Is there any advantage of using stand-alone cages? A numerical approach

Costa F, Sassi M, Ortolina A, Cardia A, Assietti R, Zerbi A, et al. Stand-alone cage for posterior lumbar interbody fusion in the treatment of high-degree degenerative disc disease: design of a new device for an “old” technique. A prospective study on a series of 116 patients. Eur Spine J. 2011;20(SUPPL. 1):46–56. Ahmadian A, Bach K, Bolinger B, Malham GM, Okonkwo DO, Kanter AS, et al. Stand-alone minimally invasive lateral lumbar interbody fusion: multicenter clinical outcomes. J Clin Neurosci. 2015;22:740–6. Madhu TS. Posterior and anterior lumbar interbody fusion. Curr Orthop. 2008;22:406–13. Zdeblick TA, Phillips FM. Interbody cage devices. Spine (Phila Pa 1976). 2003;28(15 Suppl):S2–7. Sandhu HS, Turner S, Kabo JM, Kanim LEA. Distractive properties of a threaded interbody fusion device: an in vivo model. Spine (Phila Pa 1976). 1996;21:1201–10. Kretzer RM, Molina C, Hu N, Umekoji H, Baaj AA, Serhan H, et al. A comparative Biomechanical analysis of stand alone versus facet screw and pedicle screw augmented lateral interbody arthrodesis: an in vitro human cadaveric model. Clin Spine Surg. 2016;29:336–43. Nibu K, Panjabi MM, Oxland T, Cholewicki J. Intervertebral disc distraction with a laparoscopic anterior spinal fusion system. Eur Spine J. 1998;7:142–7. Oxland T, Lund T. Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature review. Eur Spine J. 2000;9:S095–101. Nemoto O, Asazuma T, Yato Y, Imabayashi H, Yasuoka H, Fujikawa A. Comparison of fusion rates following transforaminal lumbar interbody fusion using polyetheretherketone cages or titanium cages with transpedicular instrumentation. Eur Spine J. 2014;23:2150–5. Van de Kelft E, Costa F, Van der Planken D, Schils F. A prospective multicenter registry on the accuracy of pedicle screw placement in the thoracic, lumbar and sacral level with the use of the O-arm imaging system and StealthStation navigation. Spine (Phila Pa 1976). 2012;37:1580–7. Mummaneni P, Dhall SS, Eck JC, Groff MW, Ghogawala Z, Watters WC, et al. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: interbody techniques for lumbar fusion. J Neurosurg Spine. 2014;21:67–74. Neely WF, Fichtel F, Del Monaco DC, Block JE. Treatment of symptomatic lumbar disc degeneration with the VariLift-L interbody fusion system: retrospective review of 470 cases. Int J spine Surg. 2016;10:7. Marchi L, Abdala N, Oliveira L, Amaral R, Coutinho E, Pimenta L. Radiographic and clinical evaluation of cage subsidence after stand-alone lateral interbody fusion. J Neurosurg Spine. 2013;19:110–1188. Le TV, Baaj AA, Dakwar E, Burkett CJ, Murray G, Smith DA, et al. Subsidence of polyetheretherketone intervertebral cages in minimally invasive lateral retroperitoneal transpsoas lumbar interbody fusion. Spine (Phila Pa 1976). 2012;37:1268–73. Allain J, Delecrin J, Beaurain J, Poignard A, Vila T, Flouzat-Lachaniette CH. Stand-alone ALIF with integrated intracorporeal anchoring plates in the treatment of degenerative lumbar disc disease: a prospective study on 65 cases. Eur Spine J. 2014;23:2136–43. Gerber M, Crawford NR, Chamberlain RH, Fifield MS, LeHuec J-C, Dickman CA. Biomechanical assessment of anterior lumbar interbody fusion with an anterior lumbosacral fixation screw-plate: comparison to stand-alone anterior lumbar interbody fusion and anterior lumbar interbody fusion with pedicle screws in an unstable human cadaver. Spine (Phila Pa 1976). 2006;31:762–8. Cappuccino A, Cornwall GB, Turner AWL, Fogel GR, Duong HT, Kim KD, et al. Biomechanical analysis and review of lateral lumbar fusion constructs. Spine (Phila Pa 1976). 2010;35(26 Suppl):S361–7. Gonzalez-Blohm SA, Doulgeris JJ, Aghayev K, Lee WE, Volkov A, Vrionis FD. Biomechanical analysis of an interspinous fusion device as a stand-alone and as supplemental fixation to posterior expandable interbody cages in the lumbar spine. J Neurosurg Spine. 2014;20:209–19. Fantigrossi A, Galbusera F, Raimondi MT, Sassi M, Fornari M. Biomechanical analysis of cages for posterior lumbar interbody fusion. Med Eng Phys. 2007;29:101–9. Galbusera F, Schmidt H, Wilke H-JJ. Lumbar interbody fusion: a parametric investigation of a novel cage design with and without posterior instrumentation. Eur Spine J. 2012;21:455–62. Kiapour A, Kiapour MA, Kodigudla M, Hill GM, Mishra S, Goel VK. A biomechanical finite element study of subsidence and migration tendencies in stand-alone fusion procedures—comparison of an in situ expandable device with a rigid device. J Spine. 2013;1:1–5. Choi K-C, Ryu K-S, Lee SJS-H, Kim YH, Lee SJS-H, Park C-K. Biomechanical comparison of anterior lumbar interbody fusion: stand-alone interbody cage versus interbody cage with pedicle screw fixation—a finite element analysis. BMC Musculoskelet Disord. 2013;14:220. Chen Y, Wang X, Lu X, Yang L, Yang H, Yuan W, et al. Comparison of titanium and polyetheretherketone (PEEK) cages in the surgical treatment of multilevel cervical spondylotic myelopathy: a prospective, randomized, control study with over 7-year follow-up. Eur Spine J. 2013;22:1539–46. Liu X, Ma J, Park P, Huang X, Xie N, Ye X. Biomechanical comparison of multilevel lateral interbody fusion with and without supplementary instrumentation: a three-dimensional finite element study. BMC Musculoskelet Disord. 2017;18:63. Faizan A, Kiapour A, Kiapour AM, Goel VK. Biomechanical analysis of various footprints of transforaminal lumbar interbody fusion devices. J Spinal Disord Tech. 2014;27:E118–27. Jin YJ, Kim YE, Seo JH, Choi HW, Jahng TA. Effects of rod stiffness and fusion mass on the adjacent segments after floating mono-segmental fusion: a study using finite element analysis. Eur Spine J. 2013;22:1066–77. Galbusera F, Bellini CM, Anasetti F, Ciavarro C, Lovi A, Brayda-Bruno M. Rigid and flexible spinal stabilization devices: a biomechanical comparison. Med Eng Phys. 2011;33:490–6. Hueng D-Y, Chung T-T, Chuang W-H, Hsu C-P, Chou K-N, Lin S-C. Biomechanical effects of cage positions and facet fixation on initial stability of the anterior lumbar interbody fusion motion segment. Spine J. 2014;39:E770–6. Chen L, Yang H, Tang T. Cage migration in spondylolisthesis treated with posterior lumbar interbody fusion using BAK cages. Spine (Phila Pa 1976). 2005;30:2171–5. Charles Malveaux WMS, Sharan AD. Adjacent segment disease after lumbar spinal fusion: a systematic review of the current literature. Semin Spine Surg. 2011;23:266–74. Jones AC, Wilcox RK. Finite element analysis of the spine: towards a framework of verification, validation and sensitivity analysis. Med Eng Phys. 2008;30:1287–304. Robertson DJ, Von Forell GA, Alsup J, Bowden AE. Thoracolumbar spinal ligaments exhibit negative and transverse pre-strain. J Mech Behav Biomed Mater. 2013;23:44–52. Hortin MS, Bowden AE. Quantitative comparison of ligament formulation and pre-strain in finite element analysis of the human lumbar spine. Comput Methods Biomech Biomed Eng. 2016;19:1505–18. Dardis RM, Saxena A, Shad A, Chitnavis B, Gullan R. Disc replacement technologies in the cervical and lumbar spine. In: Quiñones-Hinojosa ABT-S and SONT (ed.) Schmidek and sweet operative neurosurgical techniques, 6th edn. Philadelphia: W.B. Saunders; 2012. p. 1777–88. Cegoñino J, Moramarco V, Calvo-Echenique A, Pappalettere C, Pérez Del Palomar A. A constitutive model for the annulus of human intervertebral disc (IVD): implications for developing a degeneration model and its influence on lumbar spine functioning. J Appl Math. 2014;2014:1–15. Galbusera F, Schmidt H, Noailly J, Malandrino A, Lacroix D, Wilke H, et al. Comparison of four methods to simulate swelling in poroelastic finite element models of intervertebral discs. J Mech Behav Biomed Mater. 2011;4:1234–41. Panjabi MM, Oxland TR, Yamamoto I, Crisco JJ. Mechanical behavior of the human lumbar and lumbosacral spine as shown by three-dimensional load–displacement curves. J Bone Jt Surg. 1994;76:413–24. Buttermann GR, Beaubien BP, Freeman AL, Stoll JE, Chappuis JL. Interbody device endplate engagement effects on motion segment biomechanics. Spine J. 2009;9:564–73. Moramarco V, del Pérez Palomar A, Pappalettere C, Doblaré M. An accurate validation of a computational model of a human lumbosacral segment. J Biomech. 2010;43:334–42. Schmidt H, Galbusera F, Rohlmann A, Zander T, Wilke HJ. Effect of multilevel lumbar disc arthroplasty on spine kinematics and facet joint loads in flexion and extension: a finite element analysis. Eur Spine J. 2012;21(SUPPL. 5):S663–74. Ferguson SJ, Ito K, Nolte LP. Fluid flow and convective transport of solutes within the intervertebral disc. J Biomech. 2004;37:213–21. Argoubi M, Shirazi-Adl A. Poroelastic creep response analysis of a lumbar motion segment in compression. J Biomech. 1996;29:1331–9. Lacroix D, Prendergast PJ. A mechano-regulation model for tissue differentiation during fracture healing: analysis of gap size and loading. J Biomech. 2002;35:1163–71. Iatridis JC, Setton LA, Foster RJ, Rawlins BA, Weidenbaum M, Mow VC. Degeneration affects the anisotropic and nonlinear behaviors of human anulus fibrosus in compression. J Biomech. 1998;31:535–44. Schroeder Y, Wilson W, Huyghe JM, Baaijens FP. Osmoviscoelastic finite element model of the intervertebral disc. Eur Spine J. 2006;15:361–71. Natarajan R, Williams J, Andersson G. Recent advances in analytical modeling of lumbar disc degeneration. Spine. 2004;29:2733–41. Massey CJ, van Donkelaar CC, Vresilovic E, Zavaliangos A, Marcolongo M. Effects of aging and degeneration on the human intervertebral disc during the diurnal cycle: a finite element study. J Orthop Res. 2012;30:122–8. Chazal J, Tanguy A, Bourges M, Gaurel G, Escande G, Guillot M, et al. Biomechanical properties of spinal ligaments and a histological study of the supraspinal ligament in traction. J Biomech. 1985;18:167–76. Pintar FA, Yoganandan N, Myers T. Biomechanical properties of human lumbar spine ligaments. J Biomech. 1992;25:1351–6. Toth JM, Wang M, Estes BT, Scifert JL, Seim HB, Turner AS. Polyetheretherketone as a biomaterial for spinal applications. Biomaterials. 2006;27:324–34. Bances L. Interbody cage without instrumentation for the treatment of lumbar disc hernia. Spain: University of Zaragoza; 2016. Tsuang YH, Chiang YF, Hung CY, Wei HW, Huang CH, Cheng CK. Comparison of cage application modality in posterior lumbar interbody fusion with posterior instrumentation—a finite element study. Med Eng Phys. 2009;31:565–70. Thompson JP, Pearce RH, Schechter MT, Adams ME, Tsang IK, Bishop PB. Preliminary evaluation of a scheme for grading the gross morphology of the human intervertebral disc. Spine (Phila Pa 1976). 1990;15:411–5. Du L, Sun X, Zhou T, Li Y, Chen C, Zhao C, et al. The role of cage height on the flexibility and load sharing of lumbar spine after lumbar interbody fusion with unilateral and bilateral instrumentation : a biomechanical study. BMC Musculoskelet Disord. 2017;18:474–81. Wood RA, Favor RJ. Titanium alloys handbook. Wright-Patterson, Ohio: Center, Airforce Materials Laboratory. Metals, Ceramics Information; 1972. Guan Y, Yoganandan N, Moore J, Pintar FA, Zhang J, Maiman DJ, et al. Moment–rotation responses of the human lumbosacral spinal column. J Biomech. 2007;40:1975–80. Park WM, Kim K, Kim YH. Effects of degenerated intervertebral discs on intersegmental rotations, intradiscal pressures, and facet joint forces of the whole lumbar spine. Comput Biol Med. 2013;43:1234–40. Campbell JQ, Coombs DJ, Rao M, Rullkoetter PJ, Petrella AJ. Automated finite element meshing of the lumbar spine: verification and validation with 18 specimen-specific models. J Biomech. 2016;49:2669–76. Patel RR, Noschchenko A, Carpenter RD, Baldini T, Frick CP. Evaluation and prediction of human lumbar vertebrae endplate mechanical properties using indentation and computed tomography. J Biomech Eng. 2018;2019(140):1–9. O’Sullivan PB. Lumbar segmental “instability”: clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5:2–12. Marchi L, Abdala N, Oliveira L, Amaral R, Coutinho E, Pimenta L. Stand-alone lateral interbody fusion for the treatment of low-grade degenerative spondylolisthesis. Sci World J. 2012;2012:1–7. Techy F, Mageswaran P, Colbrunn RW, Bonner TF, McLain RF. Properties of an interspinous fixation device (ISD) in lumbar fusion constructs: a biomechanical study. Spine J. 2013;13:572–9. Chen SH, Chiang M-C, Lin J-F, Lin S-C, Hung C-H. Biomechanical comparison of three stand-alone lumbar cages—a three-dimensional finite element analysis. BMC Musculoskelet Disord. 2013;14:1–13. Lee K, Teo E. Material sensitivity study on lumbar motion segment (L2–L3) under sagittal plane loadings using probabilistic method. J Spinal Disord Tech. 2005;18:163–70. Sohn M-J, Kayanja MM, Kilinçer C, Ferrara LA, Benzel EC. Biomechanical evaluation of the ventral and lateral surface shear strain distributions in central compared with dorsolateral placement of cages for lumbar interbody fusion. J Neurosurg Spine. 2006;4:219–24. Lowe TG, Hashim S, Wilson LA, O’Brien MF, Smith DAB, Diekmann MJ, et al. A biomechanical study of regional endplate strength and cage morphology as it relates to structural interbody support. Spine (Phila Pa 1976). 2004;29:2389–94. Grant JP, Oxland TR, Dvorak MF, Fisher CG. The effects of bone density and disc degeneration on the structural property distributions in the lower lumbar vertebral endplates. J Orthop Res. 2002;20:1115–20. Kelly N, Harrison NM, McDonnell P, McGarry JP. An experimental and computational investigation of the post-yield behaviour of trabecular bone during vertebral device subsidence. Biomech Model Mechanobiol. 2013;12:685–703. Etebar S, Cahill DW. Risk factors for adjacent-segment failure following lumbar fixation with rigid instrumentation for degenerative instability. J Neurosurg. 1999;90(2):163–9. Glaser J, Stanley M, Sayre H, Woody J, Found E, Spratt K. A 10-year follow-up evaluation of lumbar spine fusion with pedicle screw fixation. Spine Spine (Phila Pa 1976). 2003;28:1390–5. Cegoñino J, Calvo-Echenique A, Pérez-del Palomar A. Influence of different fusion techniques in lumbar spine over the adjacent segments: a 3D finite element study. J Orthop Res. 2015;33:993–1000. Urban JPG, Roberts S. Degeneration of the intervertebral disc. Arthritis Res Ther. 2003;5:120–30. Chen S-H, Tai C-L, Lin C-Y, Hsieh P-H, Chen W-P. Biomechanical comparison of a new stand-alone anterior lumbar interbody fusion cage with established fixation techniques—a three-dimensional finite element analysis. BMC Musculoskelet Disord. 2008;9:88. Carver W, Goldsmith EC. Regulation of tissue fibrosis by the biomechanical environment. Biomed Res Int. 2013;2013:10. Sears WR, Sergides IG, Kazemi N, Smith M, White GJ, Osburg B. Incidence and prevalence of surgery at segments adjacent to a previous posterior lumbar arthrodesis. Spine J. 2011;11:11–20. Bradshaw R, Russell A, Bowden AE. Spinal ligaments: anisotropic characterization using very small samples. Exp Appl Mech. 2011;6:429–36. Hortin M, Graham S, Boatwright K, Hyoung P, Bowden A. Transversely isotropic material characterization of the human anterior longitudinal ligament. J Mech Behav Biomed Mater. 2015;45:75–82. Udby PM, Bech-azeddine R. Clinical outcome of stand-alone ALIF compared to posterior instrumentation for degenerative disc disease: a pilot study and a literature review. Clin Neurol Neurosurg. 2015;133:64–9. Baeesa SS, Medrano BG, Noriega DC. Long-term outcomes of posterior lumbar interbody fusion using stand-alone ray threaded cage for. Asian Spine J. 2016;10:1100–5. Zhang J, Poffyn B, Sys G, Uyttendaele D. Are stand-alone cages sufficient for anterior lumbar interbody fusion? Orthop Surg. 2012;4:11–4.