TITLE:
Four Levels Anterior Cervical Discectomy and Fusion by Stand Alone PEEK Cages
AUTHORS:
Islam Alaghory, Hany Abdel Gawwad Soliman, Saeed Mostafa Abdelhameed
KEYWORDS:
Four Levels Cervical Disc, Peek Cage Fusion, Cervical Spondylotic Myelopathy
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.8 No.2,
April
11,
2018
ABSTRACT: Background: cervical spondylotic myelopathy is a common health problem that neurosurgeons
face in Egypt. The aim of this study is to evaluate the efficacy of PEEK cage
only in 4 levels anterior cervical discectomy as one of surgical option other
than anterior cervical corpectomy, fixation by plat or posterior approach for
cervical laminectomy, and assessment of post spinal surgery pain. Methods:
this prospective study on 28 patients with cervical spondylotic myelopathy (CSM)
over a period of 3 years (between April 2012 and April 2015) with mean period
of follow up 30 months. We have done anterior cervical discectomy with fixation
by cage only for all cases with perioperative assessment and scoring clinically
and radiologically (Japanese Orthopaedic Association [JOA] scores, Visual
Analogue Scale [VAS] scores for assessment of neck and arm pain, perioperative
parameters (hospital stay, blood loss, operative time), the European Myelopathy
Scoring (EMS) and Odom’s criteria, and the incidence of complication,post
spinal surgery pain assessment). Results: clinical outcome was excellent
(28.55), good (50%) and fair (21.5) according to Odom criteria. The European
Myelopathy Scoring (EMS), improved from 10 to 16. The mean JOA score improved
from 10.1 ± 2.1 to 14.2 ± 2.3. Fusion failure had been seen in 4 patients in
one level for each secondary to anterior displacement of the cage with no other
major complications. Conclusion: 4 levels anterior cervical discectomy with
PEEK cage only is an effective, save and less costly with less post operative
complication and hospital stay and less post spinal surgery pain.