Kyphosis Clinical Trial
Official title:
Proximal Junctional Kyphosis Following Long Instrumented Spinal Fusion: The Effect of Implant Selection
The treatment of adult deformity has improved with the development and use of modern
segmental instrumentation, including posterior instrumentation. However, the incidence of
proximal junctional kyphosis (PJK) caused by the accelerated degeneration of the joint
capsules and smaller articular processes in the proximal junctional region has also been
noted.
One potential way of decreasing PJK is to decrease the structural rigidity of the construct
at the top thereby providing a transition to the non-instrumented spine and allowing for less
facet capsule and muscle disruption.
While a possible solution to PJK is to reduce structural rigidity at the top of the
construct, there is a need to investigate it. In the proposed study, the investigators will
compare the rate of proximal junctional kyphosis in patients treated with a stainless steel
rod (REVERE Stabilization System) versus those treated with TRANSITION Stabilization System.
Patient outcome measures (Scoliosis Research Society (SRS-22), SF12 and ODI) and radiographic
measurements (including lumbar lordosis (L1-S1), adjacent segment kyphosis, thoracolumbar
kyphosis (T10-L2), sagittal balance, sacral slope, and pelvic incidence) will be analyzed.
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