ABSTRACT

Aim: To determine the outcomes of single Level ACDF + Peek Cage Fixation in Cervical Myelopathy.

Study Design: Prospective/Observational

Place and Duration: Department of neurosurgery MTI, Lady reading hospital Peshawar from March 2015 to February 2017.

Methodology: A total of 27 patients met the inclusion criteria who were patients having undergone ACDF with PEEK cage for cervical myelopathy due to single level disc herniation. Nurick grading system was used for Patients pre op and post op neurological status evaluation. Imaging studies used were X rays, CT and MRI cervical spine. X ray (AP and lateral views) were used preoperatively to exclude osteophytes, bony fusion, any spondylolisthesis and to measure pre and post op cervical lordotic angle using Cobb’s method. Patients had post op follow up at 01, 03 and 06 months then one year and 18 months. Data was analyzed by SPSS 24.0

Results: There were 23(85%) male and 04(15%) female. Ages ranged from 37 years to 58 years with mean age of 47. Follow up was from 5-18 months with mean of 07 months. 20 patients (74%) were in Nurick grade 3 and 07 (26%) patients were in the Nurick grade 2 cervical myelopathy.

Conclusion: It is concluded that stand alone empty PEEK cages have clinical and radiological outcomes comparable to other devices used for single level anterior cervical discectomy.

Keywords: Cervical Myelopathy, ACDF, PEEK Cage Fixation, Nurick Grade