Evidence map›Paper›PMID 41233509›Full record

ArticleNPJ digital medicine2025

Development of a LASSO dynamic prediction system for interbody cage subsidence following OLIF surgery.

Jin Zhang, Hetong Li, Guofang Fang, Ziwen Zhu, Xiuwang Li, Yang Chen, Zuoxu Hou, Weida Zhuang, Yubao Liu, Jianwei Wang and 8 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

18 authors.

Jin ZhangDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Hetong LiDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Guofang FangDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Ziwen ZhuDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Xiuwang LiDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Yang ChenDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Zuoxu HouDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Weida ZhuangDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Yubao LiuThe Third School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, PR China.
Jianwei WangDepartment of Neurosurgery, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Jintao ZhongDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Shanrui LiuDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China.
Elvis Chun-Sing ChuiDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, PR China.
William Weijia LuDepartment of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, PR China.
Ling QinDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, PR China.
Wing-Hoi CheungDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, PR China. louischeung@cuhk.edu.hk.
Ke LuDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China. lu_ke@smu.edu.cn.
Hongxun SangDepartment of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, PR China. hxsang@smu.edu.cn.

Funding

Guangdong Province Key Area Research and Development Program Project 2020B010165004Shenzhen Development and Reform Program XMHT20220106001Shenzhen Key Laboratory of Digital Surgical Printing Project ZDSYS201707311542415Shenzhen Science and Technology Program SGDX20201103095600002, JCYJ20220818103417037, KJZD20230923115200002
6 · The paper itself

Abstract

Cage subsidence after oblique lumbar interbody fusion (OLIF) frequently causes poor outcomes, yet existing predictive models lack accuracy and applicability. This study leveraged the Least Absolute Shrinkage and Selection Operator (LASSO) regression to efficiently identify key predictors of subsidence from quantitative CT vertebral bone quality and endplate-related factors. We analyzed 337 OLIF surgical segments (674 endplates; May 2017-May 2024), observing subsidence in 45.70%. LASSO selected intervertebral disc height correction, intraoperative endplate injury, inferior endplate morphology, and volumetric bone mineral density of the inferior vertebra/endplate as top predictors. These variables informed a multivariable logistic regression model, visualized as a digital nomogram. The model demonstrated excellent predictive performance in training and validation cohorts via ROC, precision-recall, and calibration curves. Decision curve analysis confirmed high clinical utility across risk thresholds, enabling personalized preoperative risk assessment and prevention strategy optimization for OLIF patients.

Identifiers

PMID41233509
PMCPMC12615666

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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.