Försth Peter, Gerdhem Paul, Svensson Olle
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Lakartidningen. 2020 Mar 19;117:FZHI.
When surgery is needed for chronic low back pain, replacement of the degenerated and potential pain generating disc with a prosthesis often gives good short-term pain relief. However, there is no evidence of the clinical superiority of prosthesis compared with other treatments. Disc prosthesis is associated with considerable risks of late severe complications, especially in revision surgery. The method has been suggested as a treatment for young active patients, which is highly questionable considering the risk of late severe adverse events and complex revision surgery. Globally the method is declining and in many health care financing models it is not an approved treatment. In Sweden, the use of disc prosthesis is increasing.
当慢性腰痛需要进行手术时，用假体替换退变且可能产生疼痛的椎间盘通常能在短期内有效缓解疼痛。然而，没有证据表明假体在临床上比其他治疗方法更具优势。椎间盘假体与后期严重并发症的风险相当高，尤其是在翻修手术中。该方法被建议用于年轻活跃的患者，但考虑到后期严重不良事件的风险和复杂的翻修手术，这是非常值得怀疑的。在全球范围内，这种方法正在减少，并且在许多医疗保健融资模式中，它不是一种被批准的治疗方法。在瑞典，椎间盘假体的使用正在增加。
