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Instrumentation Failure in Adult Spinal Deformity Patients.
Falk, David P; Agrawal, Ravi; Dehghani, Bijan; Bhan, Rohit; Gupta, Sachin; Gupta, Munish C.
Afiliación
  • Falk DP; Department of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.
  • Agrawal R; Department of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.
  • Dehghani B; Hospital of the University of Pennsylvania, Department of Orthopaedic Surgery, 3737 Market Street, Philadelphia, PA 19104, USA.
  • Bhan R; Department of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.
  • Gupta S; Hospital of the University of Pennsylvania, Department of Orthopaedic Surgery, 3737 Market Street, Philadelphia, PA 19104, USA.
  • Gupta MC; Department of Orthopaedic Surgery, Washington University in St. Louis, 660 South Euclid Ave, MSC 8233-04-05, St. Louis, MO 63110, USA.
J Clin Med ; 13(15)2024 Jul 24.
Article en En | MEDLINE | ID: mdl-39124593
ABSTRACT
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 treatment, many challenges have yet to be solved. Instrumentation failure remains one of the most common major complications following deformity surgery, associated with significant morbidity due to elevated re-operation rates among those experiencing mechanical complications. The two most frequently encountered subtypes of instrumentation failure are rod fracture (RF) and proximal junctional kyphosis/proximal junctional failure (PJK/PJF). While RF and PJK/PJF are both modes of instrumentation failure, they are two distinct entities with different clinical implications and treatment strategies. Considering that RF and PJK/PJF continue to represent a major challenge for patients with ASD and deformity surgeons alike, this review aims to discuss the incidence, risk factors, clinical impact, treatment strategies, preventive measures, and future research directions for each of these substantial complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza