Elfiky, T., Elmansy, Y., Nafady, M., Lyimo, W. (2024). EVALUATION OF CERVICAL ENDPLATE CHANGES FOLLOWING ANTERIOR CERVICAL DISCECTOMY AND FUSION USING POLYETHERETHERKETONE CAGES BY COMPUTED TOMOGRAPHY .. test, 6(2), 43-44. doi: 10.21608/alexpo.2024.299030.1870
Tarek Anwar Elfiky; Yasser Mohammed Ehab Elmansy; Mahmoud El-Sayed Nafady; Walter Liberatus Lyimo. "EVALUATION OF CERVICAL ENDPLATE CHANGES FOLLOWING ANTERIOR CERVICAL DISCECTOMY AND FUSION USING POLYETHERETHERKETONE CAGES BY COMPUTED TOMOGRAPHY .". test, 6, 2, 2024, 43-44. doi: 10.21608/alexpo.2024.299030.1870
Elfiky, T., Elmansy, Y., Nafady, M., Lyimo, W. (2024). 'EVALUATION OF CERVICAL ENDPLATE CHANGES FOLLOWING ANTERIOR CERVICAL DISCECTOMY AND FUSION USING POLYETHERETHERKETONE CAGES BY COMPUTED TOMOGRAPHY .', test, 6(2), pp. 43-44. doi: 10.21608/alexpo.2024.299030.1870
Elfiky, T., Elmansy, Y., Nafady, M., Lyimo, W. EVALUATION OF CERVICAL ENDPLATE CHANGES FOLLOWING ANTERIOR CERVICAL DISCECTOMY AND FUSION USING POLYETHERETHERKETONE CAGES BY COMPUTED TOMOGRAPHY .. test, 2024; 6(2): 43-44. doi: 10.21608/alexpo.2024.299030.1870

EVALUATION OF CERVICAL ENDPLATE CHANGES FOLLOWING ANTERIOR CERVICAL DISCECTOMY AND FUSION USING POLYETHERETHERKETONE CAGES BY COMPUTED TOMOGRAPHY .

ALEXMED ePosters
Article 1, Volume 6, Issue 2, April 2024, Pages 43-44
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2024.299030.1870
Authors
Tarek Anwar Elfiky1; Yasser Mohammed Ehab Elmansy2; Mahmoud El-Sayed Nafady3; Walter Liberatus Lyimo* 3
1Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, University of Alexandria
2Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, University of Alexandria
3Department of Orthopaedic Surgery and Traumatology, Spine Unit, Faculty of Medicine, Alexandria University, Egypt
Abstract
ABSTRACT
Introduction: An anterior cervical discectomy and fusion (ACDF) is a surgical procedure for treating symptomatic cervical disc disorders (CDDs). It involves neural tissue decompression, removing disc material osteophytes and ossified ligaments, and stabilizing decompressed segments with cages. ACDF is indicated for disorders such as chronic cervical disc herniation, cervical spondylosis, cervical stenosis and cervical disc degeneration with radiculopathy or myelopathy. Different types of cages are available for ACDF, including Titanium (Ti) cages, Polyetheretherketone (PEEK) cages, and carbon fiber-reinforced polymer (CFRP) cages. PEEK cages are biocompatible, radiolucent and possess a modulus of elasticity similar to that of human cortical bone hence believed to improve fusion rates and allow for more accurate assessment with CT scan. However, PEEK cages can lead to complications such as cage subsidence, migration, adjacent segment disease, non-union, and kyphosis. There is insufficient evidence to support PEEK cages as the most effective interbody devices, and recent articles have shown adverse radiographic endplate changes when using PEEK cages, potentially resulting in nonunion.
Keywords
Anterior cervical discectomy and fusion (ACDF); PEEK; Polyetheretherketone
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