Multiexpandable cage for minimally invasive posterior lumbar interbody fusion

The increasing adoption of minimally invasive techniques for spine surgery in recent years has led to significant advancements in instrumentation for lumbar interbody fusion. Percutaneous pedicle screw fixation is now a mature technology, but the role of expandable cages is still evolving. The capability to deliver a multiexpandable interbody cage with a large footprint through a narrow surgical cannula represents a significant advancement in spinal surgery technology. The purpose of this report is to describe a multiexpandable lumbar interbody fusion cage, including implant characteristics, intended use, surgical technique, preclinical testing, and early clinical experience. Results to date suggest that the multiexpandable cage allows a less invasive approach to posterior/transforaminal lumbar interbody fusion surgery by minimizing iatrogenic risks associated with static or vertically expanding interbody prostheses while providing immediate vertebral height restoration, restoration of anatomic alignment, and excellent early-term clinical results.

• Publication year

  2016

• Venue

  Medical devices

• Publication date

  2016-09-28

• Fields of study

  Medicine, Engineering

• Identifiers
  DOI 10.2147/MDER.S112523PMID 27729817PMCID 5047724
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Non-Specific Low Back Pain.

  2017cited by this paper
• Biomechanics of an Expandable Lumbar Interbody Fusion Cage Deployed Through Transforaminal Approach

  2017cited by this paper
• Comparison of the different surgical approaches for lumbar interbody fusion.

  2015cited by this paper
• Influences of disc degeneration and bone mineral density on the structural properties of lumbar end plates.

  2012cited by this paper
• Non-specific low back pain.

  2012cited by this paper
• Kidney-type Intervertebral Spacers Should be Located Anteriorly in Cantilever Transforaminal Lumbar Interbody Fusion: Analyses of Risk Factors for Spacer Subsidence for a Minimum of 2 Years

  2011cited by this paper
• MR Imaging Assessment of Lumbar Intervertebral Disk Degeneration and Age-Related Changes: Apparent Diffusion Coefficient versus T2 Quantitation

  2011cited by this paper
• What is the source of chronic low back pain and does age play a role?

  2011cited by this paper
• Clinical and Radiological Outcomes of Minimally Invasive Versus Open Transforaminal Lumbar Interbody Fusion

  2009cited by this paper
• Degenerative Lumbar Disc and Facet Disease in Older Adults: Prevalence and Clinical Correlates

  2009cited by this paper
• Complications associated with single-level transforaminal lumbar interbody fusion.

  2009cited by this paper
• Nonsurgical Interventional Therapies for Low Back Pain: A Review of the Evidence for an American Pain Society Clinical Practice Guideline

  2009cited by this paper
• Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales.

  2008cited by this paper
• Chronic low back pain: epidemiology, economic burden and patient-reported outcomes in the USA

  2006cited by this paper
• Interbody Device Shape and Size Are Important to Strengthen the Vertebra–Implant Interface

  2005cited by this paper
• United States Trends in Lumbar Fusion Surgery for Degenerative Conditions

  2005cited by this paper
• A Biomechanical Study of Regional Endplate Strength and Cage Morphology as It Relates to Structural Interbody Support

  2004cited by this paper
• Effects of Endplate Removal on the Structural Properties of the Lower Lumbar Vertebral Bodies

  2003cited by this paper
• Beyond the Good Prognosis: Examination of an Inception Cohort of Patients With Chronic Low Back Pain

  2000cited by this paper
• Outcome of unoperated discogram positive low back pain.

  1996cited by this paper
• Outcome of Unoperated Discogram‐Positive Low Back Pain

  1995cited by this paper
• Studying the Natural History of Back Pain

  1994cited by this paper
• Studying the natural history of back pain.

  1994cited by this paper

• Expandable Interbody Cages for Lumbar Spinal Fusion. A Systematic Review.

  2025cites this paper
• Comparative Analysis of Clinical and Radiological Outcomes of Unilateral Biportal Endoscopic Transforaminal Lumbar Interbody Fusion (UBE-TLIF) With Dual-Direction Expandable Cages Versus Anterior Lumbar Interbody Fusion at L5/S1

  2025cites this paper
• Advancements in Custom 3D-Printed Titanium Interbody Spinal Fusion Cages and Their Relevance in Personalized Spine Care

  2024cites this paper
• Expandable Cages for Lumbar Interbody Fusion: A Narrative Review

  2024cites this paper
• Comparing expandable and static interbody cages in lumbar interbody fusion

  2023cites this paper
• Transforaminal lumbar interbody fusion with an expandable interbody device: Two-year clinical and radiographic outcomes

  2023cites this paper
• Expandable versus Static Cages in Minimally Invasive Lumbar Interbody Fusion: A Systematic Review and Meta-analysis.

  2021cites this paper
• Transforaminal lumbar interbody fusion using a novel minimally invasive expandable interbody cage: patient-reported outcomes and radiographic parameters.

  2021cites this paper
• Their Biomechanical Implications Surgeon's Perspective on Recent Technological Advances and Expandable Interbody Fusion Cages: An Editorial on the

  2020cites this paper
• Two-year Clinical and Radiographic Results with a Multidimensional, Expandable Interbody Implant in Minimally Invasive Lumbar Spine Surgery

  2020cites this paper
• Full Percutaneous Treatment of Degenerative Disc Disease with Intradiscal Lumbar Interbody Fusion and Posterior Stabilization: Preliminary Results

  2020cites this paper
• Two-Year Clinical and Radiographic Outcomes of Expandable Interbody Spacers Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Prospective Study

  2020cites this paper
• Expandable Interbody Fusion Cages: An Editorial on the Surgeon's Perspective on Recent Technological Advances and Their Biomechanical Implications

  2020cites this paper
• MINIMALLY INVASIVE LUMBAR ARTHRODESIS AND PERCUTANEOUS PEDICLE SCREWS: A SYSTEMATIC REVIEW

  2020cites this paper
• Study Transforaminal Lumbar Interbody Fusion: A Prospective Expandable Interbody Spacers Following Minimally Invasive Two-Year Clinical and Radiographic Outcomes of

  2020cites this paper
• Computational comparison of bone cement and poly aryl-ether-ether-ketone spacer in single-segment posterior lumbar interbody fusion: a pilot study

  2019cites this paper
• Assessing the Difference in Clinical and Radiologic Outcomes Between Expandable Cage and Nonexpandable Cage Among Patients Undergoing Minimally Invasive Transforaminal Interbody Fusion: A Systematic Review and Meta-Analysis.

  2019cites this paper
• Two-piece ALIF cage optimizes the bone–implant interface in a 360° setting

  2017cites this paper
• Static versus Expandable Interbody Spacers : Preliminary 1-Year Clinical and Radiographic Results

  2017cites this paper