Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant

Background: There are wide treatment modalities for degenerative disc diseases of cervical spines. However, surgery is indicated when conservative treatment fails, and each procedure had its limitation. Aim of the work: to compare the outcome between cervical peek cage and dynamic cervical implant f...

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Autores principales:	Mohammed Ahmed Alhady, Mohamed Hassan
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	cervical degenerative disk disease discectomy dynamic cervical implant polyetherether-ketone cage Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0fba34a7bda3470fafbb62651d2cf8f4
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spelling	oai:doaj.org-article:0fba34a7bda3470fafbb62651d2cf8f42021-12-02T15:22:18ZAnterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant2636-41742682-378010.21608/ijma.2020.45403.1189https://doaj.org/article/0fba34a7bda3470fafbb62651d2cf8f42020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_119896_754f71909888e53c23f75d89da91ec66.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: There are wide treatment modalities for degenerative disc diseases of cervical spines. However, surgery is indicated when conservative treatment fails, and each procedure had its limitation. Aim of the work: to compare the outcome between cervical peek cage and dynamic cervical implant for anterior cervical discectomy fusion (ACDF) for patients with degenerated cervical disc disease. Patients and methods: Fifty patients with degenerative disk disease (DDD) were treated by cervical poly- etherether-ketone (PEEK) cage (25 patients) and another 25 with dynamic cervical implant (DCI). All patients assessed pre- and post-operatively by clinical and radiological examinations, with pain assessment by visual analogue scale and calculation of the range of motion. Any neurological deficits were documented in both pre-and post-operative periods. Results: Both groups were comparable regarding patient characteristics, preoperative pain and preoperative range of motion. The mean percentage of pain reduction was significantly higher among PEEK when compared to DCI group (81.93±7.07 vs 66.23±11.48 respectively). In DCI group, preoperative mean range of motion at the operated level was 7.56, changed to 6.64 postoperatively, which is statistically significant. Similarly, in PEEK cage group, preoperative mean range of motion at operated level was 7.60 Changed to 7.52 which is statistically non-significant. Complications were mild and treated conservatively. Conclusion: PEEK cage is associated with better alleviation of pain either at the neck or arm pain. On the other side, DCI is associated with slightly better range of motion. However, global range of motion is comparable between both groups.Mohammed Ahmed AlhadyMohamed HassanAl-Azhar University, Faculty of Medicine (Damietta)articlecervicaldegenerative disk diseasediscectomydynamic cervical implantpolyetherether-ketone cageMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 873-879 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cervical degenerative disk disease discectomy dynamic cervical implant polyetherether-ketone cage Medicine (General) R5-920
spellingShingle	cervical degenerative disk disease discectomy dynamic cervical implant polyetherether-ketone cage Medicine (General) R5-920 Mohammed Ahmed Alhady Mohamed Hassan Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant
description	Background: There are wide treatment modalities for degenerative disc diseases of cervical spines. However, surgery is indicated when conservative treatment fails, and each procedure had its limitation. Aim of the work: to compare the outcome between cervical peek cage and dynamic cervical implant for anterior cervical discectomy fusion (ACDF) for patients with degenerated cervical disc disease. Patients and methods: Fifty patients with degenerative disk disease (DDD) were treated by cervical poly- etherether-ketone (PEEK) cage (25 patients) and another 25 with dynamic cervical implant (DCI). All patients assessed pre- and post-operatively by clinical and radiological examinations, with pain assessment by visual analogue scale and calculation of the range of motion. Any neurological deficits were documented in both pre-and post-operative periods. Results: Both groups were comparable regarding patient characteristics, preoperative pain and preoperative range of motion. The mean percentage of pain reduction was significantly higher among PEEK when compared to DCI group (81.93±7.07 vs 66.23±11.48 respectively). In DCI group, preoperative mean range of motion at the operated level was 7.56, changed to 6.64 postoperatively, which is statistically significant. Similarly, in PEEK cage group, preoperative mean range of motion at operated level was 7.60 Changed to 7.52 which is statistically non-significant. Complications were mild and treated conservatively. Conclusion: PEEK cage is associated with better alleviation of pain either at the neck or arm pain. On the other side, DCI is associated with slightly better range of motion. However, global range of motion is comparable between both groups.
format	article
author	Mohammed Ahmed Alhady Mohamed Hassan
author_facet	Mohammed Ahmed Alhady Mohamed Hassan
author_sort	Mohammed Ahmed Alhady
title	Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant
title_short	Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant
title_full	Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant
title_fullStr	Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant
title_full_unstemmed	Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant
title_sort	anterior cervical discectomy fusion: cervical peek cage vs dynamic cervical implant
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/0fba34a7bda3470fafbb62651d2cf8f4
work_keys_str_mv	AT mohammedahmedalhady anteriorcervicaldiscectomyfusioncervicalpeekcagevsdynamiccervicalimplant AT mohamedhassan anteriorcervicaldiscectomyfusioncervicalpeekcagevsdynamiccervicalimplant
_version_	1718387409994907648

Anterior Cervical Discectomy fusion: Cervical PEEK Cage vs Dynamic Cervical Implant

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