A CARBON-FIBER IMPLANT TO AID INTERBODY LUMBAR FUSION - 2-YEAR CLINICAL-RESULTS IN THE 1ST 26 PATIENTS

被引：393

作者：

BRANTIGAN, JW

STEFFEE, AD

机构：

[1] Department of Surgery, Division of Orthopaedics, Creighton University, Omaha, NE

[2] Cleveland Spine and Arthritis Center, Cleveland, OH

来源：

SPINE | 1993年 / 18卷 / 14期

关键词：

INTERBODY FUSION; PLIF; ALIF; CARBON CAGE; ALLOGRAFT; PEDICLE SCREW;

D O I：

10.1097/00007632-199310001-00030

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The success of posterior lumbar interbody fusion (PLIF) has been limited by mechanical and biologic deficiencies of the donor bone. The authors have designed a carbon fiber-reinforced polymer implant that separates the mechanical and biologic functions of PLIF. The cagelike implant provides an actual device designed to meet the mechanical requirements of PLIF and replaces the donor bone with autologous bone, the best possible bone for healing. The authors report 2-year follow-up results for their first 26 consecutive patients, 18 of whom were postsurgical failed backs with a total of 37 previous surgeries. At 2 years, 28 of 28 PLIF cage fusion levels and 6 of 11 (54.5%) allograft levels exhibited radiographic fusion, a statistically significant difference at P = 0.0002. Clinical results were excellent in 11/26, good in 10/26, fair in 3/26, and poor in 2/26. Fair and poor results were attributable to objective identifiable problems unrelated to the carbon cage. The carbon implant achieved successful fusion in 6/6 (100%) of followed patients treated for a failed ETO allograft interbody fusion. A prospective controlled multi-centered study is being initiated.

引用

页码：2106 / 2117

页数：12

共 33 条

[11] Finnegan W.J., Fenlin J.M., Marvel J.P., Rothman R.H., Results of surgical intervention in the symptomatic multiplyoperated back patient, J Bone Joint Surg, 61A, pp. 1077-1082, (1979)
[12] Flynn J.C., Hoque M.A., Anterior fusion of the lumbar spine, J Bone Joint Surg, 61A, pp. 1143-1150, (1979)
[13] Goldner J.L., Urbaniak J.R., McCollum D.E., Anterior disc excision and interbody spinal fusion for chronic low back pain, Orthop Clin North Am, 2, pp. 543-568, (1971)
[14] Henderson E.D., Results of the surgical treatment of spondylolisthesis, J Bone Join T Surg, 48A, pp. 619-642, (1966)
[15] Hibbs R.A., Swift W.E., Developmental abnormalities at the lumbosacral juncture causing pain and disability, Surg Gynecol Obstet, 48, pp. 604-612, (1929)
[16] Hutter C.G., Posterior intervertebral body fusion: A 25year study, Clin Orthop, 179, pp. 86-96, (1983)
[17] Lin P.M., Cautilli R.A., Joyce M.F., Posterior lumbar interbody fusion, Clin Orthop, 180, pp. 154-168, (1983)
[18] Lin P.M., Posterior lumbar interbody fusion technique: Complications and pitfalls, Clin Orthop, 183, pp. 90-102, (1985)
[19] Ma G.W., Posterior lumbar interbody fusion with specialized instruments, Clin Orthop, 193, pp. 57-63, (1985)
[20] Naylor A., The late results of laminectomy for lumbar disc prolapse: A review after ten to twenty-five years, J Bone Joint Surg, 56B, pp. 17-29, (1974)

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