Case Study 131 | Proximal Junctional Kyphosis | Explained by Dr. Betsy Grunch, neurosurgeon
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- čas přidán 23. 06. 2024
- Case study 131 - Proximal junctional kyphosis (PJK)
Proximal junctional kyphosis (PJK) is a common complication that can occur after spinal deformity surgery in adults. It's defined by a proximal junctional sagittal Cobb angle that's at least 10° and at least 10° greater than the preoperative measurement. PJK is detected by radiologic findings that indicate a problem has developed internally around the adjacent segment after a spinal fusion.
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Oh wow 😳. My surgeries have been disastrous and were life altering. Still need more and surgeon recommending another fusion but I keep saying no. Then they say to me "we won't see you again until you decide to get the surgery". I wish I had Dr. Grunch as my surgeon 🙂
That was eye opening especially for someone contemplating back surgery. I wish everyone could see this before deciding excellent video!
Thank you for this! I love the point the dépassan had not been done. Its so important to treat the bones to help. Love you!
You should do a video on red flags that maybe the surgeon you are seeing isn't a good one.
Very informative!
You’re theee coolest! I love your videos and your style 😉❤
Just me over here, a 45 yo osteopenic woman with CP doing everything I can in PT to strengthen that core and keep my back healthy. I've seen so many escalations like this in my age cohort of CP folks. It's terrifying.
My last back surgery was a failure. The surgeon wants to operate again. I got a 2nd opinion from a neuro surgeon & he said no. Im holding off for now.
So, is Proximal Junctional Kyphosis just the technical name for "Adjacent Segment Disease" or are there some other technical differences in the terminology?
Happened to me. Conservative treatment after T4,5,6 compression fractures, but after 1.5 years the vertebrae were not healing and pain worsening. A T4,5,6,7 fusion was performed. Metalware was removed due to my new surgeon explaining another surgery would have to be a complete spinal reconstruction with very high risk factors. I am still in continuous pain 11 years after original accident and I know have hyperkyphosis of the thoracic spine at 90 degrees, causing digestive, heart and respiratory problems as well as pain and reduced mobility and range of motion. I do not regret the surgery, I felt I had to give something a try and this is unfortunately the risk I took, however the surgeon did not warn me of this, so in regards to this, I do feel angry at him for his lack of explaining the the full risks to me. But it is what it is and now I have to live with a progressive decline in my health, when before this ordeal, I was an extremely fit and healthy, social, hardworking mother of three and 43 years old. I am now 53, can not work so I have lost my career as a nurse which I loved and was so for filling, I , am financially depleted and unable to save for my retirement, was unable to care for my children the way I would have liked and have so much guilt at not be actively able to participate in so many things with them, I’m in constant pain, depressed and isolated. I never go anywhere because it is t worth it, I go somewhere and I’m miserable due to the pain and have to go home anyway to lie down. It’s a nightmare to get any help or treatment and it has been difficult to find any medication that helps only opioids as other medications either do not work or the side effects are usually a decline in my mood. Opioids as we know has a huge stigma attached to them and the little amount I am still on after a successful tapering from a large dose, of my own accord, they say I need to stop completely and the small dose I am on, I am unwilling to give up as it is the only thing that I have in my tool
Box that does decrease the pain. It’s a really difficult life.
What accident did you have ?
Im 41, in late march had 3 compression fractures L-2 T-10 & T-11, i also have some Scoliosis, one Dr also told me I snaped off a bone spur. Its June 27th just now pain management wants to put ballons in my back to put some bone cement in those vertebrae. Its supposed to be more "bone like flexible" than the older stuff but the way the surgen explained it to me is he made it sound almost like a miracle cure and it would prevent more collapsing of the vertebrae to keep the pressure off of my nervs. Any thoughts on this? Also I forgot to mention that they are considered stable fractures, and i'm a diabetic. Im not asking for a diagnosis because you cant, i just want your thoughts on this procedure.