title: Semitendinosus Graft for Interspinous Ligament Reinforcement in Adult Spinal Deformity.
abstract: Proximal junctional kyphosis is an increasingly recognized complication following long-segment posterior spinal fusion for adult spinal deformity. The authors describe a novel technique for interspinous ligament reinforcement at the proximal adjacent levels using a cadaveric semitendinosus tendon graft secured with an Ethibond No. 2 double filament (Ethicon, Somerville, New Jersey) via the Krackow suture weave. A retrospective review identified 4 patients who had received this graft. No proximal junctional kyphosis was seen at a mean short-term follow-up of 5.5 months. Interspinous ligament reinforcement at the proximal adjacent level with a cadaveric semitendinosus tendon graft is a feasible strategy for preventing proximal junctional kyphosis. [Orthopedics. 2017; 40(1):e206-e210.].
authors.forename: Martin H
authors.initials: MH
authors.lastname: Pham
authors.forename: Alexander
authors.initials: A
authors.lastname: Tuchman
authors.forename: Lance
authors.initials: L
authors.lastname: Smith
authors.forename: Andre M
authors.initials: AM
authors.lastname: Jakoi
authors.forename: Neil N
authors.initials: NN
authors.lastname: Patel
authors.forename: Vivek A
authors.initials: VA
authors.lastname: Mehta
authors.forename: Frank L
authors.initials: FL
authors.lastname: Acosta
mesh_terms: D000070633:Hamstring Muscles / Q000637:transplantation*; D006801:Humans; D007738:Kyphosis / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery*; D011093:Polyethylene Terephthalates; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000379:methods*
chemical_list: C014534:Ethibond; D011093:Polyethylene Terephthalates