Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experience
Background: In anterior cervical discectomy and fusion (ACDF), the two most frequently used materials are allografts and polyetheretherketone (PEEK) cages. The aim of the study was to compare the functional and radiological outcomes of polyetheretherketone (PEEK) cages with iliac crest allografts i...
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| Language: | English |
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Rawalpindi Medical University
2023-04-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2154 |
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| author | Soban Sarwar Gondal Saad Javed Ali Tasaaduq Hussain Minhas Rana Mohsin Khan Yasir Shehzad Nadeem Akhtar |
| author_facet | Soban Sarwar Gondal Saad Javed Ali Tasaaduq Hussain Minhas Rana Mohsin Khan Yasir Shehzad Nadeem Akhtar |
| author_sort | Soban Sarwar Gondal |
| collection | DOAJ |
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Background:
In anterior cervical discectomy and fusion (ACDF), the two most frequently used materials are allografts and polyetheretherketone (PEEK) cages. The aim of the study was to compare the functional and radiological outcomes of polyetheretherketone (PEEK) cages with iliac crest allografts in anterior cervical decompression and fusion (ACDF) in patients of symptomatic Cervical spondylotic myelopathy (CSM).
Methods:
In this cohort study, we included 70 (35 in each group) patients of symptomatic CSM having degenerative cervical disc disease who were planned for ACDF from Jan-2017 to Jan-2021 in Rawalpindi Medical University. All procedures were performed under general anesthesia in supine position, standard ACDF technique was used in all patients. Anterior cervical locked plates were used for fixation of PEEK cages or the iliac allografts in the inter-vertebral space. Radiologic and functional outcomes were determined till 6 months after surgery.
Results:
The baseline study characteristics were similar between the groups. Mean Modified Japanese Orthopaedic Association (MJOA) score at 06 months’ follow-up was same between the groups; 14.16±4.30 in group A and 13.54±3.24 in group B (p-value 0.49). Disc space height at 06 months’ follow-up was also similar between the groups; 10.01±0.67 mm in group A versus 10.11±0.70 mm in group B (p-value 0.54). Fusion rate at final follow-up was 31 (88.6%) in group A versus 30 (85.7%) in group B (p-value 0.72).
Conclusion:
PEEK cages have similar functional and radiologic outcomes in comparison to ileal crest allografts. So, PEEK cages can be used as a successful alternative to ileal crest allografts this will help to reduce donor site morbidity and will reduce longer surgical times associated with graft harvesting.
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| format | Article |
| id | doaj-art-e3ec5d57d89342cf9f5dd4da397a296f |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-e3ec5d57d89342cf9f5dd4da397a296f2025-02-06T08:44:02ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702023-04-0127110.37939/jrmc.v27i1.2154Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experienceSoban Sarwar GondalSaad JavedAli Tasaaduq Hussain MinhasRana Mohsin KhanYasir ShehzadNadeem Akhtar Background: In anterior cervical discectomy and fusion (ACDF), the two most frequently used materials are allografts and polyetheretherketone (PEEK) cages. The aim of the study was to compare the functional and radiological outcomes of polyetheretherketone (PEEK) cages with iliac crest allografts in anterior cervical decompression and fusion (ACDF) in patients of symptomatic Cervical spondylotic myelopathy (CSM). Methods: In this cohort study, we included 70 (35 in each group) patients of symptomatic CSM having degenerative cervical disc disease who were planned for ACDF from Jan-2017 to Jan-2021 in Rawalpindi Medical University. All procedures were performed under general anesthesia in supine position, standard ACDF technique was used in all patients. Anterior cervical locked plates were used for fixation of PEEK cages or the iliac allografts in the inter-vertebral space. Radiologic and functional outcomes were determined till 6 months after surgery. Results: The baseline study characteristics were similar between the groups. Mean Modified Japanese Orthopaedic Association (MJOA) score at 06 months’ follow-up was same between the groups; 14.16±4.30 in group A and 13.54±3.24 in group B (p-value 0.49). Disc space height at 06 months’ follow-up was also similar between the groups; 10.01±0.67 mm in group A versus 10.11±0.70 mm in group B (p-value 0.54). Fusion rate at final follow-up was 31 (88.6%) in group A versus 30 (85.7%) in group B (p-value 0.72). Conclusion: PEEK cages have similar functional and radiologic outcomes in comparison to ileal crest allografts. So, PEEK cages can be used as a successful alternative to ileal crest allografts this will help to reduce donor site morbidity and will reduce longer surgical times associated with graft harvesting. https://www.journalrmc.com/index.php/JRMC/article/view/2154Cervical spondylosis, compressive myelopathy, Allograft, Polyetheretherketone |
| spellingShingle | Soban Sarwar Gondal Saad Javed Ali Tasaaduq Hussain Minhas Rana Mohsin Khan Yasir Shehzad Nadeem Akhtar Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experience Journal of Rawalpindi Medical College Cervical spondylosis, compressive myelopathy, Allograft, Polyetheretherketone |
| title | Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experience |
| title_full | Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experience |
| title_fullStr | Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experience |
| title_full_unstemmed | Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experience |
| title_short | Comparison of Polyetheretherketone (PEEK) Cage versus Iliac Bone Graft undergoing Anterior Cervical Discectomy and Fusion (ACDF): A multicenter experience |
| title_sort | comparison of polyetheretherketone peek cage versus iliac bone graft undergoing anterior cervical discectomy and fusion acdf a multicenter experience |
| topic | Cervical spondylosis, compressive myelopathy, Allograft, Polyetheretherketone |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2154 |
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