Response to the letter to the editor: Risk factors for cage subsidence following anterior–posterior spinal fixation in osteoporotic vertebral fractures: a multicenter retrospective study

Yuki Kinoshita, Shinji Takahashi, Hiroyuki Yasuda, Masaki Terakawa, Sadahiko Konishi, Minori Kato, Hiromitsu Toyoda, Akinobu Suzuki, Koji Tamai, Akito Yabu, Yuta Sawada, Masayoshi Iwamae, Yuki Okamura, Yuto Kobayashi, Masato Uematsu, Hiroshi Taniwaki, Hiroaki Nakamura, Hidetomi Terai · 2026

Read Response to the letter to the editor: Risk factors for cage subsidence following anterior–posterior spinal fixation in osteoporotic vertebral fractures: a multicenter retrospective study by Yuki Kinoshita, Shinji Takahashi, Hiroyuki Yasuda, Masaki Terakawa, Sadahiko Konishi, Minori Kato, Hiromitsu Toyoda, Akinobu Suzuki, Koji Tamai, Akito Yabu, Yuta Sawada, Masayoshi Iwamae, Yuki Okamura, Yuto Kobayashi, Masato Uematsu, Hiroshi Taniwaki, Hiroaki Nakamura, Hidetomi Terai (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13547651.txt.

Description

Yuki Kinoshita and co-authors answer a letter about their spine surgery study in a 2026 response. The original work weighed risk factors for cage sinking after front-and-back fixation in weak-boned vertebral fractures. Critics questioned the model size, the cutoffs chosen, and whether sicker patients simply got different surgery.

The authors concede each point in part. Events were few for the model's complexity, the thresholds came from the same data and may flatter performance, and surgeon choice could confound the fixation finding. They frame their results as exploratory and call for validation with continuous measures in fresh cohorts. Readers get a candid limits discussion.

Catalog record

CREATORYuki Kinoshita, Shinji Takahashi, Hiroyuki Yasuda, Masaki Terakawa, Sadahiko Konishi, Minori Kato, Hiromitsu Toyoda, Akinobu Suzuki, Koji Tamai, Akito Yabu, Yuta Sawada, Masayoshi Iwamae, Yuki Okamura, Yuto Kobayashi, Masato Uematsu, Hiroshi Taniwaki, Hiroaki Nakamura, Hidetomi Terai
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE4 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13547651

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