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September 12, 2025European Spine JournalOpen Access

MRI-based endplate bone quality scoring system in cervical OPLL: a novel measuring method predicting titanium mesh cage subsidence following ACCF

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Observational analysis predicts titanium mesh cage subsidence in cervical OPLL patients, indicating the importance of the EBQ score.

Higher EBQ score predicts increased risk of titanium mesh cage subsidence in cervical OPLL patients.
An EBQ threshold of 2.44 showed an AUC of 0.752, with 78.8% sensitivity and 69.7% specificity.
On radiographs, 75% image magnification proved to be the most reliable for EBQ score measurement.
Older age and higher VBQ scores also correlate with a higher risk of titanium mesh cage subsidence.

Lu et al. (2025) studied this question.

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