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整体椎间盘置换的管理考虑因素

Marco Foreman1, Aashay Patel1, Andrew Nguyen1

  • 1Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.

World neurosurgery
|September 30, 2023
PubMed
概括
此摘要是机器生成的。

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整体椎间盘置换 (TDR) 为慢性部和背部疼痛提供了现代解决方案,解决了传统脊柱手术 (如融合和椎间盘切除) 的局限性. 本综述探讨TDR作为脊柱疾病的创新治疗选择.

科学领域:

  • 脊柱外科手术 脊柱外科手术
  • 整形外科 整形外科 整形外科
  • 神经外科 神经外科

背景情况:

  • 腰椎和椎脊柱疼痛是全球健康的重大负担,导致慢性疼痛,残疾和高医疗利用率.
  • 传统的治疗方法,如脊柱融合和椎间盘切除术,虽然短期有效,但有局限性,包括脊柱运动能力降低和潜在的并发症.
  • 随着预期寿命的增加和慢性疾病的发病率加剧了改善脊柱疼痛管理策略的需求.

研究的目的:

  • 审查椎间盘关节置换术 (全盘置换,TDR) 的管理策略.
  • 探索TDR临床应用的最新考虑.
  • 为了指导临床决策在治疗腰部和椎脊柱疼痛.

主要方法:

  • 关于椎间盘关节形成术 (TDR) 研究的文献综述.
  • 对TDR疗效,并发症的分析和与传统脊柱手术的比较.
  • 对TDR实施的当前证据和专家考虑的综合.

主要成果:

  • 传统的脊椎手术 (融合,椎间盘切除) 可能导致运动范围受损和术后并发症.
  • 整体椎间盘置换 (TDR) 作为传统脊柱融合和椎间盘切除的现代替代方案.
  • 讨论了在临床实践中使用TDR的最新考虑因素.
关键词:
退行性椎间盘疾病是一种退行性椎间盘疾病.椎间盘间关节整形术 椎间盘间关节整形术整体更换磁盘的时间.

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结论:

  • 整体椎间盘置换 (TDR) 是一个有前途的创新,用于管理衰弱的腰椎和椎脊椎疼痛.
  • 经过TDR,可以替代传统的融合和椎间盘切除术,并有可能减轻一些长期不良影响.
  • 进一步探索TDR在临床实践中的作用是有必要的,以优化脊柱疾病患者的治疗结果.