Endplate preparation for anterior cervical discectomy and fusion: does the amount of endplate removed affect cage subsidence risk?
When performing partial cervical endplate decortication, the degree of bony endplate removal did not significantly predict endplate integrity during ex vivo compression testing, but greater BMD was associated with increased strength. The degree of endplate removal should be based on individual patient factors and intraoperative findings to achieve the ideal cage-endplate interface.
Authors
- Hannah A. Levy (ORCID: https://orcid.org/0000-0002-5237-3015)
- Alick Wang (ORCID: https://orcid.org/0000-0003-2641-8205)
- Nicolas Newell (ORCID: https://orcid.org/0000-0003-1288-3990)
- Spyros D. Masouros (ORCID: https://orcid.org/0000-0003-1700-5548)
- Thomas A Slater (ORCID: https://orcid.org/0000-0001-9213-5559)
- Brett A. Freedman (ORCID: https://orcid.org/0000-0002-2036-769X)
- Kay A. Raftery
Institutions
- Mayo Clinic (US)
- Imperial College London (GB)
Publication Details
- Journal
- European Spine Journal
- Published
- 2025-06-07
- DOI
- https://doi.org/10.1007/s00586-025-08997-5
- Citations
- 2
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 4.01
Funders
- Engineering and Physical Sciences Research Council