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Exploring the application indications and value of lumbar transpedicular dynamic stabilization based on its clinical practice / 中华骨科杂志
Chinese Journal of Orthopaedics ; (12): 1171-1174, 2021.
Article in Chinese | WPRIM | ID: wpr-910704
ABSTRACT
Posterior lumbar fusion is one of the effective methods for the treatment of lumbar degenerative diseases, which have been recognized by the majority of spine surgeons. However, it is found that lumbar fusion brings some problems with application, research and understanding move on. Adjacent segments degeneration (ASD) is one of the main reasons for reoperation after lumbar fixation and fusion. Therefore, dynamic stabilization system used in lumbar diseases has become a research hotspot in spinal surgery. Regarded as an alternative instead of rigid fusion, lumbar transpedicular dynamic stabilization system is gradually applied in clinical practice. It has become one of the most widely used non-fusion methods due to its advantages on maintaining the stability of surgical segments and on retaining intervertebral mobility. However, an emergence of new technique often meets conflicts from traditional concepts. Scholars have explored and evaluated the lumbar dynamic fixation technology in the aspects of biomechanics, clinical efficacy and prognosis. Some studies have explored the application and its related complications of lumbar transpedicular dynamic stabilization in common lumbar degenerative diseases. Comprehensively, the clinical effects of this technology have been confirmed by many studies. It can be used as an alternative instead of rigid fusion in the treatment of unstable segments after nerve decompression. There are still some limitations of this technique. It is necessary to conduct more multi-center randomized controlled trials according to the indications, contraindications, advantages, disadvantages and related risks. Further studies could improve the device in line with the anatomical characteristics of Chinese people and serve patients better.
Full text: Available Index: WPRIM (Western Pacific) Type of study: Controlled clinical trial / Prognostic study Language: Chinese Journal: Chinese Journal of Orthopaedics Year: 2021 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Controlled clinical trial / Prognostic study Language: Chinese Journal: Chinese Journal of Orthopaedics Year: 2021 Type: Article