腰人工椎间盘的研究和临床进展

Progress in research and clinic application of lumbar artificial disc

腰人工椎间盘置换治疗腰椎间盘病变研究历经四十年,已经有良好前景。长期沿习采用椎间盘摘除术和/或椎间融合术,常引起诸如下腰痛、腰椎不稳、脱位和邻椎代偿性退变等并发症。为了术后获得活动性腰椎和减少并发症,采用人工椎间盘置换治疗腰椎间盘病变,是目前最佳的措施。从各种假体的设计、病例选择、并发症和疗效对比,认为SBⅢCharite假体的疗效比较稳定。

The research on artificial disc replacement to treat lumbar disc disorders has been conducted for more than 40 years in the world and revealed bright prospects for the promising technique. For a long time, discectomy and/or intervertebral fusion have often resulted in severe complications, such as obstinate lower back pain, dislocation and subluxation of lumbar spinal facet joints, intervertebral instability and compensatory degeneration on neighbored spinal facet joints. The research has shown that the disc prosthesis with active ability will reduce the severe complications. The recent literature has reported that the improved design of the disc prosthesis has been used in the treatment of the lumbar disc disorders with excellent and good results in the world. Comparing several designs and forms of disc prosthesis in terms of case selection, complications and results, we have found that the artificial disc replacement with the modular type SB ⅢCharite for lumbar disc disorders is the best.