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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Lumbar total disc arthroplasty: outdated surgery or here to stay procedure? A systematic review of current literature
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Lumbar total disc arthroplasty: outdated surgery or here to stay procedure? A systematic review of current literature

机译：腰椎间盘置换术：过时的手术或这里保留手术？对当前文献的系统回顾

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The purpose of this study was to summarize the available evidence about total lumbar disc replacement (TDR), focusing our attention on four main topics: clinical and functional outcomes, comparison with fusion surgery results, rate of complications and influence on sagittal balance. We systematically searched Pubmed, Embase, Medline, Medscape, Google Scholar and Cochrane library databases in order to answer our four main research questions. Effective data were extracted after the assessment of methodological quality of the trials. Fifty-nine pertinent papers were included. Clinical and functional scores show statistically significant improvements, and they last at all time points compared to baseline. The majority of the articles show there is no significant difference between TDR groups and fusion groups. The literature shows similar rates of complications between the two surgical procedures. TDR showed significant safety and efficacy, comparable to lumbar fusion. The major advantages of a lumbar TDR over fusion include maintenance of segmental motion and the restoration of the disc height, allowing patients to find their own spinal balance. Disc arthroplasty could be a reliable option in the treatment of degenerative disc disease in years to come. II.
机译：这项研究的目的是总结有关全部腰椎间盘置换术（TDR）的可用证据，将我们的注意力集中在四个主要主题上：临床和功能结果，与融合手术结果的比较，并发症发生率以及对矢状平衡的影响。我们系统地搜索了Pubmed，Embase，Medline，Medscape，Google Scholar和Cochrane图书馆数据库，以回答我们的四个主要研究问题。在评估试验方法学质量后，提取了有效数据。包括59篇相关论文。临床和功能评分显示出统计学上的显着改善，并且与基线相比，它们在所有时间点都持续存在。大多数文章显示，TDR组和融合组之间没有显着差异。文献显示两种手术方法之间的并发症发生率相似。 TDR显示出显着的安全性和有效性，可媲美腰椎融合术。腰椎TDR优于融合术的主要优点包括维持节段运动和恢复椎间盘高度，使患者能够找到自己的脊柱平衡。椎间盘置换术可能是治疗退变性椎间盘疾病的可靠选择。二。

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