Display options
Share it on

Adv Orthop. 2016;2016:7369409. doi: 10.1155/2016/7369409. Epub 2016 Feb 15.

Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods.

Advances in orthopedics

Jacques Benezech, Bruno Garlenq, Gilles Larroque

Affiliations

  1. Service de Neurochirurgie, Clinique du Millenaire, 34000 Montpellier, France.
  2. Service de Rééducation Fonctionnelle, Centre Hospitalier Paul Coste Floret, 34240 Lamalou les Bains, France.
  3. Invibio Ltd., Technology Centre, Hillhouse International, Thornton Cleveleys, Lancashire FY5 4QD, UK.

PMID: 26981285 PMCID: PMC4770133 DOI: 10.1155/2016/7369409

Abstract

Posterior lumbar interbody fusion using cages, titanium rods, and pedicle screws is considered today as the gold standard of surgical treatment of lumbar degenerative disease and has produced satisfying long-term fusion rates. However this rigid material could change the physiological distribution of load at the instrumental and adjacent segments, a main cause of implant failure and adjacent segment disease, responsible for a high rate of further surgery in the following years. More recently, semirigid instrumentation systems using rods made of polyetheretherketone (PEEK) have been introduced. This clinical study of 21 patients focuses on the clinical and radiological outcomes of patients with lumbar degenerative disease treated with Initial VEOS PEEK(®)-Optima system (Innov'Spine, France) composed of rods made from PEEK-OPTIMA(®) polymer (Invibio Biomaterial Solutions, UK) without arthrodesis. With an average follow-up of 2 years and half, the chances of reoperation were significantly reduced (4.8%), quality of life was improved (ODI = 16%), and the adjacent disc was preserved in more than 70% of cases. Based on these results, combined with the biomechanical and clinical data already published, PEEK rods systems can be considered as a safe and effective alternative solution to rigid ones.

References

  1. Spine (Phila Pa 1976). 2004 Apr 1;29(7):735-42 - PubMed
  2. Spine (Phila Pa 1976). 2004 Feb 15;29(4):455-63; discussion Z5 - PubMed
  3. Ann Readapt Med Phys. 2008 Jun;51(5):379-85 - PubMed
  4. Biomed Mater. 2008 Dec;3(4):044101 - PubMed
  5. J Neurosurg. 2002 Oct;97(3 Suppl):277-80 - PubMed
  6. Spine (Phila Pa 1976). 1995 Sep 15;20(18):2023-8 - PubMed
  7. Eur J Orthop Surg Traumatol. 2014 Jul;24 Suppl 1:S111-6 - PubMed
  8. Eur Spine J. 1998;7(2):148-54 - PubMed
  9. Spine (Phila Pa 1976). 2007 Sep 1;32(19):2119-26 - PubMed
  10. J Spinal Disord Tech. 2015 Apr;28(3):E121-5 - PubMed
  11. J Spinal Disord Tech. 2007 Dec;20(8):549-59 - PubMed
  12. Spine (Phila Pa 1976). 2006 Feb 15;31(4):442-9 - PubMed
  13. Acta Neurochir (Wien). 2013 Jul;155(7):1187-93 - PubMed
  14. Eur Spine J. 2012 May;21 Suppl 1:S50-4 - PubMed
  15. Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952 - PubMed
  16. Spine J. 2009 Mar;9(3):263-7 - PubMed
  17. Clin Spine Surg. 2016 Aug;29(7):E371-5 - PubMed
  18. Spine (Phila Pa 1976). 1987 Mar;12(2):97-104 - PubMed
  19. Spine (Phila Pa 1976). 2005 Aug 15;30(16 Suppl):S44-51 - PubMed
  20. Spine (Phila Pa 1976). 2005 Jun 15;30(12):1441-5; discussion 1446-7 - PubMed
  21. J Spinal Disord Tech. 2004 Apr;17(2):134-9 - PubMed
  22. Spine (Phila Pa 1976). 2003 Sep 1;28(17):1913-21 - PubMed
  23. Orthop Clin North Am. 2004 Jan;35(1):43-56 - PubMed
  24. Neurosurg Focus. 2001 Apr 15;10(4):E2 - PubMed
  25. Spine (Phila Pa 1976). 2005 Aug 15;30(16 Suppl):S68-72 - PubMed
  26. Am J Orthop (Belle Mead NJ). 1999 Jun;28(6):336-40 - PubMed
  27. Spine (Phila Pa 1976). 2006 Dec 15;31(26):E992-8 - PubMed
  28. Biomaterials. 1995 Sep;16(13):987-92 - PubMed
  29. AJNR Am J Neuroradiol. 2005 Sep;26(8):2057-66 - PubMed
  30. Spine (Phila Pa 1976). 2003 Jul 15;28(14):1560-6 - PubMed
  31. Neurosurg Focus. 2007 Jan 15;22(1):E11 - PubMed
  32. Spine (Phila Pa 1976). 1996 Feb 1;21(3):278-87 - PubMed
  33. Eur Spine J. 2001 Aug;10(4):295-300 - PubMed
  34. Spine (Phila Pa 1976). 1999 Jun 1;24(11):1058-65 - PubMed
  35. Acta Neurochir (Wien). 2003 Mar;145(3):209-14; discussion 214 - PubMed
  36. Spine (Phila Pa 1976). 2001 Dec 1;26(23):2521-32; discussion 2532-4 - PubMed
  37. Spine (Phila Pa 1976). 2005 Feb 1;30(3):324-31 - PubMed
  38. Spine (Phila Pa 1976). 2010 Oct 1;35(21):E1076-82 - PubMed
  39. Eur Spine J. 2002 Oct;11 Suppl 2:S164-9 - PubMed
  40. Evid Based Spine Care J. 2011 Aug;2(3):33-42 - PubMed
  41. Biomaterials. 2008 Apr;29(11):1563-72 - PubMed
  42. J Biomech Eng. 2011 Aug;133(8):081009 - PubMed
  43. J Spinal Disord Tech. 2008 Apr;21(2):86-91 - PubMed
  44. Orthopedics. 2013 Jul;36(7):e951-7 - PubMed
  45. Eur Spine J. 2006 Feb;15(2):149-56 - PubMed
  46. Biomaterials. 2007 Nov;28(32):4845-69 - PubMed
  47. J Spinal Disord. 1996 Oct;9(5):392-400 - PubMed
  48. J Bone Joint Surg Am. 2004 Jul;86-A(7):1497-503 - PubMed
  49. Spine (Phila Pa 1976). 2006 Aug 1;31(17):1957-63; discussion 1964 - PubMed

Publication Types