ArticleAsian spine journal2018
Risk Factors for Posterior Cage Migration after Lumbar Interbody Fusion Surgery.
Article in Asian spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Clinical risk factors associated with cage migration after posterior approaches for lumbar interbody fusion: a 10-year systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Pooled it
- Influence of the geometric and material properties of lumbar endplate on lumbar interbody fusion failure: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- rhBMP in lumber fusion for lumbar spondylolisthesis: A systematic review and meta-analysis.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2019Pooled it
- Tranexamic Acid for Blood Loss after Transforaminal Posterior Lumbar Interbody Fusion Surgery: A Double-Blind, Placebo-Controlled, Randomized Study.BioMed research international · 2020Trial
- Revision surgical treatments and classification system for cage retropulsion in degenerative lumbar disease.BMC musculoskeletal disorders · 2026Article
- Retrospective Analysis of Clinical Management Strategies for Cage Retropulsion Following Posterior Lumbar Interbody Fusion.Orthopaedic surgery · 2025Article
- Advancements in biomaterials and bioactive solutions for lumbar spine fusion cages: Current trends and future perspectives.Bioactive materials · 2025Review
- Investigating complications of extreme lateral interbody fusion (XLIF) in the food and drug administration manufacturer and user facility device experience database.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Biomechanical evaluation of percutaneous cement discoplasty combined with percutaneous vertebroplasty: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- Recurrent Symptomatic Cage Migration After Minimally Invasive L4-5 TLIF.Acta neurochirurgica. Supplement · 2025Article
- Systematic Review and Meta-Analysis of the Effect of Osteoporosis on Reoperation Rates and Complications after Surgical Management of Lumbar Degenerative Disease.Journal of bone metabolism · 2024Article
- Postoperative cage migration and subsidence following TLIF surgery is not associated with bony fusion.Scientific reports · 2023Article
- Complete Intradural Interbody Cage Migration in Lumbar Spine Surgery: A Case Report and Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
- A meta-analysis of risk factors for cage migration after lumbar fusion surgery.World neurosurgery: X · 2023Review
- Postoperative bone graft migration into the thecal sac and shifting down to the lower level after an endoscopic lumbar interbody fusion: a case report.BMC musculoskeletal disorders · 2023Article
- Revision for cage migration after transforaminal/posterior lumbar interbody fusion: how to perform revision surgery?BMC surgery · 2022Article
- Comparison of Long-Term Efficacy of MIS-TLIF Intraoperative Implants in Patients with Osteoporosis.Computational and mathematical methods in medicine · 2022Article
- Risk Factors Affecting Cage Retropulsion into the Spinal Canal Following Posterior Lumbar Interbody Fusion: Association with Diffuse Idiopathic Skeletal Hyperostosis.Asian spine journal · 2021Article
- Clinical and radiographic outcomes of hybrid graft in patients with Modic changes undergoing transforaminal lumbar interbody fusion.Journal of orthopaedic surgery and research · 2021Article
- Risk Factors and Scoring System of Cage Retropulsion after Posterior Lumbar Interbody Fusion: A Retrospective Observational Study.Orthopaedic surgery · 2021Observational
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designA retrospective clinical case series. PURPOSE: To determine the strength of association between cage retropulsion and its related factors. OVERVIEW OF LITERATURE: Lumbar interbody fusion with cage can obtain a firm union and can restore the disc height with normal sagittal and coronal alignment. Although lumbar interbody fusion procedures have satisfactory clinical outcomes, peri- and postoperative complications regarding the cage remain challenging.
methodsFrom January 2006 to June 2016, 1,047 patients with lumbar degenerative disc disease who underwent posterior lumbar interbody fusion or transforaminal interbody fusion at Gyeongsang National University Hospital were enrolled. Medical records and pre- and postoperative radiographs were reviewed to identify significant cage retropulsion-related factors. The associations between cage retropulsion with various risk factors were evaluated by calculating odds ratios (ORs) and 95% confidence intervals (CIs) using multiple logistic regression analysis.
resultsOf 1,229 disc levels, 16 cases (1.3%, 10 men and 6 women) had cage retropulsion. Univariate analysis revealed no significant differences between the cage retropulsion group and the no cage retropulsion group with regard to demographic data such as age, sex, weight, height, body mass index (BMI), smoking habits, presence of osteoporosis, and duration of follow-up. Multivariate analysis revealed that low BMI (OR, 0.875; 95% CI, 0.771-0.994;
conclusionsThis study demonstrated that low BMI, loosening of posterior instrumentation, and pear-shaped disc were associated with cage retropulsion after lumbar interbody fusion. Therefore, when performing lumbar interbody fusion with a cage, surgeons should have skillful surgical techniques for firm fixation to prevent cage retropulsion, particularly in non-obese patients.
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