{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:55:34Z","timestamp":1786992934360,"version":"build-2736575974"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000038","name":"NSERC","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Mechanical Behavior of Biomedical Materials"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.jmbbm.2025.107281","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T17:07:51Z","timestamp":1764004071000},"page":"107281","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["A parametric analysis of interbody fusion cages placement: A finite elements approach comparing lumbar lordosis of bullet and steerable banana cages"],"prefix":"10.1016","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2463-0897","authenticated-orcid":false,"given":"Ibrahim","family":"El Bojairami","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Santaguida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1521-906X","authenticated-orcid":false,"given":"Salim","family":"Al Rawahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Aoude","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5348-6054","authenticated-orcid":false,"given":"Mark","family":"Driscoll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jmbbm.2025.107281_bib1","doi-asserted-by":"crossref","DOI":"10.1016\/S0268-0033(03)00022-6","article-title":"Stress analysis of interbody fusion - finite element modelling of intervertebral implant and vertebral body","author":"Adam","year":"2003","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.jmbbm.2025.107281_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.spinee.2014.06.015","article-title":"Bilateral pedicle screw fixation provides superior biomechanical stability in transforaminal lumbar interbody fusion: a finite element study","author":"Ambati","year":"2015","journal-title":"Spine J."},{"key":"10.1016\/j.jmbbm.2025.107281_bib3","series-title":"Current Strategies for the Restoration of Adequate Lordosis During Lumbar Fusion","author":"Barrey","year":"2015"},{"key":"10.1016\/j.jmbbm.2025.107281_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.nec.2018.03.009","article-title":"Sagittal alignment of the lumbar spine","author":"Berven","year":"2018","journal-title":"Neurosurg. Clin."},{"key":"10.1016\/j.jmbbm.2025.107281_bib6","doi-asserted-by":"crossref","DOI":"10.1002\/jor.1100160108","article-title":"Mechanical behavior of human morselized cancellous bone in triaxial compression testing","author":"Brodt","year":"1998","journal-title":"J. Orthop. Res."},{"key":"10.1016\/j.jmbbm.2025.107281_bib7","doi-asserted-by":"crossref","DOI":"10.1097\/00007632-199809010-00012","article-title":"The Saskatchewan health and back pain survey: the prevalence of low back pain and related disability in Saskatchewan adults","author":"Cassidy","year":"1998","journal-title":"Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/S1350-4533(01)00076-5","article-title":"Stress analysis of the disc adjacent to interbody fusion in lumbar spine","author":"Chen","year":"2001","journal-title":"Med. Eng. Phys."},{"key":"10.1016\/j.jmbbm.2025.107281_bib10","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-9-88","article-title":"Biomechanical comparison of a new stand-alone anterior lumbar interbody fusion cage with established fixation techniques - a three-dimensional finite element analysis","author":"Chen","year":"2008","journal-title":"BMC Muscoskelet. Disord."},{"key":"10.1016\/j.jmbbm.2025.107281_bib11","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinbiomech.2008.02.008","article-title":"Comparison of cage designs for transforaminal lumbar interbody fusion: a biomechanical study","author":"Cho","year":"2008","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.jmbbm.2025.107281_bib12","article-title":"Anterior lumbar interbody fusion with stand-alone interbody cage in treatment of lumbar intervertebral foraminal stenosis: comparative study of two different types of cages","author":"Cho","year":"2010","journal-title":"J. Korean Neurosurg. Soc."},{"key":"10.1016\/j.jmbbm.2025.107281_bib13","doi-asserted-by":"crossref","DOI":"10.1007\/s12178-009-9053-8","article-title":"Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches","author":"Cole","year":"2009","journal-title":"Current Reviews in Musculoskeletal Medicine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib14","doi-asserted-by":"crossref","DOI":"10.1055\/s-0035-1564568","article-title":"A biomechanical comparison of shape design and positioning of transforaminal lumbar interbody fusion cages","author":"Comer","year":"2016","journal-title":"Glob. Spine J."},{"key":"10.1016\/j.jmbbm.2025.107281_bib21","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbiomech.2009.03.036","article-title":"Finite element investigation of the loading rate effect on the spinal load-sharing changes under impact conditions","author":"El-Rich","year":"2009","journal-title":"J. Biomech."},{"key":"10.1016\/j.jmbbm.2025.107281_bib22","series-title":"Correlation of Radiographic Parameters and Clinical Symptoms in Adult Scoliosis","author":"Glassman","year":"2005"},{"key":"10.1016\/j.jmbbm.2025.107281_bib23","doi-asserted-by":"crossref","DOI":"10.1097\/01.brs.0000179086.30449.96","article-title":"The impact of positive sagittal balance in adult spinal deformity","author":"Glassman","year":"2005","journal-title":"Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib25","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","author":"Hartvigsen","year":"2018","journal-title":"Lancet"},{"key":"10.1016\/j.jmbbm.2025.107281_bib26","doi-asserted-by":"crossref","DOI":"10.1097\/00007632-199611010-00002","article-title":"Anatomic changes of the spinal canal and intervertebral foramen associated with flexion-extension movement","author":"Inufusa","year":"1996","journal-title":"Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib27","article-title":"Biomechanical comparison of polymeric spinal cages using Ct based finite element method","author":"Jalil","year":"2017","journal-title":"Int. J. Biosci. Biochem. Bioinforma"},{"key":"10.1016\/j.jmbbm.2025.107281_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.clineuro.2017.08.005","article-title":"Variation of facet joint orientation and tropism in lumbar degenerative spondylolisthesis and disc herniation at L4-L5: a systematic review and meta-analysis","author":"Liu","year":"2017","journal-title":"Clin. Neurol. Neurosurg."},{"key":"10.1016\/j.jmbbm.2025.107281_bib29","doi-asserted-by":"crossref","DOI":"10.3171\/2013.4.SPINE12319","article-title":"Radiographic and clinical evaluation of cage subsidence after stand-alone lateral interbody fusion","author":"Marchi","year":"2013","journal-title":"J. Neurosurg. Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib30","article-title":"Biomechanical investigation on the influence of the regional material degeneration of an intervertebral disc in a lower lumbar spinal unit: a finite element study","author":"Tanaka","year":"2018","journal-title":"Comput. Biol. Med."},{"key":"10.1016\/j.jmbbm.2025.107281_bib31","series-title":"Lumbar Interbody Fusion: Techniques, Indications and Comparison of Interbody Fusion Options Including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF","author":"Mobbs","year":"2015"},{"issue":"4","key":"10.1016\/j.jmbbm.2025.107281_bib32","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1097\/00002517-199212000-00001","article-title":"The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement","volume":"5","author":"Panjabi","year":"1992","journal-title":"J. Spinal Disord."},{"key":"10.1016\/j.jmbbm.2025.107281_bib33","doi-asserted-by":"crossref","DOI":"10.1016\/j.pisc.2016.06.062","article-title":"A review on application of finite element modelling in bone biomechanics","author":"Parashar","year":"2016","journal-title":"Perspect. Sci."},{"key":"10.1016\/j.jmbbm.2025.107281_bib34","article-title":"Foraminal height measurement techniques","author":"Phan","year":"2015","journal-title":"J. Spine Surg."},{"key":"10.1016\/j.jmbbm.2025.107281_bib35","doi-asserted-by":"crossref","DOI":"10.1007\/s00586-003-0556-5","article-title":"The importance of the endplate for interbody cages in the lumbar spine","author":"Polikeit","year":"2003","journal-title":"Eur. Spine J."},{"key":"10.1016\/j.jmbbm.2025.107281_bib36","doi-asserted-by":"crossref","DOI":"10.3171\/2019.4.SPINE18915","article-title":"State of the union: a review of lumbar fusion indications and techniques for degenerative spine disease","author":"Reid","year":"2019","journal-title":"J. Neurosurg. Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib37","doi-asserted-by":"crossref","DOI":"10.1007\/s00586-017-4953-6","article-title":"Evaluation of changes in lumbar neuroforaminal dimensions in symptomatic young adults using positional MRI","author":"Ren","year":"2017","journal-title":"Eur. Spine J."},{"key":"10.1016\/j.jmbbm.2025.107281_bib38","article-title":"Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: intractable low-back pain without stenosis or spondylolisthesis","author":"Resnick","year":"2005","journal-title":"J. Neurosurg. Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib39","doi-asserted-by":"crossref","DOI":"10.1097\/BRS.0b013e3181ee6bd4","article-title":"Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery","author":"Schwab","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib40","doi-asserted-by":"crossref","DOI":"10.4184\/asj.2017.11.4.538","article-title":"Adjacent disc stress following floating lumbar Spine fusion: a finite element study","author":"Srinivas","year":"2017","journal-title":"Asian Spine J."},{"key":"10.1016\/j.jmbbm.2025.107281_bib41","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-15-283","article-title":"Prevalence of low back pain by anatomic location and intensity in an occupational population","author":"Thiese","year":"2014","journal-title":"BMC Muscoskelet. Disord."},{"key":"10.1016\/j.jmbbm.2025.107281_bib42","doi-asserted-by":"crossref","DOI":"10.1016\/j.wneu.2018.07.075","article-title":"Adequate restoration of disc height and segmental lordosis by lumbar interbody fusion decreases adjacent segment degeneration","author":"Tian","year":"2018","journal-title":"World Neurosurg."},{"key":"10.1016\/j.jmbbm.2025.107281_bib43","doi-asserted-by":"crossref","DOI":"10.1007\/s00586-015-3872-7","article-title":"Finite element analysis of lordosis restoration with anterior longitudinal ligament release and lateral hyperlordotic cage placement","author":"Uribe","year":"2015","journal-title":"Eur. Spine J."},{"key":"10.1016\/j.jmbbm.2025.107281_bib44","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.clinbiomech.2005.01.010","article-title":"Extracting clinically relevant data from finite element simulations","volume":"20","author":"Viceconti","year":"2005","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.jmbbm.2025.107281_bib45","doi-asserted-by":"crossref","DOI":"10.1097\/BSD.0000000000000814","article-title":"Bullet cage versus crescent cage design in transforaminal lumbar interbody fusion","author":"Wanderman","year":"2020","journal-title":"Clin. Spine Surg."},{"key":"10.1016\/j.jmbbm.2025.107281_bib46","article-title":"Biomechanical evaluation of transforaminal lumbar interbody fusion and oblique lumbar interbody fusion on the adjacent segment: a finite element analysis","author":"Wang","year":"2019","journal-title":"World Neurosurg."},{"key":"10.1016\/j.jmbbm.2025.107281_bib47","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.H.00913","article-title":"Surgical compared with nonoperative treatment for lumbar degenerative spondylolisthesis","author":"Weinstein","year":"2009","journal-title":"J. Bone Jt. Surgery-American"},{"key":"10.1016\/j.jmbbm.2025.107281_bib48","article-title":"Optimization of three-level cervical hybrid surgery to prevent adjacent segment disease: a finite element study","author":"Wong","year":"2020","journal-title":"Front. Bioeng. Biotechnol."},{"key":"10.1016\/j.jmbbm.2025.107281_bib49","doi-asserted-by":"crossref","DOI":"10.1097\/00007632-198911000-00020","article-title":"Three-dimensional movements of the whole lumbar spine and Lumbosacral joint","author":"Yamamoto","year":"1989","journal-title":"Spine"},{"key":"10.1016\/j.jmbbm.2025.107281_bib50","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbiomech.2016.02.045","article-title":"Effective modulus of the human intervertebral disc and its effect on vertebral bone stress","author":"Yang","year":"2016","journal-title":"J. Biomech."},{"key":"10.1016\/j.jmbbm.2025.107281_bib51","doi-asserted-by":"crossref","DOI":"10.1016\/S0268-0033(02)00040-2","article-title":"Comparison of the mechanical behavior of the lumbar spine following mono- and bisegmental stabilization","author":"Zander","year":"2002","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.jmbbm.2025.107281_bib52","doi-asserted-by":"crossref","DOI":"10.1080\/10255842.2018.1442443","article-title":"Biomechanical analysis of lumbar interbody fusion cages with various lordotic angles: a finite element study","author":"Zhang","year":"2018","journal-title":"Comput. Methods Biomech. Biomed. Eng."},{"key":"10.1016\/j.jmbbm.2025.107281_bib53","article-title":"Effect of lumbar lordosis on the adjacent segment in transforaminal lumbar interbody fusion: a finite element analysis","author":"Zhao","year":"2018","journal-title":"World Neurosurg."}],"container-title":["Journal of the Mechanical Behavior of Biomedical Materials"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1751616125003972?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1751616125003972?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T11:19:49Z","timestamp":1781263189000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1751616125003972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":44,"alternative-id":["S1751616125003972"],"URL":"https:\/\/doi.org\/10.1016\/j.jmbbm.2025.107281","relation":{},"ISSN":["1751-6161"],"issn-type":[{"value":"1751-6161","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A parametric analysis of interbody fusion cages placement: A finite elements approach comparing lumbar lordosis of bullet and steerable banana cages","name":"articletitle","label":"Article Title"},{"value":"Journal of the Mechanical Behavior of Biomedical Materials","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmbbm.2025.107281","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"107281"}}