الفهرس 
Introduction
Fascial Compartments of the neckOnly 14 pages are availabe for public view
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Abstract
ACDF is widely accepted surgical procedure for the treatment of cervical spinal degenerative disease using either PEEK cages alone packed with synthetic bone graft or PEEK cages augmented by cervical plate.
The aim of this work is to evaluate the (clinical, radiological and functional parameters) of anterior cervical discectomy and fusion (ACDF) using PEEK cages alone packed with calcium triphosphate bone substitute compared with cages augmented with anterior locked plate in treatment of multi-level cervical degenerated disease (CCD)
This study will include (30) patients with multi-Level disc degenerative diseases (CDD). These patients usually present with radiculopathy, myelopathy or radiculomyelopathy. They will be divided into two groups: (15) patients will be treated with ACDF using cages only packed with calcium triphosphate bone Substitute (cage only group) and (15) patients will be treated with ACDF using cages packed with calcium triphosphate bone substitute augmented with anterior locked plate (plate group). No specific guidelines or indications will be used in dividing the patients among the two groups.
The results show no significant difference between the cage group and the plate group as regarding functional, clinical and radiological (fusion, lordosis, subsidence and adjacent segment disease) results.
In multiple levels (three or more) ACDF, the use of stand-alone PEEK cages results in less blood loss, less adjacent disc degeneration, less complication than the use of PEEK cages augmented with locked plate but unfortunately more incidence of subsidence. However, there is no significant difference in the postoperative and latest follow up LKA, fusion rate, clinical, and functional outcomes between the cage and plate groups.