BACKGROUND CONTEXT: Proximal junctional kyphosis (PJK) is a pathological kyphotic deformity adjacent
to the instrumentation. Clinical studies have highlighted risk factors that predispose
patients to develop PJK. Transition rods decrease the biomechanical indices that may
be involved in PJK, however, there is no current clinical evidence confirming this.
We present our own experience in using transition rods as a supplementary posterior
fixation after complex multilevel anterior column reconstruction in patients with
adult degenerative deformity.
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