腰椎和颈椎退行性疾病的融合术与椎间盘置换术：证据何在？
Fusion versus disk replacement for degenerative conditions of the lumbar and cervical spine: quid est testimonium?
作者信息
Kishen Thomas J, Diwan Ashish D
机构信息
Spine Service, Department of Orthopedic Surgery, St George Hospital and Clinical School, University of New South Wales, 53 Montgomery Street, Kogarah, New South Wales 2217, Australia.
出版信息
Orthop Clin North Am. 2010 Apr;41(2):167-81. doi: 10.1016/j.ocl.2009.12.002.
This article compares the outcomes following spinal fusion and disk replacement for degenerative conditions of the lumbar and cervical spine. The short-term outcomes of lumbar and cervical total disk replacement are equivalent to that following spinal fusion. Long-term follow-up studies of total disk replacement are necessary to confirm its potential benefit in reducing or preventing adjacent level degeneration. Also discussed is the philosophy of the surgical management of degenerative conditions of the lumbar and cervical spine.
本文比较了腰椎和颈椎退行性疾病行脊柱融合术和椎间盘置换术后的疗效。腰椎和颈椎全椎间盘置换术的短期疗效与脊柱融合术相当。需要对全椎间盘置换术进行长期随访研究，以证实其在减少或预防相邻节段退变方面的潜在益处。文中还讨论了腰椎和颈椎退行性疾病的手术治疗理念。
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