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Research ArticleArticles

Arthrodesis Rate and Patient Reported Outcomes After Anterior Lumbar Interbody Fusion Utilizing a Plasma-Sprayed Titanium Coated PEEK Interbody Implant: A Retrospective, Observational Analysis

Joseph A. Sclafani, Sophea R. Bergen, Miranda Staples, Kevin Liang and Ramin Raiszadeh
International Journal of Spine Surgery January 2017, 11 (1) 4; DOI: https://doi.org/10.14444/4004
Joseph A. Sclafani
1Spine Institute of San Diego, Minimally Invasive Spine Center of Excellence, San Diego, CA
2Milestone Research Organization, San Diego, CA
MD
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Sophea R. Bergen
1Spine Institute of San Diego, Minimally Invasive Spine Center of Excellence, San Diego, CA
PA-C
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Miranda Staples
2Milestone Research Organization, San Diego, CA
Ph.D
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Kevin Liang
2Milestone Research Organization, San Diego, CA
Ph.D
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Ramin Raiszadeh
1Spine Institute of San Diego, Minimally Invasive Spine Center of Excellence, San Diego, CA
MD
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    Fig. 1

    The PTC PEEK interbody spacer system implanted in this study.

  • Fig. 2
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    Fig. 2

    A) Three month post-op standing lateral radiograph demonstrating early bridging bone formation across the PTC PEEK spacer. B) Six month post-op CT coronal and sagittal images of the same subject demonstrating solid arthrodesis.

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    Table 1

    Improvement in VAS back and leg scores at 9 months follow-up by subject subgroup.

    NImprovement (VAS Back)P (back)Improvement (VAS Leg)P (leg)
    Overall434.50.00014.10.0001
    Age: <55 years274.50.983.90.47
    Age: >55 years164.54.6
    Female234.40.734.40.54
    Male204.73.8
    No Tobacco Use354.60.624.30.55
    Tobacco Use84.13.5
    Metabolic Comorbidity254.40.824.30.68
    No Metabolic Comorbidity184.63.9
    No Prior Surgery334.70.444.10.78
    Prior Surgery1044.4
    Single-Level Surgery234.50.933.70.35
    Multilevel Surgery204.64.7
    No Worker's Comp185.30.054.90.21
    Worker's Comp253.93.6
    Standalone ALIF115.20.284.80.44
    ALIF + PSF324.33.9
    BMI <30254.10.214.60.33
    BMI >30185.13.6
    Spondylolisthesis244.40.683.70.34
    No Spondylolisthesis184.74.7
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    Table 2

    Average time to fusion by subject subgroup.

    NMonths to FusionP value (time to fusion)
    Overall447.3
    Age: <55 years287.30.86
    Age: >55 years167.2
    Female237.30.97
    Male217.3
    No Tobacco Use357.30.96
    Tobacco Use97.3
    Metabolic Comorbidity257.10.51
    No Metabolic Comorbidity197.6
    No Prior Surgery347.40.44
    Prior Surgery106.8
    Single-level Surgery247.30.85
    Multilevel Surgery207.2
    No Worker's Comp187.40.84
    Worker's Comp267.2
    Standalone ALIF117.40.86
    ALIF + PSF337.3
    BMI <30267.60.33
    BMI >30186.9
    Spondylolisthesis257.50.49
    No Spondylolisthesis197
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International Journal of Spine Surgery
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1 Jan 2017
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Arthrodesis Rate and Patient Reported Outcomes After Anterior Lumbar Interbody Fusion Utilizing a Plasma-Sprayed Titanium Coated PEEK Interbody Implant: A Retrospective, Observational Analysis
Joseph A. Sclafani, Sophea R. Bergen, Miranda Staples, Kevin Liang, Ramin Raiszadeh
International Journal of Spine Surgery Jan 2017, 11 (1) 4; DOI: 10.14444/4004

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Arthrodesis Rate and Patient Reported Outcomes After Anterior Lumbar Interbody Fusion Utilizing a Plasma-Sprayed Titanium Coated PEEK Interbody Implant: A Retrospective, Observational Analysis
Joseph A. Sclafani, Sophea R. Bergen, Miranda Staples, Kevin Liang, Ramin Raiszadeh
International Journal of Spine Surgery Jan 2017, 11 (1) 4; DOI: 10.14444/4004
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Keywords

  • plasma titanium coated peek
  • ALIF
  • arthrodesis
  • pseudarthrosis
  • patient outcomes
  • spine surgery

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