Bastien J, Lecomte Y, Willems S
Acta Orthop Belg. 2016 Sep;82(3):440-455.
Low back pain is one of the most common symptom with high cost for the public health. When conservative treatment fails, patients are heading to surgical treatment. Instead of lumbar arthrodesis, we can offer an alternative that will keep the intervertebral mobility : Total disc replacement (TDR) by prosthesis. Many studies have published good results rate over 80%, since first implantation in 1984. Believing in keeping the mobility, we promote TDR since 2002. This retrospective study review 345 patients with two years follow-up. The outcomes show 81% of good and really good results, according to gain of improvement on VAS and ODI scores. We report 6.88% of complications for the abdominal approach and 4.57% for the device, without harmful complication. Same results are obtained in case of postdiscectomy syndrome.
腰痛是最常见的症状之一，给公共卫生带来高昂成本。当保守治疗失败时，患者会寻求手术治疗。除了腰椎融合术，我们还可以提供一种能保持椎间活动度的替代方案：使用假体进行全椎间盘置换（TDR）。自1984年首次植入以来，许多研究都公布了超过80%的良好成功率。基于对保持活动度的信念，我们自2002年起推广TDR。这项回顾性研究对345例患者进行了两年的随访。根据视觉模拟评分法（VAS）和腰椎功能障碍指数（ODI）评分的改善情况，结果显示81%的患者获得了良好及非常好的效果。我们报告经腹入路的并发症发生率为6.88%，器械相关并发症发生率为4.57%，均无有害并发症。在椎间盘切除术后综合征的病例中也获得了相同的结果。
