Evidence map›Paper›PMID 31440623›Full record

ArticleSpine surgery and related research2017

ACDF with a PEEK cage clinically provides a good outcome with minor donor site morbidity despite unsatisfactory radiological findings-A prospective cohort study of a PEEK cage in stand-alone usage.

Koichiro Okuyama, Naohisa Miyakoshi, Hiroshi Sasaki, Tadato Kido, Yoichi Shimada

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Article in Spine surgery and related research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Koichiro OkuyamaDepartment of Orthopedic Surgery, Akita Rosai Hospital, Akita City, Japan.
Naohisa MiyakoshiDepartment of Orthopedic Surgery, Akita University School of Medicine, Akita City, Japan.
Hiroshi SasakiDepartment of Orthopedic Surgery, Akita Rosai Hospital, Akita City, Japan.
Tadato KidoDepartment of Orthopedic Surgery, Akita Rosai Hospital, Akita City, Japan.
Yoichi ShimadaDepartment of Orthopedic Surgery, Akita University School of Medicine, Akita City, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA prospective cohort study was conducted on patients with anterior cervical decompression and fusion (ACDF) with a polyetheretherketone cage (PEEKc).

backgroundAdvantages of a PEEKc have been proposed in the study. However, benefits of using a PEEKc in ACDF are still controversial.

objectiveTo investigate the advantages of a PEEKc in ACDF. MATERIALS AND

methodsA total of 27 patients was enrolled in the study. The mean age of patients was 55±10 years (mean±standard deviation). The mean duration of symptoms was 17±21 months. Surgery was conducted at C3/4 in 1, C4/5 in 3, C5/6 in 11, C6/7 in 9, C7/T1 in 2, and C5/6/7 in 1 patient. The mean follow-up period was 2.1±1.3 years. Clinical outcomes were analyzed by the Japanese Orthopedic Association Scores (JOA scores) and its recovery rate. Perioperative complications were also investigated. Radiologically, studies were conducted on interbody lordotic angle (IBLA), interbody height (IBH), and bone fusion rates.

resultsThe JOA score was 14.7±1.4 preoperatively and 16.3±1.3 at the final follow-up. A significant improvement was observed (p<0.05). The mean recovery rate of JOA scores was 74.0±25.0%. The preoperative IBLA was 0.5±6.1°. The mean IBLA at the final follow-up was 1.9±5.6°. The preoperative IBH was 34.2±3.5 mm. The mean IBH at the final follow-up was 34.3±3.5 mm. No significant improvement in IBLA and IBH was observed. A complete union rate at 1 year and 2.3 years (range, 2.0-6.0) after surgery was 29% (8/28 segments) and 61% (11/18 segments). No major complications were observed.

conclusionsDespite an unsatisfactory bone union rate and no significant improvement in IBLA and IBH at the final follow-up, ACDF with a PEEKc clinically provided a stable outcome with less surgical invasion and minor donor-site morbidity.

Indexed as

Anterior Cervical Decompression and FusionPolyetheretherketone CageSagittal AlignmentStand Alone Usage

Identifiers

PMID31440623
PMCPMC6698491

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