m**d
发帖数: 10 | 1 长期伏案工作，近日去医院核磁共振检查（MRI），第五、第六节颈椎椎间盘偏右突
出，第六节椎间盘突出压迫神经根，骨科医生讨论一致要求手术治疗，准备再去上海进
一步咨询方案，
即便手术也选择在上海手术，因为位置比较高，风险比较大，现在医生讨论下来两种方
案，一种是将突出部分去除，上下骨头融合在一起，可能将来头部转向幅度会比正常人
稍小；一种是突出
部分取出以后放入人工椎间盘，但是不知道人工椎间盘能用多少年？是不是会坏？
谢谢 | h***f
发帖数: 162 | 2 Anterior cervical discectomy and fusion with plates and screws is the gold
standard for anterior column fusion of the cervical spine. The limitation of
ACDF is the potential development of adjacent segment disease years after
surgery. This occurs in a small, but not insignificant number of patients,
and is thought to result from increased iatrogenic biomechanical forces
created from elimination of the intervertebral disc and subsequent
instrumented fusion. Because of this, the rationale for artificial disc
placement is to preserve some motion at the vertebral level in the hopes of
reducing the rates of adjacent segment disease.
Despite this hope, however, the clinical results from artificial disc
placement have been mixed and unclear. While some studies in patients show a
decrease in adjacent segment disease development with the use of artificial
discs, other studies show no difference. There is no consensus amongst
spine surgeons as to the true effectiveness of the artificial disc.
【在 m**d 的大作中提到】
: 长期伏案工作，近日去医院核磁共振检查（MRI），第五、第六节颈椎椎间盘偏右突
: 出，第六节椎间盘突出压迫神经根，骨科医生讨论一致要求手术治疗，准备再去上海进
: 一步咨询方案，
: 即便手术也选择在上海手术，因为位置比较高，风险比较大，现在医生讨论下来两种方
: 案，一种是将突出部分去除，上下骨头融合在一起，可能将来头部转向幅度会比正常人
: 稍小；一种是突出
: 部分取出以后放入人工椎间盘，但是不知道人工椎间盘能用多少年？是不是会坏？
: 谢谢
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