[Clinical application and advancement of artificial intervertebral discs for lumbar degenerative disease].
Degenerative disc disease is not only a common disease in the area of spinal surgery, but also one of the main reasons for the low back pain of the adults and disability. Conventionally it was considered be affirmative for the effect of the lumbar spinal fusion. But the way retained the physiological motor function. The lumbar motion segment fusion accelerated degeneration of adjacent segment disc and facet joint. Further study of lumbar functional anatomy and biomechanics made development of modern artificial disc device of different structures and materials possible. Besides the lumbar fusion, artificial lumbar disc replacement has become another choice in treating the lumbar degenerative diseases. The purpose is to release the pain which caused by the degenerative disc for a long period and to reconstruct the height of intervertebral disc in order to protect the nerve tissue. Retaining the spinal movement was in order to avoid degeneration of facet joints and adjacent segments, then, restore the spinal characteristic of kinematics and load at last. This review aims to explain the type of artificial lumbar intervertebral disc, the field of research and its clinical application advancement and prospects.
Department of Orthopaedics, Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou 310009, Zhejiang, China.
Yi-Jiang
YJ
Huang
Sheng-Jun
SJ
Qian
Ning
N
Zhang
Wei-Shan
WS
Chen
D000328:Adult; D001696:Biomechanical Phenomena; D006801:Humans; D007403:Intervertebral Disc / Q000473:pathology*; D055959:Intervertebral Disc Degeneration / Q000473:pathology*; D017116:Low Back Pain / Q000209:etiology*; D008159:Lumbar Vertebrae / Q000473:pathology*; D019636:Neurodegenerative Diseases / Q000601:surgery*; D019736:Prostheses and Implants / Q000706:statistics & numerical data*