腰椎间盘切除Barricaid纤维环闭合装置应用现状
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吉林大学中日联谊医院

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R816.8

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The application status of Barricaid annular closure device in lumbar discectomy
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Department of Orthopedics, China-Japan Union Hospital of Jilin University

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    摘要:

    腰椎间盘突出可导致剧烈的神经症状,保守治疗效果不理想且症状严重者需行腰椎间盘切除术,而腰椎间盘切除术后有一定复发风险,需要再次手术治疗,Barricaid 纤维环闭合装置可以有效降低复发率和再手术率,对术后较大的纤维环缺损效果尤为明显。因此,旨在为ACD的临床应用提供参考依据,本文就 ACD的适应证与禁忌证、生物力学特点、临床疗效、术后并发症及复发和再手术情况等方面进行综述。

    Abstract:

    Lumbar disc herniation can cause severe neurological symptoms,lumbar discectomy should be performed for patients with unsatisfactory conservative treatment and severe symptoms,but there is a certain risk of recurrent herniation after lumbar discectomy,the reoperation is required,Barricaid bone-anchored annular closure device can effectively reduce the recurrence rate and reoperation rate,the effect is especially obvious for the large postoperative annulus fibrosus defect. Therefore,in order to provide a reference for the clinical application of the Barricaid bone-anchored annular closure device,this article reviews the indications and contraindications、biomechanical characteristics、clinical efficacy、postoperative complications and recurrence and reoperation situation and so on.

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  • 收稿日期:2022-01-13
  • 最后修改日期:2022-03-25
  • 录用日期:2022-08-16
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