First Clinical Experience with a Carbon Fibre Reinforced PEEK Composite Plating System for Anterior Cervical Discectomy and Fusion.

Milavec, Helena; Kellner, Christoph; Ravikumar, Nivetha; Albers, Christoph E.; Lerch, Till; Hoppe, Sven; Deml, Moritz C.; Bigdon, Sebastian F.; Kumar, Naresh; Benneker, Lorin M. (2019). First Clinical Experience with a Carbon Fibre Reinforced PEEK Composite Plating System for Anterior Cervical Discectomy and Fusion. Journal of Functional Biomaterials, 10(3) MDPI 10.3390/jfb10030029

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Carbon fibre reinforced polyether ether ketone (CFR-PEEK) is a suitable material to replace metal implants in orthopaedic surgery. The radiolucency of CFR-PEEK allows an optimal visualisation of the bone and soft tissue structures. We aimed to assess the performance and radiological and clinical outcomes of anterior cervical discectomy and fusion (ACDF) with CFR-PEEK anterior cervical plating (ACP) under first use clinical conditions. We retrospectively studied the prospectively-collected data of 42 patients who underwent ACDF with CFR-PEEK ACP between 2011 and 2016. We assessed clinical outcome (Odom's criteria, complications) and radiological parameters (global and segmental cervical lordosis, Bridwell score for fusion, adjacent segment degeneration) preoperatively, immediately post-operatively, and after a 12-month follow-up period. Patients' satisfaction was excellent, good, fair, and poor in 12, 19, 3, and 1 patients, respectively. Two patients developed dysphagia. No hardware failure occurred. Compared with preoperative radiographs, we observed a gain of global cervical lordosis and segmental lordosis (7.4 ± 10.1 and 5.6 ± 7.1 degrees, respectively) at the 12-month follow-up. Bridwell IF grades I, II, and III were observed in 22, 6, and 7 patients, respectively. The 12-month adjacent segment degeneration-free and adjacent segment disease-free survival rates were 93.1% and 96.3%, respectively. We observed a dysphagia rate of 5.7% and a reoperation rate of 4.8%. In conclusion, CFR-PEEK ACP shows positive outcomes in terms of implant safety, restoration of cervical lordosis, and functional recovery, and is suitable for ACDF.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Milavec, Helena Maria; Albers, Christoph; Lerch, Till; Hoppe, Sven; Deml, Moritz Caspar; Bigdon, Sebastian and Benneker, Lorin Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2079-4983

Publisher:

MDPI

Language:

English

Submitter:

Kathrin Aeschlimann

Date Deposited:

29 Oct 2019 16:06

Last Modified:

29 Oct 2019 16:12

Publisher DOI:

10.3390/jfb10030029

PubMed ID:

31269693

Uncontrolled Keywords:

ACDF CFR-PEEK PEEK carbon cervical spine degenerative trauma tumour

BORIS DOI:

10.7892/boris.134157

URI:

https://boris.unibe.ch/id/eprint/134157

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