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May 1, 20260 citations

Comparison of Hook Fixation and Vertebroplasty for Prevention of Proximal Junctional Failure: A Retrospective Cohort Study.

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SCSung Tan ChoUlsan CollegeJCJae Hwan ChoUlsan CollegeDLDong-Ho LeeUlsan College

Key Points

  • To compare the efficacy of hook fixation and vertebroplasty in preventing proximal junctional failure (PJF).
  • Retrospective cohort design
  • Comparison of hook fixation and vertebroplasty outcomes
  • Assessment of incidence rates of PJF.
  • Hook fixation showed a lower incidence of PJF compared to vertebroplasty.
  • Vertebroplasty did not reach statistical significance for reducing PJF.
  • Further prospective randomized controlled trials are needed to validate findings.

Abstract

= 0.640).ConclusionsIn this retrospective cohort, hook fixation was associated with a lower incidence of PJF, whereas vertebroplasty did not reach statistical significance. These findings suggest that proximal junctional strategies may influence PJF. Prospective randomized controlled trials are needed to confirm these findings and define optimal prophylactic strategies.

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Cite This Study

Cho et al. (2026) studied this question.

synapsesocial.com/papers/69f44488967e944ac55676f2https://doi.org/10.1177/21925682261449174
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Early catastrophic proximal junctional fracture after spinal instrumentation in geriatric patients2025
  2. 2Hook Fixation at Uppermost Instrumented Vertebra +1 Reduced Proximal Junctional Failure in Adult Patients With Spinal Deformity Having Achieved Optimal Deformity Correction by Sagittal Age-Adjusted Score2024 · 6 citations
  3. 3Efficacy of Proximal Junctional Tethering in Spinal Fusion Surgery for Preventing Proximal Junctional Kyphosis and Proximal Junctional Failure: A Meta-analysis2025 · 3 citations
  4. 4Post-Operative Hyperextension Bracing Has the Potential to Reduce Proximal Junctional Kyphosis: A Propensity Matched Analysis of Braced versus Non-braced Cohorts2024 · 1 citations
  5. 5Vertebroplasty and SpineJack® percutaneous implantable vertebral augmentation device for osteoporotic vertebral compression fractures treatment: a comparative and prospective study2026