Use of Bone Graft Assisted Peek Cage After Anterior Cervical Microdiscectomy: 78 Cases

Abstract

Objective: In this study, the patients who had fusion with the anterior cervical microdiscectomy and the synthetic bone graft (putty) with the diagnosis of degenerative cervical disc herniation; We evaluated age, sex, symptoms, physical examination findings and surgical results in the light of literature. Materials and Methods: Between April 2015 and April 2017, 78 cases with anterior cervical microdiscectomy and fusion were evaluated retrospectively. Symptoms were supported by physical examination, cervical radiographs and cervical magnetic resonance images and surgical indications were made. Cases; sex, age, symptoms, physical examination, disc distances, radiological findings, complications, relapse, patient satisfaction were evaluated retrospectively. Results: 74 patients (94.87%) treated with anterior cervical microdiscectomy and putty-assisted peek cage reported benefit from the operation. The mean hospital stay was 1 day. The complication rate was low (2.56%), there was no recurrence and reoperation. The use of cervical collor was not required. No infection. None of the patients had any stability or fusion problems. Conclusion: Fused with a peek cage supported by synthetic bone graft and made of anterior cervical microdiscectomy is a safe, easy-to-use, effective treatment.

Keywords

• servicalAnterior cervical microdiscectomy
• cervical disc hernia
• peek cage
• bone graft

Anterior Servikal Mikrodiskektomi Sonrası Kemik Greft Destekli Peek Cage Kullanılması: 78 Olgu

Abstract

Amaç: Bu çalışmada, dejeneratif servikal disk hernisi tanısı ile anterior servikal mikrodiskektomi (ASMD) ve sentetik kemik greft (putty) ile desteklenmiş peek cage ile füzyon yapılmış olguları; yaş, cins, semptomlar, fizik muayene bulguları ve cerrahi sonuçları ile birlikte literatür ışığında değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Nisan 2015-Nisan 2017 tarihleri arasında kliniğimizde anterior servikal mikrodiskektomi ve füzyon yapılmış 78 olgu retrospektif olarak incelendi. Tüm olgularda dejeneratif disk hastalığı ve osteofitik değişikliklikler vardı. Semptomlar, fizik muayene, servikal radyografiler ve servikal manyetik rezonans görüntüleri ile desteklendi ve cerrahi endikasyon konuldu. Olgular; cins, yaş, semptomlar, fizik muayene, disk mesafeleri, radyolojik bulgular, komplikasyonlar, nüks, hasta memnuniyeti açısından değerlendirildi. Bulgular: Anterior servikal mikrodiskektomi ve putty destekli peek cage kullanılarak tedavi edilen 74 (%94.87) olgu operasyondan fayda gördüğünü bildirdi. Hastanede kalış süresi ortalama 1 gündü. Komplikasyon oranı %2.56 idi; nüks ve reoperasyon olmadı. Servikal collor kullanımına gerek olmadı. Enfeksiyon, stabilite ya da füzyon sorunu izlenmedi. Sonuç: Anterior servikal mikrodiskektomi yapılan ve sentetik kemik greftle desteklenmiş peek cage ile füzyon güvenli, kolay uygulanan, etkin bir tedavi yöntemidir.

Keywords

• Anterior servikal mikrodiskektomi
• servikal disk hernisi
• peek cage
• kemik greft

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