Should the pelvis be included? An analysis of distal junctional failure risk factors in correcting adult spinal deformity in women with fusion to L5.
Domenico CompagnoneAndrea PezziFrancesco LangellaFilippo MiglioriniMariantonietta ScazzarrielloDaniele VanniMarco DamilanoAndrea RedaelliRiccardo CecchinatoClaudio LamartinaPedro BerjanoPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2024)
DJF following spinal deformity correction surgery is influenced by a combination of patient-related, surgical and implant-related factors. Fusion construct length, preoperative and postoperative sagittal alignment and the grade of degeneration of the distal disc have been identified as significant risk factors. Surgeons should carefully evaluate these factors and employ appropriate strategies.