ArticleBMC musculoskeletal disorders2019
Cage positioning as a risk factor for posterior cage migration following transforaminal lumbar interbody fusion - an analysis of 953 cases.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Revision surgical treatments and classification system for cage retropulsion in degenerative lumbar disease.BMC musculoskeletal disorders · 2026Article
- Imaging-Based Quantitative Assessment of Cage Migration After Minimally Invasive Lumbar Interbody Fusion.Journal of clinical medicine · 2026Article
- 'Rebound Phenomenon' - a Cause of Early Cage Back-out in Transforaminal Lumbar Interbody Fusion Surgery: Insights from Case Series of 1545 Patients.Indian journal of orthopaedics · 2025Article
- 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
- Improved Clinical and Radiological Outcomes with Double-Cage Biportal Endoscopic Transforaminal Lumbar Interbody Fusion: A Comparative CT-Based Study.Diagnostics (Basel, Switzerland) · 2025Article
- Safety and Viability of Anterior Lumbar Interbody Fusion in Complex Revision Lumbar Spine Surgeries: Insights From a Case Series of 135 Patients on Transforaminal Lumbar Interbody Fusion/Posterior Lumbar Interbody Fusion Cage Removal.International journal of spine surgery · 2025Article
- Is Age a Risk Factor for Early Postoperative Cage Subsidence After Transforaminal Lumbar Interbody Fusion? A Retrospective Study in 170 Patients.Global spine journal · 2025Article
- Posterior cage migration after transforaminal lumbar interbody fusion: Risk factors and treatment.Surgical neurology international · 2025Article
- Evaluation of Healthcare Outcomes of Patients Treated with 3D-Printed-Titanium and PEEK Cages During Fusion Procedures in the Lumbar Spine.Medical devices (Auckland, N.Z.) · 2025Article
- Transforaminal Lumbar Interbody Fusion with Double Banana Cages: Clinical Evaluations and Finite Element Model Analysis.Global spine journal · 2024Article
- Article
- Radiological and Clinical Outcomes comparing 2-level MIS Lateral and MIS Transforaminal Lumbar Interbody Fusion in Degenerative Lumbar Spinal Stenosis.Global spine journal · 2024Article
- Current Trends in Artificial Intelligence-Assisted Spine Surgery: A Systematic Review.Asian spine journal · 2024Article
- Hounsfield unit for assessing bone mineral density distribution within lumbar vertebrae and its clinical values.Frontiers in endocrinology · 2024Article
- Postoperative cage migration and subsidence following TLIF surgery is not associated with bony fusion.Scientific reports · 2023Article
- Biplanar Expandable Cages for Transforaminal Lumbar Interbody Fusion Are Safe and Achieve Good 1-Year Clinical and Radiological Outcomes in an Asian Population.International journal of spine surgery · 2023Article
- Single-Level Endoscopic TLIF Has Decreased Surgery Duration, Blood Loss, and Length of Hospital Stay While Achieving Similar 1-Year Clinical and Radiological Outcomes Compared With Conventional Minimally Invasive TLIF.International journal of spine surgery · 2023Article
- Complete Intradural Interbody Cage Migration in Lumbar Spine Surgery: A Case Report and Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe risk of posterior cage migration (PCM) exists when a fusion cage is used for transforaminal lumbar interbody fusion (TLIF). This complication is influenced by contact pressure between the endplate and the cage. Previous reports demonstrated that anteriorly located cages bore more load and had greater strain than posteriorly located cages. However, there have been no detailed reports on the correlation between cage positioning and PCM.
methodsFrom March 2014 to October 2015, we reviewed 953 patients receiving open transforaminal lumbar interbody fusion (TLIF) and bilateral pedicle screw instrumentation. One hundred patients without PCM were randomly sampled as the control group. Postoperative sagittal and coronal cage positions in the disc space were evaluated with the 'depth ratio' and the 'coronal ratio'. The demographic data of patients with and without PCM were compared to detect patient-related factors. Radiographic and cage related parameters, including cage position, preoperative disc height, preoperative spine stability, cage geometry, cage size, and height variance (= cage height - preoperative disc height) were compared between the PCM group and the control group. Univariate analyses and a multivariate logistic model were used to identify risk factors of PCM.
resultsPosterior cage migration occurred in 24 (2.52%) of 953 patients. The univariate and multivariate analyses revealed that those with a decreased depth ratio (OR, 9.78E-4; 95% CI, 9.69E-4 - 9.87E-4; p < 0.001) and height variance (OR, 0.757, 95% CI, 0.575-0997, p = 0.048) had a significantly higher risk of developing PCM.
conclusionsOur results verified that posteriorly located cages and undersized cages are more prone to developing PCM, which may aid surgeons in making optimal decisions during TLIF procedures.
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