

  • Takumi Takeuchi,
  • Takafumi Iwasaki,
  • Kaito Jinnai,
  • Yosuke Kawano and ,
  • Kazumasa Konishi,
  • Masahito Takahashi,
  • Hitoshi Kono and
  • Naobumi Hosogane
  • + 3 authors+ 0 author

18 January 2026

Background: In adult spinal deformity (ASD) surgery, appropriate rod length determination is crucial, as excessive cranial rod length can lead to skin problems, especially in thin elderly patients if proximal junctional kyphosis (PJK) develops. In ad...

(This article belongs to the Special Issue Current Challenges and Innovations in Spine Deformity: Biomechanics, Imaging and AI-Driven Analysis)
  • Review
  • Open Access
1 Citations
719 Views
13 Pages

5 August 2026

Background/Objectives: Teriparatide, a recombinant form of parathyroid hormone used for the treatment of osteoporosis, has also been investigated in patients undergoing spinal fusion surgery. The aim of this study was to evaluate the association betw...

(This article belongs to the Special Issue Spine Surgery: Current Practice and Future Directions)
  • Article
  • Open Access
1 Citations
1,413 Views
12 Pages

13 December 2024

Objective: Adult spinal deformity (ASD) with osteoporotic vertebral fractures (OVF) often requires vertebral body resection and replacement. However, postoperative mechanical complications (MC) have been unsolved issues. This study retrospectively in...

(This article belongs to the Section Orthopedics)
  • Article
  • Open Access
507 Views
16 Pages

A 0.002-mm2, 2.9-μW Pulse-Frequency-Modulation-Based Temperature Sensor for Wide Sensing Range from −60 °C to 120 °C

  • Chiyuan Zhang,
  • Nan Chen,
  • Fang Zhu,
  • Shanshan Li and ,
  • Libin Yao and
  • Yuxuan Luo
  • + 1 author+ 0 author

30 August 2026

This work presents a compact, low-power fully CMOS pulse-frequency-modulation (PFM) temperature sensor fabricated in 180 nm technology, supporting a wide −60 °C to 120 °C sensing range. Subthreshold biasing generates temperature-proport...

(This article belongs to the Special Issue Advances in Semiconductor Sensor Applications)
  • Systematic Review
  • Open Access
9 Citations
4,086 Views
19 Pages

Patient-Specific Surgical Correction of Adolescent Idiopathic Scoliosis: A Systematic Review

  • Federico Solla,
  • Brice Ilharreborde,
  • Jean-Luc Clément,
  • Emma O. Rose and ,
  • Marco Monticone,
  • Carlo M. Bertoncelli and
  • Virginie Rampal
  • + 2 authors+ 0 author

15 January 2024

The restoration of sagittal alignment is fundamental to the surgical correction of adolescent idiopathic scoliosis (AIS). Despite established techniques, some patients present with inadequate postoperative thoracic kyphosis (TK), which may increase t...

(This article belongs to the Special Issue Advances in Paediatric Spine Surgery)
  • Article
  • Open Access
1,714 Views
21 Pages

18 August 2025

This paper presents an all-CMOS temperature sensor with low power consumption, wide temperature range, and high precision in a 180 nm CMOS process. Based on the I–V characteristics of MOSFETs in the subthreshold region and the negative exponent...

  • Review
  • Open Access
21 Citations
6,257 Views
18 Pages

Surgical Management of Adult Spinal Deformity Patients with Osteoporosis

  • Makeen Baroudi,
  • Mohammad Daher,
  • Krish Maheshwari,
  • Manjot Singh and ,
  • Joseph E. Nassar,
  • Christopher L. McDonald,
  • Bassel G. Diebo and
  • Alan H. Daniels
  • + 3 authors+ 0 author

26 November 2024

Adult spinal deformity (ASD) commonly affects older adults, with up to 68% prevalence in those over 60, and is often complicated by osteoporosis, which reduces bone mineral density (BMD) and increases surgical risks. Osteoporotic patients undergoing...

(This article belongs to the Section Orthopedics)
  • Communication
  • Open Access
4 Citations
4,205 Views
12 Pages

29 May 2023

This paper proposes a temperature sensor based on temperature-frequency conversion using 180 nm CMOS technology. The temperature sensor consists of a proportional-to-absolute temperature (PTAT) current generating circuit, a relaxation oscillator with...

(This article belongs to the Section Industrial Sensors)
  • Review
  • Open Access
4 Citations
2,843 Views
17 Pages

22 May 2025

For the past two decades, the consideration of spinopelvic parameters, sagittal balance, and spine shape has gained importance in the diagnosis and optimal surgical management of painful adult spinal deformity. These principles are used with increasi...

(This article belongs to the Section Medical Research)
  • Article
  • Open Access
8 Citations
2,814 Views
12 Pages

Use of Dynamic Spinal Instruments (Dynesys) in Adult Spinal Deformities According to Silva–Lenke and Berjano–Lamartina Classifications

  • Mehmet Yigit Akgun,
  • Ege Anil Ucar,
  • Cemil Cihad Gedik,
  • Caner Gunerbuyuk and ,
  • Mehdi Hekimoglu,
  • Onder Cerezci,
  • Tunc Oktenoglu,
  • Mehdi Sasani,
  • Ozkan Ates and
  • Ali Fahir Ozer
  • + 5 authors+ 0 author

Background: Adult spinal deformities (ASD) present complex challenges in spine surgery. The diverse nature of these deformities requires a comprehensive understanding of their classification and treatment options. Traditional approaches, such as fusi...

(This article belongs to the Section Pathology and Molecular Diagnostics)
  • Article
  • Open Access
2 Citations
2,156 Views
11 Pages

Comparative Study of Post-Surgical Outcomes in Pain, Disability, and Health-Related Quality of Life for Adult Spinal Deformity in Patients Aged above and below 75 Years

  • Yeonsu Park,
  • Jiyoon Kim,
  • Ho-Joong Kim,
  • Seungtak Oh and ,
  • Joon-Hee Park,
  • Daechul Shim and
  • Jin-Ho Park
  • + 2 authors+ 0 author

12 December 2023

(1) Background: Adult spinal deformity (ASD) surgery is known to improve clinical and radiological parameters; however, it may also cause more complications in elderly patients. The purpose of this study was to compare the outcomes of ASD surgery, sp...

(This article belongs to the Special Issue A Paradigm Shift in Airway and Pain Management)