Geisler Fred H
Illinois Neuro-Spine Center, Aurora, Illinois 60504, USA.
Neurosurgery. 2005 Jan;56(1 Suppl):46-57; discussion 46-57. doi: 10.1227/01.neu.0000153215.60994.d3.
Lumbar artificial disc technology has been commercially available outside the United States for nearly 2 decades. With the Food and Drug Administration approval of the Charité Artificial Disc in October 2004, an entirely new spinal surgeon population will be able to offer this technology to their patients as a treatment option. As with other techniques in spinal surgery, indications for lumbar total disc replacement are paramount to the success of the procedure. The correct surgical technique is also important to a successful outcome. This article describes the technique for placement of the Charité Artificial Disc in indicated patients. The technique is similar to that of an anterior lumbar interbody fusion procedure, but many differences between the techniques make lumbar total disc replacement a unique procedure in the spinal surgeon's armamentarium. Although this article is thorough in its description of the surgical technique for total disc replacement with the Charité Artificial Disc, it should not be used as a substitute for company-sponsored training.
腰椎人工椎间盘技术在美国以外的市场已商业化近20年。随着美国食品药品监督管理局于2004年10月批准Charité人工椎间盘，一大批全新的脊柱外科医生将能够为患者提供这项技术作为一种治疗选择。与脊柱外科的其他技术一样，腰椎全椎间盘置换术的适应证对于手术的成功至关重要。正确的手术技术对取得成功的手术效果也很重要。本文介绍了在符合适应证的患者中植入Charité人工椎间盘的技术。该技术与腰椎前路椎间融合术相似，但两者之间存在许多差异，这使得腰椎全椎间盘置换术成为脊柱外科医生手术方法中的一种独特术式。尽管本文对使用Charité人工椎间盘进行全椎间盘置换术的手术技术进行了详尽描述，但不应将其用作替代公司组织的培训。
