Loading…

Clinical and radiological evaluation of cage subsidence following oblique lumbar interbody fusion combined with anterolateral fixation

Cage subsidence (CS) was previously reported as one of the most common complications following oblique lumbar interbody fusion (OLIF). We aimed to assess the impacts of CS on surgical results following OLIF combined with anterolateral fixation, and determine its radiological characteristics as well...

Full description

Saved in:
Bibliographic Details
Published in:BMC musculoskeletal disorders 2022-03, Vol.23 (1), p.214-214, Article 214
Main Authors: Zhao, Long, Xie, Tianhang, Wang, Xiandi, Yang, Zhiqiang, Pu, Xingxiao, Lu, Yufei, Zeng, Jiancheng
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c535t-b4749fdb89e69a34ad3a2e27b44cd785a05800f38350582f1b56335b9d4ec51e3
cites cdi_FETCH-LOGICAL-c535t-b4749fdb89e69a34ad3a2e27b44cd785a05800f38350582f1b56335b9d4ec51e3
container_end_page 214
container_issue 1
container_start_page 214
container_title BMC musculoskeletal disorders
container_volume 23
creator Zhao, Long
Xie, Tianhang
Wang, Xiandi
Yang, Zhiqiang
Pu, Xingxiao
Lu, Yufei
Zeng, Jiancheng
description Cage subsidence (CS) was previously reported as one of the most common complications following oblique lumbar interbody fusion (OLIF). We aimed to assess the impacts of CS on surgical results following OLIF combined with anterolateral fixation, and determine its radiological characteristics as well as related risk factors. Two hundred and forty-two patients who underwent OLIF at L4-5 and with a minimum 12 months follow-up were reviewed. Patients were divided into three groups according to the extent of disk height (DH) decrease during follow-up: no CS (DH decrease ≤ 2 mm), mild CS (2 mm  4 mm). The clinical and radiological results were compared between groups to evaluate radiological features, clinical effects and risk factors of CS. CS was identified in 79 (32.6%) patients, including 48 (19.8%) with mild CS and 31 (11.8%) with severe CS. CS was mainly identified within 1 month postoperatively, it did not progress after 3 months postoperatively, and more noted in the caudal endplate (44, 55.7%). In terms of clinical results, patients in the mild CS group were significantly worse than those in the no CS group, and patients in the severe CS group were significantly worse than those in the mild CS group. There was no significant difference in fusion rate between no CS (92.6%, 151/163) and mild CS (83.3%, 40/48) groups. However, significant lower fusion rate was observed in severe CS group (64.5%, 20/31) compared to no CS group. CS related risk factors included osteoporosis (OR = 5.976), DH overdistraction (OR = 1.175), flat disk space (OR = 3.309) and endplate injury (OR = 6.135). CS following OLIF was an early postoperative complication. Higher magnitudes of CS were associated with worse clinical improvements and lower intervertebral fusion. Osteoporosis and endplate injury were significant risk factors for CS. Additionally, flat disk space and DH over-distraction were also correlated with an increased probability of CS.
doi_str_mv 10.1186/s12891-022-05165-4
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_34fd970f6c324f4295b9d1c204b85a8b</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A699501882</galeid><doaj_id>oai_doaj_org_article_34fd970f6c324f4295b9d1c204b85a8b</doaj_id><sourcerecordid>A699501882</sourcerecordid><originalsourceid>FETCH-LOGICAL-c535t-b4749fdb89e69a34ad3a2e27b44cd785a05800f38350582f1b56335b9d4ec51e3</originalsourceid><addsrcrecordid>eNptUk1rFTEUHUSxtfoHXEjAjZup-ZxJNkJ5WC0U3Og65HOakklqMtPaP-Dvbt57tfSBBJLLveece284XfcewVOE-PC5IswF6iHGPWRoYD190R0jOqIe05G-fBYfdW9qvYYQjZyI190RYZhySPFx93cTQwpGRaCSBUXZkGOedgl3q-KqlpATyB4YNTlQV12Ddck44HOM-S6kCWQdw-_VgbjOWhUQ0uKKzvYe-LVuySbPOiRnwV1YrlqbVs5Rtbv18OHPrsPb7pVXsbp3j-9J9-v868_N9_7yx7eLzdllbxhhS6_bLsJbzYUbhCJUWaKww6Om1NiRMwUZh9ATTliLsEeaDYQwLSx1hiFHTrqLva7N6lrelDCrci-zCnKXyGWSqizBRCcJ9VaM0A-GYOopFlsZZDCkujXiuml92WvdrHp21ri0tJUORA8rKVzJKd9KzgWniDeBT48CJbcPrIucQzUuRpVcXqvEAxkaFtOhQT_uoZNqo4Xkc1M0W7g8G4RgEHGOG-r0P6h2rJuDycn50PIHBLwnmJJrLc4_TY-g3HpM7j0mm8fkzmOSNtKH53s_Uf6ZijwA3czPJA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2636889246</pqid></control><display><type>article</type><title>Clinical and radiological evaluation of cage subsidence following oblique lumbar interbody fusion combined with anterolateral fixation</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Zhao, Long ; Xie, Tianhang ; Wang, Xiandi ; Yang, Zhiqiang ; Pu, Xingxiao ; Lu, Yufei ; Zeng, Jiancheng</creator><creatorcontrib>Zhao, Long ; Xie, Tianhang ; Wang, Xiandi ; Yang, Zhiqiang ; Pu, Xingxiao ; Lu, Yufei ; Zeng, Jiancheng</creatorcontrib><description>Cage subsidence (CS) was previously reported as one of the most common complications following oblique lumbar interbody fusion (OLIF). We aimed to assess the impacts of CS on surgical results following OLIF combined with anterolateral fixation, and determine its radiological characteristics as well as related risk factors. Two hundred and forty-two patients who underwent OLIF at L4-5 and with a minimum 12 months follow-up were reviewed. Patients were divided into three groups according to the extent of disk height (DH) decrease during follow-up: no CS (DH decrease ≤ 2 mm), mild CS (2 mm &lt; DH decrease ≤ 4 mm) and severe CS (DH decrease &gt; 4 mm). The clinical and radiological results were compared between groups to evaluate radiological features, clinical effects and risk factors of CS. CS was identified in 79 (32.6%) patients, including 48 (19.8%) with mild CS and 31 (11.8%) with severe CS. CS was mainly identified within 1 month postoperatively, it did not progress after 3 months postoperatively, and more noted in the caudal endplate (44, 55.7%). In terms of clinical results, patients in the mild CS group were significantly worse than those in the no CS group, and patients in the severe CS group were significantly worse than those in the mild CS group. There was no significant difference in fusion rate between no CS (92.6%, 151/163) and mild CS (83.3%, 40/48) groups. However, significant lower fusion rate was observed in severe CS group (64.5%, 20/31) compared to no CS group. CS related risk factors included osteoporosis (OR = 5.976), DH overdistraction (OR = 1.175), flat disk space (OR = 3.309) and endplate injury (OR = 6.135). CS following OLIF was an early postoperative complication. Higher magnitudes of CS were associated with worse clinical improvements and lower intervertebral fusion. Osteoporosis and endplate injury were significant risk factors for CS. Additionally, flat disk space and DH over-distraction were also correlated with an increased probability of CS.</description><identifier>ISSN: 1471-2474</identifier><identifier>EISSN: 1471-2474</identifier><identifier>DOI: 10.1186/s12891-022-05165-4</identifier><identifier>PMID: 35248042</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Cage subsidence ; Clinical effects ; Complications ; Complications and side effects ; Humans ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - surgery ; Lumbosacral Region ; Oblique lumbar interbody fusion ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - etiology ; Radiological characteristics ; Retrospective Studies ; Risk factors ; Spinal fusion ; Spinal Fusion - adverse effects ; Spinal Fusion - methods ; Statistics ; Surgery ; Treatment Outcome</subject><ispartof>BMC musculoskeletal disorders, 2022-03, Vol.23 (1), p.214-214, Article 214</ispartof><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2022 BioMed Central Ltd.</rights><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-b4749fdb89e69a34ad3a2e27b44cd785a05800f38350582f1b56335b9d4ec51e3</citedby><cites>FETCH-LOGICAL-c535t-b4749fdb89e69a34ad3a2e27b44cd785a05800f38350582f1b56335b9d4ec51e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898418/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898418/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,36990,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35248042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhao, Long</creatorcontrib><creatorcontrib>Xie, Tianhang</creatorcontrib><creatorcontrib>Wang, Xiandi</creatorcontrib><creatorcontrib>Yang, Zhiqiang</creatorcontrib><creatorcontrib>Pu, Xingxiao</creatorcontrib><creatorcontrib>Lu, Yufei</creatorcontrib><creatorcontrib>Zeng, Jiancheng</creatorcontrib><title>Clinical and radiological evaluation of cage subsidence following oblique lumbar interbody fusion combined with anterolateral fixation</title><title>BMC musculoskeletal disorders</title><addtitle>BMC Musculoskelet Disord</addtitle><description>Cage subsidence (CS) was previously reported as one of the most common complications following oblique lumbar interbody fusion (OLIF). We aimed to assess the impacts of CS on surgical results following OLIF combined with anterolateral fixation, and determine its radiological characteristics as well as related risk factors. Two hundred and forty-two patients who underwent OLIF at L4-5 and with a minimum 12 months follow-up were reviewed. Patients were divided into three groups according to the extent of disk height (DH) decrease during follow-up: no CS (DH decrease ≤ 2 mm), mild CS (2 mm &lt; DH decrease ≤ 4 mm) and severe CS (DH decrease &gt; 4 mm). The clinical and radiological results were compared between groups to evaluate radiological features, clinical effects and risk factors of CS. CS was identified in 79 (32.6%) patients, including 48 (19.8%) with mild CS and 31 (11.8%) with severe CS. CS was mainly identified within 1 month postoperatively, it did not progress after 3 months postoperatively, and more noted in the caudal endplate (44, 55.7%). In terms of clinical results, patients in the mild CS group were significantly worse than those in the no CS group, and patients in the severe CS group were significantly worse than those in the mild CS group. There was no significant difference in fusion rate between no CS (92.6%, 151/163) and mild CS (83.3%, 40/48) groups. However, significant lower fusion rate was observed in severe CS group (64.5%, 20/31) compared to no CS group. CS related risk factors included osteoporosis (OR = 5.976), DH overdistraction (OR = 1.175), flat disk space (OR = 3.309) and endplate injury (OR = 6.135). CS following OLIF was an early postoperative complication. Higher magnitudes of CS were associated with worse clinical improvements and lower intervertebral fusion. Osteoporosis and endplate injury were significant risk factors for CS. Additionally, flat disk space and DH over-distraction were also correlated with an increased probability of CS.</description><subject>Cage subsidence</subject><subject>Clinical effects</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Humans</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Lumbosacral Region</subject><subject>Oblique lumbar interbody fusion</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - etiology</subject><subject>Radiological characteristics</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Spinal fusion</subject><subject>Spinal Fusion - adverse effects</subject><subject>Spinal Fusion - methods</subject><subject>Statistics</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1471-2474</issn><issn>1471-2474</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptUk1rFTEUHUSxtfoHXEjAjZup-ZxJNkJ5WC0U3Og65HOakklqMtPaP-Dvbt57tfSBBJLLveece284XfcewVOE-PC5IswF6iHGPWRoYD190R0jOqIe05G-fBYfdW9qvYYQjZyI190RYZhySPFx93cTQwpGRaCSBUXZkGOedgl3q-KqlpATyB4YNTlQV12Ddck44HOM-S6kCWQdw-_VgbjOWhUQ0uKKzvYe-LVuySbPOiRnwV1YrlqbVs5Rtbv18OHPrsPb7pVXsbp3j-9J9-v868_N9_7yx7eLzdllbxhhS6_bLsJbzYUbhCJUWaKww6Om1NiRMwUZh9ATTliLsEeaDYQwLSx1hiFHTrqLva7N6lrelDCrci-zCnKXyGWSqizBRCcJ9VaM0A-GYOopFlsZZDCkujXiuml92WvdrHp21ri0tJUORA8rKVzJKd9KzgWniDeBT48CJbcPrIucQzUuRpVcXqvEAxkaFtOhQT_uoZNqo4Xkc1M0W7g8G4RgEHGOG-r0P6h2rJuDycn50PIHBLwnmJJrLc4_TY-g3HpM7j0mm8fkzmOSNtKH53s_Uf6ZijwA3czPJA</recordid><startdate>20220305</startdate><enddate>20220305</enddate><creator>Zhao, Long</creator><creator>Xie, Tianhang</creator><creator>Wang, Xiandi</creator><creator>Yang, Zhiqiang</creator><creator>Pu, Xingxiao</creator><creator>Lu, Yufei</creator><creator>Zeng, Jiancheng</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20220305</creationdate><title>Clinical and radiological evaluation of cage subsidence following oblique lumbar interbody fusion combined with anterolateral fixation</title><author>Zhao, Long ; Xie, Tianhang ; Wang, Xiandi ; Yang, Zhiqiang ; Pu, Xingxiao ; Lu, Yufei ; Zeng, Jiancheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-b4749fdb89e69a34ad3a2e27b44cd785a05800f38350582f1b56335b9d4ec51e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cage subsidence</topic><topic>Clinical effects</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Humans</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Lumbosacral Region</topic><topic>Oblique lumbar interbody fusion</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - etiology</topic><topic>Radiological characteristics</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Spinal fusion</topic><topic>Spinal Fusion - adverse effects</topic><topic>Spinal Fusion - methods</topic><topic>Statistics</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Long</creatorcontrib><creatorcontrib>Xie, Tianhang</creatorcontrib><creatorcontrib>Wang, Xiandi</creatorcontrib><creatorcontrib>Yang, Zhiqiang</creatorcontrib><creatorcontrib>Pu, Xingxiao</creatorcontrib><creatorcontrib>Lu, Yufei</creatorcontrib><creatorcontrib>Zeng, Jiancheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC musculoskeletal disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Long</au><au>Xie, Tianhang</au><au>Wang, Xiandi</au><au>Yang, Zhiqiang</au><au>Pu, Xingxiao</au><au>Lu, Yufei</au><au>Zeng, Jiancheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical and radiological evaluation of cage subsidence following oblique lumbar interbody fusion combined with anterolateral fixation</atitle><jtitle>BMC musculoskeletal disorders</jtitle><addtitle>BMC Musculoskelet Disord</addtitle><date>2022-03-05</date><risdate>2022</risdate><volume>23</volume><issue>1</issue><spage>214</spage><epage>214</epage><pages>214-214</pages><artnum>214</artnum><issn>1471-2474</issn><eissn>1471-2474</eissn><abstract>Cage subsidence (CS) was previously reported as one of the most common complications following oblique lumbar interbody fusion (OLIF). We aimed to assess the impacts of CS on surgical results following OLIF combined with anterolateral fixation, and determine its radiological characteristics as well as related risk factors. Two hundred and forty-two patients who underwent OLIF at L4-5 and with a minimum 12 months follow-up were reviewed. Patients were divided into three groups according to the extent of disk height (DH) decrease during follow-up: no CS (DH decrease ≤ 2 mm), mild CS (2 mm &lt; DH decrease ≤ 4 mm) and severe CS (DH decrease &gt; 4 mm). The clinical and radiological results were compared between groups to evaluate radiological features, clinical effects and risk factors of CS. CS was identified in 79 (32.6%) patients, including 48 (19.8%) with mild CS and 31 (11.8%) with severe CS. CS was mainly identified within 1 month postoperatively, it did not progress after 3 months postoperatively, and more noted in the caudal endplate (44, 55.7%). In terms of clinical results, patients in the mild CS group were significantly worse than those in the no CS group, and patients in the severe CS group were significantly worse than those in the mild CS group. There was no significant difference in fusion rate between no CS (92.6%, 151/163) and mild CS (83.3%, 40/48) groups. However, significant lower fusion rate was observed in severe CS group (64.5%, 20/31) compared to no CS group. CS related risk factors included osteoporosis (OR = 5.976), DH overdistraction (OR = 1.175), flat disk space (OR = 3.309) and endplate injury (OR = 6.135). CS following OLIF was an early postoperative complication. Higher magnitudes of CS were associated with worse clinical improvements and lower intervertebral fusion. Osteoporosis and endplate injury were significant risk factors for CS. Additionally, flat disk space and DH over-distraction were also correlated with an increased probability of CS.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>35248042</pmid><doi>10.1186/s12891-022-05165-4</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1471-2474
ispartof BMC musculoskeletal disorders, 2022-03, Vol.23 (1), p.214-214, Article 214
issn 1471-2474
1471-2474
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_34fd970f6c324f4295b9d1c204b85a8b
source Publicly Available Content Database; PubMed Central
subjects Cage subsidence
Clinical effects
Complications
Complications and side effects
Humans
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Lumbosacral Region
Oblique lumbar interbody fusion
Postoperative Complications - diagnostic imaging
Postoperative Complications - etiology
Radiological characteristics
Retrospective Studies
Risk factors
Spinal fusion
Spinal Fusion - adverse effects
Spinal Fusion - methods
Statistics
Surgery
Treatment Outcome
title Clinical and radiological evaluation of cage subsidence following oblique lumbar interbody fusion combined with anterolateral fixation
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T14%3A00%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20and%20radiological%20evaluation%20of%20cage%20subsidence%20following%20oblique%20lumbar%20interbody%20fusion%20combined%20with%20anterolateral%20fixation&rft.jtitle=BMC%20musculoskeletal%20disorders&rft.au=Zhao,%20Long&rft.date=2022-03-05&rft.volume=23&rft.issue=1&rft.spage=214&rft.epage=214&rft.pages=214-214&rft.artnum=214&rft.issn=1471-2474&rft.eissn=1471-2474&rft_id=info:doi/10.1186/s12891-022-05165-4&rft_dat=%3Cgale_doaj_%3EA699501882%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c535t-b4749fdb89e69a34ad3a2e27b44cd785a05800f38350582f1b56335b9d4ec51e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2636889246&rft_id=info:pmid/35248042&rft_galeid=A699501882&rfr_iscdi=true