Review
Open access
Jul 2026
Pedicle screw loosening after degenerative lumbar fusion: a systematic review and meta-analysis of preoperative imaging-derived bone quality and paraspinal muscle metrics
Imaging-derived bone quality metrics identify substrate-level vulnerability to radiographic PSL and provide moderate preoperative discrimination, and limited and heterogeneous evidence suggests psoas size may represent a complementary frailty marker.
Shaan Patel, S. Nischal, Lorenzo Ceccon et al.
· Acta Neurochirurgica · 0 citations