Abstract
Twenty years after its introduction, the technique of cervical interbody fusion using polymethylmethacrylate (PMMA) is still controversial. The main points of criticism are:
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Fear of insufficient stabilization of the cervical spine [6]
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Carcinogenic potential of PMMA [8,9]
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Possible damage to neural or bony structures due to the exothermal reaction during the polymerization of PMMA
One result of this study may be anticipated: Damage to neural structures attributable to the exothermic polymerization reaction has not been registered. This is thought to be due to the excellent thermoinsulating ability of the gelfoam which is routinely used to cover the dura and the nerve roots prior to introduction (pouring) of PMMA into the intervertebral space [12].
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Böker, DK., Probst, E.M., Schultheiß, R. (1990). Long-Term Results After Cervical Interbody Fusion with Polymethylmethacrylate. In: Bushe, KA., Brock, M., Klinger, M. (eds) Stabilizing Craniocervical Operations Calcium Antagonists in SAH Current Legal Issues. Advances in Neurosurgery, vol 18. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75283-4_7
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DOI: https://doi.org/10.1007/978-3-642-75283-4_7
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