Rib-based support to prevent spinal misalignment after deformity surgery
Official title: Rib Fixation for Prevention of Proximal Junctional Kyphosis (PJK) in Adult Spinal Deformity Surgery
Funded at Apex Orthopaedic Technologies LLC · NIH-11323786 · Data updated 2026-11-12
A new rib-based method is tested to help prevent a common complication after adult spinal deformity surgery, aiming to keep the upper part of the spine stable.
Quick facts
| Grant type | Sbir 1 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Apex Orthopaedic Technologies LLC NIH-funded |
| Lab location | 1 site (Mount Pleasant, United States) |
| Project start | September 21, 2026 |
| Project end | August 31, 2027 |
| Funding year | 2026 |
| Award (this year) | $316,380 |
| NIH project number | 1R43AR085492-01A1 |
| Project ID | NIH-11323786 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults aged 21 and older undergoing spinal deformity surgery who are at high risk for proximal junctional kyphosis.
✕Less likely to help
Patients not undergoing fusion surgery or those at very low risk for PJK may not benefit.
What this research studies
This project explores a rib fixation approach added to the standard pedicle screw construct during spinal fusion for adults with spinal deformities. It uses either small rib hooks or rib bands to create a gentler transition at the top end of the surgical build, potentially reducing uphill progression of spinal misalignment. The study design looks at how well this method works to lower the risk of proximal junctional kyphosis and improve postoperative outcomes. Results from this work could influence surgical practice and recovery for patients undergoing complex spine fusions.
Why it matters
Potential benefit: If successful, the rib fixation approach could reduce postoperative complications and improve long-term spine alignment and function for adults undergoing deformity surgery.
How similar studies have gone: Prior research shows PJK is a significant complication; this study tests a novel rib-based prophylaxis not yet standard of care.
Where this research is happening
-
Apex Orthopaedic Technologies LLC
Mount Pleasant, United States Active
Researchers
- Principal investigator: Hepfer, Richard Glenn — Apex Orthopaedic Technologies LLC
- Study coordinator: Hepfer, Richard Glenn
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.