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首页> 外文期刊>Journal of Functional Biomaterials >First Clinical Experience with a Carbon Fibre Reinforced PEEK Composite Plating System for Anterior Cervical Discectomy and Fusion
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First Clinical Experience with a Carbon Fibre Reinforced PEEK Composite Plating System for Anterior Cervical Discectomy and Fusion

机译：碳纤维增强PEEK复合电镀系统用于颈前路椎间盘切除术和融合术的首次临床经验

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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.
机译：碳纤维增强的聚醚醚酮（CFR-PEEK）是在骨科手术中替代金属植入物的合适材料。 CFR-PEEK的射线可透性可以使骨骼和软组织结构获得最佳可视化。我们旨在评估在首次使用的临床条件下，采用CFR-PEEK颈前路钢板（ACP）进行颈前路椎间盘切除融合术（ACDF）的性能以及放射学和临床结果。我们回顾性研究了2011年至2016年间接受CDF-PEEK ACP的ACDF的42例患者的前瞻性收集数据。我们评估了临床结局（奥多姆标准，并发症）和放射学参数（整体和节段性颈椎前凸，融合的Bridwell评分，相邻术前，术后立即以及12个月的随访期后）。 12、19、3和1例患者的满意度分别为优秀，良好，中等和差。两名患者出现吞咽困难。没有发生硬件故障。与术前X线片相比，我们在12个月的随访中观察到总体颈椎前凸和节段性前凸（分别为7.4±10.1和5.6±7.1度）的增加。分别在22、6和7位患者中观察到Bridwell IF的I，II和III级。 12个月无相邻节段变性和相邻节无病生存率分别为93.1％和96.3％。我们发现吞咽困难率为5.7％，再次手术率为4.8％。总之，CFR-PEEK ACP在植入物安全性，颈椎前凸恢复和功能恢复方面显示出积极的成果，并且适用于ACDF。

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