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Research ArticleArticles

Early Radiographic and Clinical Outcomes Study Evaluating an Integrated Screw and Interbody Spacer for One- and Two-Level ACDF

Paul D. Lane, Jacob L. Cox, Roger B. Gaskins, Brandon G. Santoni, James B. Billys and Antonio E. Castellvi
International Journal of Spine Surgery January 2015, 9 39; DOI: https://doi.org/10.14444/2039
Paul D. Lane
1Florida Orthopaedic Institute, Tampa, FL
MD
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Jacob L. Cox
2University of South Florida, Department of Orthopaedics and Sports Medicine, Tampa, FL
MD
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Roger B. Gaskins III
2University of South Florida, Department of Orthopaedics and Sports Medicine, Tampa, FL
MD
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Brandon G. Santoni
3Foundation for Orthopaedic Research and Education, Tampa, FL
PhD
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James B. Billys
1Florida Orthopaedic Institute, Tampa, FL
MD
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Antonio E. Castellvi
1Florida Orthopaedic Institute, Tampa, FL
MD
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  • Fig. 1
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    Fig. 1

    Lateral flexion (A) and extension (B) radiographs of the cervical spine with the test device implanted at C6-C7. The operated level was noted as being fused if intervertebral motion of less than 2° between full flexion and full extension was measured on the x-rays.

  • Fig. 2
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    Fig. 2

    Pre-operative radiographs of patients undergoing two-level (A) and one-level (E) ACDF with the test device. Immediate postoperative AP and lateral images (B,C) and (F,G) and lateral radiograph of the two-level (D) and one-level (H) fusions taken one year after the surgery.

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    Table 1

    Frequency of 1-Level ACDFs with the test device.

    C3-4C4-5C5-6C6-7C7-T1
    1-Level ACDFs5811161
    n = 41(12.1%)(19.5%)(26.8%)(39.0%)(2.4%)
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    Table 2

    Summary of interbody device sizes implanted.

    Cage Size/Type# of Levels%
    5.5 mm Tapered1317.8%
    6.5 mm Tapered3446.6%
    6.5 mm Domed22.7%
    7.5 mm Tapered2136.8%
    8.5 mm Tapered23.5%
    9.5 mm Tapered11.8%
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    Table 3

    Summary of graft material used and associated fusion rates.

    Graft Usedn (cases with radiographic follow-up)# of levels1-level procedures (# fused)2-level procedures (# fused)# levels fused% fusion
    Osteocel + autograft15219 (9/9)6 (12/12)21100%
    Grafton DBM + allograft223014 (14/14)8 (14/16)2893%
    Allograft + autograft chips222 (2/2)None2100%
    DBX Putty + allograft & autograft chips342 (2/2)1 (0/2)250%
    Total425727 (27 levels)15 (30 levels)5393%
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    Table 4

    Postoperative increase in lordotic angle on a per level basis.

    Level# of Operated LevelsPre-Operative Lordotic Angle (de-grees) (mean +/-SD)Post-Operative Lordotic Angle (degrees) (mean +/-SD)Average Increase Per Level (degrees)
    C3-4103.6 ± 3.08.2 ± 2.54.6
    C4-5131.7 ± 1.96.0 ± 2.04.3
    C5-6220.9 ± 0.85.8 ± 1.44.9
    C6-7261.0 ± 1.05.2 ± 1.44.2
    C7-T120.3 ± 0.44.8 ± 1.64.5
    All Levels731.5 ± 1.86.0 ± 1.94.5
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International Journal of Spine Surgery
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1 Jan 2015
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Early Radiographic and Clinical Outcomes Study Evaluating an Integrated Screw and Interbody Spacer for One- and Two-Level ACDF
Paul D. Lane, Jacob L. Cox, Roger B. Gaskins, Brandon G. Santoni, James B. Billys, Antonio E. Castellvi
International Journal of Spine Surgery Jan 2015, 9 39; DOI: 10.14444/2039

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Early Radiographic and Clinical Outcomes Study Evaluating an Integrated Screw and Interbody Spacer for One- and Two-Level ACDF
Paul D. Lane, Jacob L. Cox, Roger B. Gaskins, Brandon G. Santoni, James B. Billys, Antonio E. Castellvi
International Journal of Spine Surgery Jan 2015, 9 39; DOI: 10.14444/2039
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Keywords

  • anterior cervical discectomy and fusion
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