ArticleEuropean journal of medical research2025
Unveiling the role of lumbar intervertebral space morphology: a novel classification and its impact on cage migration in lumbar fusion surgery.
Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeThis study aimed to establish a novel classification system for lumbar intervertebral spaces based on anatomical morphology, to investigate the relationship between intervertebral space types and cage migration risk after transforaminal lumbar interbody fusion (TLIF), and to optimize fusion strategies tailored to different anatomical types.
methodsA retrospective cohort study was conducted on 103 patients who underwent TLIF between February 2022 and June 2023. Lumbar intervertebral spaces were classified into 3 fundamental types: lordotic, neutral and kyphotic and 2 modified types: normal and degenerative. Clinical outcomes (Visual Analogue Scale [VAS], Oswestry Disability Index [ODI]), and radiographic parameters (Intervertebral Space Angle [ISA], Intervertebral Space Height [ISH], Intervertebral Foramen Height [IFH]) were evaluated. Statistical analyses included t tests, ANOVA, chi-square tests, and logistic regression.
resultsVAS and ODI scores significantly improved postoperatively (P < 0.05). ISA, ISH, and IFH showed significant postoperative increases across all fundamental types. Cage migration occurred in 8 segments, predominantly in degenerative-type intervertebral spaces. Logistic regression revealed that the degenerative type was associated with a 17-fold increased risk of cage migration (OR = 17.02). No significant association was found between fundamental type and migration. Fusion rates exceeded 98% across all groups.
conclusionThe novel classification of lumbar intervertebral spaces effectively predicts cage migration risk. The degenerative modified type is a strong risk factor for migration. Tailoring surgical strategies to intervertebral space morphology may improve stability and outcomes in lumbar interbody fusion procedures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.