What question did this study set out to answer?

This review aims to assess the relationship between apparent stability and hidden mechanical risks in lumbar interbody fusion constructs.

Apparent stability vs. hidden mechanical risk in lumbar interbody fusion: a systematic biomechanical review

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Systematic review evaluates hidden mechanical risks in lumbar interbody fusion constructs, suggesting broader assessment criteria.

This review aims to assess the relationship between apparent stability and hidden mechanical risks in lumbar interbody fusion constructs.
Conducted a systematic biomechanical review and narrative synthesis of 16 studies.
Included various study types: finite-element, cadaveric, experimental, and subsidence-focused models.
Performed a structured methodological appraisal to evaluate evidence quality and relevance.
Found significant differences in internal mechanical behavior despite similar apparent stability.
Highlighted the importance of evaluating factors like endplate stress and instrumentation strain.
Suggests a comprehensive assessment framework beyond just motion reduction.

Abudayeh et al. (2026) studied this question.

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