Two-level cement augmentation may decrease the rate of acute proximal junctional fractures

By Robert Linnehan

Researchers evaluated potential methods to prevent acute proximal junction fractures in patients with adult spinal deformity and found use of two-level cement augmentation was linked with a significant reduction in the incidence of proximal junction fractures and revision procedures.

Researchers retrospectively studied data on 51 patients with adult spinal deformity after thoracolumbar fusion from the pelvis to thoracolumbar junction with at least 6 months of follow-up. Health-related quality of life outcomes (HRQoL), demographics and radiograph parameters of deformity were compared for patients who underwent the following procedures: no cement; two-level cement augmentation at upper instrumented vertebra (UIV) and vertebra one level proximal to UIV (UIV+1); and cement at another location (other).


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