Cirugía y Cirujanos

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirugía y Cirujanos >Year 2013, Issue 4

Joachin-Hernández P, Alpizar-Aguirre A, Zárate-Kalfopulus B, Rosales-Olivares LM, Sánchez-Bringas G, Reyes-Sánchez AA
The PEEK cage using in the cervical spondylosis treatment
Cir Cir 2013; 81 (4)

Language: Español
References: 32
Page: 307-311
PDF: 296.88 Kb.

[Full text - PDF]


Background: Decompression and fusion with autograft is the gold standard technique in the treatment of cervical canal strait. Using PEEK cages or boxes non absorbable polymer with elasticity similar to bone, radiolucent, reduces morbidity and same degree of fusion.
Methods: A case series, prospective, longitudinal, deliberate intervention, evaluation panel before and after 2 years follow-up. Discectomy and PEEK housing placement with autologous graft. Arthrodesis were evaluated, cervical lordosis, intervertebral space height, pain evaluated with Visual Analogue Scale, Neck Disability Index, operative time, intraoperative bleeding, hospital stay and complications. Statistical analysis with t Sudent, Wilcoxon and Fisher’s exact.
Results: Of 17 patients studied, 9 (53%) were female. Average age 62 years. The most affected level was C5-6, C6-7 with 5 patients. Melting found 100%. No sag nor migration of the box, conserved space height, but not retained segmental lordosis. Clinical improvement in all patients as well as disability index. Bleeding average of 187 ml.
Conclusion: With regard to symptom improvement, conservation interspace height and back, no segmental lordosis conservation and fusion using PEEK box is consistent with the bibliography. We suggest using anterior plate to maintain cervical lordosis. We found a melt index of 100%. We found clinical improvement of symptoms, pain and disability. Loss of cervical lordosis global.

Key words: anterior cervical spine surgery, polyether-etherketone, discectomy fusion.


  1. Patil PG, Turner DA, Pietrobon R. National Trends in Surgical Procedures for Degenerative Cervical Spine Disease: 1990-2000. Neurosurgery 2005;57:753-758.

  2. Fountas KN, Kapsalaki EZ, Nikolakakos LG, Smisson HF, Johnston KW, Grigorian AA, et al. Anterior Cervical Discectomy and Fusion Associated Complications. Spine 2007;32:2310-2317.

  3. Cloward HB. The anterior approach for removal of ruptured cervical disks. J Neurosurg Spine 2007;6:496-511.

  4. Simmons EH. Anterior cervical discectomy and fusion. Proc R Soc Med 1970;63:897-898.

  5. Bailey RW, Badgley CE. Stabilization of the cervical spine by anterior fusion. J Bone Joint Surg Am 1960;42-A:565-594.

  6. Maurice-Williams RS, Dorward NL. Extended anterior cervical discectomy without fusion: a simple and sufficient operation for most cases of cervical degenerative disease. Br J Neurosurg 1996;10:261- 266.

  7. Watters WC 3rd, Levinthal R. Anterior cervical discectomy with and without fusion. Results, complications, and long-term follow-up. Spine 1994;19:2343-2347.

  8. De Palma AF, Cooke AJ. Results of Anterior Interbody Fusion of the Cervical Spine. Clin Orthop Relat Res 1968;60:169-186.

  9. Clarke E, Robinson PK. Cervical myelopathy: A complication of cervical spondylosis. Brain 1956;79:483-510.

  10. Sadasivan KK, Reddy RP, Albright JA. The natural history of cervical spondylotic myelopathy. Yale J Biol Med 1993;66:235-242.

  11. Schnee CL, Freese A, Weil RJ, Marcotte PJ. Analysis of Harvest Morbidity and Radiographic Outcome Using Autograft for Anterior Cervical Fusion. Spine 1997;22:2222-2227.

  12. Zdeblick TA, Phillips FM. Interbody Cage Devices. Spine 2003;28(15 Suppl):S2-S7.

  13. Shamji MF, Cook C, Pietrobon R, Tackett S, Brown C, Isaacs RE. Impact of surgical approach on complications and resource utilization of cervical spine fusion: a nationwide perspective to the surgical treatment of diffuse cervical spondylosis. Spine J 2009;9:31-38.

  14. Vaccaro AR, Chiba K, Heller JG, Patel TC, Thalgott JS, Truumees E, et al. Bone grafting alternatives in spinal surgery. Spine J 2002;2:206-215.

  15. Majd ME, Vadhva M, Holt RT. Anterior Cervical Reconstruction Using Titanium Cages With Anterior Plating. Spine 1999;24:1604-1610.

  16. Jacobs W, Anderson PG, van Limbeek J, Willems PC, Pavlov P, Bartels P. Single or double-level anterior interbody fusion techniques for cervical degenerative disc disease. Intervention Review. Cochrane Database Syst Rev 2011;19:CD004958.

  17. Brooke NSR, Rorke AW, King AT, Gullan RW. Preliminary experience of carbon fibre cage prostheses for treatment of cervical spine disorders. Br J Neurosurg 1997;11:221-227.

  18. Song KJ, Choi BW, Kim GH. Usefulness of polyeteheretherketone cage wit plate augmentation for anterior artrhodesis in traumatic cervical spine injury. Spine J 2010;10:50-57.

  19. Wilke HJ, Kettler A, Goetz C, Claes L. Subsidence Resulting From Simulated Postoperative Neck Movements: An In Vitro Investigation With a New Cervical Fusion Cage. Spine 2000;25:2762-2770.

  20. Vadapalli S, Sairyo K, Goel VK, Robon L, Biyani M, Khandha A, et al. Biomechanical rationale for using polyetherketone spacer for lumbar interbody fusion a infinite element. Spine 2006;31:E992-998.

  21. Samartzis D, Shen FH, Lyon C, Phillips M, Goldberg EJ, An HS. Does rigid instrumentation increase the fusion rate in one-level anterior cervical discectomy and fusion? Spine J 2004;4:636-643.

  22. Fraser JF, Härtl R. Anterior approaches to fusion of the cervical spine: a metaanalysis of fusion rates. J Neurosurg Spine 2007;6:298- 303.

  23. Wang JC, McDonough PW, Endow KK, Delamarter RB. Increased Fusion Rates With Cervical Plating for Two-Level Anterior Cervical Discectomy and Fusion. Spine 2000;25:41-45.

  24. Cho DY, Lee WY, Sheu PC. Treatment of multilevel cervical fusion with cages. Surg Neurol 2004;62:378-385.

  25. Zoëga B, Kärrholm J, Lind B. Plate fixation adds stability to twolevel anterior fusion in the cervical spine: a randomized study using radiostereometry. Eur Spine J 1998;7:302-307.

  26. Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH. Radiculopathy and Myelopathy at Segments Adjacent to the Site of a Previous Anterior Cervical Arthrodesis. J Bone Joint Surg 1999;81:519-528.

  27. Bagby GW. Arthrodesis by the distraction-compression method using a stainless steel implant. Orthopedics 1988;11:931-934.

  28. Boakye M, Mummaneni PV, Garrett M, Rodts G, Haid D. Anterior cervical discectomy and fusion involving a polyetheretherketone spacer and bone morphogenetic protein. J Neurosurg Spine 2005;2:521-525.

  29. Niu CC, Liao JC, Chen WJ, Chen LJ. Outcomes of Interbody Fusión Cages Used in 1 and 2-levels Anterior Cervical Disectomy and Fusión: Titanium Cages Versus Polytheretherketone (PEEK) Cages. J Spinal Disord Tech 2010;23:310-316.

  30. Ishihara H, Kanamori M, Kawaguchi Y, Nakamura H, Kimura T. Adjacent segment disease after anterior cervical interbody fusion. Spine J 2004;4:624-628.

  31. Nabhan A, Steudel WI, Nabhan A, Pape D, Ishak B. Segmental Kinematics and Adjacent Level Degeneration Following Disc Replacement versus Fusion: RCT with Three Years of Follow-Up. J Long Term Eff Med Implants 2007:17:229-236.

  32. Hwang SL, Hwang YF, Lieu AS, Lin CL, Kuo TH, Sun YF, et al. Outcome Analyses of Interbody Titanium Cage Fusion Used in the Anterior Discectomy for Cervical Degenerative Disc Disease. J Spinal Disord Tech 2005;18:326-331.

>Journals >Cirugía y Cirujanos >Year 2013, Issue 4

· Journal Index 
· Links 
Copyright 2010