Matches in SemOpenAlex for { <https://semopenalex.org/work/W3199028535> ?p ?o ?g. }
Showing items 1 to 77 of
77
with 100 items per page.
- W3199028535 endingPage "1038" @default.
- W3199028535 startingPage "1031" @default.
- W3199028535 abstract "Junctional kyphosis (JK) is usually observed in long-level instrumented fusion surgeries. Various contributing factors are proposed, the pre-existing and postoperative spinal imbalance is considered as the single most important factor for the development of JK in adult spinal deformity surgeries. Distal JK (DJK) is seldom reported compared to proximal JK (PJK), and scarce literature exists.We report 2 unique cases of distal junctional failure (DJF) with worsening of neurology, secondary to nontraumatic fracture of a lower instrumented vertebra operated for thoracic canal stenosis without deformity. The first case had acute worsening of the Neurology during follow up and on evaluation, the supine CT and MRI scan revealed well decompressed spinal canal, no implant migration to the canal, no screw loosening, or rod failure. Supine sitting radiographs demonstrated DJK with Fracture and the patient underwent extension of fusion till the pelvis with 3-rod construct and interbody fusion, because of the instability at the L1 level.The second case remained neurologically stable for a month and then had an acute onset of back pain, sensory deficit, and urine incontinence. The supine-sitting dynamic radiograph done demonstrated L1 fracture with DJK at D12-L1 levels. The patient was counseled for extension of fusion, which was deferred by the patient.Patients in our series, had an acute worsening of neurological deficit within a month of posterior spinal fixation. Their supine imaging was almost normal, and the diagnosis of DJK with L1 fracture instability was possible only on a supine-sitting dynamic radiograph. Various factors like obesity, TL kyphosis, osteoporosis, etc. can be the attributing factors for the development of DJK CONCLUSION: A high index of suspicion is required for diagnosing nontraumatic fracture in long-level fusion patients with acute neurological worsening. The supine-sitting dynamic radiograph is an important diagnostic tool for DJF in patients having difficulty standing erect.4.Application of sitting and supine dynamic radiographs to diagnose instability in patients unable to stand for flexion and extension radiographs." @default.
- W3199028535 created "2021-09-27" @default.
- W3199028535 creator A5016167544 @default.
- W3199028535 creator A5020539215 @default.
- W3199028535 creator A5035209977 @default.
- W3199028535 date "2021-09-22" @default.
- W3199028535 modified "2023-10-06" @default.
- W3199028535 title "Distal Junctional Failure Secondary to Nontraumatic Fracture of Lower Instrumented Vertebra: Our Experience and Review of Literature" @default.
- W3199028535 doi "https://doi.org/10.14444/8131" @default.
- W3199028535 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34551925" @default.
- W3199028535 hasPublicationYear "2021" @default.
- W3199028535 type Work @default.
- W3199028535 sameAs 3199028535 @default.
- W3199028535 citedByCount "2" @default.
- W3199028535 countsByYear W31990285352023 @default.
- W3199028535 crossrefType "journal-article" @default.
- W3199028535 hasAuthorship W3199028535A5016167544 @default.
- W3199028535 hasAuthorship W3199028535A5020539215 @default.
- W3199028535 hasAuthorship W3199028535A5035209977 @default.
- W3199028535 hasBestOaLocation W31990285351 @default.
- W3199028535 hasConcept C118552586 @default.
- W3199028535 hasConcept C125567185 @default.
- W3199028535 hasConcept C141071460 @default.
- W3199028535 hasConcept C142724271 @default.
- W3199028535 hasConcept C204787440 @default.
- W3199028535 hasConcept C2776370487 @default.
- W3199028535 hasConcept C2776501849 @default.
- W3199028535 hasConcept C2779326565 @default.
- W3199028535 hasConcept C2779418094 @default.
- W3199028535 hasConcept C2779785605 @default.
- W3199028535 hasConcept C2779982284 @default.
- W3199028535 hasConcept C2780375110 @default.
- W3199028535 hasConcept C2780775167 @default.
- W3199028535 hasConcept C2780955175 @default.
- W3199028535 hasConcept C2911149213 @default.
- W3199028535 hasConcept C36454342 @default.
- W3199028535 hasConcept C71924100 @default.
- W3199028535 hasConceptScore W3199028535C118552586 @default.
- W3199028535 hasConceptScore W3199028535C125567185 @default.
- W3199028535 hasConceptScore W3199028535C141071460 @default.
- W3199028535 hasConceptScore W3199028535C142724271 @default.
- W3199028535 hasConceptScore W3199028535C204787440 @default.
- W3199028535 hasConceptScore W3199028535C2776370487 @default.
- W3199028535 hasConceptScore W3199028535C2776501849 @default.
- W3199028535 hasConceptScore W3199028535C2779326565 @default.
- W3199028535 hasConceptScore W3199028535C2779418094 @default.
- W3199028535 hasConceptScore W3199028535C2779785605 @default.
- W3199028535 hasConceptScore W3199028535C2779982284 @default.
- W3199028535 hasConceptScore W3199028535C2780375110 @default.
- W3199028535 hasConceptScore W3199028535C2780775167 @default.
- W3199028535 hasConceptScore W3199028535C2780955175 @default.
- W3199028535 hasConceptScore W3199028535C2911149213 @default.
- W3199028535 hasConceptScore W3199028535C36454342 @default.
- W3199028535 hasConceptScore W3199028535C71924100 @default.
- W3199028535 hasIssue "5" @default.
- W3199028535 hasLocation W31990285351 @default.
- W3199028535 hasLocation W31990285352 @default.
- W3199028535 hasLocation W31990285353 @default.
- W3199028535 hasOpenAccess W3199028535 @default.
- W3199028535 hasPrimaryLocation W31990285351 @default.
- W3199028535 hasRelatedWork W1964154797 @default.
- W3199028535 hasRelatedWork W1964527724 @default.
- W3199028535 hasRelatedWork W1979883349 @default.
- W3199028535 hasRelatedWork W1981195195 @default.
- W3199028535 hasRelatedWork W2029941520 @default.
- W3199028535 hasRelatedWork W2063989499 @default.
- W3199028535 hasRelatedWork W2383734983 @default.
- W3199028535 hasRelatedWork W2388067341 @default.
- W3199028535 hasRelatedWork W4253543497 @default.
- W3199028535 hasRelatedWork W2576272447 @default.
- W3199028535 hasVolume "15" @default.
- W3199028535 isParatext "false" @default.
- W3199028535 isRetracted "false" @default.
- W3199028535 magId "3199028535" @default.
- W3199028535 workType "article" @default.