ArticleSpine surgery and related research2017
Cage subsidence in lateral interbody fusion with transpsoas approach: intraoperative endplate injury or late-onset settling.
Article in Spine surgery and related research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Defining cage subsidence in anterior, oblique, and lateral lumbar spine fusion approaches: a systematic review of the literature.Neurosurgical review · 2024Pooled it
- Quantitative CT-Derived Volumetric Bone Mineral Density Threshold for Predicting Cage Subsidence After Oblique Lumbar Interbody Fusion.Tomography (Ann Arbor, Mich.) · 2026Article
- Clinical and radiologic outcomes of expandable versus static cages in biportal endoscopic TLIF: focus on endplate injury and subsidence.Journal of orthopaedic surgery and research · 2026Article
- Predictive factors for segmental lordosis angle restoration in oblique lumbar interbody fusion at L4/5.BMC surgery · 2025Article
- Evolution of Titanium Interbody Cages and Current Uses of 3D Printed Titanium in Spine Fusion Surgery.Current reviews in musculoskeletal medicine · 2025Review
- Development of a LASSO dynamic prediction system for interbody cage subsidence following OLIF surgery.NPJ digital medicine · 2025Article
- Current status of indirect decompression with lateral lumbar interbody fusion.Nagoya journal of medical science · 2025Review
- Oblique lumbar interbody fusion for the treatment of severe central lumbar spinal stenosis: a retrospective study of 48 patients.BMC musculoskeletal disorders · 2025Article
- Bone turnover markers are risk factors for endplate injuries during lumbar interbody fusion: a retrospective case-control study.Journal of orthopaedic surgery and research · 2025Article
- Treatment Concept and Technical Considerations of Biportal Endoscopic Spine Surgery for Lumbar Spinal Stenosis.Asian spine journal · 2024Article
- Article
- Biomechanical differences between two different shapes of oblique lumbar interbody fusion cages on whether to add posterior internal fixation system: a finite element analysis.Journal of orthopaedic surgery and research · 2023Article
- Predictors of Vertebral Endplate Fractures after Oblique Lumbar Interbody Fusion.Clinics in orthopedic surgery · 2023Article
- Subsidence of Interbody Cage Following Oblique Lateral Interbody Fusion: An Analysis and Potential Risk Factors.Global spine journal · 2023Article
- The Role of Hounsfield Unit in Intraoperative Endplate Violation and Delayed Cage Subsidence with Oblique Lateral Interbody Fusion.Global spine journal · 2023Article
- Vertebral bone quality score to predict cage subsidence following oblique lumbar interbody fusion.Journal of orthopaedic surgery and research · 2023Article
- Article
- Vertebral Endplate Concavity in Lateral Lumbar Interbody Fusion: Tapered 3D-Printed Porous Titanium Cage versus Squared PEEK Cage.Medicina (Kaunas, Lithuania) · 2023Article
- Static versus Expandable Interbody Fusion Devices: A Comparison of 1-Year Clinical and Radiographic Outcomes in Minimally Invasive Transforaminal Lumbar Interbody Fusion.Asian spine journal · 2023Article
- Forearm T-score as a predictor of cage subsidence in patients with degenerative lumbar spine disease following posterior single-segment lumbar interbody fusion.BMC musculoskeletal disorders · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFew studies have investigated the influence of cage subsidence patterns (intraoperative endplate injury or late-onset cage settling) on bony fusion and clinical outcomes in lateral interbody fusion (LIF). This retrospective study was performed to compare the fusion rate and clinical outcomes of cage subsidence patterns in LIF at one year after surgery.
methodsParticipants included 93 patients (aged 69.0±0.8 years; 184 segments) who underwent LIF with bilateral pedicle screw fixation. All segments were evaluated by computed tomography and classified into three groups: Segment E (intraoperative endplate injury, identified immediately postoperatively); Segment S (late-onset settling, identified at 3 months or later); or Segment N (no subsidence). We compared patient characteristics, surgical parameters and fusion status at 1 year for the three subsidence groups. Patients were classified into four groups: Group E (at least one Segment E), Group S (at least one Segment S), Group ES (both Segments E and S), or Group N (Segment N alone). Visual analog scales (VASs) and the Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were compared for the four patient groups.
results184 segments were classified: 31 as Segment E (16.8%), 21 as Segment S (11.4%), and 132 as Segment N (71.7%). Segment E demonstrated significantly lower bone mineral density (-1.7 SD of T-score, p=0.003). Segment S demonstrated a significantly higher rate of polyetheretherketone (PEEK) cages (100%, p=0.03) and a significantly lower fusion rate (23.8%, p=0.01). There were no significant differences in VAS or in any of the JOABPEQ domains among the four patient groups.
conclusionsIntraoperative endplate injury was significantly related to bone quality, and late-onset settling was related to PEEK cages. Late-onset settling demonstrated a worse fusion rate. However, there were no significant differences in clinical outcomes among the subsidence patterns.
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