[Clinical and Radiological Results after Anterior Cervical Corpectomy with Cage Fusion - a Retrospective Comparison of PEEK vs. Titanium Cages]. | London Spine Unit | UK's Best Spinal Clinic

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[Clinical and Radiological Results after Anterior Cervical Corpectomy with Cage Fusion – a Retrospective Comparison of PEEK vs. Titanium Cages].

[Clinical and Radiological Results after Anterior Cervical Corpectomy with Cage Fusion – a Retrospective Comparison of PEEK vs. Titanium Cages].

Z Orthop Unfall. 2017 Apr;155(2):201-208

Authors: Schulz C, Mauer UM, Mathieu R

Summary
Background Anterior cervical corpectomy and fusion (ACCF) has change into an ordinary process for sufferers with spondylotic myelopathy as a result of multisegmental stenosis of the cervical canal. Beside the fusion method utilizing autogenous bone grafts, artificial cages have been more and more used in recent times. Printed data on the scientific and radiological outcomes of various cage supplies for ACCF continues to be restricted. The research offered right here is the biggest collection to this point reporting scientific and radiological outcomes and complication charges after one- to three-level ACCF utilizing structural polyetheretherketone (PEEK) or titanium cages augmented by anterior plate-screw osteosynthesis. Supplies and Strategies Retrospective comparative research on 126 sufferers after cage ACCF utilizing modular PEEK (n?=?101) or distractable titanium (n?=?25) cages with a minimal follow-up of 6 months. The numbers of failures and implant-related surgical revisions have been decided. The speed of subsidence and fusion and the course of lordotic alignment (segmental and regional Cobb’s angles) have been analysed. Neck Incapacity Index (NDI) and European Myelopathy Rating (EMS) have been assessed. Outcomes Considerably larger variety of screw and cage problems have been detected within the titanium cage group (36 vs. 7.9?% and 64 vs. 36.6?%, respectively). Non-significant pattern to a better fee of implant associated revision fee within the titanium cage group (16 vs. 2.97?%). Considerably larger fee of grade I or II fusion within the PEEK cage group after 6 months (82 vs. 52?%). NDI, EMS and lordotic alignment improved considerably in each teams. There have been neither important variations between the 2 teams nor important correlations between these clinico-radiological parameters and the cage materials. Partial correlations carried out with management of parameters displaying inhomogenous distribution (affected person age, fusion distance, fee of multilevel corpectomy and the speed of intraoperative segmental overdistraction) confirmed no important correlations for any of the scientific or radiological end result parameters and the problems or revisions to the cage materials. Conclusion Cages are a protected and efficient different to autogenous bone graft for ACCF. A big enchancment in scientific and radiological parameters might be achieved with each titanium and PEEK implants. Vital variations between the 2 cage materials teams or important correlations of clinico-radiological end result and cage materials weren’t confirmed. Furthermore there isn’t any proof within the literature for scientific benefits of 1 particular cage materials, to this point. Subsequently additional potential randomised analysis of various fusion strategies in ACCF continues to be obligatory.

PMID: 28073140 [PubMed – indexed for MEDLINE]

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2022-06-08

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2022-06-06

Sciatica My mother was in absolute agony for more than 3 months due to sciatica. It just came out of nowhere and took her out of action. From working full time she went straight to being bed bound and unable to carry out simplest of actions.The pain was 9/10 and she was bed bound for those three months. Multiple trips to A&E and GP and they wouldn't class it as an emergency therefore they wouldn't do anything about it other than upgrading the painkillers which did next to nothing for my mother. I couldn't bear to watch my mother sleeping on A&E bench in pain for 7 hours, just to be told by doctors that she wouldn't be kept in. I remember her joining her hands and begging the doctors to stop the pain which broke my heart. I then started doing research on google and London spine unit came up with Dr Mo AKMAL's profile and review. First meeting with Dr AKMAL was via ZOOM as my mother was bed bound. Dr AKMAL spoke to me and my mom and told us that this is nothing to worry about and that the pain would be 100% gone.Dr AKMAL assured us to visit the hospital so he could physically inspect my mother and give us the best solution. One trip to the london spine unit and Dr AKMAL advised us that the best solution would be to carry out Minimally invasive disectomy. Dr AKMAL advised that due to my mother being bed bound for a while, steroid injection might not give the result that my mother wishes. Dr AKMAL was very confident and showed us some videos from other patients who had gone through the same ordeal. The biggest thing i noticed between before and after was the smile on the patients face. Dr AKMAL was constantly assuring my mother throughout the meeting that he would take care of her pain and gave her 100% confidence that the result would be delivered.He promised her that she would be walking pain free the same day after the operation. Before the operation Dr GURUNG was consulted multiple times and he also was very helpful. Right after the surgery, as Dr AKMAL promised, my mother was walking and the biggest thing was that the pain was gone. My mother had forgotten to smile for three months and there i saw her smiling again. Dr AKMAL and Dr GURUNG gave us brilliant aftercare and informed us that just give them a ring if there was any issue. Its been several weeks now and my mother is heading towards complete recovery without any issues. The pain is completely gone and anyone who is reading this going through the same horrible sciatica pain you must come and see Dr AKMAL. Thank you Dr AKMAL and your whole team for helping my mom achieve this pain free life.

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2022-05-18

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2022-04-22

I had a massive bulging disk on my back… I had a massive bulging disk on my back compressing my nerve for three years. It caused me excruciating pain and almost left me disabled. I was on both crutches and completely homebound due to the severity of pain and mobility limitations. I had my lumber surgery two weeks ago and walked out of hospital within a few hours pain free on my right leg that was almost paralysing prior to surgery. The disk was shaved off releasing the nerve completely. Two days after surgery I had excruciating pain on my head that is unexplained as I had CT scan and MRI which were all fine. Dr Akmal has suggested it could be from the anaesthetic. I am extremely grateful to Dr Akmal and his very welcoming and cari g team. I would highly recommend his clinic as I have had excellent recovery.

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2022-04-02

Thank you Mr Aklam After having a poor and very slow experiance in glasgow . I contacted Mr mo Amlam . Who is a true gentleman, great listener and paitent . We transfered my scans and treatments from glasgow to harley street . Mr Aklams p.a arranged a quick zoom to start our contact .I then went down for a meeting and examination and what should have been a spec scan .only to be told of a UK shortage . So 4 weeks later the scan took place in wellington hospital . Before I traveled back to glasgow. 5 days later I got a call to book me in to 19 harley street for a l3 and l4 debridement and stabilisation. The opp took place on 24th March. 2hours I was out walking 4 hours later . My pain in back groin and foot was all gone .thanks to Mr aklam . Top of his craft but more importantly pouts his patients first .he really wants to help you get better. Thank you so much Mr Robert harvey

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2022-03-22

Amazing service and an amazing treatment! I can't thank Mr Akmal and team at the London Spine Unit enough for their help. I had a herniated disc in my back which was causing pain and restrictions. Compared to other offers of surgery (e.g. several nights in hospital), the day surgery and minimally invasive procedure were hugely appealing. I am now 3 weeks post surgery, have no pain and am recovering incredibly quickly if I compare myself to friends who have had a similar procedure. it was truly remarkable, straightforward and the team were kind, friendly and always helpful. very highly recommended!

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2022-03-17

Great service and painless procedure Great service and painless procedure. Definitely alleviated the pain

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