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Kɔnɔnatumu ɲɛfɛla sɔgɔli ni decompression et implant fusion (ACDF) ye opereli fɛɛrɛ dɔ ye min bɛ kɛ ka caya ka ɲɛsin kɔkolo suguya ni nɛrɛmuguma suguya kɔkolo sɔgɔsɔgɔninjɛ furakɛli ma, kɔnɔbara basigilen joginni ani bana wɛrɛw, wa a nafa bɛ a la ka a sabati a daminɛ na, ka fusili hakɛ caya, ka ɲɛfɛla sɔgɔsɔgɔcogo ɲuman segin a cogo kɔrɔ la, ani kɛnɛma tɛ kɛ fixation, etc. Opereli kɔfɛ min bɛ kɛ tuma caman na gɛlɛyaw i n’a fɔ munumunu gɛlɛya, yɔrɔ kɛrɛfɛtaw tiɲɛni, ɲɛgɛnɛsira seginni, kunsɛmɛnasumaya, joli bɔli, banakisɛ, ani kɔkolow cɛla jiginni wdfl Opereli kɔfɛ gɛlɛyaw bɛɛ lajɛlen bɛ se 8% ɲɔgɔn ma.
![按钮 (按钮) ye]( "按钮")
Gɛlɛya minnu fɔra sanfɛ, olu jaabi la, kalanko jɛkulu bɛ baara kɛ tuma bɛɛ fɛɛrɛko ɲɛtaa kan, hakilinaw falenfalenni, ani prothèse optimisation. Kɔnɔnatumu kɔkolo fusili minɛn min bɛ a yɛrɛ sabati (zero-trace), o min bɛ don kɔkolo ni ɲɔgɔn cɛ yɔrɔ la ka ɲɛ, wa a bɛ dɔ bɔ kosɛbɛ opereli kɔfɛ dumunikɛbaliya ni a kɛrɛfɛyɔrɔ tiɲɛni farati la, o sɔnna kosɛbɛ.
Opereli kɔfɛ gɛlɛya minnu bɛ sɔrɔ bolokɔniw na, olu ɲɛfɔlen don jukɔrɔ ——
1.Kɛlɛ bɛ kɛ ni kɔkolo kolotuguda min sirilen don ni nɛgɛ ye, o ka kan ka tigɛ walima ka a tigɛ
Jaa 1 Conotruncus, vertebral artery, ani kɔkolo ni nɛrɛmuguma juw jɔcogo ja sɛgɛsɛgɛlen.
kelen. Jɛɲɔgɔnya min bɛ concha ka articular eminence ni vertebral artery cɛ.
b. Gafe kɔnɔ, joli-sira-funu-yɔrɔ cɛmancɛ da bɛ bɔ, ka kɔfɛla da mara ka ɲɛ walasa kɔkolo joli kana tiɲɛ.
![2_upscayl_2x_realesrgan-x4plus ka baara kɛ ni a ye]( "2_upscayl_2x_realesrgan-x4plus")
Jaa 2 Nɛrɛmugu ju degunni ni a degunbaliya ja schema ni ka joli-sira-funu-kɔnɔ-fɛnw jɛnsɛnni ye.
kelen. Kolow falenni ni kolotugudaw kolotugudaw kɔkolo tiɲɛni bɛ dɔ bɔ kɔkolo ni kɔkolo ni kɔkolo cɛtigɛyɔrɔ la, o la, a bɛ nɛrɛmuguma juw degun.
b. Kɔnɔnatumuw ni ɲɔgɔn cɛ fusili minɛn/fɛn min bɛ don kɔkolo cɛ, o bɛ se ka kɔkolo ni kɔkolo cɛ yɔrɔ da wuli walasa ka kɔkolo ni kɔkolo cɛ foroko yɔrɔ bonya ani ka maga nɛrɛmugu ju degun na, ani o waati kelen na, ka kɔkolo sabatili labɛn kokura.
Kɔnɔbara ɲɛfɛla opereli wajibiyalen don walasa ka kɔkolo kolotuguda bɔ, o kɛra sɔsɔli kolo ye kabini o fɛɛrɛ in daminɛna
Ɲɛfɔli fɔlɔ min kɛra kɔnɔbara ɲɛfɛla decompression ni implant fusion ni internal fixation kan, o kɛra Robinson ni Smith fɛ san 1955 min kɔnɔ a y’a jira o kɛcogo la ko a tɛ leptokyphotic joint osteophyte bɔli wajibiya. Cloward, n’o ye ACDF sigibaga wɛrɛ ye, o y’a sinsin a kan ko degun bɛɛ ka kan ka bɔ, wa ko leptokyphose hyperplastique bɔli tilennen nafa ka bon decompression (decompression) la, k’a sɔrɔ Robinson y’a jaabi ko leptokyphose bɛ se ka segin ka minɛ ni kɔkolo sabatili sabatira ani ni masin fanga minnu tɛ cogoya la, olu tununna, wa ko o basigibaliya ninnu bɛ miiri ko u bɛ tali kɛ the formation lɛptokifosi (leptokyphose) banakisɛ (leptokyphose).
Lakanalikɛlaw b’a fɔ ko jɛgɛmarayɔrɔ bɛ 48% fo 60% kɛ yɔrɔ kelen-kelen bɛɛ sabatili la, wa a bɛ sabatiliba di kɔnɔbara kɔkolo kɔfɛla la, ani ko kɔnɔbara basigilen foroaminotomi decompression standard bɛ jɛgɛminɛ kolotuguda kɔfɛla ni senfagabana kanal ɲɛfɛla decompresser, k’a sɔrɔ tiɲɛ yɛrɛ la, kolotuguda yɔrɔ min sabatilen don kosɛbɛ, o de ye bɔlen don, ani basigibaliya ka fara fɛnw bɔli kan fɛn donta jɔyɔrɔ bɛ dɔ bɔ fusili ɲɛtaa la.
Ni kɛnɛyaso sɔrɔcogo kelenw bɛ se ka sɔrɔ ka sɔrɔ ka kɔkolo kolotuguda tigɛ, ka kɔkolo kolotuguda mara, hakili la, o bɛ se ka kɛ sababu ye ka sigida bɛnnenba di fusion hakɛ caman ma. Ka fara o kan, kɔkolo kolotuguda marali bɛ dɛmɛ ka dɔ bɔ opereli kɔfɛ kolotugudaw jiginni na, wa a kɔlɔsira ko ni kɔkolo kolotuguda yɔrɔ tigɛra ka tɛmɛ 38% kan, farikolo ni ɲɔgɔn cɛ fusion subluxation hakɛ bɛna bonya kosɛbɛ.
![3_upscayl_2x_realesrgan-x4plus ka baara kɛ ni a ye]( "3_upscayl_2x_realesrgan-x4plus")
Ka kɛɲɛ ni resection school of thought ye, farikololajɛ siratigɛ la, leptospondylar joint kɔfɛ kogo ye nerve root canal ɲɛfɛla kogo ye, wa kolo tolen min bɛ bɔ leptospondylar joint hyperplasia la, o bɛ se ka kɛ sababu ye ka intervertebral foraminal stenosis sɔrɔ.
Sisan kɛnɛyaso baarakɛcogo la, degunni bɔli ni lɛptokifosi bɔli ye, o bɛ fɔ hali bi banabagatɔw la minnu ka jolidɛsɛ jugumanba bɛ u la, walasa ka nɛrɛmuguma walima kɔkolo joli degunni nɔgɔya joona.
Kuma bɛɛ la, sɔsɔli tun bɛ yen tuma bɛɛ, nka sugandili ka kɛ ka sɔgɔsɔgɔninjɛ mara, k’a yɔrɔ dɔ mara, walima k’a bɔ pewu ka kɛɲɛ ni banabagatɔ ka cogoya ye, o kɛra bɛnkan ye kɛnɛyaso baara suguya caman na. Nka, furakɛli fɛɛrɛ min bɛ kɛ mɔgɔ kelen-kelen bɛɛ ye, o bɛ ɲinini caman kɛ farikolo yɔrɔ bonya kan.
![4_upscayl_2x_realesrgan-x4plus ye baara kɛ ni a ye]( "4_upscayl_2x_realesrgan-x4plus")
Zeru tigɛcogo minnu bɛ sɔrɔ sugu la, olu dan ye ka da a kan a ka kan ka juru 4 siri walasa ka da tugu, wa u bonya ka kan ka kɛ milimɛtɛrɛ 17,5 ye, o ye bonyaba ye jamanaden dɔw bolo, wa a ka c’a la, a bɛ kɛ sababu ye ka jɛgɛminɛ yɔrɔ dɔ datugu walasa ka fusion implantation kɛ kɔkolo ni ɲɔgɔn cɛ yɔrɔ la.
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SAGI 2-nail locking zero incision dɔgɔyara ka se milimɛtɛrɛ 14,8 ma a bonya la, ka jateminɛ kɛ Sinuwa jamanadenw ka farikololabɔli la, wa a bɛ baarakɛla dɛmɛ ni opereli kɔnɔ furakɛli ye min bɛ kɛ ka kɛɲɛ ni a yɛrɛ ta ye, o bɛ kɛ sababu ye ka sɔgɔsɔgɔninjɛ furakɛli sugandi ka kɛɲɛ ni banabagatɔ ka cogoya yɛrɛ ye, ka sɔrɔ ka a to a ka sabatili daminɛ na ani ka a fara ɲɔgɔn kan waati jan kɔnɔ.
Opereli kɔfɛ kɔkolo kɔkanna joli-sira-funu
Kɔkolo joli-sira-funu (SEH) ye gɛlɛya ye min man teli ka sɔrɔ kɔnɔbara ɲɛfɛla lajɛ kɔfɛ, a sɔrɔli bɛ se 0,1% fo 0,2% ɲɔgɔn ma.SEH bɛ kɛ kɔkolo joli-sira-funu nafama na, o bɛ na ni kɔkolo baarakɛbaliya jugumanba ye ni joli-sira-funu ma furakɛ waati kɔnɔ. Opereli kɔrɔtɔlen SEH sɛgɛsɛgɛli kɔfɛ, o bɛ se ka dɛmɛ don hakililabaara ka segin a cogo kɔrɔ la.
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ACCF ka SEH sɛgɛsɛgɛli opereli kɔfɛ
Kɔnɔbara basigilen joli bɔli bɛ se ka kɛ ACDF ni ACCF fila bɛɛ kɔfɛ, ni ACCF ka joli bɔli farati ka bon ka a sababu kɛ joginda caman ye ani kolo yɔrɔw bɛ bɔn ka caya; nka, ACDF taabolo bɛɛ hakɛ ka bon, ni SEH hakɛ caman bɛ kɛ.
SEH kunbɛnni kɔnɔbara ɲɛfɛla lajɛ kɔfɛ, o ka kan ka to sen na opereli waati bɛɛ kɔnɔ:
A. Sɛgɛsɛgɛli ka kan ka kɛ sani opereli ka kɛ, ani ɲininkali caman ka kan ka kɛ ni joli seginbana dɔw bɛ yen, ani ni sigarɛtimin ni dɔlɔmin kuntaalajan tariku bɛ yen ni mɔgɔ dɔw bɛ joli segin furaw ta, u ka kan ka u tali dabila dɔgɔkun kelen kɔnɔ sani opereli ka kɛ;
B. Joli jɔli dafalen opereli kɔnɔ, joli jɔli dafalen tɛ kɛ ni kuran ye, o bɛ se ka kɛ sababu ye ka joli kura bɔ, a ka ɲi ka kuran joli segin furakisɛ bipolar kɛ; kolotuguda farikolo bɛɛ lajɛlen tigɛcogo la, kolotuguda ka kan ka kɛ walasa joli kana bɔ kolo la kojugu; joli segin furaw tali, i n’a fɔ asidi tranexamiki pikiri, a ɲɔgɔnnaw, walasa ka joli bɔli dɔgɔya opereli senfɛ; a man kan ka opereli yɔrɔ kɔfɛla janya bɛɛ tigɛcogo ɲini, wa kɔfɛla janyalen hakɛ fitinin dɔ marali fan fila la, o fana bɛ se ka decompression nɔ sɔrɔ prothèse bilali ka kan ka yɔrɔ caman to kininbolo ni numanbolo fan fɛ. Ni aw bɛ bolokɔni da, yɔrɔ caman ka kan ka to numanbolo ni numanbolo fan fɛ walasa joli min bɛ bɔ ɲɛgɛnɛsira la, o ka se ka woyo ka taa kɔkolo ɲɛfɛ ani ka bɔ tansiyɔn jugumanba jibɔlan fɛ
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C. Opereli kɔfɛ, aw bɛ taamasiɲɛ nafamaw kɔlɔsi kosɛbɛ; aw bɛ jibolisiraw to ka ɲɛ; aw bɛ joli segin furaw kɛ ka ɲɛ walasa ka aw tanga joli segin furakisɛw ma; aw bɛ farikoloɲɛnajɛ kɛcogo kɔlɔsi kosɛbɛ; ni ko jugu dɔ bɛ yen, aw bɛ o ɲɛnabɔ a waati la.
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A dabɔra walasa ka jamana farikolo-ɲɛnajɛ-yɔrɔw dafa
1. A bɛ kɛnɛyaso furakɛcogo dɔ di mɔgɔ yɛrɛ ma kɔkolo kolotuguda min sirilen don, o furakɛli la.
2. Aw bɛ kɔkolo farikolo jigincogo dɔgɔya
3. Aw bɛ kɔkolo jolilabanaw farati dɔgɔya
Variable angle screw design ka baara nɔgɔya
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Kuru minnu ka koronawirisi bɛ -1,5°11,5° ani u kunkolo jiginni kɛrɛ ye 36°44° ye walasa ka nɛgɛ bilali nɔgɔya opereli kɔnɔ
Wajibi tɛ ka yɔrɔ wɛrɛ mara walasa ka kuru don a la, a tigɛcogo fitinin bɛ dɔgɔya ka bɔ santimɛtɛrɛ 2,5 na ka se santimɛtɛrɛ 2,0 ɲɔgɔn ma.
A bɛ se ka ladamu ka tɛmɛ kɔkolo endoskopi baarakɛcogo hakilina kan, ka Endo-ACDF faamuya.
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CZMEDITECH ko la
Cervical Peek Cage(2 walima 4 Locking Screws) ye kolotugudaw furakɛcogo tigitigiw ye minnu labɛnna ka ɲɛ CZMEDITECH tun sinsinnen bɛ kɔnɔbara ɲɛfɛla disikilini decompression ni implant fusion kan ani a tun bɛ ɲɛminɛ diɲɛ yeli fɛ, min tun ɲɛsinnen bɛ furakɛli fɛɛrɛ bɛɛjɛfanga ɲumanw ma, minnu ka nɔgɔn ani minnu musaka ka dɔgɔ, banabagatɔw ma minnu ka kari gɛlɛnw bɛ u la diɲɛ fan bɛɛ.
Kɔnɔnatumu ɲɛfɛla sɔgɔli ni decompression et implant fusion (ACDF) ye opereli fɛɛrɛ dɔ ye min bɛ kɛ ka caya ka ɲɛsin kɔkolo suguya ni nɛrɛmuguma suguya kɔkolo sɔgɔsɔgɔninjɛ furakɛli ma, kɔnɔbara basigilen joginni ani bana wɛrɛw, wa a nafa bɛ a la ka a sabati a daminɛ na, ka fusili hakɛ caya, ka ɲɛfɛla sɔgɔsɔgɔcogo ɲuman segin a cogo kɔrɔ la, ani kɛnɛma tɛ kɛ fixation, etc. Opereli kɔfɛ min bɛ kɛ tuma caman na gɛlɛyaw i n’a fɔ munumunu gɛlɛya, yɔrɔ kɛrɛfɛtaw tiɲɛni, ɲɛgɛnɛsira seginni, kunsɛmɛnasumaya, joli bɔli, banakisɛ, ani kɔkolow cɛla jiginni wdfl Opereli kɔfɛ gɛlɛyaw bɛɛ lajɛlen bɛ se 8% ɲɔgɔn ma.
