Huang Yi-Jiang, Qian Sheng-Jun, Zhang Ning, Chen Wei-Shan
Department of Orthopaedics, Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou 310009, Zhejiang, China.
Zhongguo Gu Shang. 2010 Oct;23(10):797-800.
Degenerative disc disease is not only a common disease in the area of spinal surgery, but also one of the main reasons for the low back pain of the adults and disability. Conventionally it was considered be affirmative for the effect of the lumbar spinal fusion. But the way retained the physiological motor function. The lumbar motion segment fusion accelerated degeneration of adjacent segment disc and facet joint. Further study of lumbar functional anatomy and biomechanics made development of modern artificial disc device of different structures and materials possible. Besides the lumbar fusion, artificial lumbar disc replacement has become another choice in treating the lumbar degenerative diseases. The purpose is to release the pain which caused by the degenerative disc for a long period and to reconstruct the height of intervertebral disc in order to protect the nerve tissue. Retaining the spinal movement was in order to avoid degeneration of facet joints and adjacent segments, then, restore the spinal characteristic of kinematics and load at last. This review aims to explain the type of artificial lumbar intervertebral disc, the field of research and its clinical application advancement and prospects.
椎间盘退变疾病不仅是脊柱外科领域的常见疾病，也是成年人腰痛和残疾的主要原因之一。传统上，人们认为腰椎融合术的效果是肯定的。但这种方法保留了生理运动功能。腰椎运动节段融合加速了相邻节段椎间盘和小关节的退变。对腰椎功能解剖学和生物力学的进一步研究使得开发不同结构和材料的现代人工椎间盘装置成为可能。除了腰椎融合术，人工腰椎间盘置换已成为治疗腰椎退变疾病的另一种选择。其目的是缓解由退变椎间盘长期引起的疼痛，并重建椎间盘高度以保护神经组织。保留脊柱运动是为了避免小关节和相邻节段的退变，最终恢复脊柱的运动学和负荷特征。本综述旨在解释人工腰椎间盘的类型、研究领域及其临床应用进展和前景。
