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椎间盘退变当前治疗方法的最新进展:一篇综述文章。

An update of current therapeutic approach for Intervertebral Disc Degeneration: A review article.

作者信息

Mahyudin Ferdiansyah, Sigit Prakoeswa Cita Rosita, Notobroto Hari Basuki, Tinduh Damayanti, Ausrin Ryan, Rantam Fedik Abdul, Suroto Heri, Utomo Dwikora Novembri, Rhatomy Sholahuddin

机构信息

Doctoral Program, Faculty of Medicine, Airlangga University, Surabaya, Indonesia.

Department of Orthopedic and Traumatology, Prof. Dr. R. Soerharso Orthopedic Hospital, Surakarta, Indonesia.

出版信息

Ann Med Surg (Lond). 2022 Apr 15;77:103619. doi: 10.1016/j.amsu.2022.103619. eCollection 2022 May.

Abstract

Intervertebral disc degeneration is a natural process of aging. It can cause physical, psychological, and socioeconomic impact due to the decreasing function of the spine and pain manifestation. Conservative and surgical treatment to correct symptoms and structural anomalies does not fully recover the degenerated disc. Several therapeutic approaches have been developed to improve the clinical result and patient's quality of life. This paper aims to review previous studies that discussed potential novel approach in order to make effective degenerated disc restoration. We tried to briefly describe IVD, IDD, also review several promising current therapeutic approaches for degenerated disc treatment, including its relevance to the degeneration process and limitation to be applied in a clinical setting. There are generally four current therapeutic approaches that we reviewed; growth factors, small molecules, gene therapy, and stem cells. These new approaches aim to not only correct the symptoms but also restore and delay the degeneration process.

摘要

椎间盘退变是一种自然的衰老过程。由于脊柱功能下降和疼痛表现,它会对身体、心理和社会经济产生影响。用于纠正症状和结构异常的保守治疗和手术治疗并不能使退变的椎间盘完全恢复。已经开发了几种治疗方法来改善临床效果和患者的生活质量。本文旨在回顾先前讨论潜在新方法以有效恢复退变椎间盘的研究。我们试图简要描述椎间盘、椎间盘退变,还回顾了几种目前用于治疗退变椎间盘的有前景的治疗方法,包括其与退变过程的相关性以及在临床环境中应用的局限性。我们通常回顾了四种目前的治疗方法;生长因子、小分子、基因治疗和干细胞。这些新方法不仅旨在纠正症状,还旨在恢复和延缓退变过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c41/9142636/152bacbb4bde/gr1.jpg

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