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腰椎人造盘更换的衰退腰椎人造盘更换的衰退

Tony Eskandar¹, Zubair Ahmed¹, Jeremy Pan¹

¹Department of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona CA 91766, USA.

Journal of spine research and surgery

|September 13, 2024

概括

脊柱融合在退行性磁盘疾病中越来越常见,尽管存在风险. 狭窄的患者选择和不良的保险报销限制了人造磁盘替换的选择.

科学领域:

整形外科整形外科整形外科
神经外科神经外科
脊柱外科手术脊柱外科手术

背景情况:

退行性磁盘疾病 (DDD) 通常会导致腰部疼痛,导致手术干预.
目前的手术选择包括用脊髓融合或人造磁盘置换 (ADR) 来切除磁盘.
腰椎脊柱融合变得比ADR更为普遍,尽管存在潜在的风险,如邻近细分疾病.

研究的目的:

调查影响腰椎人造盘置换 (LADR) 使用减少的因素.
评估选择标准,临床结果,手术技术,并发症,修订率和成本对LADR采用的影响.
了解背后越来越喜欢脊髓融合而不是LADR的原因.

主要方法:

文学综述和影响DDD手术决定的因素分析.
评估腰部ADR选择标准,临床结果和外科手术技术.
评估LADR与脊髓融合的并发症率,修订负担和整体经济影响.

主要成果:

虽然临床结果和手术因素起着作用,但它们不是LADR下降的主要驱动因素.
狭窄的患者选择标准显著限制了LADR的适用性.
保险公司缺乏足够的费用补偿是使用LADR的主要障碍.

结论:

腰椎人造盘置换的使用减少主要归因于限制性患者选择标准和不充分的保险覆盖.
这些因素超过了ADR的潜在好处,例如增加运动范围和降低相邻部分疾病风险.
未来的趋势可能取决于扩大指示和改善LADR的经济可行性.

关键词:

邻近的细分病的疾病.人工磁盘替换器人工磁盘替换器退行性椎间盘疾病是一种退行性椎间盘疾病.腰部下部疼痛腰部下部疼痛腰椎椎间板关节整形术腰椎椎间板关节整形术脊髓融合是指脊髓的融合.

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