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Single-Level Anterior Cervical Discectomy and Interbody Fusion: A Comparison between Porous Tantalum and Polyetheretherketone Cages.
Mazzucchi, Edoardo; La Rocca, Giuseppe; Perna, Andrea; Pignotti, Fabrizio; Galieri, Gianluca; De Santis, Vincenzo; Rinaldi, Pierluigi; Tamburrelli, Francesco Ciro; Sabatino, Giovanni.
Afiliación
  • Mazzucchi E; Department of Neurosurgery, Mater Olbia Hospital, 07026 Olbia, Italy.
  • La Rocca G; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, 00168 Rome, Italy.
  • Perna A; Department of Neurosurgery, Mater Olbia Hospital, 07026 Olbia, Italy.
  • Pignotti F; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, 00168 Rome, Italy.
  • Galieri G; Department of Orthopedics, Mater Olbia Hospital, 07026 Olbia, Italy.
  • De Santis V; Institute of Orthopedics, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, 00168 Rome, Italy.
  • Rinaldi P; Department of Neurosurgery, Mater Olbia Hospital, 07026 Olbia, Italy.
  • Tamburrelli FC; Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, 00168 Rome, Italy.
  • Sabatino G; Department of Neurosurgery, Mater Olbia Hospital, 07026 Olbia, Italy.
J Pers Med ; 12(6)2022 Jun 17.
Article en En | MEDLINE | ID: mdl-35743770
Background: Anterior cervical discectomy and interbody fusion (ACDF) may be performed with different kinds of stand-alone cages. Tantalum and polyetheretherketone (PEEK) are two of the most commonly used materials in this procedure. Few comparisons between different stand-alone implants for ACDF have been reported in the literature. Methods: We performed a comparison between patients who underwent ACDF with either a porous tantalum or a PEEK stand-alone cage, in two spine surgery units for single-level disc herniation. Clinical outcome [Neck Disability Index (NDI), Visual Analog Scale (VAS) for pain, Short Form-36 (SF-36)] and radiological outcome (lordosis, fusion and subsidence) were measured before surgery and at least one year after surgery in both groups. Results: Thirty-eight patients underwent ACDF with a porous tantalum cage, and thirty-one with a PEEK cage. The improvement of NDI and SF-36 was significantly superior in the PEEK group (p = 0.002 and p = 0.049 respectively). Moreover, the variation of the Cobb angle for the cervical spine was significantly higher in the PEEK group (p < 0.001). Conclusions: In a retrospective analysis of two groups of patients with at least one year of follow-up, a stand-alone PEEK cage showed superior clinical results, with improved cervical lordosis, compared to a stand-alone porous tantalum cage. Further studies are needed to confirm these data.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pers Med Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pers Med Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza