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J Neurol Surg A Cent Eur Neurosurg
DOI: 10.1055/a-2275-0528
Original Article

Clinical and Radiographic Outcomes of Anterior Lumbar Interbody Fusions Using a Titanium Cage with a Biomimetic Surface

Patrick K. Jowdy
1   Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
2   Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, United States
,
Mohamed A.R. Soliman 
1   Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
2   Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, United States
3   Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt
,
Esteban Quiceno
1   Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
2   Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, United States
,
Shady Azmy
4   Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
,
Daniel O. Popoola
4   Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
,
Alexander O. Aguirre
4   Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
,
Asham Khan
1   Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
2   Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, United States
,
Paul J. Slosar
5   Peninsula Orthopedic Associates, Daly City, California, United States
,
John Pollina
1   Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
2   Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, United States
,
Jeffrey P. Mullin 
1   Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, New York, United States
2   Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, United States
› Institutsangaben Funding None.
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Abstract

Background We analyzed clinical and radiographic outcomes in patients undergoing anterior lumbar interbody fusions (ALIFs) using a new biomimetic titanium fusion cage (Titan nanoLOCK interbody, Medtronic, Minneapolis, Minnesota, United States). This specialized cage employs precise nanotechnology to stimulate inherent biochemical and cellular osteogenic reactions to the implant, aiming to amplify the rate of fusion. To our knowledge, this is the only study to assess early clinical and radiographic results in ALIFs.

Methods We conducted a retrospective review of data for patients who underwent single or multilevel ALIF using this implant between October 2016 and April 2021. Indications for treatment were spondylolisthesis, postlaminectomy syndrome, or spinal deformity. Clinical and radiographic outcome data for these patients were collected and assessed.

Results A total of 84 patients were included. The mean clinical follow-up was 36.6 ± 14 months. At 6 months, solid fusion was seen in 97.6% of patients. At 12 months, solid fusion was seen in 98.8% of patients. Significant improvements were seen in patient-reported outcome measures (PROMs; visual analog scale and Oswestry Disability Index) at 6 and 12 months compared with the preoperative scores (p < 0.001). One patient required reoperation for broken pedicle screws 2 days after the ALIF. None of the patients required readmission within 90 days of surgery. No patients experienced an infection.

Conclusions ALIF using a new titanium interbody fusion implant with a biomimetic surface technology demonstrated high fusion rates (97.6%) as early as 6 months. There was significant improvement in PROMs at 6 and 12 months.

Keywords

anterior lumbar interbody fusion - biomimetic surfaces - clinical outcomes - fusion - nanosurface technology - titanium

Previous Presentation

None.


Authors' Contributions

P.K.J. and M.A.R.S. contributed to conceptualization, data curation, formal analysis, writing the original draft, review and editing, and statistical analysis. E.Q. contributed to writing, review, and editing. S.A., D.O.P., A.O.A., A.K., P.J.S., and J.P. contributed to data curation, writing, and review and editing. J.P.M. contributed to conceptualization, data curation, and supervision.


Data Availability

The data that support the findings of this study are available from the corresponding author on reasonable request.


Ethical Considerations

This retrospective cohort study was approved by the local institutional review boards at the participating centers: University at Buffalo (STUDY 00005904); Mills-Peninsula Medical Center, Sutter Health (STUDY 1208611).


Consent

Procedural consent was obtained from each patient or a legally authorized representative.


Because of the retrospective nature of this study, patient consent to participate was waived.




Publikationsverlauf

Eingereicht: 25. Mai 2023

Angenommen: 22. Februar 2024

Accepted Manuscript online:
23. Februar 2024

Artikel online veröffentlicht:
22. Mai 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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