Comparative Study of Cage Subsidence in Single-Level Lateral Lumbar Interbody Fusion

Journal of Clinical Medicine

Daisuke Sakai¹  Satoshi Nomura¹  Akihiko Hiyama¹  Hiroyuki Katoh¹  Masato Sato¹  Masahiko Watanabe¹ 

[1] Department Orthopaedic Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara 259-1193, Kanagawa, Japan;

关键词: lateral lumbar interbody fusion;    cage subsidence;    indirect decompression;    endplate injury;    lumbar degenerative disease;    low back pain;   

DOI  :  10.3390/jcm11051374

来源: DOAJ

【 摘 要 】

We investigated the incidence and clinical features of cage subsidence after single-level lateral lumbar interbody fusion (LLIF). We studied a retrospective cohort of 59 patients (34 males, 25 females; mean age, 68.9 years) who received single-level LLIF. Patients were classified into subsidence and no-subsidence groups. Cage subsidence was defined as any violation of either endplate, classified using radiographs and computed tomography (CT) images. After one year, we compared patient characteristics, surgical parameters, radiological findings, pain scores, and fusion status. We also compared the Hounsfield unit (HU) endplate value obtained on CT preoperatively. Twenty patients (33.9%) had radiographic evidence of interbody cage subsidence. There were significant differences between the subsidence and no-subsidence groups in sex, cage height, fusion rate, and average HU value of both endplates (p < 0.05). There were no significant differences in age, height, weight, or body mass index. Moreover, there were no significant differences in global alignment and Numerical Rating Scale change in low back pain, leg pain, and numbness. Despite suggestions that patients with lower HU values might develop cage subsidence, our results showed that cage subsidence after single-level LLIF was not associated with low back pain, leg pain, or numbness one year post-operation.

【 授权许可】

Unknown