Tropiano Patrick, Ronflé Maxime, Blondel Benjamin
Bull Acad Natl Med. 2015 Nov;199(8-9):1345-1365.
Chronic low back pain is extremelyfrequent and its management is still con troversial among spine physicians. For decades, intervertebral fusion has been considered as the gold- standard. However, non fusion techniques have been developed in order to avoid fusion's complications. Numerous studies have reported satisfactory results of total disc arthro- plasty in the management of lumbar degenerative disc disease. So far it is still dificult to prove the superiority of disc replacement over fusion due to a lack of high level studies. The aim of this work was to try to answers various questions related to that technique which was described twenty years ago.
慢性下腰痛极为常见，其治疗在脊柱科医生中仍存在争议。几十年来，椎间融合术一直被视为金标准。然而，为避免融合术的并发症，非融合技术已得到发展。许多研究报告了全椎间盘置换术治疗腰椎间盘退变疾病的满意结果。迄今为止，由于缺乏高水平研究，仍难以证明椎间盘置换术优于融合术。这项工作的目的是试图回答与二十年前描述的该技术相关的各种问题。
