全腰椎间盘假体的长期结果:持续缓解疼痛
Vicente Vanaclocha1, Pablo Jordá-Gómez2, Nieves Saiz-Sapena2
1University of Valencia, Department of Surgery, Neurosurgery, Avenida Blasco Ibañez 15, 46010, Valencia, Spain.
North American Spine Society journal
|November 24, 2025
概括
全腰椎间盘假体显著减少退行性椎间盘疾病患者的疼痛和残疾,大多数患者长期恢复工作. 这种运动保存选项显示了持久的结果和高满意度.
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
- 生物医学工程 生物医学工程
背景情况:
- 腰椎退行性磁盘疾病 (DDD) 是慢性腰部疼痛和残疾的主要原因.
- 整体腰椎间盘假体是一种运动维护的融合替代方案,有可能减少相邻段变性.
- 腰椎盘假体的长期功能和职业结果需要进一步报告.
研究的目的:
- 评估全腰椎间盘置换的长期功能和职业结果.
- 评估腰椎间盘假体后的疼痛减轻和残疾改善.
- 为了确定腰椎间盘置换后的患者满意度和并发症率.
主要方法:
- 对130名接受全腰椎间盘置换 (2008-2020) 的患者进行了回顾性队列研究.
- 长期跟踪 (平均13.88年) 评估视觉模拟尺度 (VAS) 疼痛,奥斯威斯特残疾指数 (ODI) 和职业状态.
- 统计分析包括ANOVA,回归建模和相关性分析.
主要成果:
- 在VAS疼痛得分 (背部和腿部) 和ODI.显著改善.
- 高回归工作率 (73.84%),许多人转向替代角色.
- 低并发症 (3.08%) 和重复手术 (12.31%) 率,没有假肢修改.
结论:
- 全腰椎间盘假体提供持久的疼痛缓解和功能改善.
- 通过腰椎间盘置换,可以实现高职业再融入率.
- 腰椎间盘假体是一种可行的运动保存替代选择患者的融合.
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