Risk of distal junctional kyphosis in scheuermann's kyphosis is decreased by selecting the LIV as two vertebrae distal to the first lordotic disc.
Andrew LuzziZeeshan SardarMeghan CerpaXavier FerrerJosephine CouryWilliam K CrockattAlex HaBenjamin RoyeMichael VitaleLawrence Lenkenull nullPublished in: Spine deformity (2022)
In SK surgery, LIV selection/fusion to two vertebrae below the 1stLD decreased the development of DJK. A significant relationship was not found between DJK development and location of distal fusion level in regards to the SSV, possibly due to the small number of patients who had LIV proximal to SSV.