Greene Allison C, Hsu Wellington K
Northwestern University Department of Orthopaedic Surgery, Chicago, IL, USA.
Simpson Querrey Institute, Northwestern University, Chicago, IL, USA.
J Spine Surg. 2019 Jun;5(Suppl 1):S11-S18. doi: 10.21037/jss.2019.04.15.
Minimally invasive (MI) spine surgery continues to gain popularity with patients and surgeons for its potential to decrease operative time and avoid complications commonly associated with open surgery. In the face of a changing surgical landscape, selecting the appropriate implant material to be used in MI lumbar fusion procedures will remain critically important. Various orthobiologic materials are available for use, including autologous and allogeneic bone graft, bone marrow aspirate (BMA), demineralized bone matrix (DBM), ceramics, and growth factors. The purpose of this review is to summarize the use and efficacy of currently available products, as well as highlight the development of novel therapeutic options.
微创脊柱手术因其有可能缩短手术时间并避免与开放手术相关的常见并发症,在患者和外科医生中越来越受欢迎。面对不断变化的手术格局,选择适用于微创腰椎融合手术的植入材料仍然至关重要。有多种骨科生物材料可供使用,包括自体和异体骨移植、骨髓抽吸物(BMA)、脱矿骨基质(DBM)、陶瓷和生长因子。本综述的目的是总结现有产品的使用情况和疗效,并突出新型治疗选择的发展。