PMID- 28351516 OWN - NLM STAT- MEDLINE DCOM- 20180503 LR - 20181202 IS - 2589-1294 (Electronic) IS - 1017-995X (Print) IS - 1017-995X (Linking) VI - 51 IP - 3 DP - 2017 May TI - Anterior cervical fusion with interbody cage containing beta-tricalcium phosphate: Clinical and radiological results. PG - 197-200 LID - S1017-995X(17)30136-0 [pii] LID - 10.1016/j.aott.2017.03.001 [doi] AB - AIM: Beta tricalcium phosphate (beta-TCP) is an osteoconductive, resorbable material. Its clinical effectiveness has been proved in many indications. This study was clinical and radiographic study report obtained in patients undergoing anterior cervical discectomy and fusion ACDF in which PEEK cages were filled beta-TCP in an injectable form. MATERIAL AND METHODS: Between January 2010 and June 2011, 16 consecutive patients underwent ACDF using PEEK cages with beta-TCP. The cohort compromised 10 men and 6 women with a mean age of 45.2 years. The surgery was performed when the patient had myelopathy or radiculopathy with progressive neurological deficit, or failure of conservative treatment (a minimum of 3 months). The patients were evaluated by Odom criteria preoperatively and postoperative 3rd, 6th, 12th and 24th months. Preop and postop pain was evaluated with visual analogue scala (VAS). Disc height and fusion success rates were evaluated. RESULTS: Preoperative average VAS score was 7.9 (7-10) for neck pain and 8 (7-10) for arm pain. At the final follow-up, these scores became 1.5 and 1.4 for neck and arm pain, respectively. The average improvement rate was 81% for neck pain and 82.5% for arm pain. Postop ODOM's criteria main rate was 3.4. Bone fusion was achieved in 14 segments (70%) at 3rd month, 19 segments (95%) at 12th month follow-up assessment. CONCLUSION: Clinical and radiological results revealed that B-TCP is a good alternative synthetic fusion material for cervical interbody fusion. LEVEL OF EVIDENCE: Level IV, therapeutic study. CI - Copyright (c) 2017 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved. FAU - Ofluoglu, Ali Ender AU - Ofluoglu AE AD - Bakirkoy Research and Training Hospital for Neurology, Neurosurgery and Psychiatry, Neurosurgery Clinic, Istanbul, Turkey. FAU - Erdogan, Uzay AU - Erdogan U AD - Department of Neurosurgery, Bakirkoy Research and Training Hospital for Neurology Neurosurgery and Psychiartry, Istanbul, Turkey. Electronic address: uzayerdogan@gmail.com. FAU - Aydogan, Mehmet AU - Aydogan M AD - Bosphorous Spine Center, Istanbul, Turkey. FAU - Cevik, Orhun Mete AU - Cevik OM AD - Bakirkoy Prof.Dr. Mazhar Training and Research Hospital for Neurology, Neurosurgery and Psychiatry, Bakirkoy, Istanbul, Turkey. FAU - Ofluoglu, Onder AU - Ofluoglu O AD - Bahcesehir University, Goztepe Medical Park Hospital, Orthopedic and Traumatology Department, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20170325 PL - Turkey TA - Acta Orthop Traumatol Turc JT - Acta orthopaedica et traumatologica turcica JID - 9424806 RN - 0 (Biocompatible Materials) RN - 0 (Calcium Phosphates) RN - 0 (beta-tricalcium phosphate) SB - IM MH - Adult MH - Aged MH - Biocompatible Materials MH - *Calcium Phosphates MH - Cervical Vertebrae/*surgery MH - Diskectomy/methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neck Pain/diagnosis/etiology/*surgery MH - Pain, Postoperative MH - Radiculopathy/*complications/diagnosis MH - Radiography MH - Spinal Fusion/*methods MH - Treatment Outcome PMC - PMC6197468 OTO - NOTNLM OT - Anterior cervical fusion OT - Beta-tricalcium phosphate OT - Interbody cage EDAT- 2017/03/30 06:00 MHDA- 2018/05/04 06:00 PMCR- 2017/03/25 CRDT- 2017/03/30 06:00 PHST- 2014/12/01 00:00 [received] PHST- 2016/01/26 00:00 [revised] PHST- 2016/11/01 00:00 [accepted] PHST- 2017/03/30 06:00 [pubmed] PHST- 2018/05/04 06:00 [medline] PHST- 2017/03/30 06:00 [entrez] PHST- 2017/03/25 00:00 [pmc-release] AID - S1017-995X(17)30136-0 [pii] AID - 10.1016/j.aott.2017.03.001 [doi] PST - ppublish SO - Acta Orthop Traumatol Turc. 2017 May;51(3):197-200. doi: 10.1016/j.aott.2017.03.001. Epub 2017 Mar 25.