Osteoconductive properties of carbon fibre implants used in surgery of spine injuries and disorders (case report)

Kolbovskiy, D. A; Kolesov, S. V.; Швец, В. В.; Рерих, В. В.; Vishnevsky, Arkady; Skorina, I.V.; Kaz'min, A.L.; Морозова, Н. С.; Переверзев, В. С.; Khit, M A

doi:10.18019/1028-4427-2018-24-2-229-233

2018

DOI: 10.18019/1028-4427-2018-24-2-229-233

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Osteoconductive properties of carbon fibre implants used in surgery of spine injuries and disorders (case report)

D. A Kolbovskiy¹,

S. V. Kolesov²,

В. В. Швец³

et al.

Abstract: учреждение «Национальный медицинский исследовательский центр травматологии и ортопедии имени Н.Н. Приорова» Министерства здравоохранения Российской Федерации, г. Москва, Россия 2 Федеральное государственное бюджетное учреждение «Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна» Министерства здравоохранения Российской Федерации, г. Новосибирск, Россия 3 Федеральное государственное бюджетное учреждение «Санкт-Петербургский научно-исследовательский институт фтизиопульмоно… Show more

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Cage Subsidence after Surgery on the Anterior Part of the Subaxial Cervical Spine: a Monocentric Prospective Clinical Study with a 3-Year Follow-Up

Kolesov

Kaz’min

Skorina

et al. 2020

Traumatology and Orthopedics of Russia

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The choice of an implant for vertebra body defect replacement in corpectomy for traumatic lesions remains a point of discussion among spinal surgeons. Nanostructured carbon cages are promising for use in spinal surgery.The purpose of this study was to determine the rate and degree of cage subsidence in the patients with traumatic lesions of the cervical spine undergone a single-level anterior corpectomy in the subaxial part of the cervical spine with reconstruction using a carbon or titanium cage. Materials and Methods. A prospective study included 47 patients undergone a single-level corpectomy of the cervical spine due to traumatic injury. Two groups were formed by adaptive randomization: group I with the patients with carbon cages (n = 23), and group II with the patients with titanium cages (n = 24). The evaluation of cages subsidence and stability was carried by X-rays and CT before and after surgery. The quality of life before and after the surgery was evaluated using NDI and VAS questionnaires.Results. According to the questionnaires, the absolute majority of the patients in both groups showed a statistically significant improvement of quality of life in the postoperative period (p<0.01). The first signs of implant subsidence were noted 3 months after surgery in group II. There were none of such cases in group I. The final result of the subsidence at the end of the follow-up comprised: for group I 0.6±0.4 mm, for group II 3.1±1.4 mm (p = 0.023). In group II, the bone block between bone tissue and the cage was recorded in 30% of patients (p = 0.037), in group I, the bone block was not formed. At the same time, according to the functional X-ray data, there were no signs of carbon cages instability in group I. None of the patients in groups I and II required revision surgery due to complications associated with cages placement.Conclusion. The outcomes of carbon nanostructure cages placement as bodyreplacing implants in the cervical spine were not inferior to the outcomes of titanium mesh cages using. In group I, the carbon cages subsidence was significantly lower than in group II with titanium cages. The bone block was not formed in the case of carbon cages. It is worth noting that the carbon structure of the cages allowed the radiological diagnostics of the operated segment without artifacts formation.

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Cage Subsidence after Surgery on the Anterior Part of the Subaxial Cervical Spine: a Monocentric Prospective Clinical Study with a 3-Year Follow-Up

Kolesov

Kaz’min

Skorina

et al. 2020

Traumatology and Orthopedics of Russia

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The Use Carbon Composite Material For Replacement of Postresection Bone Defects

Belokrylov,

Sotin,

Belokrylov

et al. 2023

JDS

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In studying the use of various implanted materials, the authors found no case reports of carbon composite material for children in the available literature. The boundaries of carbon composite material use are not clear, and indications and contraindications for its applying are not outlined. Therefore, the authors decided to share the initial experience of its use for the replacement of post-resection bone defects for children. The paper presents the results of surgical treatment of 8-16-year-old children with extensive bone defects after resection of pathological tissue with the use of highly porous cellular carbon in isolation and in combination with autografts. During the study, children with damage to long bone segments - tibia, shoulder, and femoral were operated on. The clinical and radiation results of this study have been evaluated based on the Musculo Skeletal Tumor Society Score Scale. 100% of treated patients were rated as good for period from 7 to 12 years after surgery. There were no complications in the operated patients. Full integration of the implantable materials was observed with good clinical and radiological results.

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Osteoconductive properties of carbon fibre implants used in surgery of spine injuries and disorders (case report)

Cited by 2 publications

References 0 publications

Cage Subsidence after Surgery on the Anterior Part of the Subaxial Cervical Spine: a Monocentric Prospective Clinical Study with a 3-Year Follow-Up

Cage Subsidence after Surgery on the Anterior Part of the Subaxial Cervical Spine: a Monocentric Prospective Clinical Study with a 3-Year Follow-Up

The Use Carbon Composite Material For Replacement of Postresection Bone Defects

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