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.].

DOI: 10.3928/01477447-20161006-05

Cite this paper

@article{Pham2017SemitendinosusGF, title={Semitendinosus Graft for Interspinous Ligament Reinforcement in Adult Spinal Deformity.}, author={Martin H Pham and Alexander Tuchman and Lance Smith and Andre M Jakoi and Neil N Patel and Vivek Mehta and Frank L Acosta}, journal={Orthopedics}, year={2017}, volume={40 1}, pages={e206-e210} }