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颈椎间盘置换术。

Cervical Disc Replacement.

机构信息

Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021, USA.

Orthopaedic Surgery, Minimally Invasive Spinal Surgery, Hospital for Special Surgery, Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA.

出版信息

Neurosurg Clin N Am. 2020 Jan;31(1):73-79. doi: 10.1016/j.nec.2019.08.009. Epub 2019 Oct 24.

Abstract

Anterior cervical disc replacement (arthroplasty) has gained momentum over the past 2 decades. The ball-and-socket prosthesis design of arthroplasty has been shown to simulate normal motion in all 3 rotation planes at the level of surgery and replicates physiologic motion. Anterior cervical discectomy and fusion has been shown to be a safe and effective surgery over decades; cervical disc replacement counters some secondary effects owing to its preservation of segmental mobility, the potential to reduce adjacent segment degeneration, and the lack of plating or harvesting bone graft. The literature is growing in support of the success and longevity of arthroplasty.

摘要

在过去的 20 年中,前路颈椎间盘置换(关节成形术)得到了迅猛发展。关节成形术的球窝假体设计已被证明可在手术水平的所有 3 个旋转平面模拟正常运动,并复制生理运动。前路颈椎间盘切除术和融合术数十年来一直被证明是一种安全有效的手术;颈椎间盘置换术由于保留了节段活动性、降低相邻节段退变的潜力以及无需使用钢板或采集骨移植物,克服了一些继发性影响。越来越多的文献支持关节成形术的成功和长久性。

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