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Cervical cage fusion with 5 different implants: 250 cases
1Department of Neurosurgery, Centre Hospitalier de Luxembourg, Luxembourg.
Acta Neurochirurgica
|July 12, 2002
Summary
Cervical interbody cage fusion effectively treats discogenic cervical disorders, simplifying surgery and reducing hospital stays. While excellent for pain and radiculopathy, outcomes for myelopathy were less favorable, with complications noted.
Area of Science:
- Orthopedic Surgery
- Spinal Fusion
- Biomaterials
Background:
- Anterior cervical fusion is standard for cervical spondylosis.
- Graft harvesting complications spurred cage technology development.
- This study evaluates cage fusion for discogenic cervical disorders.
Purpose of the Study:
- To assess the efficiency of interbody cage fusion in treating cervical disorders.
- To analyze outcomes in 250 consecutive cases over six years.
Main Methods:
- Retrospective analysis of 250 patients with cervical disorders.
- Utilized 5 different interbody cage types (titanium, PEEK).
- Cases involved degenerative discopathies, herniations, and failed back surgery.
Main Results:
- High success rates for neck pain (96%) and radiculopathy (97%).
- Lower success rate for myelopathy (60%).
- Complications included cage migration, subsidence, and adjacent level degeneration.
Conclusions:
- Interbody cage fusion simplifies anterior cervical fusion and is efficient.
- Eliminating graft harvesting reduces operating time and hospital stay.
- Cage fusion offers a viable alternative for specific cervical spine conditions.