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2013, Number 4

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Cir Cir 2013; 81 (4)

The PEEK cage using in the cervical spondylosis treatment

Joachin-Hernández P, Alpizar-Aguirre A, Zárate-Kalfopulus B, Rosales-Olivares LM, Sánchez-Bringas G, Reyes-Sánchez AA

Language: Spanish
References: 32
Page: 307-311
PDF size: 296.88 Kb.


ABSTRACT

Background: Decompression and fusion with autograft is the gold standard technique in the treatment of cervical canal strait. Using PEEK cages or boxes non absorbable polymer with elasticity similar to bone, radiolucent, reduces morbidity and same degree of fusion.
Methods: A case series, prospective, longitudinal, deliberate intervention, evaluation panel before and after 2 years follow-up. Discectomy and PEEK housing placement with autologous graft. Arthrodesis were evaluated, cervical lordosis, intervertebral space height, pain evaluated with Visual Analogue Scale, Neck Disability Index, operative time, intraoperative bleeding, hospital stay and complications. Statistical analysis with t Sudent, Wilcoxon and Fisher’s exact.
Results: Of 17 patients studied, 9 (53%) were female. Average age 62 years. The most affected level was C5-6, C6-7 with 5 patients. Melting found 100%. No sag nor migration of the box, conserved space height, but not retained segmental lordosis. Clinical improvement in all patients as well as disability index. Bleeding average of 187 ml.
Conclusion: With regard to symptom improvement, conservation interspace height and back, no segmental lordosis conservation and fusion using PEEK box is consistent with the bibliography. We suggest using anterior plate to maintain cervical lordosis. We found a melt index of 100%. We found clinical improvement of symptoms, pain and disability. Loss of cervical lordosis global.


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