Non-fusion Procedure Using PEEK Rod Systems for Lumbar Degenerative Diseases: Clinical Experience with a 2-year Follow-up

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2016 Feb 3

PMID 26833360

Citations 16

Authors

Weimin Huang

Zhengqi Chang

Ruoxian Song

Ke Zhou

Xiuchun Yu

Affiliations

Soon will be listed here.

Abstract

Background: Polyetheretherketone (PEEK) rod system is a novel pedicle-based dynamic stabilization system. This study evaluated clinical and radiographic outcomes of non-fusion surgery by PEEK rod systems for treatment of degenerative lumbar diseases with a 2-year follow-up.

Methods: From February 2012 to October 2012, 38 patients who underwent non-fusion surgery using PEEK rod systems were included in the study. Data on Oswestry Disability Index (ODI) score and Japanese Orthopaedics Association (JOA) score were collected and radiographs were obtained to evaluate disc height index (DHI) and range of motion (ROM) at each interval.

Results: Both JOA and ODI scores significantly improved postoperatively. DHI showed a slight increase immediately after the surgery but gradually dropped below preoperative levels. Mean ROM values changed from 8.8° preoperatively to 1.8° at the 2-year follow-up point. Screw loosening occurred in one case at the 2-year follow-up.

Conclusions: The preliminary results indicated a significant improvement in clinical outcomes and advantageous implant safety. The non-fusion procedure using PEEK rod systems might be a viable alternative for treatment of lumbar degenerative diseases. The distraction technique needs to be improved for better postoperative DHI.

Citing Articles

Comparison of biomechanical effects of polyetheretherketone (PEEK) rods and titanium rods in lumbar long-segment instrumentation: a finite element study.

Li C, Zhao Y, Qi L, Xu B, Yue L, Zhu R Front Bioeng Biotechnol. 2024; 12:1416046.

PMID: 39055340 PMC: 11269095. DOI: 10.3389/fbioe.2024.1416046.

Prediction of Screw Loosening After Dynamic Pedicle Screw Fixation With Lumbar Polyetheretherketone Rods Using Magnetic Resonance Imaging-Based Vertebral Bone Quality Score.

Jiang G, Xu L, Ma Y, Guan J, Yang Y, Zhong W Neurospine. 2024; 21(2):712-720.

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Retrieval analysis of PEEK rods pedicle screw system: three cases analysis.

Xu X, Wang L, Wang J, Yu X, Huang W BMC Musculoskelet Disord. 2024; 25(1):488.

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Wan S, Zhang J, Wu C, Lin X, Li J, Wu F BMC Musculoskelet Disord. 2023; 24(1):602.

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Biomechanical effects of screws of different materials on vertebra-pediculoplasty: a finite element study.

Wang Y, Ren Y, Han J, Chen C, Sun X, Di M Front Bioeng Biotechnol. 2023; 11:1225925.

PMID: 37456721 PMC: 10340523. DOI: 10.3389/fbioe.2023.1225925.

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