Anand Neel, Baron Eli M
Minimally Invasive Spine Surgery, Department of Surgery, Cedars Sinai Spine Center, 444 S. San Vicente Boulevard, Suite 800, Los Angeles, CA 90048, USA.
Adv Orthop. 2012;2012:218385. doi: 10.1155/2012/218385. Epub 2012 Dec 26.
Posterior nonfusion pedicle-screw-based stabilization remains a controversial area of spine surgery. To date, the Dynesys system remains the most widely implanted posterior nonfusion pedicle screw system. We review the history of Dynesys and discuss clinical outcome studies and biomechanical evaluations regarding the Dynesys system. Indications for surgery and controversies are discussed. Recommendations are made regarding technical implantation.
基于椎弓根螺钉的后路非融合固定术仍是脊柱外科手术中一个存在争议的领域。迄今为止,Dynesys系统仍然是应用最广泛的后路非融合椎弓根螺钉系统。我们回顾了Dynesys系统的历史,并讨论了关于该系统的临床疗效研究和生物力学评估。还讨论了手术适应症及争议之处。并就技术植入方面提出了建议。