Department of Neurological Surgery, Thomas Jefferson University Hospitals, 909 Walnut Street, Room 320L, Philadelphia, PA 19107, USA.
Department of Neurological Surgery, Thomas Jefferson University Hospitals, 909 Walnut Street, Room 320L, Philadelphia, PA 19107, USA.
Neurosurg Clin N Am. 2021 Oct;32(4):511-519. doi: 10.1016/j.nec.2021.05.010.
Low back pain is the leading cause of disability worldwide in industrialized nations. The pathology underlying chronic low back pain is associated with numerous factors. Lumbar degenerative disc disease is a potential major source of low back pain. There are numerous treatment modalities and options. Nonsurgical treatment options exist in the form of pain management through a combination of anti-inflammatory medications and steroid injections, physical therapy and lifestyle modifications. This article reviews the history and current trends in use for lumbar toral disc arthroplasty for degenerative disc disease treatment. Furthermore, indications, contraindications, and complications management are discussed.
下背痛是工业化国家导致全球残疾的主要原因。慢性下背痛的病理基础与许多因素有关。腰椎退行性椎间盘疾病是下腰痛的一个潜在主要来源。有许多治疗方法和选择。非手术治疗选择包括通过抗炎药物和类固醇注射、物理治疗和生活方式改变的组合来进行疼痛管理。本文回顾了腰椎全椎间盘置换术治疗退行性椎间盘疾病的历史和当前应用趋势。此外，还讨论了适应证、禁忌证和并发症的处理。
