Gravity Line-Hip Axis Offset as a Guide for Global Alignment to Prevent Recurrent Proximal Junctional Kyphosis/Failure.
Seung-Jae HyunSungjae AnByoung-Joo ParkJae-Koo LeeSeung Heon YangKi-Jeong KimPublished in: Operative neurosurgery (Hagerstown, Md.) (2023)
Postoperative GL-HA offset serves as a considerable risk factor for recurrent PJK/F in patients with ASD who have undergone revision surgery. Overcorrection, with GL-HA offset less than -5 cm, is associated with recurrent PJK/F. The instrumented spine tends to align the GL near the HA, even at the cost of proximal junction.