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4 LBL213 rev 1 DEMAND MORE STABILITY! delivers the fusion results you demand. TEXTURIZED TITANIUM COATING with DEMAND THE PROOF wpti.centinelspine.com 1 Centinel Spine Journal • Number 2 • December 2015 A Prospective Radiographic Review of the STALIF C-Ti Integrated Interbody ACDF Device Naser Ibrahim Said Elshihabi, MD WellStar Neurosurgery, Marietta, GA © 2015 Centinel Spine, Inc.™ LBL196 Rev 1 ￭ ABSTRACT Objective: To perform radiographic evaluation of fusion associated with the STALIF C-Ti™ Integrated Interbody™ spinal cage (Centinel Spine) in anterior cervical discectomy and fusion (ACDF) procedures. Methods: All patients had undergone anterior cervical discectomy and fusion (ACDF one and two levels), utilizing the STALIF C-Ti device. Data comprised of patients undergoing the procedure from November 2014 to September 2015, with an average imaging follow up of 3.5 months. The same surgeon at the same institution performed all procedures. Fusion criteria was assessed by thin-cut CT scans with multi-modal reconstructions. An independent board certified neuroradiologist read all images, and fusion was assessed on a grade 1-5 scale. Results: Ten total patients were included in the study with an average age of 48. The break-down of levels operated on was 6 one-level and 4 two- level procedures. All fusion assessments were done with thin-cut CT scans, and grade 5 fusion was observed in seven of the patients, and grade four fusion was observed in 3 patients. Average time post- postoperatively to reach full fusion was 3.5 months Conclusion: The STALIF C-Ti cervical fusion device promotes better fusion in ACDF patients due to its titanium coating. Full fusion was observed post-operatively in a shorter follow up period as compared to ACDF with a traditional PEEK ® cage that does not have a titanium coating. FIGURE 1: Image of STALIF C-Ti cervical Integrated Interbody spinal cage. Note that the superior and inferior surfaces of the STALIF C-Ti cage are coated with a thin layer of commerically pure titanium applied via plasma spray. STALIF C-Ti™ Anterior Cervical System STALIF C® Anterior Cervical System CLINICAL COMPENDIUM TECHNICAL MONOGRAPH: TITANIUM-ENHANCED PEEK TECHNOLOGY STALIF C-Ti™ Anterior Cervical System MIDLINE II -Ti™ Anterior Lumbar System STALIF C-Ti™ MIDLINE II-Ti™