AI Article Synopsis
- Recent advancements in lumbar fusion surgery for degenerative spinal diseases include the introduction of expandable cages that can change size and shape within the interbody space.
- These expandable cages have shown promising clinical outcomes and are especially beneficial for minimally invasive spinal procedures, allowing for easier insertion and adjustment.
- However, some studies indicate that their results may not always be better than traditional static cages, highlighting the need for further long-term research to fully evaluate their effectiveness.
Article Abstract
Lumbar fusion surgery for treating degenerative spinal diseases has undergone significant advancements in recent years. In addition to posterior instrumentation, anterior interbody fusion techniques have been developed along with various cages for interbody fusion. Recently, expandable cages capable of altering height, lordotic angle, and footprint within the disc space have garnered significant attention. In this manuscript, we review the current status, clinical outcomes, and future prospects of expandable cages for lumbar interbody fusion based on the existing literature. Expandable cages are suitable for minimally invasive spinal surgeries. Small-sized cages can be inserted and subsequently expanded to a larger size within the disc space. While expandable cages generally demonstrate superior clinical outcomes compared to static cages, some studies have suggested comparable or even poorer outcomes with expandable cages than static cages. Careful interpretation through additional long-term follow-ups is required to assess the utility of expandable cages. If these shortcomings are addressed and the advantages are further developed, expandable cages could become suitable surgical instruments for minimally invasive spinal surgeries.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11122612 | PMC |
| http://dx.doi.org/10.3390/jcm13102889 | DOI Listing |
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