Defining cage subsidence in anterior, oblique, and lateral lumbar spine fusion approaches: a systematic review of the literature.

Autor: Aguirre AO; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, NY, USA., Soliman MAR; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA.; Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt., Kuo CC; Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA., Kassay A; Division of Neurosurgery, University of Toronto, Toronto, ON, Canada., Parmar G; Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA., Kruk MD; Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA., Quiceno E; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, NY, USA., Khan A; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, NY, USA., Lim J; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, NY, USA., Hess RM; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, NY, USA., Mullin JP; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, NY, USA., Pollina J; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Suite B4, Buffalo, NY, 14203, USA. jpollina@ubns.com.; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, NY, USA. jpollina@ubns.com.
Jazyk: angličtina
Zdroj: Neurosurgical review [Neurosurg Rev] 2024 Jul 16; Vol. 47 (1), pp. 332. Date of Electronic Publication: 2024 Jul 16.
DOI: 10.1007/s10143-024-02551-5
Abstrakt: One of the most common complications of lumbar fusions is cage subsidence, which leads to collapse of disc height and reappearance of the presenting symptomology. However, definitions of cage subsidence are inconsistent, leading to a variety of subsidence calculation methodologies and thresholds. To review previously published literature on cage subsidence in order to present the most common methods for calculating and defining subsidence in the anterior lumbar interbody fusion (ALIF), oblique lateral interbody fusion (OLIF), and lateral lumbar interbody fusion (LLIF) approaches. A search was completed in PubMed and Embase with inclusion criteria focused on identifying any study that provided descriptions of the method, imaging modality, or subsidence threshold used to calculate the presence of cage subsidence. A total of 69 articles were included in the final analysis, of which 18 (26.1%) reported on the ALIF approach, 22 (31.9%) on the OLIF approach, and 31 (44.9%) on the LLIF approach, 2 of which reported on more than one approach. ALIF articles most commonly calculated the loss of disc height over time with a subsidence threshold of > 2 mm. Most OLIF articles calculated the total amount of cage migration into the vertebral bodies, with a threshold of > 2 mm. LLIF was the only approach in which most articles applied the same method for calculation, namely, a grading scale for classifying the loss of disc height over time. We recommend future articles adhere to the most common methodologies presented here to ensure accuracy and generalizability in reporting cage subsidence.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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