J Korean Soc Spine Surg. 2001 Sep;8(3):386-391. Korean.
Published online Sep 30, 2001.
Copyright © 2001 Korean Society of Spine Surgery
Review

Future Development of Interbody Fusion Cages

Ki-Tack Kim, M.D., Kyung-Soo Suk, M.D. and Jin-Moon Kim, M.D.
    • Department of Orthopaedic Surgery, School of Medicine, Kyung-Hee University, Seoul, Korea.

Abstract

Interbody fusion using cages are becoming the popular procedure for the spinal fusion. To see the future of cages for interbody fusion, the current authors described history of interbody fusion and cages, biomechanics of cages, and kinds and problems of currently available cages. Based on the review of cages in the past and the present, current authors described requirements of future cages and future of the cages. Spinal fusion including interbody fusion using cages will exist as a major part of spinal surgery in the future. Development of surgical technique, medical engineering, and molecular biology will bring better outcome of interbody fusion.

Keywords
Cage; Interbody fusion

References

    1. Allen MJ, Schoonmaker JE, Ordway NR, et al. Preclinical testing of a poly vinyl alcohol hydrogel nucleus in baboons; Presented at the 15th annual meeting of North American Spine Society; October 26, 2000; New Orleans, Louisiana.
    1. Bagby GW. Arthrodesis by the distraction-compression using a stainless implant. Orthopaedics 1988;11:931–933.
    1. Brantigan JW, Steffee AD, Geiger JM. A carbon fiber implant to aid interbody fusion. Mechanical testing. Spine 1991;16 6S:S277–S288.
    1. Briggs H, Miligan PR. Chip fusion of the low back following exploration of the spinal canal. J Bone Joint Surg Am 1944;26:125–130.
    1. Brodke DS, Dick JC, Kunz DN, et al. Posterior lumbar interbody fusion. A biomechanical comparison including a new threaded cage. Spine 1997;22:26–31.
    1. Burkus JK, Transfeldt EE, Kitdhel SH, et al. A prospective and randomized study assessing the clinical and radiographic outcomes of patients treated with rhBMP-2 and threaded cortical bone dowels in the lumbar spine; Presented at the 15th annual meeting of North American Spine Society; October 28, 2000; New Orleans, Louisiana.
    1. Burns BH. An operation for spondylolisthesis. Lancet 1933;1:1233.
    1. Butts MK, Kuslich SD, Bechorold JE. Biomechanical analysis of a new methods for spinal interbody fusion; Presented at the annual winter meeting of the American society of Mechanical engineers; December 13-18, 1987; Boston MA.
    1. Chen D, Fay LA, Yuan P, Edwards WT, Yuan HA. Increasing neuroforaminal volume by anterior interbodydistraction in degenerative lumbar spine. Spine 1995:2074–2079.
    1. Cloward RB. Posterior lumbar interbody fusion update. Clin Orthop 1985;193:16–19.
    1. Cloward RB. The treatment of ruptured lumbar intervertebral discs by vertebral bony fusion. I. Indications operative technique after care. J Neurosurg 1953:154–166.
    1. Cloward RB. New treatment of ruptured intervertebral disc; Presented at the Annual meeting of Hawaii Territoral Medical Association; Sept. 12, 1945; Honolulu, Hawaii.
    1. Collis LS. total disc replacement : a modified posterior lumbar interbody fusion, Report of 750 cases. Clin Orthop 1985;193:64–67.
    1. Crock HV. Intervertebral disc disruption. A challenge to disc prolapse fifty years on. Spine 1986;11:650–653.
    1. Cunningham BW, Haggerty CJ, McAfee PC. A quantitative densitometric study investigating the stress-shielding effects of interbody spinal fusion devices-emphasis on long term fusions in thotoughbred race horses; Read at the Annual meeting of the Orthopaedic Research Society; March 9, 1988; New Orleans, Luisiana.
    1. David TJ. Lumbar disc prosthesis: Five year follow-up study on 96 patients; Presented at the 15th annual meeting of North American Spine Society; October 26, 2000; New Orleans, Louisiana.
    1. Diwan AD, Sandhu HS, Kamin LE, et al. histological evaluation of the efficacy of rhBMP2 when compared to autograft bone in sheep spinal interbody fusion using titanium cage; Presented at the 15t h annual meeting of North American Spine Society; October 28, 2000; New Orleans, Louisiana.
    1. Freeman B, Fraser RD, Lowery GL, et al. A prospective study of a Titanium/Polyolefin artificial lumbar disc; Presented at the 15t h annual meeting of North American Spine Society; October 26, 2000; New Orleans, Louisiana.
    1. Frymoyer JW, Pope MH, Clemens JH, Wilder DG, Mcpherson B, Ashikaga T. risk factors in low back pain. J Bone Joint surg Am 1983;65:213–218.
    1. Harms J. In: Personal communication. 1999. Cage interbody fusion with pedicle screw system.
    1. Hacker RJ. comparison of interbody fusion approaches for disabling low back pain. Spine 1997;22:660–666.
    1. En Henley,SM Cavid.Current concpt review-Lumbar arthrodesis for the treatment of back pain. J Bopne and Joint Surg 1999;81-A:716–730.
    1. Jaslow IA. Intercorporal bone graft in spinal fusion after disc removal. Surg Gyn Obst 1946;82:215–218.
    1. Keppler L, Steffee AD, biscup RS. Posterior lumbar interbody fusion with variable screw placement and Isola Instrumentation. In: Bridwell KH, Dewald RL, editors. The Textbook of Spinal Surgery. 2nd ed. Philadelphia: Lippincott-raven; 1997. pp. 1602.
    1. Kleeman TJ, Kleeman AT. Laparoscopic ALIF: rhBMP-2 with titanium cages vs. autograft with bone dowels; Presented at the 15th annual meeting of North American Spine Society; October 28, 2000; New Orleans, Louisiana.
    1. Kuslich SD, Ulstrom CL, Griffith SL, Ahern JW, Dodle JD. The Bagby and Kuslich method of lumbar interbody fusion. History, techniques and 2-year follow-up results of a United States prospective, multicenter trial. Spine 1998;23:1267–1279.
    1. Lee CK, Vessa P, Lee JK. Chronic disabling low back pain syndrome caused by internal disc derangements. The results of disc excision and posterior lumbar interbody fusion. Spine 1995;20:356–361.
    1. Lin PM. Posterior lumbar interbody fusion technique : Complication and pitfalls. Clin Orthop 1985;193:90–102.
    1. Linson MA, Williams H. Anterior and combined anteroposterior fusion for lumbar disk pain: A prelinminary study. Spine 1991;16:143–145.
    1. Lund T, Oxland TR, Jost B, et al. interbody cage stabilization in the lumbar spine: biomechanical evaluation of cage design. Posterior instrumentation and bone density. J Bone Joint Surg br 1998;80:351–359.
    1. Matsumoto T, Masuda K, An HS, et al. Tissue engineered intervertebral disc: Enhancement of formation with osteogenic protein-1; Presented at the 15th annual meeting of North American Spine Society; October 28, 2000; New Orleans, Louisiana.
    1. McAfee PC. Current concept review-Interbody fusion cages in reconstructive operation on the spine. J Bone Joint Surg Am 1999;81:859–880.
    1. Penta M, Fraser RD. Anterior lumbar interbody fusion. A minimum 10-year follow-up. Spine 1997;22:2429–2434.
    1. Ray CD. Threaded fusion cage for lumbar interbody fusion, An economic comparison with 360 degrees fusion. Spine 1997;22:681–685.
    1. Reagan JJ, Yuan H, McAfee P. Laparoscopic fusion of the lumbar spine: minimally invasive spine surgery. A prospective multicenter study evaluating open and laparoscopic fusion. Spine 1999;24:402–411.
    1. Schlegel J, Yuan H, Fredriksen B. Anterior interbody fixation devices. In: Frymoyer JW, editor. The Adult Spine. . New York: Raven Press; 1991. pp. 1947-1960.
    1. Takegami K, Masuda K, Thonar EJ, et al. Effect of intradiscal injecion of OP-1 in the rabbit; Presented at the 15th annual meeting of North American Spine Society; October 28, 2000; New Orleans, Louisiana.
    1. Wang JC, Kanim LE, McAllister PL, et al. Transduction of intervertebral disc cells via adenoviral gene transfer induces bone formation; Presented at the 15th annual meeting of North American Spine Society; October 28, 2000; New Orleans, Louisiana.
    1. Weiner BK, Fraser RD. Spine update lumbar interbody cages. Spine 1998;23:634–740.

Metrics
Share
PERMALINK