Failure Patterns of Prophylactic Techniques Utilized to Prevent Proximal Junctional Failure following Adult Spinal Deformity Surgery Are Predictable: A Guideline for Surgeons

BACKGROUND CONTEXT: Proximal junctional failure (PJF), defined as vertebral fracture within the cranial region of and/or cranially adjacent to long instrumented spine constructs, is a problematic source of morbidity following adult spinal deformity (ASD) surgery. Several reports have described surgical techniques to prevent PJF, however no technique has eradicated the problem.

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