R&D nhyehyɛe foforo .

MIS | Mfiridwuma mu Nkɔsoɔ - Mfiridwuma mu mfasoɔ - Oprehyɛn akyi aba | Czmeditech .

Minimally invasive spine system (MIS) yɛ mfiridwuma a ɛwɔ hɔ nnɛ a ɛma wotumi yɛ aduru a ɛyɛ pɛpɛɛpɛ denam ntwitwiridii nketenkete so ma tebea horow te sɛ herniated discs ne spinal stenosis.

Nneɛma foforo a wɔayɛ .

Mfaso a ɛwɔ so kakraa bi .

Apirakuru a wɔatew so .

Nneɛma nketenkete a wɔde twa mu ho nhyehyɛe:

Nneɛma a ɛtaa twitwa no yɛ cm 1-2 pɛ, na ɛtew ntini a ɛpaapae ne ntini a ɛyɛ mmerɛw a ɛsɛe no so.

Nneɛma a wɔde si hɔ pɛpɛɛpɛ ho mfiridwuma:

Nneɛma a wɔde hyɛ nipadua mu a wɔde hyɛ oprehyɛn no mu a wɔde kɔ baabi foforo (sɛ nhwɛso no, O-Arm, 3D-C-ARM) anaa robɔt mmoa (sɛ nhwɛso no, Mazor X, Globus Medical) no pɛpɛɛpɛ a ɛkɔ anim.

Mogya a ɛba oprehyɛn no mu a ɛso tew:

Mfiridwuma mu mfiridwuma a ɛnyɛ den pii no ma asiane a ɛwɔ hɔ sɛ wobenya ntini mu opira no so tew, titiriw ma ayarefo a wɔn mfe akɔ anim anaa wɔn a wɔka ho no.

Oprehyɛn akyi a obi ho bɛtɔ no ntɛmntɛm .

Ayaresabea a wɔbɛtra mu bere tiaa bi:

Wɔyi ayarefo dodow no ara fi ayaresabea hɔ nnɔnhwerew 24-48 wɔ oprehyɛn no akyi, sɛ wɔde toto nnafua 3-5 a wɔde yɛ oprehyɛn a wɔde di dwuma wɔ amanne kwan so no ho a.

Nneɛma a ɛkɔ so ntɛm:

Ɛyaw a ɛba fam ne ntini a ɛbɔ ho ban yiye no ma ayarefo san kɔ wɔn da biara da dwumadi ahorow mu ntɛmntɛm.

Biomechanical a ɛyɛ papa .

Nneɛma foforo a wɔde di dwuma:

s.e. 3D tintim titanium alloys, peek (Polyether ether ketone) nneɛma a ɛbɛma wɔanya modulus of elasticity a ɛbɛn dompe na ɛtew adwennwen a wɔde kata so no so.

Nneɛma a ɛma ahoɔden a ɛyɛ den: .

Nneɛma bi a wɔde hyɛ nipadua no mu (sɛ nhwɛso no, Dynesys, Coflex) kora akyi berɛmo mu ntini a ɛkɔ so no so na ɛtew asiane a ɛwɔ hɔ sɛ ɔfã a ɛbɛn no bɛsɛe no so.

Nsɛnkyerɛnne a wɔatrɛw mu .

a ɛkata akyi berɛmo mu nyarewa ahorow pii te sɛ degenerative disc yare, akyi berɛmo a ɛyɛ mmerɛw, spondylolisthesis a emu nyɛ den ne akyi berɛmo mu akisikuru so.

临床案列

Eyi yɛ nhwehwɛmu nsɛm a ɛyɛ ananmusifo wɔ nnansa yi mfe mu:

1. Nhwehwɛmu a wɔahyɛ da ayɛ a wɔde di dwuma wɔ akyi berɛmo mu a wɔfrɛ no lumbar spine fusion (TLIF) .

Adesua nhyehyɛe:

Prospective Multicenter RCT (2022) a wɔde toto mis-tlif (a ɛnyɛ hwee sɛ ɛbɛhyɛ obi so) ne TLIF a ɛbue ho.

Nhwɛsoɔ kɛseɛ:

Ayarefo 120 a wɔwɔ akyi berɛmo mu akyi berɛmo mu yare a ɛma obi ho kyere no.

Nsunsuansoɔ:

Oprehyɛn Bere:

Ɛware kakra wɔ MIS kuw no mu (ɛkyerɛ sɛ simma 150 ne simma 130 ntam), nanso mogya a ɛba fam 60% (<100 mL vs. 250 mL).

Oprehyɛn akyi ɛyaw:

50% a ɛso tew wɔ VAS nkontaahyɛde mu dapɛn 1 wɔ oprehyɛn akyi wɔ MIS kuw no mu, nsonsonoe titiriw biara nni akuw abien no ntam wɔ asram 3 akyi.

Fusion rate: .

Afe 1 oprehyɛn akyi CT kyerɛe sɛ >90% fusion rate wɔ akuw abien no nyinaa mu.

Nsɛnnennen: .

Nyarewa dodow 2% wɔ MIS kuw no mu vs. 8% wɔ kuw a wɔabue mu.

2. Bere tenten akyi nhwehwɛmu a wɔyɛe wɔ Dynamic Stabilization System (COFLEX) ho .

Adesua nhyehyɛe:

Europa mfe 5 akyi nhwehwɛmu (2021) a ɛfa coflex a wɔde hyɛ nipadua mu a wɔde sa lumbar spinal stenosis ho nhwehwɛmu.

Nhwɛsoɔ kɛseɛ:

Ayarefo 80.

NSUNSUANSOƆ:

Dwumadi mu nkɔso:

ODI (dysfunction index) so tew fii nsɛntitiriw 45 wɔ mfiase no kɔɔ nsɛntitiriw 20 wɔ mfe 5 mu.

Ɔfã a ɛbɛn hɔ a ɛresɛe:

Ayarefo 12% pɛ na wonyaa ɔhaw ahorow a ɛbɛn a ɛfa ɔfã bi ho, a ɛba fam koraa sen fusion a wɔtaa de di dwuma no (~30%).

Nneɛma a wɔsan yɛ no foforo:

Mfiri a wɔde yɛ adwuma bio a wɔaboaboa ano a ɛyɛ 8%, titiriw esiane sɛ wɔde ahyɛ nipadua no mu (4%) anaasɛ ɛsan ba bio a ɛkyerɛ sɛ ɛyɛ sɛnkyerɛnne nti.

3. Multicenter adesua a ɛfa robɔt a wɔde boa mis implants ho .

Adesua nhyehyɛe:

Nhwehwɛmu a wɔyɛe wɔ bere a atwam mu a wotintimii wɔ 2023 mu de hwehwɛɛ nea efii MIS screw placement mu bae no mu denam mazor robɔt mmoa so.

Nhwɛsoɔ kɛseɛ:

500 skru a wɔde si hɔ (thoracolumbar akyi berɛmo).

Nsunsuansoɔ:

Pɛpɛɛpɛyɛ: .

98.6% a ɛwɔ skru gyinabea no yɛ nea ɛma abotɔyam (Gertzbein-Robbins a ɛwɔ A/B a ɛyɛ grading).

Nsɛnnennen: .

Ntini ntini mu opira no yɛ 0.4% sɛ wɔde toto 3-5% ho ma freehand placement a wɔtaa de di dwuma no a.

Sɛ wopɛ nneɛma ho nimdeɛ ne nsɛm a ɛkɔ akyiri a, yɛsrɛ wo, di yɛn ho nkɔmmɔ!