AccScience Publishing / ARNM / Volume 2 / Issue 2 / DOI: 10.36922/arnm.3130

Emerging role of carbon fiber-reinforced polyetheretherketone instrumentation in spinal oncology: A systematic review

Jacob Ward1* Seth Wilson1 Ryan G. Eaton2 Vicente Coelho2 David S. Xu2 Vikram B. Chakravarthy2
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1 The Ohio State University College of Medicine, Columbus, Ohio, United States of America
2 Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, Ohio, United States of America
Submitted: 11 March 2024 | Accepted: 13 May 2024 | Published: 30 May 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( )

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.

Spine oncology
Spine metastases
Stereotactic body radiotherapy
Local control
Magnetic resonance imaging
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Conflict of interest
The authors declare they have no competing interests.
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Advances in Radiotherapy & Nuclear Medicine, Electronic ISSN: 2972-4392 Published by AccScience Publishing