Use of Stand-Alone Intersomatic Titanium Interbody Cage Cespace for Cervical Anterior Arthrodesis and Fusion in Cervical Degenerative Diseases

Background: Cespace is a solid titanium spacer used for arthrodesis and fusion between vertebral cervical bodies in the treatment of degenerative diseases of cervical spine. Methods: We present our clinical experience in a group of 180 patients, affected by cervical myelo-radiculopathy due to spondylosis or cervical disc herniation and undergone surgical operation. All patients underwent an anterior discectomy and interbody fusion through positioning of one or more levels Cespace device. Patients were evaluated by clinical and radiological assessment pre-operatively, immediately post-operatively and at follow-up. We assess clinical outcome using visual analogue scale for pain and a modified Japanese Ortho­pedic Association scale for myelopathy. We also considered functional outcome, using Odom classification. Results: After surgical treatment we report a significant relief of pain and clinical improvement. Radiological evaluations showed no change in cervical lordosis. No case of junctional syndrome was observed over all follow-up period. Conclusion: Cespace is a safety and efficacious orientated solution for cervical interbody fusion.