Posterior Pedicle Fixation-based Dynamic Stabilization Devices for the Treatment of Degenerative Diseases of the Lumbar Spine
Posterior Pedicle Fixation-based Dynamic Stabilization Devices for the Treatment of Degenerative Diseases of the Lumbar Spine
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DOI：
10.1097/bsd.0b013e31817c6489
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发表时间：
2009-07-01
影响因子：
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通讯作者：
Vaccaro, Alexander R.
中科院分区：
文献类型：
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作者：
Bono, Christopher M.;Kadaba, Murali;Vaccaro, Alexander R.
研究设计：文献综述。目的：全面回顾现有文献报道后路椎弓根动力稳定系统的临床效果。方法：检索文献，关键词包括：后路动力稳定、小关节置换、椎弓根固定。结果：现有的后路动力稳定系统种类繁多。据称的适应症也是多种多样的，从退行性腰椎间盘疾病到椎板切除治疗椎管狭窄症后的重建。其中一些设备的短期和中期临床结果是可用的。对于其他许多人来说，临床研究仍在进行中或刚刚开始。结论：为了让脊柱学界得出可靠的结论，即后路动力装置优于融合术，必须对多个设计相似、独立资助的试验的结果进行汇编、比较和对比。
Study Design: Literature review.Objective: To provide a comprehensive review of the available literature reporting clinical results of using pedicle-based posterior dynamic stabilization systems in the lumbar spine.Methods: A literature search was performed using a number of key words including: posterior dynamic stabilization, facet replacement, pedicle fixation.Results: There is a wide array of pedicle-based, posterior dynamic stabilization systems available. Purported indications are also varied, spanning from degenerative disk disease to reconstruction after laminectomy for spinal stenosis. Short-term and mid-term clinical results of some of these devices are available. For many others, clinical studies are still underway or have just begun.Conclusions: For the spine community to draw sound conclusions that a posterior dynamic device is better than fusion, results from multiple, similarly designed, independently funded trials must be compiled, compared, and contrasted.