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Proximal junctional kyphosis post tuberculous spine corrective surgery in paediatric patients.

Sandile MkizeRobert N Dunn
Published in: Spine deformity (2020)
In paediatric TB kyphosis correction, there was a 33% incidence of PJK with 2/9 requiring revision surgery for proximal failure. Our data suggest that this incidence of PJK was related to the magnitude of correction, the number of levels fused with a trend of increase in higher UIVs, posterior approach and instrumentation.This suggests that in young children, one should be cautious of overzealous kyphosis correction due to the risk of catastrophic proximal junctional failure.
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