PEEK is superior to titanium cage in treating multilevel cervical spondylotic myelopathy .
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Comparison of titanium and polyetheretherketone (PEEK) cages in the surgical treatment of multilevel cervical spondylotic myelopathy: a prospective, randomized, control study with over 7-year follow-up
Eur Spine J. 2013 Jul;22(7):1539-46. doi: 10.1007/s00586-013-2772-y. Epub 2013 Apr 9Eighty patients with 3-level cervical spondylotic myelopathy (CSM) underwent anterior cervical discectomy with either titanium or polyetheretherketone (PEEK) cages to compare the long term clinical and radiological outcomes of both cages. At an average follow up of 99.7 months, the PEEK group had excellent and good clinical outcomes with better Japanese Orthopaedic Association (JOA) scores and Neck Disability Index (NDI) scores than titanium cages. Titanium group also experienced greater Cobb angle and intervertebral height loss with more patients having cage subsidence and two asymptomatic cage dislocations.
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