الفهرس 
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Abstract
Anterior cervical discectomy has proven to be a safe and effective procedure
for the treatment of degenerative disc disease. The anterior approach allows
direct visualization of the entire interspace and wide decompression of the
anterior aspect of cervical spinal cord and nerve roots; it may be undertaken in
cases of multilevel disease and interbody fusion may be performed if required.
PEEK is a semi crystalline aromatic polymer with a modulus of elasticity
resembling bone that has been used to create structural spinal implants .PEEK
implants combine superior strength and impact resistance with radiolucency
Patients receiving ACDF with local bone graft combined with a PEEK cage
had significant shorter operation time, lower perioperative complications rate
and better radiological results comparing with those with an iliac bone graft
alone. It seems that the local bone graft with a PEEK cage appears to be a safe
alternative to the iliac bone graft for ACDF.
Twenty patients aged from 20-65 years 16 females (80%) and 4 males (20%)
with symptomatic cervical disc disease Presented in out-patient clinic,
Menoufia Univeristy hospital from 2012 to 2014.
Age: The mean age was 43.25 + 9.06 (range, 28-60) years.
Type of affection: There were 13 patients (65%) with radiculopathy, 2 patients
(10%) with mylopathy and 5 patients (10%) with radiculomylopathy .
Affected Levels: There were 37 levels affected among the twenty patients.
The pre-operative scores of NDI, VAS and Ranawat classification of
mylopathy were used in the study.
Anterior cervical discectomy and fusion using PEEK cages and local bone
graft had been done to all cases.
Post-operative evaluation performed after surgery during follow-up visits at 3,
6 & 12 months. Neck disability index, visual pain analogue used as outcome
tools and Odom’s criteria for clinical outcome at final assessment.