非融合性棘突间固定器在下腰痛治疗中的应用(英文)

被引：2

作者：

姚庆强

王黎明

机构：

[1] 南京医科大学附属南京第一医院骨科

来源：

中国组织工程研究与临床康复 | 2007年 / 32期

关键词：

下腰痛; 非融合性棘突间固定器; 治疗应用;

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

100220 [骨科学];

摘要：

目的:了解非融合性棘突间固定器的应用研究进展。资料来源:检索Medline 1966-01/2004-10和Ovid数据库2003-01/2007-06与非融合性棘突间固定器及下腰痛相关的文章,检索词"inter-spinous,low back pain",并限定文章语言种类为英文。资料选择:阅读全部文章的文题和大部分文章的摘要。选择文献所述内容与非融合性棘突间固定器类型、非融合性棘突间固定器减轻疼痛的机制相关的文献。排除重复性研究和Meta分析类文章。资料提炼:共得到符合纳入条件的文献351篇,排除322篇。选择其中29篇进行分析,排除的文章为重复性研究。资料综合:非融合性棘突间固定器改善下腰痛的机制为对腰椎退变性下腰痛的生物力学环境的影响,如对椎间盘纤维环后缘的负荷减轻作用、对椎间孔的撑开等。目前应用的非融合性棘突间固定器,如X-STOP,Wallis,DIAM,都是相对早期开发并经过测试的,所以其有效性,有用性和危险性及引发并发症情况正通过和即将通过临床试验得到证实。结论:非融合性棘突间固定器治疗腰椎退变性下腰痛可以取得良好的临床效果,且可避免融合技术的并发症。

引用

页码：6502 / 6504

页数：3

共 16 条

[1] Long-term actuarial survivorship analysis of an interspinous stabilization system [J].

Senegas, Jacques ;

Vital, Jean-Marc ;

Pointillart, Vincent ;

Mangione, Paolo .

EUROPEAN SPINE JOURNAL, 2007, 16 (08) :1279-1287

[2] Comparison of the effects of bilateral posterior dynamic and rigid fixation devices on the loads in the lumbar spine: a finite element analysis [J].

Rohlmann, Antonius ;

Burra, Nagananda K. ;

Zander, Thomas ;

Bergmann, Georg .

EUROPEAN SPINE JOURNAL, 2007, 16 (08) :1223-1231

[3] Mechanical concepts for disc regeneration [J].

Klaus John Schnake ;

Michael Putzier ;

Norbert P. Haas ;

Frank Kandziora .

European Spine Journal, 2006, 15 :354-360

[4] A multicenter, prospective, randomized trial evaluating the X STOP interspinous process decompression system for the treatment of neurogenic intermittent claudication - Two-year follow-up results [J].

Zucherman, JF ;

Hsu, KY ;

Hartjen, CA ;

Mehalic, TF ;

Implicito, DA ;

Martin, MJ ;

Johnson, DR ;

Skidmore, GA ;

Vessa, PP ;

Dwyer, JW ;

Puccio, ST ;

Cauthen, JC ;

Ozuna, RM .

SPINE, 2005, 30 (12) :1351-1358

[5] The effect of an interspinous process implant on facet loading during extension [J].

Wiseman, CM ;

Lindsey, DP ;

Fredrick, AD ;

Yerby, SA .

SPINE, 2005, 30 (08) :903-907

[6] The treatment mechanism of an interspinous process implant for lumbar neurogenic intermittent claudication [J].

Richards, JC ;

Majumdar, S ;

Lindsey, DP ;

Beaupré, GS ;

Yerby, SA .

SPINE, 2005, 30 (07) :744-749

[7] The effects of an interspinous implant on the kinematics of the instrumented and adjacent levels in the lumbar spine [J].

Lindsey, DP ;

Swanson, KE ;

Fuchs, P ;

Hsu, KY ;

Zucherman, JF ;

Yerby, SA .

SPINE, 2003, 28 (19) :2192-2197

[8] The effects of an interspinous implant on intervertebral disc pressures [J].

Swanson, KE ;

Lindsey, DP ;

Hsu, KY ;

Zucherman, JF ;

Yerby, SA .

SPINE, 2003, 28 (01) :26-32

[9]

Mechanical supplementation by non-rigid fixation in degenerative intervertebral lumbar segments: the Wallis system.[J].J. Sénégas.European Spine Journal.2002, 2

[10]

Elastic stabilization alone or combined with rigid fusion in spinal surgery: a biomechanical study and clinical experience based on 82 cases.[J].S. Caserta;G. La Maida;B. Misaggi;D. Peroni;R. Pietrabissa;M. Raimondi;A. Redaelli.European Spine Journal.2002, 2

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