Numekuku kple Dɔwɔnawo ƒe ɖoɖo yeye

MIS | Mɔ̃ɖaŋununya ƒe Dodoɖeŋgɔ - Mɔ̃ɖaŋununya ƒe Viɖewo - Dɔwɔwɔ vɔ megbe Emetsonuwo | czmeditech ƒe dɔwɔwɔ

Minimally Invasive Spine System (MIS) nye mɔ̃ɖaŋununya deŋgɔ aɖe si nana woate ŋu ada dɔ pɛpɛpɛ to lãɖeɖe suesuesuewo me na nɔnɔmewo abe akɔta ƒe ʋuʋudedi kple aklã ƒe ʋuʋu ene.

Aɖaŋu yeye ƒe nyatakaka tsitotsito

Viɖe siwo me womedea ame dzi boo o

Nuveviwɔame dzi ɖeɖe kpɔtɔ

Ale si wowɔa lãɖeɖe suewoe:

Nusiwo woɖena zi geɖe nyea sentimeta 1-2 ko, si ɖea lãmekawo ƒe ʋuʋu kple lãmeka falɛfalɛwo ƒe gbegblẽ dzi kpɔtɔna.

Mɔ̃ɖaŋununya si wotsɔ dea dzesi teƒe si sɔ pɛpɛpɛ:

Nusi wotsɔ dea ame me ƒe nyateƒetoto si nyo wu to dɔwɔwɔ le dɔwɔwɔ me ƒe mɔfiame (le kpɔɖeŋu me, O-abɔ, 3D-C-abɔ) alo robot ƒe kpekpeɖeŋu (le kpɔɖeŋu me, Mazor X, Globus Medical).

Ʋu si dona le amekoko me dzi ɖe kpɔtɔ:

mɔ̃ɖaŋununya si me womezãa nu boo aɖeke le o ɖea ʋukawo ƒe abixɔxɔ ƒe afɔkua dzi kpɔtɔna, vevietɔ na dɔnɔ tsitsiwo alo dɔnɔ siwo ŋu dɔléle bubu le.

Dɔwɔwɔ vɔ megbe hayahaya kabakaba wu

Kɔdzi nɔnɔ kpuie:

woɖea asi le dɔnɔ akpa gãtɔ ŋu le gaƒoƒo 24-48 le amekoko vɔ megbe, ne wotsɔe sɔ kple ŋkeke 3-5 le amekoko si wowɔna le gaglãgbe si wozãna tsã gome.

Ʋuʋu kaba:

Vevesese si mebɔ o kple lãmekawo takpɔkpɔ nyuie wu wɔnɛ be dɔnɔwo trɔna yia woƒe gbesiagbedɔwo gbɔ kabakaba wu.

Biomechanical ƒe dɔwɔwɔ nyuie wu

Nu yeyewo zazã:

eg 3D tata titanium alloys, PEEK (polyether ether ketone) nuwo be woaɖo modulus of elasticity si gogo ƒu tɔ eye woaɖe nuteɖeamedzi masking dzi akpɔtɔ.

Dynamic stabilization ɖoɖowo:

nusiwo wotsɔ dea ame me dometɔ aɖewo (le kpɔɖeŋu me, Dynesys, Coflex) kpɔa akɔta ƒe ʋuʋu ta eye wòɖea afɔku si le akpa si te ɖe eŋu ƒe gbegblẽ ŋu dzi kpɔtɔna.

Dzesi siwo keke ta

Exɔa aklãdɔléle vovovowo abe degenerative disc disease, lumbar spinal stenosis, spondylolisthesis fafɛ kple akɔta ƒe gbagbã.

临床案列 ƒe nɔnɔmetata

Esiawo nye numekuku siwo teƒenɔlawo wɔ le ƒe ʋɛ siwo va yi me:

1. Dodokpɔ si wowɔ le vome si dzi wokpɔ le akɔta ƒe akɔta ƒe fusion (TLIF) .

Nusɔsrɔ̃ ƒe ɖoɖo:

prospective multicenter RCT (2022) si tsɔ MIS-TLIF (si mexɔa ame boo o) sɔna kple TLIF si le ʋuʋu ɖi.

Kpɔɖeŋu ƒe lolome:

Dɔnɔ 120 siwo ŋu akɔtadɔléle si ƒe akpa ɖeka gblẽna le.

Metsonu:

Amekoko ƒe ɣeyiɣi:

didi vie le MIS ƒuƒoƒoa me (mamã dedie nye miniti 150 tsɔ wu miniti 130), gake ʋu si dona le lãme na ame 60% (<100 ml tsɔ wu 250 ml).

Vevesese le dɔwɔwɔ vɔ megbe:

VAS ƒe dzesiwo dzi ɖeɖe kpɔtɔ 50% le kwasiɖa 1 le dɔwɔwɔ vɔ megbe le MIS ƒuƒoƒoa me, vovototo gã aɖeke mele ƒuƒoƒo eveawo dome le ɣleti 3 megbe o.

Fusion ƒe agbɔsɔsɔme:

Ƒe 1 le dɔwɔwɔ vɔ megbe CT ɖee fia be >90% fusion rate le hatsotso eveawo siaa me.

Kuxi siwo dona tso eme:

Dɔlékuiwo xɔxɔ ƒe agbɔsɔsɔme 2% le MIS ƒuƒoƒoa me tsɔ wu 8% le ƒuƒoƒo si woʋu ɖi me.

2. Ɣeyiɣi didi ƒe numekuku si woawɔ le dynamic stabilization system (Coflex) ŋu .

Nusɔsrɔ̃ ƒe ɖoɖo:

Europa ƒe ƒe 5 ƒe kplɔkplɔ ɖo ƒe numekuku (2021) si da Coflex dede ame me hena akɔta ƒe akɔta ƒe ʋuʋu dada.

Kpɔɖeŋu ƒe lolome:

dɔnɔ 80 ye.

METSONU:

Dɔwɔwɔ ƒe ŋgɔyiyi:

ODI (dysfunction index) dzi ɖe kpɔtɔ tso teƒe 45 le gɔmedzedzea me va ɖo dzesi 20 le ƒe 5 me.

AKPA ƑE ƑOMEDODO ƑE GBƆGBƆ:

Dɔnɔ 12% koe xɔ akpa si te ɖe wo nɔewo ŋu ƒe kuxiwo, si bɔbɔ ŋutɔ wu fusion si wozãna ɖaa (~30%).

Dɔwɔwɔ ake ƒe agbɔsɔsɔme:

ƒe 5 ƒe dɔwɔwɔ ake ƒe agbɔsɔsɔme si woƒo ƒu nye 8%, vevietɔ le nusi wotsɔ de ame me ƒe ʋuʋu (4%) alo dzesiwo ƒe gbugbɔgadzɔ ta.

3. Numekuku si wowɔ le dɔwɔƒe geɖe le MIS-mɔ̃ siwo wotsɔa robot-kpena ɖe ame ŋu ŋu

Nusɔsrɔ̃ ƒe ɖoɖo:

numekuku si wowɔ le megbenyawo me si wota le ƒe 2023 me be woatsɔ adzro MIS screw ɖoɖo me tsonu me kple Mazor robot ƒe kpekpeɖeŋu.

Kpɔɖeŋu ƒe lolome:

500 screw ɖoɖo (akɔta ƒe akɔta).

Metsonu:

Nusi sɔ pɛpɛpɛ:

98.6% le screw ƒe nɔnɔmewo me nyo (Gertzbein-Robbins ƒe dzeside A/B).

Kuxi siwo dona tso eme:

lãmeka ƒe ke ƒe abixɔxɔ ƒe agbɔsɔsɔ 0.4% ne wotsɔe sɔ kple 3-5% le asiɖeɖe le ablɔɖe me si bɔ ŋu.

Ne èdi adzɔnuwo ŋuti sidzedze kple nyatakaka bubuwo la, taflatse te ɖe mía ŋu!