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Risk factors for acute proximal junctional kyphosis after adult spinal deformity surgery in preoperative motion analysis
DC Field | Value | Language |
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dc.contributor.author | Ham, Dae-Woong | - |
dc.contributor.author | Han, Heesoo | - |
dc.contributor.author | Kim, Ho-Joong | - |
dc.contributor.author | Park, Sang-Min | - |
dc.contributor.author | Chang, Bong-Soon | - |
dc.contributor.author | Yeom, Jin S. | - |
dc.date.accessioned | 2023-04-19T07:14:25Z | - |
dc.date.available | 2023-04-19T07:14:25Z | - |
dc.date.created | 2021-06-10 | - |
dc.date.created | 2021-06-10 | - |
dc.date.issued | 2021-05 | - |
dc.identifier.citation | European Spine Journal, Vol.30 No.5, pp.1215-1225 | - |
dc.identifier.issn | 0940-6719 | - |
dc.identifier.uri | https://hdl.handle.net/10371/190875 | - |
dc.description.abstract | Objective This study aimed to examine which motion analysis parameters regarding the dynamic aspects and/or balance affect the development acute proximal junctional kyphosis (PJK) following adult spinal deformity (ASD) surgery. Methods A total of 90 consecutive patients were recruited prospectively, who underwent a corrective surgery for ASD with sagittal imbalance. According to the development of acute PJK within 6 months after surgery, the patients were divided into the PJK+ and PJK- groups. Before surgery, three-dimensional gait analyses were performed using a motion analysis system. The preoperative continuous and categorical variables were compared between the PJK+ and PJK- groups using independent t tests and chi-square tests, respectively. Finally, a multivariate logistic regression model was used to identify the risk factors and calculate the odds ratio (OR) for acute PJK. Results A total of 20 and 70 patients were classified into the PJK+ and PJK- groups, respectively. There were no differences in the spinopelvic radiologic parameters pre- and postoperatively between the PJK+ and PJK- groups. The PJK+ group showed a significantly higher mean anterior pelvic tilt (Ant-PT) angle in preoperative motion analysis than the PJK- group (P = 0.001 for both sides). Multivariate analysis identified the mean Ant-PT angle (P = 0.047; OR 1.127; 95% CI 1.002-1.267) as a significant risk factor for acute PJK. Conclusion Preoperative Ant-PT angle during walking was associated with a higher OR in acute PJK after surgery. | - |
dc.language | 영어 | - |
dc.publisher | Springer Verlag | - |
dc.title | Risk factors for acute proximal junctional kyphosis after adult spinal deformity surgery in preoperative motion analysis | - |
dc.type | Article | - |
dc.identifier.doi | 10.1007/s00586-021-06830-3 | - |
dc.citation.journaltitle | European Spine Journal | - |
dc.identifier.wosid | 000636173700001 | - |
dc.identifier.scopusid | 2-s2.0-85103637710 | - |
dc.citation.endpage | 1225 | - |
dc.citation.number | 5 | - |
dc.citation.startpage | 1215 | - |
dc.citation.volume | 30 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Kim, Ho-Joong | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordAuthor | Adult spinal deformity | - |
dc.subject.keywordAuthor | Proximal junctional kyphosis | - |
dc.subject.keywordAuthor | Motion analysis | - |
dc.subject.keywordAuthor | Anterior pelvic tilt angle | - |
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