Incidence of Proximal Junctional Kyphosis (PJK) in Long Posterior Spinal Fusion: A Study Comparing Traditional Open Surgery to Minimally Invasive Percutaneous Technique at the Proximal Fusion Levels
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 12/21/2018 |
| Start Date: | June 2009 |
| End Date: | July 2017 |
Incidence of Proximal Junctional Kyphosis (PJK) in Long Posterior Spinal Fusion: A Prospective Controlled Randomized Study Comparing Traditional Open Surgery to Minimally Invasive Percutaneous Technique at the Proximal Fusion Levels/Levels
This research is being done to compare two methods of surgery to treat scoliosis and/or
kyphosis of the spine.
kyphosis of the spine.
Currently, there are two different surgical methods used in the treatment of these problems.
One method includes an all open posterior spinal fusion (large incision with opening of the
muscles); this is also known as a traditional technique. The second method involves an open
surgery for the portion of the spine requiring a fusion except the very top area, where
minimally invasive technique (smaller incision and without opening of the muscles) is used.
One possible side effect of either method for surgical repair is a condition called proximal
junctional kyphosis (PJK). PJK occurs in the form of fracture at the top vertebra involved in
the surgery or as a loss of correction of spinal alignment achieved, through gradual bending
forward of the spine over time. In this study we want to compare the rate of PJK between two
groups of patients undergoing long posterior spinal instrumentation fusion.
People undergoing long posterior spinal instrumented fusion may join.
About 68 people will join.
One method includes an all open posterior spinal fusion (large incision with opening of the
muscles); this is also known as a traditional technique. The second method involves an open
surgery for the portion of the spine requiring a fusion except the very top area, where
minimally invasive technique (smaller incision and without opening of the muscles) is used.
One possible side effect of either method for surgical repair is a condition called proximal
junctional kyphosis (PJK). PJK occurs in the form of fracture at the top vertebra involved in
the surgery or as a loss of correction of spinal alignment achieved, through gradual bending
forward of the spine over time. In this study we want to compare the rate of PJK between two
groups of patients undergoing long posterior spinal instrumentation fusion.
People undergoing long posterior spinal instrumented fusion may join.
About 68 people will join.
Inclusion Criteria:
- Individuals presenting for surgical correction of scoliosis and/or kyphosis of the
thoracolumbar spine are the primary target for enrollment.
- Men and women ages 18 years or older will be eligible for participation in the current
study.
- In addition, individuals must be able to provide informed consent (Mini-Mental State
Examination score of at least 18/30).
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