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《Chinese Journal of Bone and Joint Injury》 2011-09
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Middle and Long Term Results of Treatment for Lumbar Intervertebral Disc Herniation with PDN Artificial Nucleus Pulposus Intervertebral Disc Replacement(A Report of 19 Cases)

Hu Ming,Ma Yuanzheng,Chen Xing,et al.Department of Orthopedics,the 309th Hospital of PLA,Beijing,100091  
Objective To evaluate the results of the clinical outcomes of patients with lumbar intervertebral disc herniation with PDN artificial nucleus pulposus intervertebral disc replacement.Methods Nineteen patients undergone lumbar intervertebral disc herniation with PDN artificial nucleus pulpous intervertebral disc replacement from March 2002 to July 2004 were followed up.Total cases were implanted with a single PDN.The contents included symptom,physical check,MPQ investigation,ODI assess,VAS scores,lumbar X-ray and MRI examination etc.Results All patients were followed up 52 to 67 months(average 55.3 months).After surgery,19 patients experienced clinical symptom relief.The displacement of PDN was observed in 2 cases and 1 PDN was escaped to the posterior aspect of lumbar canal.The heights of intervertebral space were lost in 7 cases and endplate subsiding happened in 2 cases.The disc degeneration in adjacent segment occurred in 1 case.Conclusion Artificial nucleus pulposus intervertebral disc replacement acquires satisfactory in short term clinical result,but there are some operated syndromes in long-term clinical result.The operating indications of artificial nucleus pulposus intervertebral disc replacement and lumbar spinal fusion should be choosen strictly.
【CateGory Index】: R687.3
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