Comparing the Prognostic Utility of Vertebral and Endplate Bone Quality Scores for Cage Subsidence Following Single‐Level Anterior Cervical Discectomy and Fusion: A Retrospective Analysis
MRI-derived bone quality metrics, particularly VBQ and lower endplate EBQ scores, are strong predictors of cage subsidence following single-level ACDF. These findings reinforce the clinical utility of preoperative MRI as a non-invasive, radiation-free tool for assessing vertebral bone integrity. Incorporating VBQ and EBQ assessments into surgical planning may enhance risk stratification and optimize postoperative outcomes in patients undergoing cervical fusion.
Authors
- Nektarios K. Mazarakis (ORCID: https://orcid.org/0000-0002-4128-8755)
- Giuseppe Lambros Morassi
- Laila Lubbad
- Mohammad Abir Mamun
- Omar Lubbad
- Rafiq Sheikhali
- Akram Hagos (ORCID: https://orcid.org/0000-0002-5848-5165)
- Suzanne Murphy
- Wajeeh Ullah Mahmood
Institutions
- Brighton and Sussex Medical School (GB)
- Royal College of Surgeons in Ireland (IE)
- Royal College of Surgeons in Ireland - Bahrain (BH)
- Royal Sussex County Hospital (GB)
- Beaumont Hospital (IE)
Publication Details
- Journal
- Orthopaedic Surgery
- Published
- 2026-02-12
- DOI
- https://doi.org/10.1111/os.70260
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00