polyetheretherketone peek cages for anterior column reconstruction in pyogenic vertebral osteomyelitis the objective of study was to evaluate a case series of patients in whom polyetheretherketone peek cages were used for anterior column reconstruction in vertebral osteomyelitis fifteen patients underwent clinical and radiological evaluation with average followup of 26 months parameters assessed were time of surgery blood loss segmental kyphosis or lordosis angle time to solid bony fusion ambulatory status and functional outcome mean time of surgery was 150 min with mean blood loss of 530 ml one patient died in early postoperative period all patients without preoperative neurologic deficit were walking unaided first day postoperatively solid bony fusion was demonstrated in 14 patients on average 71 months postoperatively functional outcome at the latest followup was excellent good or fair in 86 two failures with recurrent infection were treated with peek cage removal and reinstrumentation high success rate could be expected when peek cages are used for anterior column support in pyogenic vertebral osteomyelitis