人工颈椎间盘置换术的临床疗效研究进展-中国骨与关节杂志.PDFVIP

中国骨与关节杂志 2016 年 10 月第 5 卷第 10 期 Chinese Journal of Bone and Joint, October 2016, Vol 5, No.10 . 783 . . 综述 Review . 人工颈椎间盘置换术的临床疗效研究进展 陈佳海　阮狄克　王德利　胡学昱　叶斌　伍耀宏 DOI: 10.3969/j.issn.2095-252X.2016.10.014　　中图分类号：R681.5, R687.3 作者单位：710032 西安，第四军医大学第一附属医院骨科 ( 陈佳海、胡学昱、叶斌 )；100048 北京，海军总医院骨科 　　　　　( 陈佳海、阮狄克、王德利、伍耀宏 )；572021 海南，中国人民解放军 92143 部队（陈佳海） 通信作者：阮狄克，Email: ruandikengh@163.com A review on the clinical advances of artificial cervical disc replacement CHEN Jia-hai, RUAN Di-ke, WANG De- li, HU Xue-yu, YE Bin, WU Yao-hong. Department of Orthopaedics, the first Affiliated Hospital of the fourth Military Medical University, Xi-an, Shaanxi, 710032, PRC Corresponding author: RUAN Di-ke, Email: ruandikengh@163.com Abstract Anterior cervical discectomy and fusion ( ACDF ) is one of the commonest operative methods 【 】 in the treatment of cervical intervertebral disc diseases. It needs to remove the degenerated disc and fix the upper and lower vertebral bodies together, but in this way, the disc loses the motion and the stress of the adjacent segments might increase. Therefore, non-fusion method begins to attract extensive attention in clinical practice. Artificial cervical disc replacement is a new operation, which has become popular gradually in recent years and its short term clinical outcomes are reported to be satisfactory. However, whether it can really sustain the range of motion persistently and decrease the degeneration of the adjacent segments is unknown. It is still controversial whether its clinical outcomes are better than ACDF. All of these problems need to be proved by mid-long term clinical efficacy. In this paper, we summarize the clinical efficacy and application prospect of artificial cervical disc replacement based on the latest literature.