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Related Concept Videos

Structural Classification of Joints01:20

Structural Classification of Joints

Joints, also known as articulations, are classified based on their structural characteristics, i.e., based on whether the articulating surfaces of the adjacent bones are directly connected by fibrous connective tissue or cartilage, or whether the articulating surfaces contact each other within a fluid-filled joint cavity. These differences serve to divide the joints of the body into three structural classifications.
A fibrous joint is where the adjacent bones are united by fibrous connective...

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Related Experiment Video

Updated: Jun 20, 2026

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
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Static Versus Expandable Cages in Minimally Invasive Lateral Lumbar Interbody Fusion: A Systematic Review and

Ryan S Beyer1, Tara Shooshani2, Bianca Batista2

  • 1Department of Orthopedic Surgery, University of California Irvine, Orange.

Clinical Spine Surgery
|January 8, 2025
PubMed
Summary

Expandable cages in lateral lumbar interbody fusion (LLIF) show similar outcomes to static cages regarding complications and recovery. Further research is needed to confirm these findings for LLIF surgery.

Keywords:
LLIFexpandablefusioninterbodylaterallumbarstaticsubsidence

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Area of Science:

  • Spine surgery
  • Orthopedics
  • Minimally invasive spine surgery

Background:

  • Lateral lumbar interbody fusion (LLIF) is a minimally invasive technique gaining popularity.
  • Expandable cages aim to simplify LLIF and reduce complications compared to static cages.
  • Concerns exist regarding graft window size and cost with expandable cages.

Purpose of the Study:

  • To systematically review and compare outcomes of LLIF using static versus expandable interbody cages.
  • To focus on periprocedural complications, intraoperative morbidity, and fusion rates.
  • To identify all relevant reports through a comprehensive literature search.

Main Methods:

  • Systematic review and meta-analysis of studies comparing static and expandable cages in LLIF.
  • Searched Web of Science, Scopus, and PubMed databases following PRISMA guidelines.
  • Assessed risk of bias using the Newcastle-Ottawa Scale and performed meta-analysis with PyMARE.

Main Results:

  • Analyzed 4 studies with 283 patients (150 static, 133 expandable cages).
  • No significant differences observed in operative time, blood loss, length of stay, subsidence, disc height, ODI, or back pain.
  • Expandable cages showed a trend towards improved fusion rates (97% vs. 92%, P=0.06).

Conclusions:

  • Expandable interbody cages in LLIF surgery appear to yield similar results to static cages regarding surgical morbidity and outcomes.
  • No significant differences in subsidence or decompression were noted between cage types.
  • Prospective comparative studies are recommended to validate these findings.