期刊
JOURNAL OF CLINICAL NEUROSCIENCE
卷 75, 期 -, 页码 106-111出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.jocn.2020.03.013
关键词
Spinal metastases; Carbon fiber screws; Carbon-fiber-reinforced PEEK; Radiotherapy; Scattering effect
资金
- Ministero dell'Istruzione, dell'Universita e della Ricerca-MIUR project Dipartimenti di eccellenza [2018-2022]
In spinal oncology traditional titanium implants could significantly impair evaluation of postoperative imaging because of artifacts, potentially affecting proper planning and execution of radiotherapy and adequate radiological follow-up to rule out progression of the disease. This is why carbon fiber reinforced (CFR)-PEEK implants have been developed for spinal fixation. The advantages of this system include fewer artifacts on imaging, potentially improving the execution and quality of radiotherapy, with also a reduced scattering effect to neighboring tissues. A comparative clinical and radiological study between new CFR-PEEK and standard titanium implants is described. Data recorded for each case included patient demographics, clinical, radiological and surgical data, intra- and postoperative complications, follow-up information. The goal of this study was to verify the safety and effectiveness of CFR-PEEK devices compared to standard titanium implants. A total number of 78 patients were reviewed. 36 patients underwent CFR-PEEK fixation, while titanium implants were used for 42 patients. Functional recovery was obtained in both groups and registered at last follow-up in terms of axial pain and neurological status. No significative differences were found between the two groups in terms of post-operative clinical complications and hardware-related complications. CFR-PEEK implants constitute a feasible and effective way to restore stability in metastatic spine tumors. This study found a non inferior favorable profile in terms of intraoperative and postoperative complications and functional recovery, compared to titanium. Further prospective studies are needed to clarify the potential oncological advantage of their radiolucency. (C) 2020 Elsevier Ltd. All rights reserved.
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