Abstract
Spinal metastases are increasing in incidence with affected patients experiencing significant pain and disability. Continuous research and innovation in the field of spinal oncology have given rise to an increase in personalized treatment based on tumor characteristics and various patient-specific factors. Carbon fiber-reinforced polyetheretherketone (CFR-PEEK) instrumentation has gained popularity as an alternative to titanium-based implants primarily due to their ability to minimize imaging artifact. A literature search was performed to find articles that examined the use of CFR-PEEK screws in spinal fusion procedures in oncologic patients. Data from each study were compiled to compare complication rates, durability, and effects on postoperative imaging in patients treated with CFR-PEEK instrumentation to those treated with traditional titanium implants. Overall, CFR-PEEK-based products were similar to titanium hardware in terms of durability and complication rates while CFR-PEEK allows for improved postoperative tumor surveillance and radiosurgical planning.
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