一種被稱作Charite的人造椎間盤（Charite Disc）最近推向市場，使用它替代發(fā)生損傷或者退行性病變的椎間盤，從而發(fā)揮治療重度下腰部疼痛的作用。這是美國食品和藥品管理局（the U.S. Food and Drug Administration，F(xiàn)DA）批準的首類產(chǎn)品。
位于德克薩斯州普萊諾時（Plano, TX, USA）的后背研究院（The Texas Back Institute，TBI）是美國第一個進行人造椎間盤置換術的醫(yī)學中心。TBI是美國國立研究機構15個臨床中心之一。
治療下腰部疼痛最常采用的外科手術方式是脊柱融合術，可以有效地緩解疼痛，但是卻極大地限制了腰部的運動幅度，并且增大了融合部位上方和下方的受力程度。比較人工椎間盤置換術與脊柱融合術的臨床試驗發(fā)現(xiàn)：Charite椎間盤置換術的患者能夠維持或者增加了運動幅度，疼痛減輕較快，術后恢復也較快。患者對手術感到滿意。手術過程通常只需60-90分鐘。
TBI院長Scott Blumenthal博士是該試驗的首席研究員，他指出：“迄今為止，通過椎間盤融合減輕疼痛的脊柱手術會限制了脊柱的運動幅度。現(xiàn)在是第一次，我們能夠在緩解患者下腰部疼痛的同時保留脊柱的運動功能”。Charite人造椎間盤是美國DePuy (DePuy，Inc.，Raynham，MA，USA)公司的產(chǎn)品。

Charite Disc Treats Low Back Pain

An artificial disc called Charite treats severe low back pain by replacing a damaged or worn-out spinal disc with an artificial one. The disc is the first such device to be cleared by the U.S. Food and Drug Administration (FDA).
The Texas Back Institute (TBI, Plano, TX, USA) was the first center to perform artificial disc surgery in the United States. TBI was one of 15 clinical sites in the national investigational study.
Lumbar spinal fusion, the most common surgical treatment for low back pain or degenerative disc disease, is effective in reducing pain but may significantly limit range of motion and put extra stress on discs above and below the fusion site. In trials comparing artificial disc replacement with spinal fusion surgery, Charite patients maintained or improved their range of motion, experienced pain relief sooner, had a quicker recovery, and were more satisfied with the procedure. The procedure generally takes about 60-90 minutes.
“Until now, spine surgery relieved pain by fusing discs, limiting motion,” noted Scott Blumenthal, M.D., principal investigator in the trial and president of TBI. “Now, for the first time, we can relieve pain and preserve motion.” The Charite disc is the product of DePuy, Inc. (Raynham, MA, USA)。