Cargando…
Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note
STUDY DESIGN: Prospective. PURPOSE: Over past one and half decade, ready-to-use magnetic resonance imaging (MRI) compatible spinal implants have changed the clinical practice and economics of spinal surgery. These are beyond reach of majority of population of developing countries like India due to f...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477841/ https://www.ncbi.nlm.nih.gov/pubmed/34660389 http://dx.doi.org/10.4103/ajns.AJNS_443_20 |
_version_ | 1784575929105776640 |
---|---|
author | Jha, Deepak Kumar Garg, Mayank Bhaskar, Suryanarayanan Gosal, Jaskaran Singh Shukla, Kartikeya Chugh, Vinay Kumar Khera, Pushpinder Bhatia, Pradeep Kumar |
author_facet | Jha, Deepak Kumar Garg, Mayank Bhaskar, Suryanarayanan Gosal, Jaskaran Singh Shukla, Kartikeya Chugh, Vinay Kumar Khera, Pushpinder Bhatia, Pradeep Kumar |
author_sort | Jha, Deepak Kumar |
collection | PubMed |
description | STUDY DESIGN: Prospective. PURPOSE: Over past one and half decade, ready-to-use magnetic resonance imaging (MRI) compatible spinal implants have changed the clinical practice and economics of spinal surgery. These are beyond reach of majority of population of developing countries like India due to financial reasons and also availability in remote areas. There is a growing need for a MRI compatible cost-effective spinal implant of proven quality. The authors used bone cement spacers for the said purpose for various level spine surgeries. OVERVIEW OF LITERATURE: Methylmethacrylate, known as bone cement, was used extensively for spinal surgeries from craniovertebral junction to sacrum for augmentation and replacement of various spinal elements. Its biochemical and biomechanical properties were tested for safe clinical use and was a favored material for spinal surgeons. MATERIALS AND METHODS: The authors made molds for making bone cement spacers for various spine levels with the help of silicone material. RESULTS: Sixteen patients (12 males, 4 females with an average age of 31 years) of various spine level surgeries were done where bone cement spacers were used. It included patients of basilar invagination (n = 9), dorsal Pott's disease (n = 1), lumbar (n = 2), and lumbo-sacral spondylolisthesis (n = 1). Spacers could be used without any difficulties and postoperative day 1- and 3-months follow-up computed tomography scan of the patients revealed no change in the dimensions of the spacer and fusion at 3 months of operated levels. CONCLUSION: The authors feel that bone cement spacers may be an effective and low-cost alternative to the existing costly alternatives. |
format | Online Article Text |
id | pubmed-8477841 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-84778412021-10-14 Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note Jha, Deepak Kumar Garg, Mayank Bhaskar, Suryanarayanan Gosal, Jaskaran Singh Shukla, Kartikeya Chugh, Vinay Kumar Khera, Pushpinder Bhatia, Pradeep Kumar Asian J Neurosurg Technical Note STUDY DESIGN: Prospective. PURPOSE: Over past one and half decade, ready-to-use magnetic resonance imaging (MRI) compatible spinal implants have changed the clinical practice and economics of spinal surgery. These are beyond reach of majority of population of developing countries like India due to financial reasons and also availability in remote areas. There is a growing need for a MRI compatible cost-effective spinal implant of proven quality. The authors used bone cement spacers for the said purpose for various level spine surgeries. OVERVIEW OF LITERATURE: Methylmethacrylate, known as bone cement, was used extensively for spinal surgeries from craniovertebral junction to sacrum for augmentation and replacement of various spinal elements. Its biochemical and biomechanical properties were tested for safe clinical use and was a favored material for spinal surgeons. MATERIALS AND METHODS: The authors made molds for making bone cement spacers for various spine levels with the help of silicone material. RESULTS: Sixteen patients (12 males, 4 females with an average age of 31 years) of various spine level surgeries were done where bone cement spacers were used. It included patients of basilar invagination (n = 9), dorsal Pott's disease (n = 1), lumbar (n = 2), and lumbo-sacral spondylolisthesis (n = 1). Spacers could be used without any difficulties and postoperative day 1- and 3-months follow-up computed tomography scan of the patients revealed no change in the dimensions of the spacer and fusion at 3 months of operated levels. CONCLUSION: The authors feel that bone cement spacers may be an effective and low-cost alternative to the existing costly alternatives. Wolters Kluwer - Medknow 2021-09-14 /pmc/articles/PMC8477841/ /pubmed/34660389 http://dx.doi.org/10.4103/ajns.AJNS_443_20 Text en Copyright: © 2021 Asian Journal of Neurosurgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Technical Note Jha, Deepak Kumar Garg, Mayank Bhaskar, Suryanarayanan Gosal, Jaskaran Singh Shukla, Kartikeya Chugh, Vinay Kumar Khera, Pushpinder Bhatia, Pradeep Kumar Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note |
title | Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note |
title_full | Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note |
title_fullStr | Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note |
title_full_unstemmed | Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note |
title_short | Methylmethacrylate Inter-Facetal and Inter-Vertebral Body Spacers for Cranio-Vertebral Junction and Various Spine Surgeries: Technical Note |
title_sort | methylmethacrylate inter-facetal and inter-vertebral body spacers for cranio-vertebral junction and various spine surgeries: technical note |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477841/ https://www.ncbi.nlm.nih.gov/pubmed/34660389 http://dx.doi.org/10.4103/ajns.AJNS_443_20 |
work_keys_str_mv | AT jhadeepakkumar methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote AT gargmayank methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote AT bhaskarsuryanarayanan methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote AT gosaljaskaransingh methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote AT shuklakartikeya methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote AT chughvinaykumar methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote AT kherapushpinder methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote AT bhatiapradeepkumar methylmethacrylateinterfacetalandintervertebralbodyspacersforcraniovertebraljunctionandvariousspinesurgeriestechnicalnote |