R&D dilancogo kura

MIS | Fɛɛrɛbɔ yiriwali - Fɛɛrɛbɔ nafaw - Opereli kɔfɛ jaabiw | czmeditech ye baara kɛ

Minimally Invasive Spine System (MIS) ye fɛɛrɛ kura ye min bɛ se ka furakɛli tigitigi kɛ ni tigɛ misɛnninw ye banaw kama i n’a fɔ disiki kirinni ani kɔkolo sɔgɔsɔgɔninjɛ.

Detail kura dilancogo

Nafa minnu bɛ sɔrɔ a la minnu tɛ fɛn caman kɛ

Traumatisme min bɛ dɔgɔya

Tigɛyɔrɔ misɛnninw dilanni:

Tigɛcogo minnu bɛ kɛ tuma caman na, olu ye santimɛtɛrɛ 1-2 dɔrɔn ye, o bɛ dɔ bɔ farikolo yɔrɔw bɔli la ani farikolo yɔrɔ nɔgɔlenw tiɲɛni na.

Yɔrɔw jɔcogo tigitigi fɛɛrɛ:

Fɛnɲɛnɛma bilali tiɲɛni ka ɲɛ ni opereli kɔnɔna na (misali la, O-arm, 3D-C-arm) walima robo dɛmɛni (misali la Mazor X, Globus Medical).

Joli bɔli opereli senfɛ, o bɛ dɔgɔya:

fɛɛrɛ min tɛ don mɔgɔ la kosɛbɛ, o bɛ dɔ bɔ joli siraw joginni farati la, kɛrɛnkɛrɛnnenya la banabagatɔ kɔrɔbaw walima banabagatɔ wɛrɛw la.

Opereli kɔfɛ kɛnɛya teliya

Dɔgɔtɔrɔso la waati kunkurunnin:

banabagatɔ fanba bɛ bɔ kɛnɛyaso la lɛri 24-48 opereli kɔfɛ, ni i ye o suma ni tile 3-5 ye laadala opereli dafalen na.

Lamaga-lamagali daminɛ na:

Dimi dɔgɔyali ani farikolo lakanani ka ɲɛ, o bɛ a to banabagatɔw bɛ segin u ka don o don baaraw la joona.

Biomecanique ka ɲɛtaa

Baarakɛcogo kura minnu bɛ kɛ ni fɛnw ye:

misali la, titaniyɔmu sɔgɔlenw 3D, PEEK (polyether ether ketone) fɛnw walasa ka modulu dɔ sɔrɔ min ka surun kolo ta la ani ka dɔ bɔ degun masiri la.

Dinamiki sabatili siratigɛw:

fɛn dɔw donna kɔkolo la (misali la Dynesys, Coflex) bɛ kɔkolo lamagacogo lakana ani ka dɔ bɔ a kɛrɛfɛ yɔrɔ tiɲɛni farati la.

Taamaʃyɛnw minnu bɛ bonya

A bɛ kɔkolo bana suguya caman datugu i n’a fɔ disiki bana, kɔkolo sɔgɔsɔgɔninjɛ, kɔkolo sɔgɔsɔgɔninjɛ nɔgɔman ani kɔkolo karilenw.

临床案列, Bamako, Mali

Ninnu ye ɲinini kɛlenw ye minnu kɛra mɔgɔ cidenw ye san laban ninnu na:

1. Kɔnɔbara basigilen sɛgɛsɛgɛli (TLIF) .

Kalan bolodacogo:

prospective multicenter RCT (2022) min bɛ MIS-TLIF (min ka dɔgɔn kosɛbɛ) ni TLIF da wulilen suma ɲɔgɔn na.

Misali hakɛ:

Banabagatɔ 120 minnu ka kɔkolodimi bɛ sɔrɔ yɔrɔ kelen na.

Jaabiw:

Opereli waati:

a ka jan dɔɔni MIS kulu la (a kɔrɔ ye miniti 150 ye ni miniti 130 ye), nka joli bɔli ka dɔgɔn 60% (<100 ml ni mililitiri 250).

Opereli kɔfɛ dimi : 1 .

VAS hakɛw dɔgɔyali 50% dɔgɔkun 1 opereli kɔfɛ MIS kulu la, danfaraba tɛ kulu fila ninnu cɛ kalo 3 kɔfɛ.

Fusion hakɛ:

San 1 opereli kɔfɛ CT y’a jira ko >90% fusion hakɛ bɛ kulu fila bɛɛ la.

Gɛlɛya minnu bɛ sɔrɔ a la:

Banakisɛ sɔrɔli hakɛ ye 2% ye MIS kulu la ni 8% ye kulu dafalen na.

2. Ka tugu-tugu-kalan kuntaalajan kɛ ka ɲɛsin sabatili siratigɛ la (Coflex) .

Kalan bolodacogo:

Erɔpu san 5 tuguni kalan (2021) min bɛ Coflex doncogo jateminɛ kɔkolo sɔgɔsɔgɔninjɛ furakɛli la.

Misali hakɛ:

Banabagatɔ 80 de don.

JAABI:

Baarakɛcogo ɲɛtaa:

ODI (disfunction index) jigira ka bɔ 45 la a daminɛ na ka se 20 ma san 5 kɔnɔ.

SIGIDA SIGIDA ƝƐNABƆLI:

Banabagatɔ 12% dɔrɔn de ye segin kɛrɛfɛ gɛlɛyaw sɔrɔ, o ka dɔgɔn kosɛbɛ ka tɛmɛ fusili kɛcogo kɔrɔ kan (~30%).

Opereli seginni hakɛ:

san 5 opereli seginni hakɛ dalajɛlen ye 8% ye, kɛrɛnkɛrɛnnenya la, o bɛ sɔrɔ farikolo yɔrɔ lajɔli fɛ (4%) walima bana taamasiɲɛw seginni fɛ.

3. MIS fɛnw doncogo minnu bɛ kɛ ni robo dɛmɛni ye, olu ka sɛgɛsɛgɛli kɛ santiri caman kɔnɔ

Kalan bolodacogo:

kɔfɛlajɛ min bɔra san 2023 walasa ka MIS kuru bilali jaabiw sɛgɛsɛgɛ ni Mazor robo dɛmɛ ye.

Misali hakɛ:

500 kuru bilali (kɔkolo kɔkolo).

Jaabiw:

Tiɲɛni:

98,6% ka juruw jɔyɔrɔw tun bɛ wasa (Gertzbein-Robbins ka jatebɔ A/B).

Gɛlɛya minnu bɛ sɔrɔ a la:

nɛrɛmuguma jogin hakɛ ye 0,4% ye ni i ye a suma ni 3-5% ye bololabaarakɛcogo kɔrɔ la.

Ni aw b’a fɛ ka fɛn wɛrɛw dɔn ani ka kunnafoni wɛrɛw sɔrɔ, aw bɛ se ka anw sɔrɔ!