{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T22:06:23Z","timestamp":1779573983221,"version":"3.53.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,23]]},"DOI":"10.7759\/cureus.109522","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T21:32:06Z","timestamp":1779571926000},"source":"Crossref","is-referenced-by-count":0,"title":["Radiographic Evaluation of a Modular Anterior Lumbar Interbody Fusion (ALIF) Cage: Subsidence and Segmental Lordosis"],"prefix":"10.7759","author":[{"given":"Harvinder","family":"Bhatti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan R","family":"Wanderman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L","family":"Shellock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D","family":"Guyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna D","family":"Ohnmeiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Van Schouwen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Spina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2448990.495","article-title":"Loss of mass and surface topography in 3-dimensional-printed solid titanium cages upon impaction: an in vitro model","volume":"22","author":"Tran T","year":"2025","unstructured":"Tran T, Singleton IM, Ungurean V Jr, Rowland A, Martin A, Raji OR, Kondrashov DG. Loss of mass and surface topography in 3-dimensional-printed solid titanium cages upon impaction: an in vitro model. Neurospine. 2025, 22:173-84. 10.14245\/ns.2448990.495","journal-title":"Neurospine"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1177\/2280800018782854","article-title":"Resistance of coated polyetheretherketone lumbar interbody fusion cages against abrasion under simulated impaction into the disc space","volume":"17","author":"Kienle A","year":"2019","unstructured":"Kienle A, Krieger A, Willems K, Wilke HJ. Resistance of coated polyetheretherketone lumbar interbody fusion cages against abrasion under simulated impaction into the disc space. J Appl Biomater Funct Mater. 2019, 17:2280800018782854. 10.1177\/2280800018782854","journal-title":"J Appl Biomater Funct Mater"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.09.038","article-title":"Does impaction of titanium-coated interbody fusion cages into the disc space cause wear debris or delamination?","volume":"16","author":"Kienle A","year":"2016","unstructured":"Kienle A, Graf N, Wilke HJ. Does impaction of titanium-coated interbody fusion cages into the disc space cause wear debris or delamination?. Spine J. 2016, 16:235-42. 10.1016\/j.spinee.2015.09.038","journal-title":"Spine J"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.01.003","article-title":"Impaction durability of porous polyether-ether-ketone (PEEK) and titanium-coated PEEK interbody fusion devices","volume":"18","author":"Torstrick FB","year":"2018","unstructured":"Torstrick FB, Klosterhoff BS, Westerlund LE, et al.. Impaction durability of porous polyether-ether-ketone (PEEK) and titanium-coated PEEK interbody fusion devices. Spine J. 2018, 18:857-65. 10.1016\/j.spinee.2018.01.003","journal-title":"Spine J"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.14444\/8192","article-title":"Indirect decompression for the treatment of degenerative lumbar stenosis","volume":"15","author":"Derman PB","year":"2021","unstructured":"Derman PB, Ohnmeiss DD, Lauderback A, Guyer RD. Indirect decompression for the treatment of degenerative lumbar stenosis. Int J Spine Surg. 2021, 15:1066-71. 10.14444\/8192","journal-title":"Int J Spine Surg"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2021.106946","article-title":"Clinical and radiographic performance of indirect foraminal decompression with anterior retroperitoneal lumbar approach for interbody fusion (ALIF)","volume":"209","author":"Cofano F","year":"2021","unstructured":"Cofano F, Langella F, Petrone S, et al.. Clinical and radiographic performance of indirect foraminal decompression with anterior retroperitoneal lumbar approach for interbody fusion (ALIF). Clin Neurol Neurosurg. 2021, 209:106946. 10.1016\/j.clineuro.2021.106946","journal-title":"Clin Neurol Neurosurg"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06598-y","article-title":"ALIF in the correction of spinal sagittal misalignment. A systematic review of literature","volume":"30","author":"Formica M","year":"2021","unstructured":"Formica M, Quarto E, Zanirato A, Mosconi L, Lontaro-Baracchini M, Alessio-Mazzola M, Felli L. ALIF in the correction of spinal sagittal misalignment. A systematic review of literature. Eur Spine J. 2021, 30:50-62. 10.1007\/s00586-020-06598-y","journal-title":"Eur Spine J"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.14444\/8363","article-title":"Subsidence of spinal fusion cages: a systematic review","volume":"16","author":"Parisien A","year":"2022","unstructured":"Parisien A, Wai EK, ElSayed MS, Frei H. Subsidence of spinal fusion cages: a systematic review. Int J Spine Surg. 2022, 16:1103-18. 10.14444\/8363","journal-title":"Int J Spine Surg"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002500","article-title":"A multicenter radiographic evaluation of the rates of preoperative and postoperative malalignment in degenerative spinal fusions","volume":"43","author":"Leveque JA","year":"2018","unstructured":"Leveque JA, Segebarth B, Schroerlucke SR, et al.. A multicenter radiographic evaluation of the rates of preoperative and postoperative malalignment in degenerative spinal fusions. Spine (Phila Pa 1976). 2018, 43:E782-9. 10.1097\/BRS.0000000000002500","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref10","unstructured":"Axis raises $12.5m after successful product pre-launch. (2022). Accessed. May 4, 2026: https:\/\/axisspinetech.com\/axis-raises-12-5m-after-successful-product-pre-launch\/."},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3171\/2022.5.SPINE22109","article-title":"Novel artificial intelligence algorithm: an accurate and independent measure of spinopelvic parameters","volume":"37","author":"Orosz LD","year":"2022","unstructured":"Orosz LD, Bhatt FR, Jazini E, et al.. Novel artificial intelligence algorithm: an accurate and independent measure of spinopelvic parameters. J Neurosurg Spine. 2022, 37:893-901. 10.3171\/2022.5.SPINE22109","journal-title":"J Neurosurg Spine"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-024-02551-5","article-title":"Defining cage subsidence in anterior, oblique, and lateral lumbar spine fusion approaches: a systematic review of the literature","volume":"47","author":"Aguirre AO","year":"2024","unstructured":"Aguirre AO, Soliman MA, Kuo CC, et al.. Defining cage subsidence in anterior, oblique, and lateral lumbar spine fusion approaches: a systematic review of the literature. Neurosurg Rev. 2024, 47:332. 10.1007\/s10143-024-02551-5","journal-title":"Neurosurg Rev"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.36845","article-title":"Endplate trauma during implant insertion affects the expulsion risk of anterior lumbar interbody fusion devices","volume":"15","author":"Kienle A","year":"2023","unstructured":"Kienle A, Graf N, Tao Y, Heuer F. Endplate trauma during implant insertion affects the expulsion risk of anterior lumbar interbody fusion devices. Cureus. 2023, 15:e36845. 10.7759\/cureus.36845","journal-title":"Cureus"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2025.106502","article-title":"A modular cage may prevent endplate damage and improve spinal deformity correction","volume":"125","author":"Jansen JU","year":"2025","unstructured":"Jansen JU, Sciortino V, Heuer F, Wilke HJ. A modular cage may prevent endplate damage and improve spinal deformity correction. Clin Biomech (Bristol). 2025, 125:106502. 10.1016\/j.clinbiomech.2025.106502","journal-title":"Clin Biomech (Bristol)"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/21925682221103588","article-title":"Risk factors for subsidence following anterior lumbar interbody fusion","volume":"14","author":"Zavras AG","year":"2024","unstructured":"Zavras AG, Federico V, Nolte MT, et al.. Risk factors for subsidence following anterior lumbar interbody fusion. Global Spine J. 2024, 14:257-64. 10.1177\/21925682221103588","journal-title":"Global Spine J"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.23.00672","article-title":"Sagittal alignment in the degenerative lumbar spine: surgical planning","volume":"106","author":"Diebo BG","year":"2024","unstructured":"Diebo BG, Balmaceno-Criss M, Lafage R, et al.. Sagittal alignment in the degenerative lumbar spine: surgical planning. J Bone Joint Surg Am. 2024, 106:445-57. 10.2106\/JBJS.23.00672","journal-title":"J Bone Joint Surg Am"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1177\/21925682231191414","article-title":"L3-L4 hyperlordosis and decreased lower lumbar lordosis following short-segment L4-L5 lumbar fusion surgery is associated with L3-L4 revision surgery for adjacent segment stenosis","volume":"15","author":"Herrington BJ","year":"2025","unstructured":"Herrington BJ, Fernandes RR, Urquhart JC, Rasoulinejad P, Siddiqi F, Bailey CS. L3-L4 hyperlordosis and decreased lower lumbar lordosis following short-segment L4-L5 lumbar fusion surgery is associated with L3-L4 revision surgery for adjacent segment stenosis. Global Spine J. 2025, 15:382-91. 10.1177\/21925682231191414","journal-title":"Global Spine J"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1227\/ons.0000000000001179","article-title":"Segmental sagittal alignment in lumbar spinal fusion: a review of evidence-based evaluation of preoperative measurement, surgical planning, intraoperative execution, and postoperative evaluation","volume":"27","author":"Daniels AH","year":"2024","unstructured":"Daniels AH, Balmaceno-Criss M, McDonald CL, et al.. Segmental sagittal alignment in lumbar spinal fusion: a review of evidence-based evaluation of preoperative measurement, surgical planning, intraoperative execution, and postoperative evaluation. Oper Neurosurg. 2024, 27:533-48. 10.1227\/ons.0000000000001179","journal-title":"Oper Neurosurg"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000005161","article-title":"Impact of segmental lordosis restoration during degenerative spinal fusion on two-year adjacent segment disease and revision rates","volume":"50","author":"Singh M","year":"2025","unstructured":"Singh M, Kuharski MJ, Abdel-Megid H, et al.. Impact of segmental lordosis restoration during degenerative spinal fusion on two-year adjacent segment disease and revision rates. Spine (Phila Pa 1976). 2025, 50:1219-24. 10.1097\/BRS.0000000000005161","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3171\/2016.4.SPINE151206","article-title":"Anterior hyperlordotic cages: early experience and radiographic results","volume":"25","author":"Saville PA","year":"2016","unstructured":"Saville PA, Kadam AB, Smith HE, Arlet V. Anterior hyperlordotic cages: early experience and radiographic results. J Neurosurg Spine. 2016, 25:713-9. 10.3171\/2016.4.SPINE151206","journal-title":"J Neurosurg Spine"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3171\/2023.4.SPINE221283","article-title":"Increased cage angle effects on radiographic outcomes after stand-alone anterior lumbar interbody fusion","volume":"39","author":"Nguyen AQ","year":"2023","unstructured":"Nguyen AQ, Ukogu C, Harvey JP, et al.. Increased cage angle effects on radiographic outcomes after stand-alone anterior lumbar interbody fusion. J Neurosurg Spine. 2023, 39:254-62. 10.3171\/2023.4.SPINE221283","journal-title":"J Neurosurg Spine"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2024.08.003","article-title":"Radiographic outcomes and complications of anterior column realignment (ACR): a systematic review","volume":"24","author":"Mundis GM Jr","year":"2024","unstructured":"Mundis GM Jr, Elsebaie H, Shahidi B, Love I, Haldeman PB, Eastlack RK, Akbarnia BA. Radiographic outcomes and complications of anterior column realignment (ACR): a systematic review. Spine J. 2024, 24:2273-84. 10.1016\/j.spinee.2024.08.003","journal-title":"Spine J"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-022-07256-1","article-title":"Post-operative L5 radiculopathy after L5-S1 hyperlordotic anterior lumbar interbody fusion (HL-ALIF) is related to a greater increase of lordosis and smaller post-operative posterior disc height: results from a cohort study","volume":"31","author":"Compagnone D","year":"2022","unstructured":"Compagnone D, Langella F, Cecchinato R, et al.. Post-operative L5 radiculopathy after L5-S1 hyperlordotic anterior lumbar interbody fusion (HL-ALIF) is related to a greater increase of lordosis and smaller post-operative posterior disc height: results from a cohort study. Eur Spine J. 2022, 31:1640-8. 10.1007\/s00586-022-07256-1","journal-title":"Eur Spine J"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/488318-radiographic-evaluation-of-a-modular-anterior-lumbar-interbody-fusion-alif-cage-subsidence-and-segmental-lordosis","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T21:32:08Z","timestamp":1779571928000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/488318-radiographic-evaluation-of-a-modular-anterior-lumbar-interbody-fusion-alif-cage-subsidence-and-segmental-lordosis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,23]]},"references-count":23,"URL":"https:\/\/doi.org\/10.7759\/cureus.109522","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,23]]}}}