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Corresponding Author

Yasser Ahmed Ghonim Ghonim

Document Type

Original Article

Abstract

Background: When degenerative abnormalities in the cervical spine cause external compression on the spinal cord, it can impede the cord's ability to function and disrupt its blood supply. This condition is known as cervical spondylotic myelopathy or CSM.

Aim and objectives: In the treatment of multilayer degenerative cervical myelopathy, the objective is to evaluate standalone cervical cages, clinical and radiological outcomes, and quality of life.

Patients and methods: This is a prospective study carried out on a total number of twenty patients diagnosed with multi-level cervical disc disease (more than 2 levels) Between October 2021 and September 2023, patients at Al-Hussein and Sayed Galal University Hospitals had anterior cervical discectomy and fusion using standalone PEEK cages.

Results: To rule out cervical spondylotic myelopathy, a thorough neurological examination must be performed on any elderly patient presenting with walking difficulties. The gold standard for diagnosing CSM is an MRI or a simple X-ray. Early diagnosis, which results in low grade myelopathy and short symptom duration, is essential for excellent to good outcome. Age, myelomalacia, and the presence of bladder symptoms are all variables that can be used to predict a patient's outcome.High rates of symptomatic relief and clinical and functional outcomes are expected after ACDF using standalone PEEK cages (mean recovery rate of 60.09% and 80% excellent to good functional outcome). The good end plate preparation and use of stand-alone PEEK cages filled with graft give the optimal condition for fusion and successful outcome.

Conclusion: A thorough neurological examination is necessary for any elderly patient experiencing difficulty walking in order to rule out cervical spondylotic myelopathy. The gold standard for diagnosing CSM is an MRI, CT scan, and plain X-ray.

Keywords

Cervical cages; PEEK; Degenerative cervical myelopathy

Subject Area

Orthopedics

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