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Radiographic PEEK double-lucency finding after anterior cervical discectomy and fusion with local autograft and PEEK spacer: a preliminary study.
MedLine Citation:
PMID:  22195610     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Anterior cervical discectomy and fusion (ACDF) is considered a standard neurosurgical treatment for cervical degenerative disc disease, but the methods for determining fusion after ACDF that involves the use of a polyetheretherketone (PEEK) cage are not well defined. The authors examine an image finding called "PEEK double lucency" that may be useful in identifying fusion. This finding was studied to determine if it would be helpful in identifying fusion on radiographs obtained in 148 patients who underwent an ACDF in which a PEEK cage was filled with local autograft bone (bone spurs in the present cases). The presence of a PEEK double lucency was discovered during review of the plain radiographs and defined as a complete radiolucent ring around the titanium markers within the PEEK cage. In total, 178 spinal levels were examined. Of the 356 (2 for each of the 178 levels) titanium portions examined, the PEEK double lucency was present in 323 or 91% of the titanium portions of the PEEK cages for the patients with complete fusion. The authors conclude that the radiolucent feature of the PEEK cage, which produces the image finding PEEK double lucency, aids in the determination of fusion.
Authors:
Leslie C Hellbusch; Wendy J Spangler; Alexis Bowder
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-23
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  -     ISSN:  1547-5646     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Surgery (Neurosurgery), Nebraska Medical Center, Omaha, Nebraska.
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