• 主题
高级搜索  >
历史搜索 清空历史
首页> 中文期刊> 《世界临床病例杂志》 >Interspinous posterior devices:What is the real surgical indication?

Interspinous posterior devices:What is the real surgical indication?

         
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Interspinous posterior device(IPD)is a term used to identify a relatively recent group of implants used to treat lumbar spinal degenerative disease.This kind of device is classified as part of the group of the dynamic stabilization systems of the spine.The concept of dynamic stabilization has been replaced by that of dynamic neutralization of hypermobility,with the intention of clarifying that the primary aim of this kind of system is not the preservation of the movement,but the dynamic neutralization of the segmental hypermobility which is at the root of the pathological condition.The indications for the implantation of an IPD are spinal stenosis and neurogenic claudication,assuming that its function is the enlargement of the neural foramen and the decompression of the roots forming the cauda equina in the central part of the vertebral canal.In the last 10 years,use of these implants has been very common but to date,no long-term clinical follow-up regarding clinical and radiological aspects are available.The high rate of reoperation,recurrence of symptoms and progression of degenerative changes is evident in the literature.If these devices are effectively a miracle cure for lumbar spinal stenosis,why do the utilization and implantation of IPD remain extremely controversial and should they be investigated further?Excluding the problems related to the high cost of the device,the main problem remains the pathological substrate on which the device is explicit in its action:the degenerative pathology of the spine.

著录项

相似文献

  • 中文文献
  • 外文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号