ArticleAsian spine journal2020
Factors Influencing Early Disc Height Loss Following Lateral Lumbar Interbody Fusion.
Article in Asian spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 18 citations in OpenAlex.
- Effect of Modified Assisted Reduction and Internal Fixation System on Chronic Pain and Long-term Prognosis After Isthmic Spondylolisthesis Surgery: A Randomized Controlled Study.International journal of spine surgery · 2026Article
- Comparison of clinical outcomes between unilateral biportal endoscopic transforaminal lumbar interbody fusion and oblique lumbar interbody fusion with posterior percutaneous screw fixation in patients with lumbar spinal canal stenosis.Frontiers in surgery · 2026Article
- Impact of Cage Angle on Spinal Alignment in Posterior Lumbar Interbody Fusion: A Comparison of 12°, 16°, and 22° Cages.Spine surgery and related research · 2025Article
- Effect of microscope-assisted modified lateral lumbar interbody fusion and impact on lumbar lordosis and intervertebral height.BMC musculoskeletal disorders · 2025Article
- Cage Obliquity in Oblique Lumbar Interbody Fusion-How Common Is It and What Are the Effects on Fusion Rates, Subsidence, and Sagittal Alignment? A Computed Tomography-Based Analysis.International journal of spine surgery · 2024Article
- Anterior Placement of Cages in Posterior Lumbar Interbody Fusion for Obtaining Good Lumbar Lordosis Formation.Spine surgery and related research · 2024Article
- Factors associated with intervertebral cage subsidence in posterior lumbar fusion.Journal of orthopaedic surgery and research · 2024Article
- Subsidence of Interbody Cage Following Oblique Lateral Interbody Fusion: An Analysis and Potential Risk Factors.Global spine journal · 2023Article
- Oblique lateral interbody fusion (OLIF) compared with unilateral biportal endoscopic lumbar interbody fusion (ULIF) for degenerative lumbar spondylolisthesis: a 2-year follow-up study.Journal of orthopaedic surgery and research · 2023Article
- Effects of the cage height and positioning on clinical and radiographic outcome of lateral lumbar interbody fusion: a retrospective study.BMC musculoskeletal disorders · 2022Article
- Early Postoperative Loss of Disc Height Following Transforaminal and Lateral Lumbar Interbody Fusion: A Radiographic Analysis.Asian spine journal · 2022Article
- Comparative Study of Cage Subsidence in Single-Level Lateral Lumbar Interbody Fusion.Journal of clinical medicine · 2022Article
- [Advances in research on Cage subsidence following lumbar interbody fusion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective radiological analysis. PURPOSE: To analyze the factors influencing early disc height loss following lateral lumbar interbody fusion (LLIF). OVERVIEW OF LITERATURE: Postoperative disc height loss can occur naturally as a result of mechanical loading. This phenomenon is enabled by the yielding of the polyaxial screw heads and settling of the cage to the endplates. When coupled with cage subsidence, there can be significant reduction in the foraminal space which ultimately compromises the indirect decompression achieved by LLIF.
methodsSeventy-two cage levels in 37 patients aged 62±10.2 years who underwent single or multilevel LLIF for degenerative spinal conditions were selected. Their preoperative and postoperative follow-up radiographs were used to measure the anterior disc height (ADH), posterior disc height (PDH), mean disc height (MDH), disc space angle (DSA), and segmental angle. Correlations between the loss of disc height and several factors, including age, construct length, preoperative lordosis, postoperative lordosis, disc height, cage dimensions, and cage position, were analyzed.
resultsWe found that the lateral interbody cages significantly increased ADH, PDH, MDH, and DSA after surgery (p<0.0001). However, there was a loss of disc height over time. All postoperative disc height parameters, especially the amount of increase in MDH (r=0.413, p<0.0001) after surgery, showed a significant positive association with early disc height loss. The levels demonstrating a significant (≥25%) height loss were those that exhibited a substantial height increase (128.3%, 4.6±3.0 to 10.5±5.6 mm) postoperatively. However, the levels that showed less than 25% height loss were those that exhibited, on average, only a 57.4% height increase post-operatively.
conclusionsThe greater the postoperative increase in disc height, the greater the disc height loss throughout early follow-up. Therefore, achieving an optimal disc height rather than overcorrection is an important surgical strategy to adopt when performing LLIF.
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