TY - JOUR
T1 - Use of carbon fiber cages for treatment of cervical myeloradiculopathies
AU - Tancredi, Angelo
AU - Agrillo, Antonino
AU - Delfini, Roberto
AU - Fiume, Dario
AU - Frati, Alessandro
AU - Rinaldi, Alessandro
PY - 2004/3
Y1 - 2004/3
N2 - BACKGROUND: Different types of intersomatic fixation systems are available for use in the treatment of cervical disc pathologies. In this paper, we report our experience using carbon fiber cages (Brantigan I/F cage, De Puy Acromed, Raynham, MA; Mikai distrib.) for acute and chronic cervical disc pathologies. METHODS: Between 1997 and 2001, 97 patients underwent surgical treatment for cervical disc pathologies. Follow-up ranged from 1 to 60 months. In all cases a microdiscectomy according to Caspar was performed; anterior stabilization was performed in cases with evidence of instability and in post-traumatic disc herniations. RESULTS: A total number of 119 carbon fiber cages, ranging in height from 4 to 8 mm, were employed as well as 10 anterior plates with screws. The type of material used to fill the cages was homologous bone (50.5%), heterologous bone (22.3%), hydroxyapatite (21.1%), and autologous bone (6%). In all cases, follow-up radiograms performed after at least 6 months demonstrated bone fusion. None of the patients had either spontaneous displacement of the implant or symptoms from nerve compression. CONCLUSIONS: These preliminary results suggest that anterior cervical fusion with carbon fiber cages are valid to restore intervertebral disc height and to promote bone fusion with low complications rate.
AB - BACKGROUND: Different types of intersomatic fixation systems are available for use in the treatment of cervical disc pathologies. In this paper, we report our experience using carbon fiber cages (Brantigan I/F cage, De Puy Acromed, Raynham, MA; Mikai distrib.) for acute and chronic cervical disc pathologies. METHODS: Between 1997 and 2001, 97 patients underwent surgical treatment for cervical disc pathologies. Follow-up ranged from 1 to 60 months. In all cases a microdiscectomy according to Caspar was performed; anterior stabilization was performed in cases with evidence of instability and in post-traumatic disc herniations. RESULTS: A total number of 119 carbon fiber cages, ranging in height from 4 to 8 mm, were employed as well as 10 anterior plates with screws. The type of material used to fill the cages was homologous bone (50.5%), heterologous bone (22.3%), hydroxyapatite (21.1%), and autologous bone (6%). In all cases, follow-up radiograms performed after at least 6 months demonstrated bone fusion. None of the patients had either spontaneous displacement of the implant or symptoms from nerve compression. CONCLUSIONS: These preliminary results suggest that anterior cervical fusion with carbon fiber cages are valid to restore intervertebral disc height and to promote bone fusion with low complications rate.
KW - Anterior cervical discectomy
KW - Bone fusion
KW - Carbon fiber cages
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=1342302830&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=1342302830&partnerID=8YFLogxK
U2 - 10.1016/j.surneu.2003.07.014
DO - 10.1016/j.surneu.2003.07.014
M3 - Article
C2 - 14984988
AN - SCOPUS:1342302830
VL - 61
SP - 221
EP - 226
JO - Surgical Neurology
JF - Surgical Neurology
SN - 0090-3019
IS - 3
ER -