zaghloul, A., Eltantawy,, M., A.Arab, A. (2022). Evaluation of Bone Fusion and Clinical Outcome of a Stand-Alone Polyether Ether Ketone Cage Filled with Biphasic Calcium Phosphate Used in One Level Anterior Cervical Discectomy and Fusion. test, 28(6), 1505-1513. doi: 10.21608/zumj.2020.44417.1957
Ashraf El Desouky zaghloul; Mohammed Hammad Eltantawy,; Ahmed A.Arab. "Evaluation of Bone Fusion and Clinical Outcome of a Stand-Alone Polyether Ether Ketone Cage Filled with Biphasic Calcium Phosphate Used in One Level Anterior Cervical Discectomy and Fusion". test, 28, 6, 2022, 1505-1513. doi: 10.21608/zumj.2020.44417.1957
zaghloul, A., Eltantawy,, M., A.Arab, A. (2022). 'Evaluation of Bone Fusion and Clinical Outcome of a Stand-Alone Polyether Ether Ketone Cage Filled with Biphasic Calcium Phosphate Used in One Level Anterior Cervical Discectomy and Fusion', test, 28(6), pp. 1505-1513. doi: 10.21608/zumj.2020.44417.1957
zaghloul, A., Eltantawy,, M., A.Arab, A. Evaluation of Bone Fusion and Clinical Outcome of a Stand-Alone Polyether Ether Ketone Cage Filled with Biphasic Calcium Phosphate Used in One Level Anterior Cervical Discectomy and Fusion. test, 2022; 28(6): 1505-1513. doi: 10.21608/zumj.2020.44417.1957

Evaluation of Bone Fusion and Clinical Outcome of a Stand-Alone Polyether Ether Ketone Cage Filled with Biphasic Calcium Phosphate Used in One Level Anterior Cervical Discectomy and Fusion

Zagazig University Medical Journal
Article 36, Volume 28, Issue 6, November 2022, Pages 1505-1513    PDF (442.48 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.44417.1957
Authors
Ashraf El Desouky zaghloul* 1; Mohammed Hammad Eltantawy,2; Ahmed A.Arab3
1Neurosurgery Department , Benha Faculty of Medicine, Benha University ,Egypt
2Neurosurgery Department, Benha Faculty of Medicine, Benha University,enha city, Egypt
3Neurosurgery Department, Benha Faculty of Medicine, Benha University,Benha city, Egypt
Abstract
ABSTRACT
Background; Although autologous bone grafts harvested from iliac crest were used since the early days of ACDF, they caused donor site morbidities. PEEK cages used in cervical spine surgeries on a wide scale with controversy of their filling material.
This study is to evaluate bone fusion and clinical outcome of one level ACDF using stand-alone PEEK cage filled with Biphasic Calcium Phosphate granules in treatment of degenerative CDD
Methods: A prospective study, where patients with single level degenerative CDD, underwent ACDF using our technique from April 2017 to April 2019 with one year follow up. Preoperative and one-year postoperative Visual Analog Scale (VAS) for neck pain and arm pain assessed. One-year postoperative Odom clinical outcome scoring system, Patient Satisfaction Index (PSI) and bone fusion assessed. Bone fusion considered successful if bridging bone incorporating graft and adjoining vertebral endplates was apparent.
Results: 19 patients included, 14 female patients (73.68%) and 5 male patients (26.32%). The preoperative mean VAS for neck pain and arm pain improved from 7.37±1.74 and7.96 ±1.24 to 2.95±1.27 and 2.21 ±1.01 respectively. This difference found statistically significant. According to Odom scoring system, 15 patients (78.95%) had excellent outcome and 4 patients (21.05%) had good outcome and by using PSI, 16 patients (84.21%) were grade 1 and 3 patients (15.79%) were grade 2. 17 patients (89.47 %) showed bone fusion, while 2 patients (10.53 %) showed non-union.
Conclusion: we found our technique safe and effective alternative with bone fusion and clinical outcome comparable to those of other options.
Keywords
Anterior cervical discectomy; PEEK cage; Biphasic calcium phosphate
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