Intervertebral disc degeneration is an important social and economic problem. Presently available artificial intervertebral discs (AIDs) are insufficient and the main surgical intervention is still spinal fusion. The objective of the present study is to present a list of requirements for the development of an AID which could replace the human lumbar intervertebral disc and restore its function. The list addresses geometry, stiffness, range of motion, strength, facet joint function, center of rotation, fixation, failsafety and implantation technique. Date are obtained from the literature, quantified where possible and checked for consistency. Existing AIDs are evaluated according to the presented list of requirements. Endplate size is a weak point in existing AIDs. These should be large and fit vertebral bodies to prevent migration. Disc height and wedge angle should be restored, unless this would overstretch ligaments. Finally, stiffness and range of motion in all directions should equal those of the healthy disc, except for the axial rotation to relieve the facet joints.

译文

椎间盘退变是一个重要的社会和经济问题。目前可用的人工椎间盘 (AIDs) 不足,主要的手术干预仍然是脊柱融合。本研究的目的是提出开发可替代人腰椎间盘并恢复其功能的辅助设备的要求清单。该列表涉及几何形状,刚度,运动范围,强度,小关节功能,旋转中心,固定,故障安全性和植入技术。日期从文献中获得,尽可能量化并检查一致性。根据提出的要求清单评估现有的辅助工具。终板尺寸是现有辅助设备的弱点。这些应该很大,适合椎体,以防止迁移。椎间盘高度和楔角应恢复,除非这会过度拉伸韧带。最后,除了轴向旋转以减轻小关节外,所有方向的刚度和运动范围都应等于健康椎间盘的刚度和运动范围。

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