Proximal Junctional Failure: Who’s Really at Risk?

August 18, 2026 1 min read Premium comments

Source: Pixabay and Dr. Zachary NaPier, M.D.

Spine Journalbone qualityadult spinal deformity surgeryproximal junctional failureUpper Instrumented Cervical vertebra

Proximal junction failure (PJF) remains one of the most frustrating complications of adult spinal deformity surgery. It can produce pain, deformity progression, neurologic problems, and — frequently — the dreaded return to the operating room.

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