Junctional Hounsfield unit ratio: understanding patient-specific vertebral bone strength for proximal junctional kyphosis risk assessment in adult spinal deformity surgery
This retrospective study demonstrates that the junctional Hounsfield unit ratio (HU of UIV+1 divided by HU of UIV) is a superior, patient-specific predictor of proximal junctional kyphosis risk in adult spinal deformity surgery compared to absolute HU values, offering a valuable tool for preoperative risk assessment and upper instrumented vertebrae selection.