Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods

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 o...

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Main Authors: Jacques Benezech, Bruno Garlenq, Gilles Larroque
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/7369409
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author Jacques Benezech
Bruno Garlenq
Gilles Larroque
author_facet Jacques Benezech
Bruno Garlenq
Gilles Larroque
author_sort Jacques Benezech
collection DOAJ
description 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.
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spelling doaj-art-d1111ea3e60343a89701dfd5d79df9172025-08-20T03:19:38ZengWileyAdvances in Orthopedics2090-34642090-34722016-01-01201610.1155/2016/73694097369409Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK RodsJacques Benezech0Bruno Garlenq1Gilles Larroque2Service de Neurochirurgie, Clinique du Millenaire, 34000 Montpellier, FranceService de Rééducation Fonctionnelle, Centre Hospitalier Paul Coste Floret, 34240 Lamalou les Bains, FranceInvibio Ltd., Technology Centre, Hillhouse International, Thornton Cleveleys, Lancashire FY5 4QD, UKPosterior 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.http://dx.doi.org/10.1155/2016/7369409
spellingShingle Jacques Benezech
Bruno Garlenq
Gilles Larroque
Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods
Advances in Orthopedics
title Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods
title_full Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods
title_fullStr Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods
title_full_unstemmed Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods
title_short Flexible Stabilisation of the Degenerative Lumbar Spine Using PEEK Rods
title_sort flexible stabilisation of the degenerative lumbar spine using peek rods
url http://dx.doi.org/10.1155/2016/7369409
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