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腰椎体间融合术:历史回顾与未来展望。

Lumbar Interbody Fusion: A Historical Overview and a Future Perspective.

机构信息

Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.

CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.

出版信息

Spine (Phila Pa 1976). 2018 Aug;43(16):1161-1168. doi: 10.1097/BRS.0000000000002534.

Abstract

UNLABELLED

: In this historical study we present an overview of lumbar interbody fusion surgery, which is one of the most commonly performed instrumented spinal fusion surgeries. The present article focuses on the history of lumbar interbody fusion surgery, starting from the foundation which was laid in the 19th and 20th century until today. The development of material and techniques evolved from simple wiring to the combination of transforaminal interbody fusion with polyether ether ketone cages and pedicle screw fixation with poly axial screws. The possibilities of instrumented spinal fusion grew during the past 100 years, and a considerable increase in instrumented spinal surgery was seen over the past decades. Today, gain lies in perfection of techniques and deliberate indication and development of guidelines. Therefore, more standardized studies on instrumented spinal surgery are needed to be done and techniques should be personalized on the patients' specific needs.

LEVEL OF EVIDENCE

N/A.

摘要

未加标签

在这项历史研究中,我们介绍了腰椎体间融合术,这是最常进行的器械性脊柱融合术之一。本文重点介绍腰椎体间融合术的历史,从 19 世纪和 20 世纪奠定的基础到今天。材料和技术的发展从简单的布线演变为经椎间孔腰椎体间融合与聚醚醚酮 cage 的结合,以及椎弓根螺钉固定与多轴向螺钉的结合。在过去的 100 年中,器械性脊柱融合的可能性不断增加,在过去几十年中,器械性脊柱手术的数量显著增加。如今,更多的在于技术的完善以及对适应证的慎重考虑和指南的制定。因此,需要进行更多关于器械性脊柱手术的标准化研究,并根据患者的具体需求对技术进行个性化处理。

证据水平

无。

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