A new stand-alone cage for cervical fusion Technique and early results

Background Data: After discectomy and anterior decompression, an intervertebral spacer is always necessary to promote fusion and to reconstruct cervical lordosis. The use of stand-alone cages is going to avoid the problems of graft donor site morbidity as well as the complications of the anterior i...

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Autor principal: Yasser Allam
Formato: article
Lenguaje:EN
Publicado: Egyptian Spine Association 2014
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Acceso en línea:https://doaj.org/article/18cb6eb7bcae4a9aa557fd56f3cc848b
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spelling oai:doaj.org-article:18cb6eb7bcae4a9aa557fd56f3cc848b2021-12-02T00:13:27ZA new stand-alone cage for cervical fusion Technique and early resultsDOI:10.21608/ESJ.2014.38652314-89502314-8969https://doaj.org/article/18cb6eb7bcae4a9aa557fd56f3cc848b2014-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3865.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: After discectomy and anterior decompression, an intervertebral spacer is always necessary to promote fusion and to reconstruct cervical lordosis. The use of stand-alone cages is going to avoid the problems of graft donor site morbidity as well as the complications of the anterior instrumentation Purpose: The aim of this study is to present an intervertebral spacer that will provide the cervical spine with mechanical stability without the need for anterior instrumentation as well as a high fusion rate without the use of iliac bone graft. Study Design: Technical report Patients and Methods: The material of this study consisted of 50 patients with cervical radiculopathy. The mean age was 58.3 years. 55% of the patients were females. Patients were assessed pre-operatively and post-operatively using the Neck Disability Index (NDI) and the Visual Analogue Scale (VAS) for neck and arm pain. Fusion at the end of follow up was detected using X-Ray and multislice CT scans. Results: The mean operative time per level was 60 minutes. The average blood loss was 100 ml. There were no intraoperative complications. Preoperatively, the VAS neck was 6.8, VAS arm was 7.3 and NDI was 69. At the end of follow up the VAS neck improved to 3.7, VAS arm to 3.1 and NDI to 26. Fusion occurred in 98% and cage subsidence was observed in 8% of patients. Conclusion: In comparison to other intervertebral cervical spacers, we think that we are going to achieve good clinical results with improved fusion rate. (2014ESJ060)Yasser AllamEgyptian Spine AssociationarticleACDFstand-aloneTitanium cagesfusionsubsidenceNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 9, Iss 1, Pp 12-18 (2014)
institution DOAJ
collection DOAJ
language EN
topic ACDF
stand-alone
Titanium cages
fusion
subsidence
Neurology. Diseases of the nervous system
RC346-429
spellingShingle ACDF
stand-alone
Titanium cages
fusion
subsidence
Neurology. Diseases of the nervous system
RC346-429
Yasser Allam
A new stand-alone cage for cervical fusion Technique and early results
description Background Data: After discectomy and anterior decompression, an intervertebral spacer is always necessary to promote fusion and to reconstruct cervical lordosis. The use of stand-alone cages is going to avoid the problems of graft donor site morbidity as well as the complications of the anterior instrumentation Purpose: The aim of this study is to present an intervertebral spacer that will provide the cervical spine with mechanical stability without the need for anterior instrumentation as well as a high fusion rate without the use of iliac bone graft. Study Design: Technical report Patients and Methods: The material of this study consisted of 50 patients with cervical radiculopathy. The mean age was 58.3 years. 55% of the patients were females. Patients were assessed pre-operatively and post-operatively using the Neck Disability Index (NDI) and the Visual Analogue Scale (VAS) for neck and arm pain. Fusion at the end of follow up was detected using X-Ray and multislice CT scans. Results: The mean operative time per level was 60 minutes. The average blood loss was 100 ml. There were no intraoperative complications. Preoperatively, the VAS neck was 6.8, VAS arm was 7.3 and NDI was 69. At the end of follow up the VAS neck improved to 3.7, VAS arm to 3.1 and NDI to 26. Fusion occurred in 98% and cage subsidence was observed in 8% of patients. Conclusion: In comparison to other intervertebral cervical spacers, we think that we are going to achieve good clinical results with improved fusion rate. (2014ESJ060)
format article
author Yasser Allam
author_facet Yasser Allam
author_sort Yasser Allam
title A new stand-alone cage for cervical fusion Technique and early results
title_short A new stand-alone cage for cervical fusion Technique and early results
title_full A new stand-alone cage for cervical fusion Technique and early results
title_fullStr A new stand-alone cage for cervical fusion Technique and early results
title_full_unstemmed A new stand-alone cage for cervical fusion Technique and early results
title_sort new stand-alone cage for cervical fusion technique and early results
publisher Egyptian Spine Association
publishDate 2014
url https://doaj.org/article/18cb6eb7bcae4a9aa557fd56f3cc848b
work_keys_str_mv AT yasserallam anewstandalonecageforcervicalfusiontechniqueandearlyresults
AT yasserallam newstandalonecageforcervicalfusiontechniqueandearlyresults
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