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.

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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
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article

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

Nektarios K. Mazarakis, Giuseppe Lambros Morassi, Laila Lubbad, Mohammad Abir Mamun et al.
Orthopaedic Surgery
Cervical and Thoracic Myelopathy
article

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

Nektarios K. Mazarakis, Giuseppe Lambros Morassi, Laila Lubbad, Mohammad Abir Mamun, Omar Lubbad, Rafiq Sheikhali, Akram Hagos, Suzanne Murphy, Wajeeh Ullah Mahmood
article en

Abstract

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.

Orthopaedic SurgeryVol. 18(3)
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)
Openalex Percentile: Top 59%
Cervical and Thoracic Myelopathy
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