Document Detail


Polyetheretherketone (PEEK) Rods in Lumbar Spine Degenerative Disease: A Case Series.
MedLine Citation:
PMID:  23075859     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
STUDY DESIGN:: Retrospective Case Series. OBJECTIVE:: The purpose of our study was to retrospectively review the results of posterior lumbar fusion using PEEK rods. SUMMARY OF BACKGROUND DATA:: Pedicle screw and rod instrumentation has become the preferred technique for performing stabilization and fusion in the lumbar spine for degenerative disease. Rigid fixation with titanium (Ti) rods leads to high fusion rates but may also contribute to stress shielding and adjacent segment degeneration (ASD). Thus, some have advocated using semirigid rods made of polyetherether ketone (PEEK). Although the biomechanical properties of PEEK rods have shown improved stress shielding characteristics and anterior load sharing properties, there are very few clinical studies evaluating their application in the lumbar spine. METHODS:: We evaluated a retrospective cohort of 42 patients who underwent posterior lumbar fusion from 2007 to 2009 for the treatment of lumbar spine degenerative disease using PEEK rods. Reoperation rate was the primary outcome evaluated. Fusion rate was also evaluated. RESULTS:: 8 of the 42 patients with PEEK rods required reoperation. Reasons for reoperation mainly included ASD (5/8) and non-union with cage migration (3/8). Radiographically documented fusion rate was 86%. Mean follow up was 31.4 months. No statistical differences were found in fusion rates or reoperation between age over 55 and younger than 55 (P=1.00), male and female (P=0.110), single or multilevel fusion (P=0.67), and fusion with and without and interbody graft (P=0.69). Smokers showed a trend towards increased risk of reoperation for ASD or instrumentation failure (P=0.056). CONCLUSIONS:: PEEK rods demonstrate a similar fusion and reoperation rate in comparison with other instrumentation modalities in the treatment of degenerative lumbar spine disease.
Authors:
David Ryan Ormond; Ladislau Albert; Kaushik Das
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-16
Journal Detail:
Title:  Journal of spinal disorders & techniques     Volume:  -     ISSN:  1539-2465     ISO Abbreviation:  J Spinal Disord Tech     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140323     Medline TA:  J Spinal Disord Tech     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, New York Medical College, Valhalla NY 10595.
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