欢迎来到天天文库
浏览记录
ID:40880821
大小:173.53 KB
页数:6页
时间:2019-08-09
《Cervical Disc Replacement Update (Research Article)》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、CervicalDiscReplacementUpdate(ResearchArticle)By:JeffreyA.Goldstein,MDandAlokD.SharantThecervicalintervertebraldiscisanamazingmechanicalstructurefromanengineeringperspective.Ithastheabilitytoabsorbalargecompressiveloadwhilestillprovidingadequatemotionbetweentwoadjacentbonyvertebr
2、ae.Duplicatingthedisc’sformandfunctionwithasyntheticdiscischallenging.However,severalcervicalartificialdiscsareinvariousphasesofdevelopmentandtestingintheUSandmaysoonbeavailableforuseinthegeneralpatientpopulation.Thefirstreportofacervicaldiscreplacementinthemedicalliteraturecamef
3、romtheSouthAfricanMedicalJournalin1964.1Sincethentherehasbeengreatprogressintheresearchandthetechnologyofthecervicaldiscarthroplastyfield.Inadditiontherehasbeengreatprogressmadeinunderstandingthediseaseprocessthatcanresultintheneedforadiscreplacement.Thisreviewwilldiscussdegenera
4、tivediscdiseaseofthecervicalspineanditsresultantclinicalconsequences.Nextthecurrent“goldstandardtreatment”(fusion)willbediscussedincludingtherationalefortheuseofadiscreplacement.Finallythedifferenttypesofcervicaldiscreplacementtechnologieswillbedescribed.CervicalDegenerativeDiscD
5、iseaseCervicaldegenerativediscdiseaseofthespineisaprevalentconditioninthepopulation.Studieshaveshownthatafterage40,almost60%ofthepopulationhasradiographicevidenceofcervicalspinedegenerationandbyage65,95%ofmenand70%ofwomenwillhavesomesortofdegenerativechangeonx-ray.2Fortunately,ma
6、nyofthesechangesseenonx-raycanbeconsideredageneralagingphenomenonandnotpathologicalasmostpeoplewithdegenerativechangesonanimagingstudydonothaveanypainorothersymptoms.However,insomepatients,asthediscdegeneratesitcanresultinageneralarthritisofthebonyelementsofthecervicalspineoraher
7、niationofthediscelements.Oneoftheclinicalmanifestationsofdiscdegenerationcanresultinneckandradiculartypeofarmpain(painthatradiatesfromtheneckdownthearmandpossiblyintothehandandfingers).Inadditiontoneckpainand/orarmpain,symptomsmayincludenumbness,tinglingorweakness,andagainthesesy
8、mptomsmayradiateintothearm.InThisArticle
此文档下载收益归作者所有