A modular cage may prevent endplate damage and improve spinal deformity correction

Endplate damage occurs in both procedures but severe damage like bone fragmentation can be avoided with modular implantation. Bone fragmentation seems to affect and minimize the desired lordosis angle after cage implantation. This in vitro study underlines the need of new implantation procedures to achieve increased lordosis with anterior lumbar interbody fusion to restore the patients sagittal balance successfully.