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Fred C. Lam, Adam S. Kanter, David O. Okonkwo, James W. Ogilvie and Praveen V. Mummaneni

colleagues 13 , 14 first reported the use of carbon fiber cages in PLIF. 118 Hoshijima et al. 48 and Eck and associates 34 reported their experiences with titanium mesh cages in PLIF and ALIF surgery, respectively, with reasonable fusion rates and maintenance of lordosis in the latter 1990s. In 2002, Lenke and Bridwell 63 reviewed their experience with the use of mesh cages in the treatment of 130 patients with AIS and reported adequate sagittal alignment and an acceptable pseudarthrosis rate. Equal efficacy was reported in the adult population by Eck et al. 35 in

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Rod J. Oskouian Jr., Christopher I. Shaffrey, Richard Whitehill, Charles A. Sansur, Nader Pouratian, Adam S. Kanter, Ashok R. Asthagiri, Aaron S. Dumont, Jason P. Sheehan, W. Jeffrey Elias and Mark E. Shaffrey

instability and restore segmental kyphosis. In a review of complications associated with the Kaneda device, McAfee 40 briefly reported on the use of anterior stabilization in 10 patients with thoracolumbar burst fractures in whom vertebrectomy constituted the placement of carbon fiber cages packed with autologous bone; good outcomes and improved kyphosis were observed postoperatively. Traditional Posterior Techniques The first clinically effective spinal implant with which to promote deformity reduction and internal fixation after thoracolumbar junction trauma was