{"id":4012,"date":"2022-12-05T16:34:11","date_gmt":"2022-12-05T15:34:11","guid":{"rendered":"https:\/\/www.icotec-medical.com\/case\/bessere-entscheidungssicherheit"},"modified":"2023-11-14T09:59:15","modified_gmt":"2023-11-14T08:59:15","slug":"increased-confidence","status":"publish","type":"case","link":"https:\/\/www.icotec-medical.com\/en\/cases\/increased-confidence\/","title":{"rendered":"Increased Confidence in Making Decisions during Follow-up"},"content":{"rendered":"\n

Case 4<\/h4>\n\n\n\n

Increased Confidence in Making Decisions during Follow-up<\/strong><\/h1>\n\n\n\n

A 57-year-old female patient with myelopathy and existing C3\/C4 disc degeneration was diagnosed with C4 metastasis from renal cancer.<\/p>\n\n\n\n

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Therapy<\/h2>\n\n\n\n
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Step 1<\/strong>
Surgical Intervention<\/span><\/i><\/span><\/i><\/span><\/a><\/h3><\/div>
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Vertebrectomy and anterior stabilization with the KONG\u00ae<\/sup>-C VBR System<\/a> and the icotec Anterior Cervical Plate<\/a><\/p>\n<\/div><\/div>\n\n\n\n

Step 2<\/strong>
Follow-up<\/span><\/i><\/span><\/i><\/span><\/a><\/h3><\/div>
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Successful decompression of the spinal cord and good positioning of the implants could be assessed on low-artifact imaging without any problems.<\/p>\n\n\n\n

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\"CT
CT (left: sagittal, right: coronary)<\/figcaption><\/figure>\n\n\n\n
\"MRI
MRI (left: sagittal, right: axial)<\/figcaption><\/figure>\n<\/figure>\n<\/div><\/div>\n\n\n\n

Conclusion<\/span><\/i><\/span><\/i><\/span><\/a><\/h3><\/div>
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BlackArmor\u00ae<\/sup> Carbon\/PEEK increases confidence in making decisions during follow-up visits, as anatomical structures close to the implant can be accurately assessed.1<\/a><\/sup>Kr\u00e4tzig T. et al. (2021): Carbon-Fiber-Reinforced PEEK versus Titanium Implants: An In Vitro Comparison of Susceptibility Artifacts in CT and MR Imaging. Neurosurgical Review. (PubMed, PMID: 32930911<\/a>)<\/span><\/span>2<\/a><\/sup>Ringel F. et al. (2017): Radiolucent Carbon Fiber-Reinforced Pedicle Screws for Treatment of Spinal Tumors: Advantages for Radiation Planning and Follow-Up Imaging. World Neurosurgery. (PubMed, PMID: 28478252<\/a>)<\/span><\/span>3<\/a><\/sup>Fleege C. et al. (2020): Carbon-Fiber-Reinforced Pedicle Screws Reduce Artifacts in Magnetic Resonance Imaging of Patients with Lumbar Spondylodesis. Scientific Reports. (PubMed, PMID: 32999385<\/a>)<\/span><\/span>4<\/a><\/sup>Kalasauskas D. et al. (2022): Qualitative Assessment of Titanium versus Carbon Fiber\/Polyetheretherketone Pedicle Screw-Related Artifacts: A Cadaveric Study. World Neurosurgery. (PubMed, PMID: 35803562<\/a>)<\/span><\/span>Titanium implants make this significantly more difficult due to artifacts on MRI.<\/p>\n<\/div><\/div>\n<\/div>\n\n\n

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Inserted BlackArmor\u00ae<\/sup> Carbon\/PEEK Implants<\/h3>\n Show all implants<\/a>\n <\/div>\n \n
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icotec Anterior Cervical Plate<\/h3>\n
\n Cervical Plate System <\/div>\n \n
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KONG\u00ae<\/sup>-C VBR System<\/h3>\n
\n Cervical VBR <\/div>\n \n
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