Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?

Background Data: The use of anterior cervical discectomy and fusion (ACDF) is common in the surgical treatment of cervical myelopathy and radiculomyelopathy. Additional anterior plating is usually performed in multiple ACDF to overcome several possible complications. Purpose: To assess the safety a...

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Autores principales:	Ahmad Fouad, Wael Koptan, Yasser ElMiligui, Talaat ElHadidi, Mohammad El-Sharkawi
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	cervical disc disease PEEK cage anterior cervical discectomy anterior cervical fusion Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2f780613f17641e0814ac6c46e3654dd
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spelling	oai:doaj.org-article:2f780613f17641e0814ac6c46e3654dd2021-12-02T04:28:39ZMultiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?DOI:10.21608/ESJ.2012.37802314-89502314-8969https://doaj.org/article/2f780613f17641e0814ac6c46e3654dd2012-04-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3780.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: The use of anterior cervical discectomy and fusion (ACDF) is common in the surgical treatment of cervical myelopathy and radiculomyelopathy. Additional anterior plating is usually performed in multiple ACDF to overcome several possible complications. Purpose: To assess the safety and effectiveness of PEEK interbody fusion cages for the treatment of cervical disc disease and their application in multilevel surgery without anterior plating. Study Design: Prospective study. Patient Sample: Eight patients with cervical myelopathy and twelve with radiculomyelopathy; the study included fourteen females and six males and the mean age at surgery was 58.4±7.1 (range 50-69). Outcome Measures: Total blood loss and operative time were recorded. Clinical outcome was assessed by the JOA score and VAS. Fusion was assessed using plain radiographs. Methods: All patients had multiple levels ACDF using PEEK cages packed with autogenous bone graft obtained from the removed osteophytes. Results: Postoperatively, radiculopathy improved in all patients, whereas myelopathy improved in nineteen patients. After 12 months, fusion was achieved in 95% and cervical lordosis was restored. Neither cage extrusion nor symptomatic pseudarthrosis were observed. Conclusions: Stand-alone PEEK interbody cages are effective and reliable to increase segmental stability of the cervical spine and achieve excellent fusion rate even in multilevel disease without the need for anterior platting. (2012ESJ012) Ahmad FouadWael Koptan Yasser ElMiligui Talaat ElHadidiMohammad El-SharkawiEgyptian Spine Associationarticlecervical disc diseasePEEK cageanterior cervical discectomyanterior cervical fusionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 2, Iss 1, Pp 1-9 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	cervical disc disease PEEK cage anterior cervical discectomy anterior cervical fusion Neurology. Diseases of the nervous system RC346-429
spellingShingle	cervical disc disease PEEK cage anterior cervical discectomy anterior cervical fusion Neurology. Diseases of the nervous system RC346-429 Ahmad Fouad Wael Koptan Yasser ElMiligui Talaat ElHadidi Mohammad El-Sharkawi Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?
description	Background Data: The use of anterior cervical discectomy and fusion (ACDF) is common in the surgical treatment of cervical myelopathy and radiculomyelopathy. Additional anterior plating is usually performed in multiple ACDF to overcome several possible complications. Purpose: To assess the safety and effectiveness of PEEK interbody fusion cages for the treatment of cervical disc disease and their application in multilevel surgery without anterior plating. Study Design: Prospective study. Patient Sample: Eight patients with cervical myelopathy and twelve with radiculomyelopathy; the study included fourteen females and six males and the mean age at surgery was 58.4±7.1 (range 50-69). Outcome Measures: Total blood loss and operative time were recorded. Clinical outcome was assessed by the JOA score and VAS. Fusion was assessed using plain radiographs. Methods: All patients had multiple levels ACDF using PEEK cages packed with autogenous bone graft obtained from the removed osteophytes. Results: Postoperatively, radiculopathy improved in all patients, whereas myelopathy improved in nineteen patients. After 12 months, fusion was achieved in 95% and cervical lordosis was restored. Neither cage extrusion nor symptomatic pseudarthrosis were observed. Conclusions: Stand-alone PEEK interbody cages are effective and reliable to increase segmental stability of the cervical spine and achieve excellent fusion rate even in multilevel disease without the need for anterior platting. (2012ESJ012)
format	article
author	Ahmad Fouad Wael Koptan Yasser ElMiligui Talaat ElHadidi Mohammad El-Sharkawi
author_facet	Ahmad Fouad Wael Koptan Yasser ElMiligui Talaat ElHadidi Mohammad El-Sharkawi
author_sort	Ahmad Fouad
title	Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?
title_short	Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?
title_full	Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?
title_fullStr	Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?
title_full_unstemmed	Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?
title_sort	multiple-level anterior cervical discectomy and fusion using peek cages in cervical myelopathy. is anterior platting necessary?
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/2f780613f17641e0814ac6c46e3654dd
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Multiple-Level Anterior Cervical Discectomy and Fusion Using PEEK Cages in Cervical Myelopathy. Is Anterior Platting Necessary?

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