腰椎融合术中的椎间融合器选择
Interbody options in lumbar fusion.
作者信息
Patel Dil V, Yoo Joon S, Karmarkar Sailee S, Lamoutte Eric H, Singh Kern
机构信息
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
出版信息
J Spine Surg. 2019 Jun;5(Suppl 1):S19-S24. doi: 10.21037/jss.2019.04.04.
Abstract
Interbody devices have revolutionized lumbar fusion surgery by enhancing mechanical stability, optimizing sagittal parameters, and maximizing fusion potential. There are several lumbar interbody fusion approaches available for varying pathologic etiologies, surgical index levels, or due to surgeon preference. With the advancement of spinal instrumentation and interbody devices, a variety of cage materials and dimensions have been engineered to accommodate various lumbar fusion approaches. The efficacy of a fusion is dependent on the shape, size, and material makeup of that interbody device. Since there are numerous cages available in today's market, it is important to find the optimal cage to best accommodate specific lumbar fusion cases. This review will explain the properties and future advancements of various interbody devices available for lumbar fusions.
摘要
椎间融合器通过增强机械稳定性、优化矢状面参数以及最大化融合潜力，彻底改变了腰椎融合手术。针对不同的病理病因、手术节段或因医生偏好，有多种腰椎椎间融合方法可供选择。随着脊柱内固定器械和椎间融合器的发展，已设计出各种形状和尺寸的融合器，以适应各种腰椎融合方法。融合的效果取决于椎间融合器的形状、大小和材料构成。由于当今市场上有众多的融合器，找到最适合特定腰椎融合病例的最佳融合器非常重要。本综述将阐述可用于腰椎融合的各种椎间融合器的特性和未来进展。
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