Zhuoli Xie

Machine learning, decision tree and nomogram for predicting screw loosening after PLIF in osteoporotic patients: a retrospective multicenter study

To develop and validate machine learning models and an individualized nomogram for predicting pedicle screw loosening after posterior lumbar interbody fusion in osteoporotic patients using preoperative clinical, imaging, and bone metabolism-related medication profiles, these complementary tools offer a potentially useful framework for preoperative risk stratification and personalized management of osteoporotic patients undergoing PLIF.