| Peek cage-assisted anterior cervical discectomy and fusion at four levels: clinical and radiographic results. | |
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MedLine Citation:
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PMID: 18500216 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: The aim of this retrospective clinical and radiographic study was to provide follow-up data on the surgical success and patient outcome of polyetheretherketone (PEEK) cage-assisted anterior cervical discectomy and fusion (ACDF) at four levels. The literature on four-level ACDF is scanty, and the reported series are not enterely comparable because of differences in patient characteristics, types of spinal arthrodesis, and methods for quantitating outcome. METHODS: During the period between January 2003 and January 2005 10 patients (3 males and 7 females, with a mean age of 54.9 years) suffering from cervical myeloradiculopathy due to compressive spondylosys from C3-C4 to C6-C7 underwent PEEK cage-assisted ACDF at four levels. RESULTS: No intra- or postoperative complications were noted. The follow-up period ranged from 12 to 24 months (mean 15.8 months). The NCSS score was 9.2+/-1.48 preoperatively and 12.7+/-0.67 at follow-up examination (P<0.05). Preoperatively, the curvature, range of motion (ROM), and height of the foramina of the cervical spine were 16.9+/-5.84 degrees , 27.6+/-3.5 degrees , and 8.1+/-2.33 mm respectively, whereas at follow-up evaluation they were 19.5+/-7.03 degrees (P>0.05), 22.2+/-3.43 degrees (P<0.05), and 10.6+/-1.71 mm (P<0.05) respectively. None of the patients showed pre- or postoperative cervical instability. The fusion rate was 97.5%. CONCLUSION: PEEK cage-assisted ACDF at four levels is an effective procedure for the treatment of patients with spondylotic compression of the spinal cord and/or nerve roots from C3-C4 to C6-C7. |
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Authors:
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A Bucciero; T Zorzi; G A Piscopo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neurosurgical sciences Volume: 52 ISSN: 0390-5616 ISO Abbreviation: J Neurosurg Sci Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-26 Completed Date: 2008-09-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0432557 Medline TA: J Neurosurg Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 37-40 Citation Subset: IM |
Affiliation:
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Division of Neurosurgery, Pineta Grande Hospital, Castel Volturno, Caserta, Italy. buccieroa@libero.it |
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| MeSH Terms | |
Descriptor/Qualifier:
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Arthrodesis Biocompatible Materials Diffusion Chambers, Culture Diskectomy / instrumentation*, methods* Female Follow-Up Studies Humans Intraoperative Complications Ketones Magnetic Resonance Imaging Male Middle Aged Polyethylene Glycols Postoperative Complications Range of Motion, Articular / physiology Spinal Cord / pathology Spinal Cord Compression / pathology, surgery Spinal Fusion / instrumentation*, methods* Spinal Nerve Roots / pathology, surgery Spinal Osteophytosis / surgery |
| Chemical | |
Reg. No./Substance:
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0/Biocompatible Materials; 0/Ketones; 0/Polyethylene Glycols; 31694-16-3/polyetheretherketone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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