人工颈椎间盘置换术治疗颈椎病的研究进展
|
摘要
颈前路减压融合术(anterior cervical decompression and fusion,ACDF)治疗神经根型颈椎病和脊髓型颈椎病已有半个世纪,并取得良好的临床疗效,随着随访时间的不断延长,术后与融合节段相关并发症逐渐凸显出来。因此,在保留颈椎稳定性及活动度双重要求下,非融合理念孕育而生。人工颈椎间盘置换术(cervical artificial disc replacement,CADR)作为颈椎非融合技术迅速发展起来,随着人工假体材料和设计理念的不断发展以及手术操作的规范与熟练,CADR取得了优于ACDF的短中期临床疗效。与ACDF相比,CADR主要优势在于术后恢复快,维持植入节段颈椎活动度及稳定性,恢复颈椎间隙高度,降低邻近节段应力及手术翻修率。在临床工作中,CADR作为一项新兴技术,要求脊柱外科医师严格掌握手术适应证、禁忌证及患者整体情况。该文对CADR研究进展进行了综述,以期为临床治疗颈椎病提供新思路。
Anterior cervical decompression and fusion(ACDF) treatment for cervical spondylosis has been more than half a century, and achieved good clinical results. However, with the continuous extension of follow-up time, the fusion segment-associated postoperative complications emerged gradually. Reserved cervical stability and activity, the concept of non-fusion was born. As a non-fusion technique, cervical artificial disc replacement(CADR)developed rapidly. With the continuous development of artificial prosthesis materials and design concepts, and specification and proficiency of surgical procedures, CADR has achieved better short-and mid-term clinical efficacy than ACDF. Compared with ACDF, the main advantages of CADR are that the postoperative recovery is quick, the activity and stability of cervical vertebra are maintained, the height of cervical intervertebral space is restored, and the stress of adjacent segments and the rate of surgical renovation are reduced. In clinical work, as an emerging technology, CADR requires spine surgeons to control the surgical indications, contraindications, and patients' conditions strictly. This article reviews the research progress of CADR in order to provide new ideas for clinical treatment of cervical spondylosis.
Anterior cervical decompression and fusion(ACDF) treatment for cervical spondylosis has been more than half a century, and achieved good clinical results. However, with the continuous extension of follow-up time, the fusion segment-associated postoperative complications emerged gradually. Reserved cervical stability and activity, the concept of non-fusion was born. As a non-fusion technique, cervical artificial disc replacement(CADR)developed rapidly. With the continuous development of artificial prosthesis materials and design concepts, and specification and proficiency of surgical procedures, CADR has achieved better short-and mid-term clinical efficacy than ACDF. Compared with ACDF, the main advantages of CADR are that the postoperative recovery is quick, the activity and stability of cervical vertebra are maintained, the height of cervical intervertebral space is restored, and the stress of adjacent segments and the rate of surgical renovation are reduced. In clinical work, as an emerging technology, CADR requires spine surgeons to control the surgical indications, contraindications, and patients' conditions strictly. This article reviews the research progress of CADR in order to provide new ideas for clinical treatment of cervical spondylosis.
引文
1Zhao H, Duan LJ, Gao YS, et al. What is the superior surgical strategy for bi-level cervical spondylosis-anterior cervical disc replacement or anterior cervical decompression and fusion? A meta-analysis from 11 studies. Medicine(Baltimore), 2018, 97(13):e0005.
2Andelman SM, McAnany SJ, Qureshi SA, et al. Bilateral C5 motor palsy after anterior cervical decompression and fusion:a case report and review of the literature. Int J Spine Surg, 2017, 11:14.
3Yeni YN, Baumer T, Oravec D, et al. Dynamic foraminal dimensions during neck extension and rotation in fusion and artificial disc replacement:an observational study. Spine J, 2018,18(4):575-583.
4Rosenthal BD, Nair R, Hsu WK, et al. Dysphagia and dysphonia assessment tools after anterior cervical spine surgery. Clin spine surg, 2016, 29(9):363-367.
5Anderson PA, Sasso RC, Hipp J, et al. Kinematics of the cervical adjacent segments after disc arthroplasty compared with anterior discectomy and fusion:a systematic review and meta-analysis.Spine(Phila Pa 1976), 2012, 37(22 Suppl):S85-S95.
6Yuan W, Zhang H, Zhou X, et al. The influence of artificial cervical disc prosthesis height on the cervical biomechanics:a finite element study. World Neurosurg, 2018, 11:e490-e498.
7Wang KF, Duan S, Zhu ZQ, et al. Clinical and radiologic features of 3 reconstructive procedures for the surgical management of patients with bilevel cervical degenerative disc disease at a minimum follow-up period of 5 years:a comparative study.World Neurosurg, 2018, 113:e70-e76.
8Bhansali A, Musacchio M, Stadlan N. Myelopathy after cervical disc arthroplasty due to progression of spondylosis at the index level:case report. J Neurosurg Spine, 2018, 28(5):467-471.
9Fernstr?m U. Arthroplasty with intercorporal endoprothesis in herniated disc and in painful disc. Acta Chir Scand Suppl, 1966,357:154-159.
10Cummins BH, Robertson JT, Gill SS. Surgical experience with an implanted artificial cervical joint. J Neurosurg, 1998, 88(6):943-948.
11Morrow T. Artificial disc now available, but is it better than other therapies? The prestige cervical disc system can replace a single disc from C3 to C7 and gives people with cervical disc disease another viable treatment option. Manag Care, 2007, 16(10):53-54.
12Coric D, Guyer RD, Nunley PD, et al. Prospective, randomized multicenter study of cervical arthroplasty versus anterior cervical discectomy and fusion:5-year results with a metal-on-metal artificial disc. J Neurosurg Spine, 2018, 28(3):252-261.
13Pham M, Phan K, Teng I, et al. Comparative study between M6-C and Mobi-C cervical artificial disc replacement:biomechanical outcomes and comparison with normative data. Orthop Surg,2018, 10(2):84-88.
14Reinke A, Behr M, Preuss A, et al. Return to sports after cervical total disc replacement. World Neurosurg, 2017, 97:241-246.
15Zou S, Gao J, Xu B, et al. Anterior cervical discectomy and fusion(ACDF)versus cervical disc arthroplasty(CDA)for two contiguous levels cervical disc degenerative disease:a meta-analysis of randomized controlled trials. Eur Spine J, 2017, 26(4):985-997.
16欧云生,刘显宏,权正学,等.人工椎间盘置换治疗外伤性颈椎椎间盘突出症的初期临床疗效.脊柱外科杂志, 2011(5):283-287.
17Kelly MP, Eliasberg CD, Riley MS, et al. Reoperation and complications after anterior cervical discectomy and fusion and cervical disc arthroplasty:a study of 52,395 cases. Eur Spine J, 2018,27(6):1432-1439.
18Tian W, Han X, Li ZY, et al. Reversal of anterior cervical discectomy and fusion with cervical artificial disc replacement:regain motion after 9 years fusion. J Spinal Disord Tech, 2013,26(1):55-59.
19Alhashash M, Shousha M, Boehm H. Adjacent segment disease after cervical spine fusion:evaluation of a 70 patient long-term follow-up. Spine(Phila Pa 1976), 2018, 43(9):605-609.
20Gornet MF, Lanman TH, Burkus JK, et al. Cervical disc arthroplasty with the Prestige LP disc versus anterior cervical discectomy and fusion, at 2 levels:results of a prospective,multicenter randomized controlled clinical trial at 24 months.J Neurosurg Spine, 2017, 26(6):653-667.
21Lanman TH, Burkus JK, Dryer RG, et al. Long-term clinical and radiographic outcomes of the Prestige LP artificial cervical disc replacement at 2 levels:results from a prospective randomized controlled clinical trial. J Neurosurg Spine, 2017, 27(1):7-19.
22Gao X, Yang Y, Liu H, et al. Cervical disc arthroplasty with Prestige-LP for the treatment of contiguous 2-level cervical degenerative disc disease:5-year follow-up results. Medicine(Baltimore), 2018, 97(4):e9671.
23Lu H, Peng L. Efficacy and safety of Mobi-C cervical artificial disc versus anterior discectomy and fusion in patients with symptomatic degenerative disc disease:a meta-analysis. Medicine(Baltimore), 2017, 96(49):e8504.
24Shang Z, Zhang Y, Zhang D, et al. Clinical and radiological analysis of bryan cervical artificial disc replacement for “skip” multisegment cervical spondylosis:long-term follow-up results. Med Sci Monit, 2017, 23:5254-5263.
25李晋玉,贾育松,郑晨颖,等. Bryan颈椎间盘置换在治疗颈椎病中对颈椎曲度和置换节段的影响.中国骨伤, 2018, 31(8):751-756.
26Goffin J, Van Loon J, Van Calenbergh F, et al. A clinical analysis of4 -and 6-year follow-up results after cervical disc replacement surgery using the Bryan Cervical Disc Prosthesis. J Neurosurg Spine, 2010, 12(3):261-269.
27Dong L, Tan MS, Yan QH, et al. Footprint mismatch of cervical disc prostheses with Chinese cervical anatomic dimensions. Chin Med J(Engl), 2015, 128(2):197-202.
28Park JH, Rhim SC, Roh SW. Mid-term follow-up of clinical and radiologic outcomes in cervical total disk replacement(Mobi-C):incidence of heterotopic ossification and risk factors. J Spinal Disord Tech, 2013, 26(3):141-145.
29Wang BY, Wu TK, Liu H, et al. Intraoperative conversion of artificial cervical disc replacement to anterior cervical discectomy and fusion for iatrogenic fracture:a rare case report. Medicine(Baltimore), 2017, 96(47):e8917.
30Nandyala SV, Marquez-Lara A, Fineberg SJ, et al. Comparison between cervical total disc replacement and anterior cervical discectomy and fusion of 1 to 2 levels from 2002 to 2009. Spine(Phila Pa 1976), 2014, 39(1):53-57.
31Park CK, Ryu KS. Are controversial issues in cervical total disc replacement resolved or unresolved? A review of literature and recent updates. Asian Spine J, 2018, 12(1):178-192.
32Choi MK, Kim SB, Lee JH. Rare intractable cervicalgia related to exaggerated disc height distraction:report of two cases and literature review. J Korean Neurosurg Soc, 2018, 61(4):530-536.
33Kerferd JW, Abi-Hanna D, Phan K, et al. Focal hypermobility observed in cervical arthroplasty with Mobi-C. J Spine Surg, 2017,3(4):693-696.
2Andelman SM, McAnany SJ, Qureshi SA, et al. Bilateral C5 motor palsy after anterior cervical decompression and fusion:a case report and review of the literature. Int J Spine Surg, 2017, 11:14.
3Yeni YN, Baumer T, Oravec D, et al. Dynamic foraminal dimensions during neck extension and rotation in fusion and artificial disc replacement:an observational study. Spine J, 2018,18(4):575-583.
4Rosenthal BD, Nair R, Hsu WK, et al. Dysphagia and dysphonia assessment tools after anterior cervical spine surgery. Clin spine surg, 2016, 29(9):363-367.
5Anderson PA, Sasso RC, Hipp J, et al. Kinematics of the cervical adjacent segments after disc arthroplasty compared with anterior discectomy and fusion:a systematic review and meta-analysis.Spine(Phila Pa 1976), 2012, 37(22 Suppl):S85-S95.
6Yuan W, Zhang H, Zhou X, et al. The influence of artificial cervical disc prosthesis height on the cervical biomechanics:a finite element study. World Neurosurg, 2018, 11:e490-e498.
7Wang KF, Duan S, Zhu ZQ, et al. Clinical and radiologic features of 3 reconstructive procedures for the surgical management of patients with bilevel cervical degenerative disc disease at a minimum follow-up period of 5 years:a comparative study.World Neurosurg, 2018, 113:e70-e76.
8Bhansali A, Musacchio M, Stadlan N. Myelopathy after cervical disc arthroplasty due to progression of spondylosis at the index level:case report. J Neurosurg Spine, 2018, 28(5):467-471.
9Fernstr?m U. Arthroplasty with intercorporal endoprothesis in herniated disc and in painful disc. Acta Chir Scand Suppl, 1966,357:154-159.
10Cummins BH, Robertson JT, Gill SS. Surgical experience with an implanted artificial cervical joint. J Neurosurg, 1998, 88(6):943-948.
11Morrow T. Artificial disc now available, but is it better than other therapies? The prestige cervical disc system can replace a single disc from C3 to C7 and gives people with cervical disc disease another viable treatment option. Manag Care, 2007, 16(10):53-54.
12Coric D, Guyer RD, Nunley PD, et al. Prospective, randomized multicenter study of cervical arthroplasty versus anterior cervical discectomy and fusion:5-year results with a metal-on-metal artificial disc. J Neurosurg Spine, 2018, 28(3):252-261.
13Pham M, Phan K, Teng I, et al. Comparative study between M6-C and Mobi-C cervical artificial disc replacement:biomechanical outcomes and comparison with normative data. Orthop Surg,2018, 10(2):84-88.
14Reinke A, Behr M, Preuss A, et al. Return to sports after cervical total disc replacement. World Neurosurg, 2017, 97:241-246.
15Zou S, Gao J, Xu B, et al. Anterior cervical discectomy and fusion(ACDF)versus cervical disc arthroplasty(CDA)for two contiguous levels cervical disc degenerative disease:a meta-analysis of randomized controlled trials. Eur Spine J, 2017, 26(4):985-997.
16欧云生,刘显宏,权正学,等.人工椎间盘置换治疗外伤性颈椎椎间盘突出症的初期临床疗效.脊柱外科杂志, 2011(5):283-287.
17Kelly MP, Eliasberg CD, Riley MS, et al. Reoperation and complications after anterior cervical discectomy and fusion and cervical disc arthroplasty:a study of 52,395 cases. Eur Spine J, 2018,27(6):1432-1439.
18Tian W, Han X, Li ZY, et al. Reversal of anterior cervical discectomy and fusion with cervical artificial disc replacement:regain motion after 9 years fusion. J Spinal Disord Tech, 2013,26(1):55-59.
19Alhashash M, Shousha M, Boehm H. Adjacent segment disease after cervical spine fusion:evaluation of a 70 patient long-term follow-up. Spine(Phila Pa 1976), 2018, 43(9):605-609.
20Gornet MF, Lanman TH, Burkus JK, et al. Cervical disc arthroplasty with the Prestige LP disc versus anterior cervical discectomy and fusion, at 2 levels:results of a prospective,multicenter randomized controlled clinical trial at 24 months.J Neurosurg Spine, 2017, 26(6):653-667.
21Lanman TH, Burkus JK, Dryer RG, et al. Long-term clinical and radiographic outcomes of the Prestige LP artificial cervical disc replacement at 2 levels:results from a prospective randomized controlled clinical trial. J Neurosurg Spine, 2017, 27(1):7-19.
22Gao X, Yang Y, Liu H, et al. Cervical disc arthroplasty with Prestige-LP for the treatment of contiguous 2-level cervical degenerative disc disease:5-year follow-up results. Medicine(Baltimore), 2018, 97(4):e9671.
23Lu H, Peng L. Efficacy and safety of Mobi-C cervical artificial disc versus anterior discectomy and fusion in patients with symptomatic degenerative disc disease:a meta-analysis. Medicine(Baltimore), 2017, 96(49):e8504.
24Shang Z, Zhang Y, Zhang D, et al. Clinical and radiological analysis of bryan cervical artificial disc replacement for “skip” multisegment cervical spondylosis:long-term follow-up results. Med Sci Monit, 2017, 23:5254-5263.
25李晋玉,贾育松,郑晨颖,等. Bryan颈椎间盘置换在治疗颈椎病中对颈椎曲度和置换节段的影响.中国骨伤, 2018, 31(8):751-756.
26Goffin J, Van Loon J, Van Calenbergh F, et al. A clinical analysis of4 -and 6-year follow-up results after cervical disc replacement surgery using the Bryan Cervical Disc Prosthesis. J Neurosurg Spine, 2010, 12(3):261-269.
27Dong L, Tan MS, Yan QH, et al. Footprint mismatch of cervical disc prostheses with Chinese cervical anatomic dimensions. Chin Med J(Engl), 2015, 128(2):197-202.
28Park JH, Rhim SC, Roh SW. Mid-term follow-up of clinical and radiologic outcomes in cervical total disk replacement(Mobi-C):incidence of heterotopic ossification and risk factors. J Spinal Disord Tech, 2013, 26(3):141-145.
29Wang BY, Wu TK, Liu H, et al. Intraoperative conversion of artificial cervical disc replacement to anterior cervical discectomy and fusion for iatrogenic fracture:a rare case report. Medicine(Baltimore), 2017, 96(47):e8917.
30Nandyala SV, Marquez-Lara A, Fineberg SJ, et al. Comparison between cervical total disc replacement and anterior cervical discectomy and fusion of 1 to 2 levels from 2002 to 2009. Spine(Phila Pa 1976), 2014, 39(1):53-57.
31Park CK, Ryu KS. Are controversial issues in cervical total disc replacement resolved or unresolved? A review of literature and recent updates. Asian Spine J, 2018, 12(1):178-192.
32Choi MK, Kim SB, Lee JH. Rare intractable cervicalgia related to exaggerated disc height distraction:report of two cases and literature review. J Korean Neurosurg Soc, 2018, 61(4):530-536.
33Kerferd JW, Abi-Hanna D, Phan K, et al. Focal hypermobility observed in cervical arthroplasty with Mobi-C. J Spine Surg, 2017,3(4):693-696.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |