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. 2025 Sep;34(9):4140-4150.
doi: 10.1007/s00586-025-09062-x. Epub 2025 Jul 14.

Endplate Hounsfield units outperform lumbar HU and VBQ in predicting cage subsidence after posterior lumbar interbody fusion: a retrospective cohort study

Sheyang Xu  1   2 , Xingling Liu  1   2 , Xianglong Meng  3   4
Affiliations

Endplate Hounsfield units outperform lumbar HU and VBQ in predicting cage subsidence after posterior lumbar interbody fusion: a retrospective cohort study

Sheyang Xu et al. Eur Spine J. 2025 Sep.
No abstract available

Keywords: Cage subsidence; Computed tomography (CT); Hounsfield units (HU); Imaging-based risk stratification; Posterior lumbar interbody fusion (PLIF); Vertebral bone quality (VBQ).

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests.

References

    1. Wang Y, Zhang J, Tong T, Miao D, Wang F, Wang L (2024) Comparison of Hounsfield unit, vertebral bone quality, and Dual-Energy X-Ray absorptiometry T-Score for predicting cage subsidence after posterior lumbar interbody fusion. Global Spine J. 21925682241293038
    1. Xiong T, Wang B, Qin W, Yang L, Ou Y (2023) Development and validation of a risk prediction model for cage subsidence after instrumented posterior lumbar fusion based on machine learning: a retrospective observational cohort study. Front Med (Lausanne) 10:1196384 - DOI - PubMed
    1. Jones C, Okano I, Salzmann SN, Reisener MJ, Chiapparelli E, Shue J et al (2021) Endplate volumetric bone mineral density is a predictor for cage subsidence following lateral lumbar interbody fusion: a risk factor analysis. Spine J 21(10):1729–1737 - DOI - PubMed
    1. Advances in Hounsfield units value for predicting cage subsidence on spinal interbody fusion surgery
    1. Pu X, Wang D, Gu S (2023) Advances in Hounsfield units value for predicting cage subsidence on spinal interbody fusion surgery. Eur Spine J 32(9):3149–3157 - DOI - PubMed

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