Dynamic Constructs for Spinal Fusion: An Evidence-Based Review

被引:18
|
作者
Kelly, Michael P. [1 ]
Mok, James M. [2 ]
Berven, Sigurd [1 ]
机构
[1] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94110 USA
[2] Spine Inst, Santa Monica, CA 90404 USA
关键词
Spinal; Fusion; Dynamic; Rigid; Flexible; THORACOLUMBAR BURST FRACTURES; PEDICLE-SCREW INSTRUMENTATION; ANTERIOR CERVICAL DISKECTOMY; ADJACENT-SEGMENT DISEASE; LUMBAR SPINE; LEVEL OSSIFICATION; CALCIUM-PHOSPHATE; FIXATION; STABILIZATION; PLATE;
D O I
10.1016/j.ocl.2009.12.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Dynamic stabilization of the spine has applications in cervical and lumbar degenerative disease and in thoracolumbar trauma. There is little evidence to support the use of dynamic cervical plates rather than rigid anterior cervical fixation. Evidence to support the use of dynamic constructs for fusion in the lumbar spine is also limited. Fusion rates, implant loosening, and failure are significant concerns that limit the adoption of current devices. This article provides a synopsis of the literature on human subjects. There is a need for high-quality evidence for interventions for spinal pathology. An evidence-based approach to the management of spinal disorders will require ongoing assessment of clinical outcomes and comparison of effectiveness between alternatives.
引用
收藏
页码:203 / +
页数:14
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