Transforaminal lumbar interbody fusion using polyetheretherketone oblique cages with and without a titanium coating
Rickert M, Fleege C, Tarhan T, Schreiner S, Makowski MR, Rauschmann M, Arabmotlagh M (2017)
Publication Type: Journal article
Publication year: 2017
Journal
Book Volume: 99B
Pages Range: 1366-1372
Journal Issue: 10
DOI: 10.1302/0301-620X.99B10.BJJ-2016-1292.R2
Abstract
Aims We compared the clinical and radiological outcomes of using a polyetheretherketone cage with (TiPEEK) and without a titanium coating (PEEK) for instrumented transforaminal lumbar interbody fusion (TLIF). Materials and Methods We conducted a randomised clinical pilot trial of 40 patients who were scheduled to undergo a TLIF procedure at one or two levels between L2 and L5. The Oswestry disability index (ODI), EuroQoL-5D, and back and leg pain were determined pre-operatively, and at three, six, and 12 months post-operatively. Fusion rates were assessed by thin slice CT at three months and by functional radiography at 12 months. Results At final follow-up, one patient in each group had been lost to follow-up. Two patients in each of the PEEK and TiPEEK groups were revised for pseudarthrosis (p = 1.00). The rate of complete or partial fusion at three months was 91.7% in both groups. Overall, there were no significant differences in ODI or in radiological outcomes between the groups. Conclusion Favourable results with identical clinical outcomes and a high rate of fusion was seen in both groups. The titanium coating appears to have no negative effects on outcome or safety in the short term. A future study to determine the effect of titanium coating is warranted
Involved external institutions
Germany (DE)How to cite
APA:
Rickert, M., Fleege, C., Tarhan, T., Schreiner, S., Makowski, M.R., Rauschmann, M., & Arabmotlagh, M. (2017). Transforaminal lumbar interbody fusion using polyetheretherketone oblique cages with and without a titanium coating. The Bone & Joint Journal, 99B(10), 1366-1372. https://dx.doi.org/10.1302/0301-620X.99B10.BJJ-2016-1292.R2
MLA:
Rickert, M., et al. "Transforaminal lumbar interbody fusion using polyetheretherketone oblique cages with and without a titanium coating." The Bone & Joint Journal 99B.10 (2017): 1366-1372.
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