Posterior Ligamentous Reinforcement of the Upper Instrumented Vertebrae +1 Does Not Decrease Proximal Junctional Kyphosis in Adult Spinal Deformity.
Sravisht IyerFrancis C LovecchioJonathan Charles ElyséeRenaud LafageMichael SteinhausFrank J SchwabVirginie LafagePhilip J YorkPublished in: Global spine journal (2019)
Even after controlling for extent of correction and preoperative sagittal alignment, PLS reinforcement at UIV+1 using a hand-tensioned nylon tape does not reduce the incidence of PJK at 1 year.