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However, reports of complications related to implant removal after solid fusion are rare.
The correlation between radiographic solid fusion and favorable clinical outcome has not been fully established.
To our knowledge, there is no study that has evaluated whether a solid fusion influences clinical outcome after minimally invasive lumbar fusion.
Majd et al. reported on 34 cases with a 97% solid fusion rate using titanium mesh cages and local bone graft to fill the cervical corpectomy defect.
At the 15- and 18-month follow-up, respectively, both patients attained a stable, solid fusion with maintenance of the medial longitudinal architecture.
Many surgeons believe that patients who achieve a radiographic solid fusion will exhibit a more positive clinical outcome than those getting an unsuccessful fusion.
However, to our knowledge, there is no report of reversing the fusion and deformity reduction in a symptomatic patient with previous solid fusion of the spondyloptosis at L5 S1.
Pain relief was associated with solid fusion (P =.02).
Solid fusion was achieved and fully confirmed in nine cases.
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CT scans were available for 44 of the 46 patients; the other two, who declined a CT scan, had solid fusions evident on plain radiographs and no clinical symptoms.
Although both PEEK and titanium have demonstrated clinical success in obtaining a solid spinal fusion, innovations are being developed to improve fusion rates and to create stronger constructs using hybrid additive manufacturing approaches by incorporating both materials into a single interbody device.
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