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Research ArticleArticles

Effect of TLIF Cage Placement on In Vivo Kinematics

Alejandro D. Castellvi, Shankar K. Thampi, Daniel J. Cook, Matthew S. Yeager, Yuan Yao, Qing Zou, Donald M. Whiting, Michael Y. Oh, Edward R. Prostko and Boyle C. Cheng
International Journal of Spine Surgery January 2015, 9 38; DOI: https://doi.org/10.14444/2038
Alejandro D. Castellvi
1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania
MD
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Shankar K. Thampi
2Drexel University College of Medicine, Philadelphia, Pennsylvania
BS
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Daniel J. Cook
1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania
MS
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Matthew S. Yeager
1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania
BS
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Yuan Yao
3No.117 Hospital of the People's Liberation Army, Hangzhou, China
MD
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Qing Zou
3No.117 Hospital of the People's Liberation Army, Hangzhou, China
MD
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Donald M. Whiting
1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania
2Drexel University College of Medicine, Philadelphia, Pennsylvania
MD
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Michael Y. Oh
1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania
2Drexel University College of Medicine, Philadelphia, Pennsylvania
MD
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Edward R. Prostko
1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania
2Drexel University College of Medicine, Philadelphia, Pennsylvania
MD
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Boyle C. Cheng
1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania
2Drexel University College of Medicine, Philadelphia, Pennsylvania
PhD
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  • Article
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Article Figures & Data

Figures

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  • Fig. 1
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    Fig. 1

    Illustration of Anterior-Posterior Position of the Spacer within the Interbody Space (Vertebral Landmarks = points 1-4; Spacer Landmarks = points 5-7; X-axis – parallel to dashed line connecting points 3 and 4; Center of Interbody Space = Red Dot; Center of Spacer = Blue Dot; Measured distance along X-axis is indicated by the arrows).

  • Fig. 2
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    Fig. 2

    Standing FE ROM vs. Sagittal Cage Position (r = -0.542, p = 0.055).

  • Fig. 3
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    Fig. 3

    Lying LB ROM vs. Sagittal Cage Position (r = -0.583, p = 0.047).

  • Fig. 4
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    Fig. 4

    Standing LB ROM vs. Coronal Cage Position (r = 0.672, p = 0.012).

  • Fig. 5
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    Fig. 5

    Lying LB ROM vs. Coronal Cage Position (r = 0.632, p = 0.027).

Tables

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    Table 1

    Patient Summary.

    PatientIntervertebral LevelSagittal PositionCoronal PositionDays Post-Op
    1L4-L5-1.85%-6.83%143
    2L4-L5-2.77%11.93%143
    3L4-L5-8.48%10.94%172
    4L4-L5-0.52%-1.28%152
    5L5-S19.80%8.78%66
    6L4-L5-2.49%-7.04%159
    7L2-L3-3.14%11.67%148
    8L4-L5-8.20%3.90%66
    9L4-L5-4.01%-10.42%256
    10L4-L52.04%6.15%337
    11L3-L4-4.58%20.39%192
    12L4-L5-3.52%3.75%295
    13L5-S1-2.11%3.42%913
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    Table 2

    Cage Positioning Descriptive Statistics.

    Sagittal PositionCoronal Position
    Mean-2.29%8.19%
    Median-2.77%7.04%
    Percentiles25-4.29%3.83%
    50-2.77%7.04%
    75-1.18%11.31%
    • View popup
    Table 3

    Correlation Coefficients.

    Sagittal PositionCoronal Position
    Standing FEPearson Correlation-0.5420.319
    2-Tailed Significance0.0550.289
    N1313
    Lying FEPearson Correlation0.439-0.191
    2-Tailed Significance0.1340.533
    N1313
    Standing LBPearson Correlation-0.3240.672*
    0.2800.012
    1313
    Lying LBPearson Correlation-0.583*0.632*
    2-Tailed Significance0.0470.027
    N1212
    • ↵* Denotes significant correlation.

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1 Jan 2015
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Effect of TLIF Cage Placement on In Vivo Kinematics
Alejandro D. Castellvi, Shankar K. Thampi, Daniel J. Cook, Matthew S. Yeager, Yuan Yao, Qing Zou, Donald M. Whiting, Michael Y. Oh, Edward R. Prostko, Boyle C. Cheng
International Journal of Spine Surgery Jan 2015, 9 38; DOI: 10.14444/2038

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Effect of TLIF Cage Placement on In Vivo Kinematics
Alejandro D. Castellvi, Shankar K. Thampi, Daniel J. Cook, Matthew S. Yeager, Yuan Yao, Qing Zou, Donald M. Whiting, Michael Y. Oh, Edward R. Prostko, Boyle C. Cheng
International Journal of Spine Surgery Jan 2015, 9 38; DOI: 10.14444/2038
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Keywords

  • transforaminal lumbar interbody fusion
  • vertebral motion analysis
  • cage positioning
  • stability

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