요추부 인공추간판치환술 = Lumbar Total Disc Replacement

다국어 초록 (Multilingual Abstract)

In surgical treatments of degenerative lumbar disc disease, arthrodesis is well known to be a gold standard; however
various disadvantages related to elimination of the segmental motion and the procedures of fusion surgery have
become a matter of concern. To this end, total disc replacement (TDR) was recently highlighted as one of alternative
surgical modalities and being used widely. However, although it has been almost 10 years since lumbar TDR
was int- roduced and actively used in the clinic, its clinical usefulness is still in dispute.
The authors review and put together the history, biomechanics, and currently available prostheses of lumbar TDR in
the present study. Some of the recent preliminary, mid-term and long-term clinical results of lumbar TDR in degenerative
lumbar spine diseases are also reviewed. Lastly, we look out over the future prospect of lumbar TDR.

다국어 초록 (Multilingual Abstract)

In surgical treatments of degenerative lumbar disc disease, arthrodesis is well known to be a gold standard; however
various disadvantages related to elimination of the segmental motion and the procedures of fusion surgery have
become a matter of concern. To this end, total disc replacement (TDR) was recently highlighted as one of alternative
surgical modalities and being used widely. However, although it has been almost 10 years since lumbar TDR
was int- roduced and actively used in the clinic, its clinical usefulness is still in dispute.
The authors review and put together the history, biomechanics, and currently available prostheses of lumbar TDR in
the present study. Some of the recent preliminary, mid-term and long-term clinical results of lumbar TDR in degenerative
lumbar spine diseases are also reviewed. Lastly, we look out over the future prospect of lumbar TDR.

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