Implant Materials for Anterior Column Reconstruction of Cervical Spine Tumor

Orthop Surg. 2023 May;15(5):1219-1227. doi: 10.1111/os.13702. Epub 2023 Mar 23.

Abstract

The spine is the most common site of bone metastases. Many cancer patients will ultimately develop spinal metastatic disease with symptomatic epidural spinal cord compression. At present, the main treatment for cervical spine tumors is surgical resection combined with postoperative radiotherapy. Implant materials for cervical spine anterior column reconstruction need to meet amounts of different properties, such as biocompatibility, bioactivity and the ability to maintain long-term mechanical strength. The selection of different materials determines the surgical efficacy and prognosis of patients to a certain extent. This article provides an overview of a variety of implant materials used for anterior column reconstruction after cervical spine tumor resection, introduces and analyzes their properties, advantages, disadvantages, derivatives, and applications in clinical practice, and looks forward to the future development of implant materials.

Keywords: 3D-printed; Allogenic bone; Autogenous bone; Bioactive ceramics; Bone cement; Cervical spine reconstruction; Cervical spine tumor; Implant materials; PEEK; TMC.

Publication types

  • Review

MeSH terms

  • Bone Neoplasms* / pathology
  • Cervical Vertebrae / pathology
  • Cervical Vertebrae / surgery
  • Humans
  • Spinal Cord Compression* / surgery
  • Spinal Neoplasms* / secondary
  • Treatment Outcome