Evidence map›Paper›PMID 34920690›Full record

ArticleGlobal spine journal2023

Subsidence of Interbody Cage Following Oblique Lateral Interbody Fusion: An Analysis and Potential Risk Factors.

Vit Kotheeranurak, Khanathip Jitpakdee, Guang-Xun Lin, Akaworn Mahatthanatrakul, Weerasak Singhatanadgige, Worawat Limthongkul, Wicharn Yingsakmongkol, Jin-Sung Kim

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 3 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. OLIF versus ALIF: Which is the better surgical approach for degenerative lumbar disease? 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 · 2023
    Pooled it
  4. Article
  5. Review
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  7. The iLLIF score: a predictive success scoring system for indirect decompression in lateral lumbar interbody fusion.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 · 2026
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  13. A Review of Synthetic Bone Grafts in Lumbar Interbody Fusion.Bioengineering (Basel, Switzerland) · 2026
    Review
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Vit KotheeranurakDepartment of Orthopedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand.ORCID 0000-0002-9593-429X
Khanathip JitpakdeeDepartment of Orthopedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand.
Guang-Xun LinDepartment of Orthopedics, The First Affiliated Hospital of Xiamen University, Xiamen, PR China.
Akaworn MahatthanatrakulDepartment of Orthopaedics, Naresuan University Hospital, Phitsanulok, Thailand.
Weerasak SinghatanadgigeDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0001-7166-1381
Worawat LimthongkulDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0002-0116-8791
Wicharn YingsakmongkolDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Jin-Sung KimSpine Center, Department of Neurosurgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Chulalongkorn University · THFirst Affiliated Hospital of Xiamen University · CNNaresuan University Hospital · THThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesThis study aimed to report the incidence and potential risk factors of polyetheretherketone (PEEK) cage subsidence following oblique lateral interbody fusion (OLIF) for lumbar degenerative diseases. We proposed also an algorithm to minimize subsidence following OLIF surgery.

methodsThe study included a retrospective cohort of 107 consecutive patients (48 men and 59 women; mean age, 67.4 years) who had received either single- or multi-level OLIF between 2012 and 2019. Patients were classified into subsidence and non-subsidence groups. PEEK cage subsidence was defined as any violation of either endplate from the computed tomography scan in both sagittal and coronal views. Preoperative variables such as age, sex, body mass index, bone mineral density (BMD) measured by preoperative dual-energy X-ray absorptiometry, smoking status, corticosteroid use, diagnosis, operative level, multifidus muscle cross-sectional area, and multifidus muscle fatty degeneration were collected. Age-related variables (height and length) were also documented. Univariate and multivariate logistic regression analyses were used to analyze the risk factors of subsidence.

resultsOf the 107 patients (137 levels), 50 (46.7%) met the subsidence criteria. Higher PEEK cage height had the strongest association with subsidence (OR = 9.59,

conclusionsRisk factors for subsidence in OLIF were age >60 years, BMD < -2.5, higher cage height, and severe multifidus muscle fatty degeneration. Patients who had subsidence had worse early (3 months) postoperative back and leg pain.

Indexed as

interbody cagelumbar degenerative diseaseoblique lateral interbody fusionpolyetheretherketone cage subsidencerisk factors

Identifiers

PMID34920690
PMCPMC10556923
OpenAlexW4200159656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.