Changes in sagittal balance and pre-existing junctional angle influence development of proximal junctional kyphosis in growth guidance systems for early-onset scoliosis.
Reme Emmanuel ArhewohIan MarigiRichard McCarthyDavid SkaggsPaul SponsellerScott J Luhmannnull nullPublished in: Spine deformity (2023)
PJK was identified in 43% of patients post-operatively after GGS for EOS. Pre-op PJA was negatively correlated with an increased incidence of PJK. Changes in sagittal balance, in either direction, was the strongest predictor for development of PJK post-operatively.