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Retrospective evaluation of cervical fusion with DTRAX (R) cervical cage
Hamed Yazdanshenas1,2,3,4,5, Ethan Osias1,3, Richard Hwang1
1Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
Journal of Craniovertebral Junction & Spine
|April 7, 2022
Summary
The DTRAX facet system shows promise as a safe and effective minimally invasive treatment for cervical radiculopathy. This study found no complications or reoperations, with most patients experiencing symptom improvement after receiving the DTRAX implant.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Minimally Invasive Procedures
Background:
- Cervical radiculopathy is common, often affecting individuals in their 5th decade.
- Conservative treatments are typical, but surgical intervention is an option when conservative methods fail.
- Anterior cervical discectomy and fusion is the current gold standard, but minimally invasive alternatives are being explored.
Purpose of the Study:
- To investigate the safety and efficacy of the DTRAX facet system for treating cervical radiculopathy.
- To evaluate outcomes of the DTRAX facet system as a potential alternative to traditional surgical methods.
- To compare outcomes between single and multi-level DTRAX operations.
Main Methods:
- Retrospective analysis of 14 patients who underwent posterior cervical fusion with the DTRAX spinal implant.
- Patient data collected via chart review from electronic medical records.
- Data analysis performed using Microsoft Excel.
Main Results:
- No immediate postoperative complications were observed in the 14 patients.
- Of 13 patients with follow-up data (mean 273 days), 12 reported symptom improvement.
- No device failures or reoperations were required; outcomes were similar for single and multi-level procedures.
Conclusions:
- The DTRAX facet system appears to be safe and effective for treating cervical radiculopathy, supporting previous findings.
- This study is the first to report no difference in outcomes between single and multi-level DTRAX operations.
- Further research with larger patient cohorts is recommended to confirm safety and efficacy across diverse clinical scenarios.
