Acessibilidade / Reportar erro

EFFICACY OF CAGE PLACEMENT WITHOUT PLATE IN PATIENTS WITH CERVICAL MYELOPATHY WITH SINGLE-LEVEL AFFECTION

EFICÁCIA DA COLOCAÇÃO DE CAGE SEM PLACA EM PACIENTES COM MIELOPATIA CERVICAL COM AFECÇÃO EM UM ÚNICO NÍVEL

EFICACIA DE LA COLOCACIÓN DE CAJA SIN PLACA EN PACIENTES CON MIELOPATÍA CERVICAL CON AFECCIÓN DE UN SOLO NIVEL

ABSTRACT

Objective:

To determine the efficacy of PEEK (Poly-ether-ether-ketone) cage without plate for the treatment of single-level cervical spondylosis.

Methods:

Ten patients with cervical myelopathy data, with a single-level root condition, seen at the outpatient clinic of the Neurosurgery Service, operated in 2016, mean age 53 years, 6 (60%) female, 4 (40%) obese, 3 (30%) smokers. The Cloward technique was used by anterior approach, discectomy, and PEEK cage placement.

Results:

At six months of surgery, 100% of the patients had increased intervertebral space, with a 100% reduction in osteophytes; only one patient had dysphagia, no patient had lesion of the adjacent segment and 10% had persistent root pathology. Cervical lordosis was observed in 90% of the patients and arthrodesis in 100% of the cases.

Conclusions:

Anterior approach arthrodesis using PEEK cage without cervical plate is effective as a treatment of cervical myelopathy in a single level.

Keywords:
Cervical vertebrae; Arthrodesis; Cervical; Cervical spondylosis

Sociedade Brasileira de Coluna Al. Lorena, 1304 cj. 1406/1407, 01424-001 São Paulo, SP, Brasil, Tel.: (55 11) 3088-6616 - São Paulo - SP - Brazil
E-mail: coluna.columna@uol.com.br