SymposiumPrevention of Proximal Junctional Kyphosis or Failure: Cement AugmentationMartin, Christopher T. MDAuthor Information Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN C.T.M. received travel support to cadaveric training sessions from Medtronic and Nuvasive. For reprint requests, or additional information and guidance on the techniques described in the article, please contact Christopher T. Martin, MD, at [email protected] or by mail at Department of Orthopaedic Surgery, University of Minnesota, 2512 South 7th Street Suite R200, Minneapolis, MN 55454. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Techniques in Orthopaedics: March 2021 - Volume 36 - Issue 1 - p 25-29 doi: 10.1097/BTO.0000000000000453 Buy Metrics Abstract Vertebral cement augmentation (vertebroplasty) has recently garnered increasing attention as a possible prophylactic treatment for the prevention of proximal junctional kyphosis and proximal junctional failure in osteoporotic patients undergoing long spinal fusions. The supporting data mostly comes from small retrospective case series, but indicates a modest benefit, particularly in the prevention of proximal junctional failure. Common risks include possible cement extravasation leading to embolization events, and a theoretical increased risk of adjacent segment fracture. Deformity surgeons should familiarize themselves with the pros and cons of this technique and may wish to utilize it in appropriately selected cases. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.