Impact of Cage Placement on Vertebral Endplate Cyst Formation and Bone Union in Transforaminal Lumbar Interbody Fusion.

ABSTRACT: Study DesignRetrospective cohort study.ObjectivesTo determine the ideal cage placement position in transforaminal lumbar interbody fusion (TLIF) surgery to prevent vertebral endplate cyst (VEC) formation and improve bone union rates.MethodsThis study retrospectively analyzed 69 patients who underwent TLIF, and 88 intervertebral levels were observed. Patients were categorized into peripheral, central, and mixed types based on the cage placement. The incidence of VEC formation and endplate injuries (EIs) were assessed using computed tomography 1 year postoperatively. Factors associated with VEC formation and non-union, including patient demographics, clinical data, cage placement, Hounsfield unit values, and intraoperative EIs, were analyzed.ResultsVECs occurred in 55.7% of surgical levels a

SUBMITTER: Ushiku C 

PROVIDER: S-EPMC12037547 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature