ArticleBMC musculoskeletal disorders2025
Endplate morphology affects the risk of complications by changing the grafted bony occupancy rate in OLIF patients.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- A finite element-based comparative dynamic biomechanical study of a novel oblique lateral locking plate system (OLLPS) versus traditional internal fixations for oblique lumbar interbody fusion (OLIF) under whole-body vibration.Frontiers in bioengineering and biotechnology · 2026Article
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7 authors.
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Abstract
backgroundLarge contact areas between the grafted bone and the bony endplate (BEP) can optimize the load transmission pattern and decrease the risk of non-union and cage subsidence. The relationship between endplate morphology parameters and complications may stem from the difference in contact sufficiency between the grafted bone and BEP. This study was conducted to verify that changes in endplate morphology affect the risk of complications in patients with oblique lumbar interbody fusion (OLIF) by changing the grafted bony occupancy rate (GBOR).
methodsImaging data of 95 segments of 75 patients who underwent OLIF were collected retrospectively. Endplate morphology parameters, GBOR values, and complications were measured by computational tomography (CT).
resultsThe superior endplate was more concave than the inferior endplate was. The GBOR values in the superior endplate were significantly lower than those in the inferior endplate (coronal and sagittal). The relationship between endplate morphology parameters and GBOR values was significant. The nonfusion rate was significantly higher in the superior endplate. A lower GBOR is an independent predictor of non-union and more severe cage subsidence.
conclusionsChanges in endplate morphology affect the risk of cage subsidence and non-union in patients undergoing OLIF by changing the GBOR. Newly designed OLIF cages with larger concave depths on the superior side and different concave angles should be promoted to optimize the match between the grafted bone and the BEP and improve the prognosis of patients with OLIF.
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