Akyi berɛmo mu oprehyɛn .

Yɛn ho asɛm .

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Akyi berɛmo mu oprehyɛn .

Akyi berɛmo mu oprehyɛn ahorow pii wɔ hɔ, titiriw no, ɛnyɛ nea ɛyɛ hu pii na ɛbue. Wobetumi ayɛ akyi berɛmo mu akisikuru bi, disc herniation, akyi berɛmo mu nsamanwaw, scoliosis ho oprehyɛn. Oprehyɛn a ɛnyɛ den pii titiriw ne: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus removal, percutaneous pedicle screw rod internal fixation, etc. Open surgery titiriw ne open reduction ne internal fixation, laminectomy, open decompression ne internal fixation, ne nea ɛkeka ho titiriw na yɛde bɛba: na yɛde eyinom bɛba:

A. Awotwaa mu akisikuru .

Sɛnea ɛbɛyɛ a wobetumi ayɛ awotwaa mu disc herniation, cervical spondylotic myelopathy, ne ossification of the posterior longitudinal ligament of the cervical spine, ayaresabea anaa nnuruyɛfo binom yɛ anim oprehyɛn anaa akyi oprehyɛn nkutoo. Nokwarem no, oprehyɛn ahorow pii wɔ hɔ a wubetumi apaw bi. Nkurɔfo nya osuahu pii a edi mu wɔ oprehyɛn ahorow yi mu, a wobetumi de adi dwuma wɔ ɔkwan a ntease wom so sɛnea tebea horow te, a mfiridwuma, tebea horow, ne nsusuwii teateaa biara nni mu, na wɔde agoru a edi mũ ma mfaso horow a ɛwɔ oprehyɛn ahorow so no. Wɔ awotwaa mu akisikuru a ɛyɛ den ho no, decompression ne fixation a ɛnam anim ne akyi akwan nyinaa so no betumi ama ayaresabea bere no ayɛ tiaa kɛse, na nkɛntɛnso a decompression a edi mũ no nya no ye.

• Anterior cervical decompression ne fusion a ɛne nnompe a wɔde ahyɛ mu ne nea ɛwɔ mu no fi mu: .

Ɛyɛ nea wotumi de di dwuma wɔ awotwaa mu spondylosis a ɛwɔ akyi berɛmo no ntam disrad short compression segments (1-3 spaces) a ɛwɔ spur vegetation mu no ho. Ɛwɔ mfaso a ɛne sɛ wobetwa akuru no tẽẽ, na ɛyɛ mmerɛw na ɛyɛ mmerɛw. Ɛyɛ oprehyɛn a wɔtaa yɛ no daa ne ɔkwan titiriw a wɔfa so sa awotwaa mu akisikuru.

• Akyi akyi berɛmo mu ntini a ɛyɛ mmerɛw ne laminoplasty: .

Ɛyɛ nea wotumi de di dwuma wɔ awotwaa mu spondylosis a ɛwɔ akyi berɛmo no ntam ntini a ɛyɛ den ne akyi berɛmo no fã a ɛyɛ den no dodow ne ne fã, ne anim a ɛyɛ den a ɛyɛ den (ossification of posterior longitudinal ligament, intervertebral disc). Ɛyɛ decompression a ɛnteɛ, a ɛwɔ mfaso a ɛne sɛ ɛkora awotwaa no kankan adwuma no so na ɛyɛ nea ahobammɔ wom kakra.

• Afiri a wɔde si awotwaa mu a wɔde ayɛ aduru a wɔde si ananmu: .

Ɛyɛ nea ɛfa ayarefo a wonnii mfe 60 a wɔwɔ afã tiaa a ɛwɔ anim a ɛwɔ akyi berɛmo no mu no ho. Bere a ɛma akyi berɛmo mu ntini a ɛyɛ den no fi hɔ na ɛma ɛyɛ mmerɛw no, ɛkɔ so tra akyi berɛmo no dwumadi mu, ɛtew hokwan a ɛwɔ hɔ sɛ afã horow a ɛbɛn no bɛsɛe ntɛmntɛm no so, sɛnea ɛbɛyɛ a ayarefo betumi atu ntɛm wɔ oprehyɛn no akyi na dwumadi no abɛn nipadua no tebea no.

• Nea edi kan no anim ne akyi awotwaa mu decompression ne fixation .

Decompression yɛ nea edi mũ na ahobammɔ wom, a ɛfata ma awotwaa mu ahurututu mu akisikuru a emu yɛ den na ɛyɛ soronko. Wɔ nsɛm a ɛfa cervical spondylotic myelopathy a ɛwɔ clamp type anaa spinal stenosis tenten ne anterior compression kɛse ho no, anohyeto ahorow bi wɔ anim anaa akyi oprehyɛn nkutoo mu. Yɛfa gyinabea a ɛyɛ mmerɛw ma akyi oprehyɛn, na afei yɛfa supine gyinabea ma anim oprehyɛn, ne ɔfã a edi kan no anim ne akyi decompression.

Mfaso a ɛwɔ so : Wɔ akyi a ɛyɛ mmerɛw akyi no, akyi berɛmo no akyi berɛmo no betumi akɔ akyi, baabi a ɛwɔ akyi berɛmo no anim no yɛ kɛse kakra, na nhyɛso a ɛwɔ akyi berɛmo no mu no so tew, na ɛtew asiane a ɛwɔ hɔ sɛ wɔbɛyɛ oprehyɛn no anim no so. Bere koro no ara mu no, afã abien no mu nhyɛso no ho tɔ no, decompression no di mũ, nkɛntɛnso no da adi pefee, na ɛboa ma akyi berɛmo no dwumadi san ba; Ɛtew ɛyaw a ayarefo di so na ɛnyɛ den sɛ ayarefo begye atom. Ɛkwati ɔhaw ahorow a ɛwɔ ayaresabea a wɔde obi kɔ mprenu, oprehyɛn a ɛto so abien, yare a ɛkɔ so kyɛ, na ɛma ɛka ho ka no.

• Akyi berɛmo mu akyi berɛmo mu ntini a ɛwɔ akyi no ne ne ho a wɔde hyɛ akyi .

Sɛ wɔde toto anterior kwan ho a, akyi awotwaa no mu ntini a ɛma ɛyɛ mmerɛw no nhwehwɛ sɛ wɔde nnompe a wɔde hyɛ nipadua no mu no fra mu na ɛmma awotwaa no akyi berɛmo no ntumi nkɔ baabiara. Wɔyɛ akyi akyi disc herniation nucleus pulposus a woyi fi akyi kwan no so no wɔ anisoadehu tẽẽ ase na ɛnyɛ den koraa, enti ɛyɛ nea ahobammɔ wom na wotumi de ho to so. Nsɛnkyerɛnne: posterolateral cervical disc herniation, single level intervertebral foramen stenosis, multi level intervertebral foramen stenosis a enni mfinimfini akyi berɛmo no mu stenosis, ne ntini ho sɛnkyerɛnne a ɛkɔ so wɔ anim akyi berɛmo no mu akyi.

• Oprehyɛn a wɔyɛ ma ne kɔn atifi yare .

Opira ne nyarewa a ɛwɔ akyi berɛmo no atifi no betumi ama akyi berɛmo no ayɛ basaa kɛse. Esiane sɛ nipadua no yɛ den nti, ayaresabea dodow no ara ntumi nsa wɔn. Sɛ nhwɛso no, atlantoaxial fracture ne dislocation, atlanto occipital malformation, ne rheumatoid upper cervical spondylopathy, anterior release ne akyi fixation betumi adi dwuma de atew dislocation so, relieve spinal cord compression, na wɔagye nkwa.

B.lumbar disc herniation, akyi berɛmo mu ntini a ɛyɛ mmerɛw, akyi berɛmo mu yare, akyi berɛmo mu yaw a ɛba fam .

Intervertebral fusion nhia pelvic bone a woyi fi hɔ ma lumbar spinal stenosis anaa lumbar spondylolisthesis a ɛnam nneɛma ahorow so de ba. Dwumadi no atirimpɔw a edi kan ne sɛ ɛbɛma ntini no ayera. Sɛ akyi berɛmo no ntumi nnyina a, wɔkyerɛ akyi berɛmo no mu a ɛyɛ mmerɛw no sɛnea ɛyɛ den sɛ ɛbɛkɔ so ayɛ adwuma no na ɛyɛ nea ɛyɛ mmerɛw. Wɔpaw posterolateral spinal bone graft (PLF) anaa interbody bone graft (plif) no sɛnea ɛfata ma pedicle screw mu a wɔde hyɛ mu no. Wɔ Plif mu no, wɔde akyi berɛmo mu arch a wɔayiyi no nyinaa ne inferior articular process complex (median incision) di dwuma sɛ interbody dompe graft fast, a ɛnyɛ sɛ ɛnya nnompe a wɔde hyɛ nipadua mu a eye sen biara nko, na mmom ɛkwati sɛ ɛbɛfa dompe afi akyi berɛmo no mu anaasɛ ɛsɛ sɛ ɔtɔ interbody fusion cage, a eyi dompe a woyi fi hɔ no ho nsɛnnennen no fi hɔ na ɛtew oprehyɛn no so kɛse.

• Lumbar disc herniation .

Sɛnea ɔyare ahorow ahorow kyerɛ no, wɔpaw nucleus pulposus a wɔde ma, laminectomy ne disceltomy (ɛtɔ mmere bi a wɔde nnompe a wɔde hyɛ nipadua no mu ne nea wɔde hyɛ mu) ne diski a wɔde ayɛ nneɛma foforo a wɔde si ananmu.

• akyi berɛmo mu ntini a ɛyɛ mmerɛw .

Spinal canal ne nerve root canal a wɔde yi fi hɔ no yɛ nea wobetumi ayɛ. Wɔ ayarefo a wɔn akyi berɛmo ntumi nnyina no fam no, ɛsɛ sɛ wɔpaw dynamic fixation anaa fusion fixation, sɛnea ɛbɛyɛ a ayarefo betumi adu ayaresa botae no ho wɔ ɛka a ɛba fam koraa mu na wɔanya nea ɛma abotɔyam.

1) Dynamic fixation of lumbar spine - ɛnyɛ sɛ ɛma akyi berɛmo no gyina nko, na mmom ɛkura lumbar motion no dwumadi nso. Mfaso a ɛwɔ so no bi ne: (1)Ebetumi atew nhyɛso a ɛwɔ intervertebral disc so no so kɛse na asiw intervertebral disc no a ɛbɛsɛe no ano; (2)Nkitahodi a ɛyɛ elastic no hwɛ na ɛsan de afã abiɛsa a ɛkari pɛ a ɛwɔ kankyee fã no mu no ba.

2) Minimally invasive spinal canal decompression surgery a wɔde ntini mudi mu kura akora so - oprehyɛn kwan a ɛkɔ akyiri a wɔde fi amannɔne ba. Bere a wɔanya nkɔso bio akyi no, oprehyɛn no ntwitwiridii ketewaa bi, ɛpaapae ntini mu, ɛkora ntini ne akyi berɛmo no nsusuwii so, na decompression a ɛwɔ ahwehwɛ ne afiri a ɛma nneɛma nketenkete yɛ kɛse ase no yɛ nea wotumi de ho to so koraa, ɛmma akyi berɛmo no gyina pintinn, na ɛwɔ oprehyɛn akyi mmuae a emu yɛ hare. Ayarefo betumi anantew da a ɛto so abien no, na wɔafi ayaresabea nnafua 5-7 akyi.

• Lumbar Spondylolisthesis .

Ɛyɛ ade a eye sen biara a ɛkyerɛ sɛ obi de decompression ne reduction, bone graft fusion, ne pedicle internal fixation. Ɛno nso ne oprehyɛn a wɔtaa yɛ a wɔde titanium mprɛte a wɔde hyɛ mu di dwuma. Oprehyɛn no yɛ den na ɛyɛ kɛse wɔ ne kɛse mu. Nea ɛde spondylolisthesis, lumbar spondylolysis, ba anaasɛ edi kan no yɛ mmerɛw kɛse sɛ wobedi ho dwuma wɔ bere mu.

1) Ebia akyi berɛmo mu akyi berɛmo no fã bi (isthmus, nkwaa nketenkete) no fã bi a abubu esiane apɔw-mu-teɛteɛ a wɔyɛ no mpɛn pii nti na ɛde akyi berɛmo mu ntini a ɛyɛ mmerɛw no ba. Sɛ ɛnsa a, sɛnea ɛbɛyɛ a wobesiw lumbar spondylolisthesis ano, titiriw bere a sɛnkyerɛnne ahorow no da adi no, wobetumi de nnompe a wɔde hyɛ nipadua no mu no asiesie isthmus, nkɔnsɔnkɔnsɔn abien ne titanium nhama, a ɛyɛ mmerɛw na ahobammɔ wom.

2) Wɔde oprehyɛn a ɛma ɛyɛ mmerɛw sɛ ɛbɛtew so, akyi berɛmo mu nnompe a wɔde hyɛ nipadua no mu (plif), ne pedicle mu a wɔde hyɛ mu no yɛɛ akyi berɛmo mu aduru a ɛma ɛyɛ mmerɛw no ho adwuma. Dwumadi no atirimpɔw a edi kan ne sɛ ɛbɛma ntini no ayera. Sɛ wɔyɛ plif peek lumbar fusion cage a, wɔde vertebral cage arch ne inferior articular process complex (median incision) no nyinaa di dwuma sɛ interbody bone graft a ɛyɛ ntɛm, a ɛnyɛ sɛ ebetumi anya nnompe a wɔde hyɛ nipadua mu a eye sen biara nko, na mmom ɛkwati sɛ wobegye dompe afi akyi berɛmo no mu nso anaasɛ ɛsɛ sɛ wɔtɔ interbody fuful fuful fuful fide device defusion devices of bone of the bone the complication

• Discogenic akyi berɛmo mu yaw .

Wɔpaw dynamic lumbar fixation, artificial disc a wɔde besi ananmu ne interbody fusion (aniwa anaa akyi).

C. akyi berɛmo mu akisikuru .

Efi akyi berɛmo mu akyi berɛmo mu a ɛpaapae kosi lumbosacral vertebra a ɛpaapae, anim anaa akyi decompression ne akyi berɛmo no a wɔde si hɔ no yɛ adwuma.

1. Intraoperative myelography ne transpecular decompression .

Wɔ open reduction, decompression ne mu fixation of thoracolumbar burst fracture, decompression effect no betumi ahwɛ yiye na ama iatrogenic opira no so atew.

2. Kyphoplasty a wɔde fa nipadua mu a ɛnyɛ den pii a wɔde sa vertebral compression fractures wɔ nkwakoraa ne mmerewa mu .

Wobetumi de nnompe semɛnte ade biako pɛ ahyɛ mu. Ɛyɛ mfiridwuma a ɛnyɛ hwee ankasa a ɛma ɛyaw no ano brɛ ase na wofi mpa so wɔ oprehyɛn no akyi nnafua 1-3.

D. akyi berɛmo mu oprehyɛn a ɛnyɛ den pii .

A. Botae a ɛne sɛ wɔbɛyɛ akyi berɛmo mu oprehyɛn a ɛnyɛ den pii (MISS) ne sɛ wobenya oprehyɛn a wɔde sa yare a wɔtaa de di dwuma no so nkɛntɛnso na wɔatew oprehyɛn no so sɛnea ɛbɛyɛ yiye, sɛnea ɛbɛyɛ a ɛbɛtew ɔhaw ahorow a ɛba, mogya a ɛba oprehyɛn no mu, ayaresabea a wɔtra, ne nea ɛkeka ho so, sɛnea ɛbɛyɛ a ayarefo betumi anya ahoɔden na wɔasan de wɔn ho ahyɛ asetra a ɛfata mu na wɔayɛ adwuma sɛnea wobetumi biara.

Oprehyɛn a ɛnyɛ den pii no bi ne:

1. Endoscopic Mfiridwuma .

Spinal endoscopy kyerɛ sɛ oprehyɛnfo no, wɔ x-ray anaa po so hyɛn akwankyerɛ ase bere a wɔreyɛ adwuma no, de puncture ntrɛwmu nnwinnade di dwuma de puncture fi honam ani kɔ spinal lesions, si endoscopic ne oprehyɛn adwumayɛ akwan, de nsu di dwuma sɛ medium sɛ magnifies na ɛda emu aba no adi na ɛda leasions no adi wɔ soro-definition screen no so, na estoscopics no. Akwan a wɔfa so yɛ oprehyɛn a wɔtaa de di dwuma no bi ne: lateral lumbar foraminal endoscopy, akyi akyi lamina kwan a wɔfa so yɛ endoscopy, ne akyi berɛmo mu endoscopic oprehyɛn. Sɛ wɔde toto atetesɛm mu oprehyɛn anaa oprehyɛn nketenkete ho a, ɛwɔ mfaso horow a edidi so yi: (1) nsɛnkyerɛnne a ɛtrɛw, mogya a ɛba ketewaa bi ne ahodwiriw, akyi berɛmo no a ɛyɛ daa no nsɛe, na mpɛn pii no, nea wotwa no nnu cm 1; (2) Wobetumi apaw oprehyɛn a wɔyɛ wɔ aduru a wɔde kum nipadua no mu wɔ baabi a ɛwɔ hɔ no ase, na nkitahodi a ɛda nnuruyɛfo ne ayarefo ntam bere ankasa mu no wɔ hɔ a ɛbɛma oprehyɛn no ayɛ mmerɛw na wɔakwati ntini mu opira a ɛba oprehyɛn no mu; (3) Nsɛnnennen a ɛba fam, ne ho tɔ no ntɛmntɛm, betumi afi mpa so bere a wɔayɛ no oprehyɛn akyi, wɔayi no afi mu wɔ nnafua 1-2 mu, anaasɛ oprehyɛn a wɔde no kɔ ayaresabea; (4) ɔyare mmoawa dodow a ɛba fam; (5) Wɔkwati ɔhaw a ɛtra hɔ kyɛ a ɛne sɛ afã horow a ɛbɛn no sɛe ntɛmntɛm wɔ fusion a edi kan no mu no. Nneɛma a enye wɔ ho ne: (1) Nyarewa a ɛsan ba bio wɔ hɔ. Sɛ ɛsan ba bio a, oprehyɛn a wɔsan yɛ no bɛyɛ den na asiane wom kɛse esiane akuru a ɛbata oprehyɛn a edi kan no ho nti. (2) Nsɛnnennen bi wɔ hɔ, te sɛ residual nucleus pulposus compression, dural ne nerve root apirakuru, intervertebral space infection, mogya a ɛba, oprehyɛn akyi nkate a ɛnteɛ; (3) Oprehyɛn ho nsɛnkyerɛnne no yɛ biako, titiriw ma ayaresa a ɛyɛ mmerɛw intervertebral disc herniation. Wɔ intervertebral disc herniation a ɛyɛ den anaasɛ akyi berɛmo mu yare a wɔaka abom ho no, wobetumi asa no nso. Sɛ nea efi mu ba no nyɛ papa a, oprehyɛn a wɔabue ano no ho hia bio.

2. Fusion ne mu fixation mfiridwuma a ɛba fam kakraa bi .

Lumbar fusion ne mu fixation yɛ oprehyɛn kwan titiriw a wɔfa so sa akyi berɛmo mu yare. Ɛdenam anim, akyi, akyi, akyi ne akyi akwan a ɛwɔ akyi berɛmo no akyi, nnompe a wɔde hyɛ mu anaasɛ fusion cage, facet joint ne intertransverse nhyehyɛe no mu no, wɔde hyɛ akyi berɛmo ntam kwan no mu, ma enti nnompe a ɛda akyi berɛmo no ntam no betumi aba, na ɛnam so ama akyi berɛmo no agyina na ama akɔ so ayɛ adwuma. Sɛnea wɔkyerɛ no, oprehyɛn no fã no rensan mma bio. Nea ɛka fusion ne mu fixation akwan a ɛnyɛ hwee a ɛyɛ hu no ho ne transforaminal lumbar interbody fusion (MIS-TLIF) a ɛba fam kakraa bi ne lateral lumbar interbody fusion (LLIF) a ɛnyɛ nea ɛhyɛ mu kakraa bi. LLIF nso ka vertical lateral fusion cage (DLIF) ne oblique lateral fusion (OLIF) a agye din sen biara no ho. Fusion internal fixation technology a ɛnyɛ den pii no de expanders soronko ne tubular retractors ba titiriw na ama ntini a ɛyɛ mmerɛw no asɛe na ama wɔatumi ahu beae a wɔyɛ oprehyɛn no yiye. Ebetumi ne afiri a wɔde hwɛ nneɛma nketenkete a ɛyɛ adwuma anaasɛ ahwehwɛ a ɛma ahoɔden kɛse a ɛma ɛyɛ kɛse no ayɛ biako na ama oprehyɛn no ayɛ kɛse, sɛnea ɛbɛyɛ a honam ani ntini a wɔtwetwe ne ntini a ɛwɔ nipadua no mu no so bɛtew, na ama akyi berɛmo mu oprehyɛn no atumi de ayaresa a etu mpɔn sen biara a iatrogenic sɛe kakraa bi no adi dwuma. Sɛ wɔde toto oprehyɛn a wɔabue ano ho a, Fusion Internal Fixation Technology a ɛnyɛ den pii no de aba pa ba wɔ ayaresabea a wɔtra, mogya a wɔhwere, bere a wɔsan nya ahoɔden ne bere a wɔde bɛsan akɔ asetra a ɛfata mu no ho. Bere koro no ara mu no, mpɛn pii no ebetumi akura akyi berɛmo no akyi adum no mu, atew ntini a ɛsɛe no so, na ɛnam so atew ɛyaw a ɛba wɔ oprehyɛn no akyi no so. Fusion ne mu fixation mfiridwuma a ɛnyɛ den pii no wɔ nsɛnkyerɛnne ahorow pii, a nea ɛka ho ne akyi berɛmo mu yare ahorow, akyi berɛmo a ɛyɛ mmerɛw, disc herniation a ɛyɛ den, nea entumi nnyina, scoliosis, ne nea ɛkeka ho Wɔ ayarefo a wɔwɔ tebea horow a emu yɛ den a ɛnyɛ nea ɛfata ma endoscopy no fam no, ɛsɛ sɛ wɔyɛ oprehyɛn a ɛte saa.

3. vertebroplasty a ɛwɔ nipadua no mu .

Ɛyɛ oprehyɛn a ɛnyɛ den pii, a nea ɛka ho ne vertebroplasty a ɛwɔ nipadua no mu (PVP) ne balloon kyphoplasty (PKP) a ɛwɔ nipadua no mu. Ɛyɛ mfiridwuma a ɛne sɛ wɔde aduruyɛ mu nnompe semɛnte anaa nnompe a wɔde ayɛ biomaterials gu akyi berɛmo mu nipadua a ɛyare no mu denam honam ani a ɛyɛ den so de hyɛ akyi berɛmo no mu den. Nyarewa a wɔde di dwuma no bi ne: 1. Nnompe mu akyi berɛmo mu ntini a ɛyɛ mmerɛw a ɛpaapae, a ɛnyɛ nea etu mpɔn wɔ brace anaa nnuru a wɔde sa yare mu; 2. akisikuru a ɛnyɛ bɔne anaasɛ akisikuru a ɛtrɛw kɔ mmeae afoforo a ɛwɔ akyi berɛmo no mu; 3. Akyi berɛmo mu akisikuru a ɛwɔ osteonecrosis anaa nonion akyi abubu akyi; 4. Nhyɛso a entumi nnyina anaasɛ multi segment vertebral compression fracture; 5. Mpaapaemu a ɛpae a ɛwɔ akyi ɔfasu a enni dɛm a ɛyɛ akyi berɛmo nipadua. Oprehyɛn yi su: 1. Ayaresa a wɔde wɔn ho hyɛ mu a ɛnyɛ den pii wɔ local anesthesia ase no wɔ oprehyɛn bere tiaa bi, ntwitwiridii no wɔ 0.5cm mu, mogya a ɛretu no yɛ 2-3ml, na aduru a ɛma ɛyaw ano brɛ ase no da adi pefee. Ɛwɔ adwuma a ɛma ɛyaw ano brɛ ase na ɛsan yɛ biomechanical ahoɔden a ɛwɔ dompe mu bere koro mu. 2. Wɔ ayarefo a wɔn mfe akɔ anim ne wɔn a wɔyɛ mmerɛw fam no, asiane a ɛwɔ oprehyɛn mu no sua, na wɔkwati nsɛnnennen a ebetumi aba esiane sɛ wontumi nkɔ wɔn nkyɛn nti. 3. Oprehyɛn akyi ahoɔden no yɛ ntɛmntɛm na bere a wɔde kɔ ayaresabea no yɛ tiaa. 4. Esiane sɛ ɛyaw no ano brɛ ase wɔ bere a ɛsɛ mu nti, wɔkwati ɔhaw ahorow a efi nnuru a wɔde kum ɛyaw mu ba ne nnubɔne a wɔde di dwuma no mu, na asetra pa tu mpɔn. 5. Ɛtew bere a ayarefo no de wɔn ho to mpa so na wohia wɔn a wɔhwɛ wɔn no so kɛse.

4. Robɔt a wɔboa ne akyi berɛmo mu oprehyɛn .

Spine oprehyɛn hwehwɛ sɛ nnuruyɛfo yɛ wɔn oprehyɛn pɛpɛɛpɛ, na mfomso nketenkete bɛma nneɛma a ɛyɛ hu aba. Sɛ nhwɛso no, wɔ lumbar pedicle screw insertion technology ho no, bere a wɔreyɛ skru no, ɛsɛ sɛ wɔhwɛ hu sɛ wɔde skru no bɛhyɛ pedicle no mu. Ntini a ɛwɔ akyi no ntwemu bɛyɛ 8mm, na pedicle no mu ne n’afã horow no yɛ ntini a ɛho hia. Yɛn screw diameter yɛ 6.5 mm, a ɛkyerɛ sɛ sɛ skru no bubu fa pedicle no mu ne ase afasu no mu pɛ a, ntini a asɛe kɛse no betumi afi mu aba. Enti, sɛnea skru a wɔde hyɛ mu no yɛ pɛpɛɛpɛ na ahobammɔ wom no ho hia yiye. Nnompe mu oprehyɛn robɔt ne akwantu nhyehyɛe a wɔde 3D mfonini kyerɛ no, betumi de nkɔnsɔnkɔnsɔn no asi hɔ pɛpɛɛpɛ sɛnea ɔkwan a wɔayɛ ho nhyehyɛe no te, a ɛyɛ ne ho anaasɛ ɛyɛ nea ɛyɛ adwuma fã bi a ɛyɛ nkuruwankuruwa a ɛwɔ pedicle screws no mu, ma ntini a atwa ho ahyia ne ntini afoforo a ɛyɛ mmerɛw no sɛe no so tew, na ɛma oprehyɛn no yɛ pɛpɛɛpɛ na ahobammɔ wom. Wɔ endoscopic mfiridwuma ho no, akwantu a wɔaka abom nso betumi atew oprehyɛn no mu bere a wɔde tow, ntini a ɛyɛ mmerɛw a ɛsɛe ne ayarefo a wɔn ho nyɛ wɔn dɛ wɔ oprehyɛn no mu no so kɛse. Robɔt a wɔde boa ne akyi berɛmo mu oprehyɛn a wɔde di dwuma no bɛboa ayarefo a wɔwɔ akyi berɛmo mu nyarewa no kɛse.

Wɔ asɛmfua biako mu no, akyi berɛmo mu mfiridwuma a ɛnyɛ den pii no betumi adi ayaresa atirimpɔw no ho dwuma yiye na wɔayɛ no yiye denam opira no a wɔbɛtew so sɛnea wobetumi so. Bere a ɛrenya nkɛntɛnso koro no ara anaasɛ eye sen akyi berɛmo mu oprehyɛn no, ebetumi atew ayarefo a wɔyɛ wɔn oprehyɛn no so, ama wɔn ho atɔ wɔn ntɛm, na wɔatew oprehyɛn no akyi ba so. Nanso, akyi berɛmo mu oprehyɛn a ɛnyɛ den pii no ntumi nsi akyi berɛmo mu oprehyɛn a wɔde di dwuma wɔ amanne kwan so no ananmu koraa. Ɛsɛ sɛ wɔkyerɛ oprehyɛn nhyehyɛe pɔtee no sɛnea ɔyarefo no tebea, aduruyɛ ho mfiridwuma, nkitahodi a ɛda nnuruyɛfo ne ayarefo ntam ne nneɛma afoforo te. Osuahu a ɛfa oprehyɛn a wɔtaa yɛ a wɔtaa yɛ no ho osuahu no ne nea wogyina so yɛ oprehyɛn a ɛnyɛ den pii. Sɛ oprehyɛn a wɔde hyɛ nipadua no mu kakraa bi hyia ɔhaw ahorow a, ɛsɛ sɛ wɔsesa no ma ɛyɛ oprehyɛn a wɔabue ano wɔ bere mu na ama ayarefo anya ahobammɔ yiye na wɔayɛ oprehyɛn no yiye. Nea etwa to no, ɛsɛ sɛ yɛkae ayarefo a wɔyɛ wɔn oprehyɛn no sɛ ahwɛyiye a wɔde siesie ne nyansahu mu apɔw-mu-teɛteɛ a wɔyɛ wɔ oprehyɛn a edi mu akyi nso ho hia kɛse, a ɛnyɛ sɛ ebetumi ama ahosiesie no ayɛ papa yiye nko, na mmom ɛbɛkwati akyi berɛmo mu yare a ɛsan ba anaasɛ ɛbɛn ho.

E. akyi berɛmo mu akisikuru ne ɔfe .

akisikuru, nsamanwaw ne akyi berɛmo, ahurututu ne akyi berɛmo a ɛyɛ hyew.

F. Nsɛm a wɔde wie .

1. Beae biara nni hɔ a anifuraefo wɔ wɔ akyi berɛmo mu oprehyɛn mu .

Ahobammɔ ne ahotoso ne akyi berɛmo mu oprehyɛn a edi kan. Ɛhwehwɛ akyi berɛmo mu nyarewa a ɛyɛ mmerɛw, te sɛ akyi berɛmo mu akyi berɛmo mu yare, ahurututu mu ntini a ɛyɛ mmerɛw, akyi berɛmo mu ntini a ɛyɛ mmerɛw, disc herniation a ɛwɔ ɔfã biara mu fi akyi berɛmo no mu kɔ akyi berɛmo no so kosi akyi berɛmo no so, ne akyi berɛmo no a ɛyɛ mmerɛw. Nea ɛka ho no, ɛfa opira ne nyarewa ahorow nyinaa a ɛba wɔ akyi berɛmo mu, te sɛ akyi berɛmo mu a ɛpaapae ne akyi berɛmo mu a ɛpaapae, akyi berɛmo mu dɛmdi, akyi berɛmo mu akisikuru (a edi kan ne nea ɛkɔ mmeae afoforo), akyi berɛmo mu nsamanwaw anaasɛ ɔyare mmoawa a ɛma obi ho kyere no ho nso.

2. Awotwaa mu oprehyɛn a anohyeto nnim .

Wɔ awotwaa mu spondylotic myelopathy oprehyɛn ne akyi berɛmo no akyi ntini a ɛyɛ tenten no ho no, ayaresabea anaa nnuruyɛfo binom yɛ anim anaa akyi oprehyɛn nkutoo. Nokwarem no, oprehyɛn ahorow pii wɔ hɔ a wubetumi apaw afi mu - akyi berɛmo mu a ɛpaapae ne nnompe a wɔde hyɛ mu ne mu a wɔde hyɛ mu, akyi awotwaa mu laminoplasty (ɔpon biako, ɔpon abien), ne anim ne akyi a ɛyɛ ɔfã biako ne nea wɔde si fam. Yɛwɔ osuahu pii a edi mu wɔ saa dwumadi ahorow yi mu, a wobetumi de adi dwuma wɔ ntease mu sɛnea tebea horow te, ɛnyɛ mfiridwuma, tebea ne nsusuwii teateaa biara na ɛto ano hye, na ɛma agoru a edi mũ ma mfaso horow a ɛwɔ akwan horow so no.

3. Thoracic vertebra oprehyɛn no yɛ mmerɛw na wotumi de ho to so .

Sɛnea ɛbɛyɛ a ahurututu no akyi ntini a ɛwɔ akyi no bɛyɛ den, a ɛyɛ den na ayaresabea akɛse pii suro no, yɛyɛɛ akyi decompression a ɛyɛ fã bi. Wɔ ayarefo a wɔn anterior compression (ossification of ligaments anaasɛ protrusion of intervertebral discs), anterior decompression of the akyi berɛmo no yɛɛ denam tunneling kwan no so de nyaa 360 ° koraa decompression twaa akyi berɛmo no akyi cord, a ɛkwatii anterior decompression thoracotomy. Wɔde saa 360 ° decompression kwan yi nso di dwuma de yɛ adwuma a ɛma ne nan ase a ɛyɛ mmerɛw no yɛ adwuma esiane thoracic intervertebral disc prolapse ne osteoporotic compression fracture nti.

4. Intervertebral fusion nhia pelvic bone extraction .

Wɔ lumbar spinal stenosis anaa lumbar spondylolisthesis a nneɛma ahorow nti, oprehyɛn no atirimpɔw a edi kan ne ntini a ɛma obi ho kyere no. Sɛ akyi berɛmo no ntumi nnyina a, wɔkyerɛ akyi berɛmo no mu a ɛyɛ mmerɛw no sɛnea ɛyɛ den sɛ ɛbɛkɔ so ayɛ adwuma no na ɛyɛ nea ɛyɛ mmerɛw. Wɔpaw posterolateral spinal bone graft (PLF) anaa interbody bone graft (plif) no sɛnea ɛfata ma pedicle screw mu a wɔde hyɛ mu no. Wɔ Plif mu no, wɔde akyi berɛmo mu arch a wɔayiyi no nyinaa ne inferior articular process complex (median incision) di dwuma sɛ interbody dompe graft fast, a ɛnyɛ sɛ ɛnya nnompe a wɔde hyɛ nipadua mu a eye sen biara nko, na mmom ɛkwati sɛ ɛbɛfa dompe afi akyi berɛmo no mu anaasɛ ɛsɛ sɛ ɔtɔ interbody fusion cage, a eyi dompe a woyi fi hɔ no ho nsɛnnennen no fi hɔ na ɛtew oprehyɛn no so kɛse.

Ma Czmeditech , yɛwɔ product line a edi mũ yiye . akyi berɛmo mu oprehyɛn a wɔde hyɛ nipadua mu ne . Nnwinnade a ɛne no hyia , nneɛma a ɛka ho ne 5.5mm ne 6.0mm spinal pedicle screw system, anterior cervical plate system, akyi awotwaa mu screw nhyehyɛe, anim thoracic plate nhyehyɛe, anim thoracolumbar plate nhyehyɛe, titanium mesh cage, titanior CAGE CAGE CAGE CAGE CAGE CAGE CAGE Cage ne wɔn adwinnade a ɛboa no. Bio nso, yɛasi yɛn bo sɛ yɛbɛkɔ so ayɛ nneɛma foforo na yɛatrɛw nneɛma a wɔyɛ mu, sɛnea ɛbɛyɛ a yebedi nnuruyɛfo ne ayarefo pii oprehyɛn ahiade ho dwuma, na yɛasan nso ama yɛn adwumakuw no asi akan kɛse wɔ wiase nyinaa nnompe mu nneɛma a wɔde hyɛ nipadua mu nyinaa mu.