Risk factors for distal junctional failure in long-construct instrumentation for adult spinal deformity.
Jake Michael McDonnellShane R EvansDaniel P AhernGráinne CunniffeChristopher KeplerAlexander VaccaroIan D KayePatrick B MorrisseyScott C WagnerArjun SebastianJoseph S ButlerPublished 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 (2022)
Recently, DJF has received recognition as its own entity due to a notable postoperative incidence. Few studies to date have evaluated risk factors for DJF. The results of our study highlight that pedicle subtraction osteotomy, poor correction of lumbar lordosis, and sagittal vertical axis are significantly associated with postoperative occurrence of DJF.