Mayer H Michael, Siepe Christoph J
Paracelsus Medical School, Salzburg, Austria.
Orthop Clin North Am. 2011 Oct;42(4):543-54, viii. doi: 10.1016/j.ocl.2011.07.008.
Total lumbar disk replacement has become a routine procedure in many countries. However, discussions regarding its use are ongoing. Issues focus on patient selection, technical limitations, and avoidance or management of complications or long-term outcomes. A review of the development of this technology, since the development of the first successful implantation of a total lumbar disk prosthesis in 1984, shows an amazing analogy to the history of total hip replacement. This article is a one-to-one comparison of the evolution of total hip and total lumbar disk replacement from "skunk works" to scientific evidence.
全腰椎间盘置换术在许多国家已成为一种常规手术。然而，关于其应用的讨论仍在继续。问题集中在患者选择、技术局限性以及并发症的避免或处理或长期疗效方面。回顾自1984年首次成功植入全腰椎间盘假体以来这项技术的发展历程，会发现它与全髋关节置换术的历史有着惊人的相似之处。本文对全髋关节置换术和全腰椎间盘置换术从“秘密研发”到科学证据的演变进行了一一对比。
