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2017, Number 1

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Revista Cubana de Ortopedia y Traumatología 2017; 31 (1)

Evolution of polyetheretherketone (PEEK) boxes. Clinical and radiological study

Sánchez HR, Asenjo SJJ, Rodríguez-Macías MJ, García DI, Varillas DD, Javier MEE, García LF

Language: Spanish
References: 18
Page: 50-60
PDF size: 215.75 Kb.


ABSTRACT

Introduction: Cervical cases are implants developed as an alternative to the use of structural bone graft for anterior cervical fusion. The objective of this study was to analyze the clinical and radiological results in a series of patients submitted to anterior cervical dissectomy and decompression, to whom a PEEK box was implanted.
Method: A retrospective, descriptive, longitudinal study was conducted in a series of 78 patients included in the study from 2007 to 2013. Radiological control included anteroposterior and lateral radiographies. Clinical and radiological follow-up of these patients was carried out from 3 months to 12 months.
Results: 65 patients had a favorable clinical course (83.3%) and the radiological evolution confirmed that 66 patients (84.6%) had a good placement of the graft without lesions in adjacent spaces with a correct fusion.
Conclusions: To date there are few descriptive studies on the implantation of PEEK boxes. This paper results are in line with those published previously in this same field, which legitimate the presented work. This study confirms the good clinical and radiological results in patients who were implanted with a PEEK box; its effectiveness in anterior cervical discectomy and arthrodesis is shown.


REFERENCES

  1. Lied B, Roenning PA, Sundseth J, Helseth E. Anterior cervical discectomy with fusion in patients with cervical disc degeneration: a prospective outcome study of 258 patients (181 fused with autologous bone graft and 77 fused with a PEEK cage). BMC Surg. 2010;10:10.

  2. Desai N, Patel S, Nwosu C, Sung L, Tack C, Buscaglia JM, et al. Arteriojejunal fistula presenting with recurrent obscure GI hemorrhage in a patient with a failed pancreas allograft. Case Reports in Transplantation Volume 2013 (2013), Article ID 171807, 4 pages. http://dx.doi.org/10.1155/2013/171807

  3. Arts MP, Brand R, van den Akker E, Koes BW, Peul WC. The NEtherlands Cervical Kinematics (NECK) trial. Cost-effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in the treatment of cervical disc herniation; a double-blind randomised multicenter study. BMC Musculoskelet Disord. 2010;11:122.

  4. Dağlı M, Er U, Şimşek S, Bavbek M. Late results of anterior cervical discectomy and fusion with interbody cages. Asian Spine J. 2013;1:34-8.

  5. Toth JM, Wang M, Estes BT, Scifert JL, Seim HB III, Turner AS. Polyetheretherketone as a biomaterial for spinal applications. Biomaterials. 2006;27:324-34.

  6. Brantigan JW, Steffee AD, Lewis ML, Quinn LM, Persenaire JM. Lumbar interbody fusion using the Brantigan I/F cage for posterior lumbar interbody fusion and the variable pedicle screw placement system: two-year results from a Food and Drug Administration investigational device exemption clinical trial. Spine (Phila Pa 1976). 2000;25(11):1437-46.

  7. Chou YC, Chen DC, Hsieh WA, Chen WF, Yen PS, Harnod T, et al. Efficacy of anterior cervical fusion: comparison of titanium cages, polyetheretherketone (PEEK) cages and autogenous bone grafts. J Clin Neurosci .2008;15(11):1240-5.

  8. Cutler AR, Siddiqui S, Mohan AL, Hillard VH, Cerabona F, Das K. Comparison of polyetheretherketone cages with femoral cortical bone allograft as a single-piece interbody spacer in transforaminal lumbar interbody fusion. J Neurosurg Spine. 2006;5(6):534-9.

  9. Le TV, Baaj AA, Dakwar E, Burkett CJ, Murray G, Smith DA, et al. Subsidence of polyetheretherketone intervertebral cages in minimally invasive lateral retroperitoneal transpsoas lumbar interbody fusion. Spine. 2012;37(14):1268-73.

  10. Engelhardt A, Salzer M, Zeibig A, Locke H. Experiences with Al2O3 implantations in humans to bridge resection defects. J Biomed Mater Res. 1975;9:227-32.

  11. Smith GW, Robinson RA. The treatment of certain cervical spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg Am .1958;40:607-24.

  12. Cloward RB. The anterior approach for removal of ruptured cervical disks. J Neurosurg. Spine. 1958;6(5):496-511.

  13. Chan-Seng E, Perrin FE, Segnarbieux F, Lonjon N. Cervical spine injuries from diving accident: A 10-year retrospective descriptive study on 64 patients. Orthopaedics & Traumatology: Surgery & Research. 2013;99(3):607-13.

  14. Kurtza SM, Devinec JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 2007;28(32):4845-69.

  15. Godino Martínez O. Discectomía cervical anterior y artrodesis con caja intersomática de titanio: experiencia clínica con 272 casos. [tesis doctoral], Barcelona, Universidad Autónoma de Barcelona, 2010.

  16. Chen Y, Wang X, Lu X, Yang L, Yang H, Yuan W, et al. Comparison of titanium and polyetheretherketone (PEEK) cages in the surgical treatment of multilevel cervical spondylotic myelopathy: a prospective, randomized, control study with over 7-year follow-up. Eur Spine J. 2013;22(7 ):1539-46.

  17. Wang HR, Li XL, Dong J, Yuan FL, Zhou J. Skip-level anterior cervical discectomy and fusion with self-locking stand-alone PEEK cages for the treatment of 2 noncontiguous levels of cervical spondylosis. J Spinal Disord Tech. 2013;26(7):E286-92.

  18. Kersten RF, van Gaalen SM, de Gast A, Oner FC. Polyetheretherketone (PEEK) cages in cervical applications: a systematic review. Spine J. 2013;15:57.




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