ArticleInternational journal of spine surgery2020
Analysis of the Variables Affecting the Incidence, Location, and Severity of Cage Subsidence Following Anterior Cervical Discectomy and Fusion Operation.
Article in International journal of spine surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing cage subsidence in anterior cervical corpectomy and discectomy: a systematic review.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 · 2023Pooled it
- Comparative analysis of novel vertebral bone quality score variants for predicting cage subsidence following single-level anterior cervical discectomy and fusion: a retrospective cohort study.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 · 2026Article
- Plate Augmentation in The Prevention of 3D-Printed Tritanium Cage Subsidence Following Anterior Cervical Discectomy and Fusion: A Retrospective Cohort Study.The Iowa orthopaedic journal · 2026Article
- Predictors of Implant Subsidence and Its Impact on Cervical Alignment Following Anterior Cervical Discectomy and Fusion: A Retrospective Study.Journal of clinical medicine · 2025Article
- Analysis of adverse sagittal alignment after anterior cervical discectomy and fusion (ACDF) for degenerative cervical myelopathy with local kyphosis.Scientific reports · 2025Article
- Biomechanical Evaluation of Cervical Interbody Fusion Cages for Anterior Cervical Discectomy and Fusion With Variations in Morphology: A Finite Element Analysis.Biomedical engineering and computational biology · 2025Article
- Comparison of the long-term efficacy of ROI-C and conventional cage-plate in treatment of spinal cord injury without fracture or dislocation: a retrospective study.BMC musculoskeletal disorders · 2024Article
- Article
- Predicting surgical outcome and sagittal alignment change in patients with cervical spondylosis and degenerative kyphosis after anterior cervical discectomy and fusion.Scientific reports · 2023Article
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundFor surgical management of degenerative cervical spine disease with myeloradiculopathy, stand-alone cages are frequently used in 1- and 2-level anterior cervical discectomy and fusion (ACDF) operations with a paucity of literature on factors influencing cage subsidence. The aim of this study was to analyze the variables affecting the incidence, location, and severity of cage subsidence.
methodsRetrospective review of prospectively collected data of 77 patients (95 levels) undergoing ACDF surgery was conducted. Variables analyzed were age, gender, sagittal alignment, maximum disc height (superior, inferior, and procedure levels), cage size, shape, location, degree of subsidence (minor <2 mm, mild 2-4 mm, moderate 5-7.5 mm, severe >7.5 mm) and location of subsidence.
resultsThe incidence of cage subsidence was 34% (32 levels), and 91% were minor or mild. Significantly lower mean maximum height of the inferior disc compared to the nonsubsidence group (5.17 versus 5.96;
conclusionsGreater incidence of cage subsidence is significantly associated with a lower maximum disc height of the disc below the operated level (<5.5 mm), abnormal sagittal alignment, and more anteriorly positioned cages. We found that the vast majority of cage subsidence was focal, minor to mild, without having any immediate or late clinical implications in terms of need for revision surgery.
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