Cargando…
Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity
OBJECTIVE: To investigate prevention of proximal junctional kyphosis (PJK) and failure (PJF) following adult spinal deformity (ASD) surgery utilizing a novel technique of posterior ligament augmentation with polyester fiber tether. METHODS: This study evaluated ASD adult patients who underwent poste...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Spinal Neurosurgery Society
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497241/ https://www.ncbi.nlm.nih.gov/pubmed/34610689 http://dx.doi.org/10.14245/ns.2142420.210 |
_version_ | 1784579916816187392 |
---|---|
author | Rodnoi, Pope Le, Hai Hiatt, Luke Wick, Joseph Barber, Joshua Javidan, Yashar Roberto, Rolando Klineberg, Eric O. |
author_facet | Rodnoi, Pope Le, Hai Hiatt, Luke Wick, Joseph Barber, Joshua Javidan, Yashar Roberto, Rolando Klineberg, Eric O. |
author_sort | Rodnoi, Pope |
collection | PubMed |
description | OBJECTIVE: To investigate prevention of proximal junctional kyphosis (PJK) and failure (PJF) following adult spinal deformity (ASD) surgery utilizing a novel technique of posterior ligament augmentation with polyester fiber tether. METHODS: This study evaluated ASD adult patients who underwent posterior decompression and instrumented fusion from the thoracolumbar junction (T9–L1) to the pelvis from 2011–2017. Basic demographic data were obtained. Radiographic outcomes included proximal junctional angle (PJA), sagittal vertical axis, PJK, and PJF. The study population was divided into patients who had ASD surgery with and without ligamentous augmentation. RESULTS: A total of 43 subjects were evaluated, including 20 without and 23 with ligamentous augmentation. PJA increased over time for both groups. PJA was smaller for the augmented group, and rate of increase in PJA was slower in the augmented group (p<0.0001). The rate of PJK was significantly higher in the nonaugmented group (p=0.01). PJF was significantly less common in the augmented group (p=0.003). Time to revision surgery was lower in the nonaugmented group (p=0.003). CONCLUSION: Our novel ligament augmentation technique utilizing polyethylene tape is an effective technique to slow progression of the PJA and lower the risk for proximal junctional disease in ASD surgery. |
format | Online Article Text |
id | pubmed-8497241 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Spinal Neurosurgery Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-84972412021-10-15 Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity Rodnoi, Pope Le, Hai Hiatt, Luke Wick, Joseph Barber, Joshua Javidan, Yashar Roberto, Rolando Klineberg, Eric O. Neurospine Original Article OBJECTIVE: To investigate prevention of proximal junctional kyphosis (PJK) and failure (PJF) following adult spinal deformity (ASD) surgery utilizing a novel technique of posterior ligament augmentation with polyester fiber tether. METHODS: This study evaluated ASD adult patients who underwent posterior decompression and instrumented fusion from the thoracolumbar junction (T9–L1) to the pelvis from 2011–2017. Basic demographic data were obtained. Radiographic outcomes included proximal junctional angle (PJA), sagittal vertical axis, PJK, and PJF. The study population was divided into patients who had ASD surgery with and without ligamentous augmentation. RESULTS: A total of 43 subjects were evaluated, including 20 without and 23 with ligamentous augmentation. PJA increased over time for both groups. PJA was smaller for the augmented group, and rate of increase in PJA was slower in the augmented group (p<0.0001). The rate of PJK was significantly higher in the nonaugmented group (p=0.01). PJF was significantly less common in the augmented group (p=0.003). Time to revision surgery was lower in the nonaugmented group (p=0.003). CONCLUSION: Our novel ligament augmentation technique utilizing polyethylene tape is an effective technique to slow progression of the PJA and lower the risk for proximal junctional disease in ASD surgery. Korean Spinal Neurosurgery Society 2021-09 2021-09-30 /pmc/articles/PMC8497241/ /pubmed/34610689 http://dx.doi.org/10.14245/ns.2142420.210 Text en Copyright © 2021 by the Korean Spinal Neurosurgery Society https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Rodnoi, Pope Le, Hai Hiatt, Luke Wick, Joseph Barber, Joshua Javidan, Yashar Roberto, Rolando Klineberg, Eric O. Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity |
title | Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity |
title_full | Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity |
title_fullStr | Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity |
title_full_unstemmed | Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity |
title_short | Ligament Augmentation With Mersilene Tape Reduces the Rates of Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity |
title_sort | ligament augmentation with mersilene tape reduces the rates of proximal junctional kyphosis and failure in adult spinal deformity |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497241/ https://www.ncbi.nlm.nih.gov/pubmed/34610689 http://dx.doi.org/10.14245/ns.2142420.210 |
work_keys_str_mv | AT rodnoipope ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity AT lehai ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity AT hiattluke ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity AT wickjoseph ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity AT barberjoshua ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity AT javidanyashar ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity AT robertorolando ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity AT klinebergerico ligamentaugmentationwithmersilenetapereducestheratesofproximaljunctionalkyphosisandfailureinadultspinaldeformity |