| 人工颈椎间盘置换术需要关注的问题 |
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Received:November 24, 2014
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| 期刊信息：《中国骨伤》2015年28卷，第10期，第975-978页 |
| DOI：10.3969/j.issn.1003-0034.2015.10.022 |
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| 人工颈椎间盘置换术作为治疗颈椎病的新方法,正逐渐成为基础和临床研究的热点。人工颈椎间盘置换术与颈前路椎间盘切除术及融合术相比最大的区别在于重建了颈椎的高度和生理曲度,最大限度地保留脊柱的生理运动功能的同时减少相邻节段的退行性改变。目前临床结果表明人工颈椎间盘置换术可成为替代颈前路椎间盘切除术及融合术的一种手术方式。然而,其特有的并发症以及假体本身存在的问题也逐渐暴露出来,如假体尚无法完全模拟人体椎间盘的生物学效应,以及包括手术方式与假体在内的其他因素。同时,如何预防并发症等问题有待解决,其疗效是否能够长期保证手术节段的活动度,减少相邻节段退变的设计初衷等问题越来越多地引起了学者们的关注。 |
| [关键词]:颈椎病 手术后并发症 综述文献 |
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| Complications of cervical artificial disc replacement |
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| Abstract:Cervical artificial disc replacement(CADR) as a new method for the treatment of cervical spondylosis,is becoming a basic and clinical research. Compared with the anterior cervical discectomy and fusion(ACDF),the biggest difference of CADR lies in the reconstruction of the cervical vertebra height and physiological curvature,retaining the spinal physiological function maximally and reducing the degenerative changes in adjacent segments. A large number of clinical investigation have suggested that ACDR can become an operation method to replace the ACDF. However,the complications and the problems of prosthesis itself are gradually exposed,such as that the prosthesis,can't completely simulate the biological effects of human intervertebral disc,the other factors and including the operation methods and prosthesis itself. At the same time,the problem that how to prevent complications and problems is required to be solved. Whether,the effect of CADR on the activity of the operation segment,and the prevention of adjacent segment degeneration can be guaranteed for a long time has drawn more and more attention from scholars. |
| KEYWORDS:Cervical spondylosis Postoperative complications Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈渲宇,伍骥.人工颈椎间盘置换术需要关注的问题[J].中国骨伤,2015,28(10):975~978 |
| 英文格式: | CHEN Xuan-yu,WU Ji.Complications of cervical artificial disc replacement[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(10):975~978 |
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