切除还是修复—椎间盘疾病治疗的历史回顾与理性思考

椎间盘退变性疾病是临床常见病、多发病 ,椎间盘切除是常施外科治疗。然而事实表明 ,未经修复的椎间盘病变常引起继发病变如脊柱不稳、椎管狭窄等。近年来国内外开展椎间盘修复的临床与相关基础研究 ,以期改进椎间盘伤病的疗效。修复而非简单切除将是椎间盘疾病治疗的发展趋势

To Remove or To Repair:retrospective and philosophical thoughts on the treatment of degenerative disc disease

Degenerative intervertebral disc is the most common cause of low back pain and radiated leg pain, and discectomy is the main surgical treatment. However, some post-operative complications such as spinal instability, spinal canal stenosis and so on were well reported in the long-time follow-up. It begins clinical and related research on repair of degenerative disc in order to improve the therapeutic effects in these years. To repair but not to simply remove the disc indicates the development of the treatment of degenerative disc disease in future.