E pili ana iā mākou
ʻO Changzhou Meditech Technology Co., Ltd., Aia ma Changzhou Science & Education Town, ka moku ʻo Jiangsu, i hoʻolako ʻia i ka hana ʻana i nā implants orthopedic a me nā mea kani.
Ma hope o 10 mau makahiki noiʻi a me ka hoʻomohala ʻana, loaʻa iā mākou he 10 mau huahana nui a ʻo lākou ka spinal system, intramedullary nail system, trauma plate and screw system, locking plate and screw system, CMF system, external fixator system, medical power tool system, general surgical instruments system, sterilization container system and veterinary orthopedic system.
Ma ke ʻano he mea kūʻai aku i nā lāʻau lapaʻau me nā makahiki he ʻumi o ka ʻike, a me nā palapala CE a me ISO, ua lawe ʻia kā mākou huahana i nā ʻāina he nui e like me USA, Germany, Argentina, Chile, Mexico, India, Thailand, Malaysia, Turkey, Egypt, South Africa, Ivory Coast, etc.
Ma ke kumumanaʻo o ka 'ʻoi aku ka maikaʻi, ka lawelawe mua, ka R&D mua, ka mea hou mua'', lanakila kā mākou hui i kahi inoa maikaʻi loa ma ka home a ma waho. Lawe ka hui i ka hoʻopōmaikaʻi ʻana i nā maʻi ma ke ʻano he pahuhopu mau loa a hana i nā hana paʻa ʻole no ke olakino kanaka.
ʻO ka ʻoki kuamoʻo
Nui nā ʻano o ka ʻoki kuamoʻo, ʻoi loa ka liʻiliʻi a me ka wehe. Hiki ke mālama ʻia kekahi mau ʻeha lumbar, disc herniation, spinal tuberculosis, scoliosis. ʻO ke kaʻina hana liʻiliʻi liʻiliʻi e komo pū ana: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus removal, percutaneous pedicle screw rod internal fixation, etc.
A. Ka ma'i ma'i ma'i
No ka hana o ka cervical disc herniation, cervical spondylotic myelopathy, a me ka ossification o ka hope longitudinal ligament o ka cervical spine, kekahi mau haukapila a i ʻole nā kauka wale nō e hana i ke kaʻe mua a i ʻole ka ʻoki hope. ʻO kaʻoiaʻiʻo, nui nā ʻano o ke ʻoki e koho ai. Loaʻa i ka poʻe ka nui o ka ʻike kūleʻa i kēia mau ʻano o ka ʻokiʻoki, hiki ke hoʻohana kūpono ʻia e like me nā kūlana like ʻole, me ka ʻole o ka ʻenehana, nā kūlana, a me nā manaʻo haiki, a hāʻawi i ka pāʻani piha i nā pono o kēlā me kēia ʻano o ka ʻoki. No ka spondylosis cervical paʻakikī, decompression a me ka hoʻoponopono ʻana ma o nā ala mua a me hope hiki ke hoʻopōkole nui i ka manawa o ka haukapila, a ʻoi aku ka maikaʻi o ka hopena o ka decompression piha.
ʻO ka hoʻohaʻahaʻa ʻana o ka ʻōpū o mua a me ka hui pū ʻana me ke kālai iwi a me ka hoʻoponopono kūloko:
Ua pili ia i ka cervical spondylosis me ka protrusion o ka intervertebral disc a me nā ʻāpana pōkole pōkole (1-3 spaces) o nā mea kanu spur. Loaʻa iā ia ka pōmaikaʻi o ka wehe pololei ʻana i ka lesion, kahi maʻalahi a maʻalahi. ʻO ia ka hana maʻamau maʻamau a me ke ʻano kumu no ka mālama ʻana i ka cervical spondylosis.
ʻO ka decompression cervical hope a me ka laminoplasty:
Ua pili ia i ka cervical spondylosis me ka helu a me ka mahele o ka intervertebral disc compression a me ka spinal canal stenosis, a me ke koʻikoʻi o ka mua (ossification of posterior longitudinal ligament, intervertebral disc). Aia ia i ka decompression indirect, nona ka pono o ka mālama ʻana i ka hana o ka cervical motion a palekana.
Hoʻololi ʻia ka disc cervical cervical:
Hoʻohana ia i nā maʻi ma lalo o 60 mau makahiki me ka ʻāpana pōkole anterior intervertebral disc compression. ʻOiaiʻo ka decompressing a me ka hoʻokuʻuʻana i ka paʻiʻana o ke kuamoʻo, mālama ia i ka hana o ka spine cervical, e ho'ēmi i ka hiki ke hoʻonui i ka degeneration o nā'āpana pili, i hiki i nā poʻe maʻi ke neʻe mua ma hope o ke kāpiliʻana a ua kokoke ka hana i ke kūlana physiological.
ʻO ka pae mua o ka mua a me ka hope o ka cervical decompression a me ka hoʻoponopono
Hoʻopau a palekana ka decompression, kūpono no ka spondylosis cervical koʻikoʻi a kūikawā. No nā hihia o ka cervical spondylotic myelopathy me ke ʻano clamp a i ʻole ka ʻāpana lōʻihi o ka spinal stenosis a me ka hoʻopiʻi ʻana i mua, aia kekahi mau palena i ka hana mua a hope paha. Lawe mākou i ke kūlana prone no ka ʻoki hope, a laila lawe i ke kūlana supine no ka ʻoki ʻana i mua, a me ka pae mua o ka mua a me ka decompression hope.
Pōmaikaʻi : Ma hope o ka decompression hope, hiki i ke kuamoʻo o ke kuamoʻo ke neʻe i ka hope, ua hoʻonui nuiʻia ka hakahaka ma mua o ke kuamoʻo o ka'ōpū, a ua ho'ēmiʻia ke kaomi i loko o ke kuamoʻo, e hoʻemi ana i ka pilikia o ke kāpili mua. I ka manawa like, hoʻomaha ʻia ka hoʻopiʻi bilateral, pau ka decompression, ʻike ʻia ka hopena, a he mea kōkua ia no ka hoʻihoʻi ʻana i ka hana spinal cord; hoemi ia i ka eha o na ma'i a he oluolu no na ma'i e ae. Ke pale nei ia i nā hemahema o ka hoʻokipa ʻana i ʻelua manawa, ka lua o ka ʻoki ʻana, ka lōʻihi o ka maʻi, a me ka mālama ʻana i nā kumukūʻai halemai.
ʻO ka decompression foraminal cervical hope a me ka discectomy
Ke hoʻohālikelike ʻia me ka hoʻokokoke mua ʻana, ʻaʻole pono ka decompression foraminal cervical hope i ka hui ʻana o ka iwi a ʻaʻole e nalowale ke ʻano o ka neʻe o ka spine cervical. ʻO ka posterolateral cervical disc herniation nucleus pulposus removal ma ke ala hope e hana ʻia ma lalo o ka ʻike pololei a maʻalahi hoʻi, no laila palekana a hilinaʻi. Nā hōʻailona: posterolateral cervical disc herniation, hoʻokahi pae intervertebral foramen stenosis, multi level intervertebral foramen stenosis me ka ʻole o ka stenosis canal spinal, a me nā hōʻailona aʻa mau ma hope o ka discectomy anterior a me ka hui.
ʻO ka ʻoki ʻana no ka maʻi ʻāʻī luna
Hiki i nā hōʻeha a me nā maʻi o ka iwi kuamoʻo luna ke hoʻopōʻino i ke kuamoʻo koʻikoʻi. Ma muli o ke ʻano anatomical paʻakikī, ʻaʻole hiki i ka hapa nui o nā haukapila ke mālama iā lākou. No ka laʻana, hiki ke hoʻohana ʻia ka haʻihaʻi a me ka dislocation o atlantoaxial, atlanto occipital malformation, a me ka rheumatoid upper cervical spondylopathy, ka hoʻokuʻu mua a me ka hoʻoponopono hope hiki ke hoʻohana ʻia e hōʻemi i ka dislocation, hoʻomaha i ka hoʻopaʻa ʻana o ka spinal cord, a mālama i nā ola.
B.Lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, discogenic low back pain
ʻAʻole pono ka hui ʻana o Intervertebral i ka wehe ʻana i ka iwi pelvic no ka lumbar spinal stenosis a i ʻole lumbar spondylolisthesis i kumu ʻia e nā kumu like ʻole. ʻO ke kumu mua o ka hana, ʻo ia ka decompress i nā aʻalolo. Ke paʻa ʻole ka spine, hoʻoholo ʻia ka hui ʻana o ka spinal e like me ke kiʻekiʻe o ka instability a me ka spondylolisthesis. Koho ʻia ka postolateral spinal bone graft (PLF) a i ʻole interbody bone graft (PLIF) e like me ke kūpono no ka hoʻopaʻa ʻana i loko o ka pedicle screw. I ka PLIF, ua hoʻohana ʻia ka ʻāpana vertebral arch a me ka inferior articular process complex (median incision) e like me ka iwi interbody graft wikiwiki, ʻaʻole wale ka loaʻa ʻana o nā mea kālai iwi maikaʻi loa, akā pale pū nō hoʻi i ka lawe ʻana i ka iwi mai ke pelvis a i ʻole ke kūʻai ʻana i kahi hale fusion interbody, e hoʻopau i nā pilikia o ka wehe ʻana i ka iwi a hoʻemi nui i ke kumukūʻai.
E like me nā ʻano pathological like ʻole, koho ʻia ka fenestration o ka nucleus pulposus, laminectomy a me discectomy (i kekahi manawa me ka hui ʻana o ka iwi a me ka hoʻoponopono kūloko) a me ka hoʻololi ʻana i ka disc artificial.
Hiki ke hoʻohaʻahaʻa i ke aʻa aʻa aʻa. No nā poʻe maʻi me ka spinal instability, pono e hana koho ʻia ka hoʻoponopono ikaika a i ʻole fusion fixation, i hiki i nā mea maʻi ke hoʻokō i ka pahuhopu lapaʻau ma ka liʻiliʻi loa a loaʻa nā hopena ʻoluʻolu.
1) Dynamic fixation o lumbar spine - ʻaʻole ia e hoʻokūpaʻa wale i ke kuamoʻo, akā mālama pū kekahi i ka hana o ka lumbar motion. ʻO kāna mau mea maikaʻi: (1) hiki iā ia ke hoʻemi nui i ke kaomi o ka intervertebral disc a pale i ka degeneration o intervertebral disc; (2) Mālama ka pilina elastic a hoʻihoʻi hou i ke koena ʻekolu-dimensional o ka māhele neʻe.
2) Hoʻopaʻa ʻia ke ʻoki ʻoki ʻana i ka ʻiʻo o ka ʻiʻo - he ʻano ʻokiʻoki kiʻekiʻe i hoʻokomo ʻia mai nā ʻāina ʻē. Ma hope o ka hoʻomaikaʻi hou ʻana, he liʻiliʻi liʻiliʻi ka hana, ʻaʻole e ʻili i nā ʻiʻo, mālama i ke ʻano o nā ligaments a me nā vertebrae, a me ka decompression ma lalo o ke aniani hoʻonui a me ka microscope e hilinaʻi nui ʻia, ʻaʻole e hōʻino i ka paʻa o ka spine, a loaʻa ka pane postoperative māmā. Hiki i nā maʻi ke hele i ka lua o ka lā, a haʻalele i ka haukapila 5-7 mau lā ma hope.
ʻO ia ka hōʻailona maikaʻi loa no ka decompression a me ka hoʻohaʻahaʻa, ka hui ʻana o ka iwi, a me ka hoʻopaʻa ʻana i loko o ka pedicle. ʻO ia hoʻi ke ʻano hana maʻamau o ka hoʻohana ʻana i ka titanium plate fixation. He paʻakikī ka hana a nui ka nui. ʻO ke kumu a i ʻole ka wā mua o ka spondylolisthesis, lumbar spondylolysis, ʻoi aku ka maʻalahi o ka hana ʻana i ka manawa.
1) Hiki ke hoʻokumu ʻia ka lumbar spondylolysis ma muli o ka haʻihaʻi ʻana o ka luhi o kekahi ʻāpana o ka spine lumbar (isthmus, nā hui liʻiliʻi) ma muli o ka hoʻoikaika pinepine ʻana. Ināʻaʻole ia e ho'ōla, i mea e pale ai i ka lumbar spondylolisthesis, i ka wā eʻikeʻia ai nā hōʻailona, hiki ke hoʻohanaʻia ke kāpili iwi no ka hoʻoponoponoʻana i ka isthmus,ʻelua wili a me ke kaula titanium, he mea maʻalahi a palekana.
2) Ua mālama ʻia ka lumbar spondylolisthesis me ka hōʻemi wehe ʻana, ka hui ʻana o ka iwi intervertebral (PLIF), a me ka hoʻopaʻa ʻana i loko o ka pedicle. ʻO ke kumu mua o ka hana, ʻo ia ka decompress i nā aʻalolo. Ke hoʻokō ʻia ka PLIF peek lumbar fusion cage, hoʻohana ʻia ka hale vertebral cage arch a me ka inferior articular process complex (median incision) ma ke ʻano he kīwī iwi interbody wikiwiki, ʻaʻole hiki ke loaʻa wale i nā mea kālai iwi maikaʻi loa, akā pale pū kekahi i ka lawe ʻana i ka iwi mai ke pelvis a i ʻole ke kūʻai ʻana i kahi mea hui waena (interbody fusion cage), e hoʻemi nui i ka hoʻopiʻi ʻana a me ke kumu kūʻai o ka iwi.
ʻEha hope haʻahaʻa Discogenic
Ua koho ʻia ka Dynamic lumbar fixation, artificial disc replacement and interbody fusion (anterior or posterior).
C. Haʻi kuamoʻo
Mai ka ha'iha'i o ka vertebra cervical a hiki i ka ha'iha'i vertebra lumbosacral, ho'opa'a 'ia ka ho'oha'aha'a mua a hope paha a me ka ho'oponopono 'ana i ka iwi kuamo'o.
1. Intraoperative myelography a me ka transpedicular decompression
I ka hoʻohaʻahaʻa hāmama, decompression a me ka hoʻoponopono kūloko o ka thoracolumbar burst fracture, hiki ke nānā pono ʻia ka hopena decompression e hōʻemi i ka ʻeha iatrogenic.
2. ʻO ka kyphoplasty percutaneous liʻiliʻi liʻiliʻi no ka mālama ʻana i nā haʻihaʻi koʻikoʻi vertebral i ka poʻe ʻelemakule.
Hoʻokahi wale nō nila o ka iwi sima hiki ke hoʻokomo ʻia. He ʻenehana invasive liʻiliʻi maoli ia e hoʻomaha i ka ʻeha a hele i waho o kahi moe 1-3 mau lā ma hope o ke kaʻina.
D. ʻokiʻoki liʻiliʻi i ka iwi kuamoʻo
A. ʻO ka pahuhopu o ka liʻiliʻi invasive spine surgery (MISS) ʻo ia ka hoʻokō ʻana i ka hopena o ka hoʻomaʻamaʻa maʻamau a hōʻemi i ka ʻeha o ka ʻokiʻoki e like me ka hiki, i mea e hōʻemi ai i ka hopena o nā pilikia, intraoperative bleeding, noho i ka haukapila, etc.
ʻO ke kaʻina hana liʻiliʻi liʻiliʻi loa e komo pū me:
ʻenehana Endoscopic
ʻO ka spinal endoscopy e pili ana i ke kauka, ma lalo o ke alakaʻi ʻana o ka X-ray a i ʻole ka hoʻokele ʻana i ka wā o ka hana, hoʻohana i nā mea hana hoʻonui puncture e paʻi mai ka ʻili a i nā ʻeha spinal, hoʻokumu i nā ala endoscopic a me ka hana ʻokiʻoki, hoʻohana i ka wai ma ke ʻano, hoʻonui a hōʻike i nā hopena kūloko a me nā ʻeha ma ka pale hōʻike kiʻekiʻe ma o ka ʻōnaehana endoscopic ma o ka ʻōnaehana kiʻi. ʻO nā ʻano hana hana maʻamau i hoʻohana ʻia, ʻo ia hoʻi: lateral lumbar foraminal endoscopy, posterior lumbar lamina approach endoscopy, a me hope cervical endoscopic surgery. Ke hoʻohālikelike ʻia me ka ʻoki maʻamau a i ʻole ka microsurgery, loaʻa iā ia nā pōmaikaʻi penei: (1) Nā hōʻailona ākea, ka liʻiliʻi o ke koko a me ka ʻeha, ʻaʻohe pōʻino i ke ʻano o ke kuamoʻo maʻamau, a ʻo ka ʻoki ma lalo o 1 cm; (2) Hiki ke koho ʻia ka hana ma lalo o ka anesthesia kūloko, a loaʻa ke kamaʻilio manawa maoli ma waena o nā kauka a me nā maʻi e hoʻomaʻamaʻa i ka hana a pale i ka ʻeha aʻalolo intraoperative; (3) ʻO nā pilikia liʻiliʻi, hoʻihoʻi wikiwiki, hiki ke haʻalele i kahi moe ma hope o ke kaʻina hana, hoʻokuʻu ʻia i nā lā 1-2, a i ʻole ka ʻokiʻoki ma waho; (4) Haʻahaʻa ka maʻi maʻi; (5) Ua pale ʻia ka pilikia lōʻihi o ka degeneration wikiwiki o nā ʻāpana pili i ka hui mua. Loaʻa nā hemahema: (1) Aia kekahi helu hoʻi hou. Ke hiki mai ka hoʻi hou ʻana, ʻoi aku ka paʻakikī a me ka pilikia o ka hana hou ʻana ma muli o ka hoʻopili ʻana i ka ʻili o ka hana mua. (2) Aia kekahi mau pilikia, e like me ke koena nucleus pulposus compression, dural and nerve root injuries, intervertebral space infection, bleeding, postoperative sensory abnormalities; (3) Hoʻokahi wale nō nā hōʻailona o ke kaʻina hana, no ka mālama ʻana i ka herniation disc intervertebral maʻalahi. No ka herniation intervertebral disc herniation a i ʻole stenosis spinal hui pū ʻia, hiki ke mālama ʻia. Inā maikaʻi ʻole ka hopena, koi hou ʻia ke ʻoki wehe.
2. Hoʻohui liʻiliʻi invasive a me ka ʻenehana hoʻoponopono kūloko
ʻO ka hui ʻana o ka lumbar a me ka hoʻoponopono ʻana i loko he ʻano hana maʻamau no ka mālama ʻana i nā maʻi lumbar. Ma o ka mua, anterolateral, lateral, posterolateral a me ka hope o ka lumbar spine, iwi grafting or fusion cage, facet joint and intertransverse process is implanted in the intervertebral space, i mea e hiki ai ke hoʻopaʻa iwi ma waena o nā hui lumbar, no laila e hoʻokumu a mālama i ka paʻa o ka lumbar spine. ʻO ka manaʻo, ʻaʻole e hoʻi hou ka ʻāpana ʻoki. ʻO ka fusion liʻiliʻi liʻiliʻi a me nā ʻenehana hoʻoponopono kūloko e pili ana i ka liʻiliʻi invasive transforaminal lumbar interbody fusion (MIS-TLIF) a me minimally invasive lateral lumbar interbody fusion (LLIF). Hoʻokomo pū ʻia ʻo LLIF i ka hale fusion lateral vertical (DLIF) a me ka oblique lateral fusion kaulana loa (OLIF). ʻO ka minimly invasive fusion internal fixation ʻenehana hoʻolauna nui i nā mea hoʻonui kūikawā a me nā retractors tubular e hōʻemi i ka pōʻino o ka ʻiʻo palupalu a hana i ka ʻike maikaʻi loa o ka wahi hana. Hiki iā ia ke hana pū me ka microscope hana a i ʻole ke aniani hoʻonui mana kiʻekiʻe e hoʻonui i ke kahua ʻoki o ka ʻike, i mea e hōʻemi ai i ka ʻili ʻili a me ka pōʻino o loko, a hiki i ka ʻoki ʻoki ʻana ke hoʻokō i ka lāʻau maikaʻi loa me ka pōʻino iatrogenic liʻiliʻi. Ke hoʻohālikelike ʻia me ka wehe ʻana, ʻoi aku ka maikaʻi o ka hopena o ka ʻenehana hoʻoponopono i loko o ka hale maʻi, ke kahe koko, ka manawa hoʻihoʻi a me ka manawa e hoʻi i ke ola maʻamau. I ka manawa like, hiki iā ia ke hoʻopaʻa maʻamau i ke ʻano o ke kolamu hope o ka iwi kuamoʻo, e hoʻemi i ka pōʻino o ka ʻiʻo, a pēlā e hōʻemi ai i ka ʻeha postoperative. ʻO ka fusion minimally invasive a me ka ʻenehana hoʻoponopono kūloko he nui nā hōʻailona, me nā maʻi degenerative spinal like ʻole, spinal stenosis, complex disc herniation, instability, scoliosis, etc.
3. ʻO ka vertebroplasty percutaneous
Aia ia i ke kaʻina hana liʻiliʻi liʻiliʻi, me ka percutaneous vertebroplasty (PVP) a me ka percutaneous balloon kyphoplasty (PKP). He ʻenehana ia e hoʻokomo ʻia ai ka sima iwi lapaʻau a i ʻole nā mea biomaterial iwi artificial i loko o ke kino vertebral maʻi ma o ka ʻili ʻili e hoʻoikaika i ke kino vertebral. ʻO nā maʻi e pili ana: 1. Osteoporotic vertebral compression fracture, ʻaʻole maikaʻi me ka brace a i ʻole ka lāʻau lapaʻau; 2. ʻO nā maʻi maʻi maʻi a i ʻole nā maʻi maʻi metastatic malignant o ke kino vertebral; 3. ʻO ka haʻi kuamoʻo me ka osteonecrosis a i ʻole ka nonunion ma hope o ka haki ʻana; 4. ʻO ka haʻi paʻa paʻa ʻole a i ʻole nā ʻāpana ʻāpana vertebral compression fracture; 5. Poha me ka paia hope o ke kino iwi vertebral. ʻO nā hiʻohiʻona o kēia hana: 1. ʻO ka liʻiliʻi invasive interventional lapaʻau ma lalo o ka local anesthesia he pōkole hana manawa, ka incision i loko o 0.5cm, ke koko he 2-3ml, a me ka analgesic hopena maopopo. Loaʻa iā ia ka hana o ka hoʻomaha ʻana i ka ʻeha a kūkulu hou i ka ikaika biomechanical o ka iwi i ka manawa like. 2. No nā poʻe maʻi ʻelemakule a palupalu, liʻiliʻi ka pilikia o ke kaʻina hana, a pale ʻia nā pilikia e hiki mai ana i ka immobilization. 3. He wikiwiki ka hoʻihoʻi ʻana o ka postoperative a he pōkole ka manawa o ka haukapila. 4. Ma muli o ka hōʻoluʻolu o ka ʻeha i ka manawa, pale ʻia nā hopena ʻaoʻao a me ka hilinaʻi lāʻau o ka lawe ʻana i nā lāʻau ʻeha, a hoʻomaikaʻi ʻia ka maikaʻi o ke ola. 5. Hoʻemi nui ia i ka manawa no ka poʻe maʻi e hoʻomaha ma kahi moe a pono i nā mea mālama.
4. Ua kōkua ka lopako a hoʻokele i ka ʻoki kuamoʻo
Pono ke kaʻina spine i nā kauka e hana me ka pololei kiʻekiʻe, a ʻo nā hewa liʻiliʻi e alakaʻi i nā hopena pōʻino. No ka laʻana, no ka ʻenehana hoʻokomo ʻana i ka ʻenehana lumbar pedicle, i ka wā o ka hoʻokomo ʻana i ke kaʻina hana, pono e hōʻoia i ka waiho ʻia ʻana o ka wili i loko o ka pedicle. ʻO ke anawaena o ka pedicle lumbar e pili ana i ka 8mm, a ʻo nā ʻaoʻao i loko a me lalo o ka pedicle he mau hale nerve koʻikoʻi. ʻO 6.5 mm ke anawaena o kā mākou wili, ʻo ia hoʻi, i ka wā e haki ai ka wili ma nā paia o loko a me lalo o ka pedicle, hiki i ka pōʻino koʻikoʻi ke aʻalolo. No laila, he mea nui ka pololei a me ka palekana o ka hoʻokomo ʻana i ka screw. Hiki i ka orthopedic surgical robot a me ka ʻōnaehana hoʻokele, alakaʻi ʻia e nā kiʻi 3D, hiki ke hoʻonohonoho pololei i nā ʻili e like me ke ala i hoʻolālā ʻia, ʻokiʻoki a i ʻole semi-aunoa i nā pedicle screws, e hōʻemi i ka pōʻino o nā ʻiʻo a puni a me nā ʻiʻo palupalu ʻē aʻe, a hōʻoia i ka pololei a me ka palekana o ke kaʻina. No ka ʻenehana endoscopic, hiki i ka hoʻokele hui ʻana ke hōʻemi nui i ka manawa o ka hana ʻana, ka pōʻino o ka ʻiʻo palupalu a me ka hōʻoluʻolu o nā maʻi i ka wā o ka hana. ʻO ka hoʻohana ʻana o ka robot i kōkua ʻia a me ka hoʻokele spinal surgery e pōmaikaʻi nui i nā maʻi me nā maʻi spinal.
Ma kahi huaʻōlelo, hiki i ka ʻenehana spine minimally invasive ke hoʻokō i ke kumu therapeutic me ka palekana a me ka maikaʻi ma ka hoʻemi ʻana i ka ʻeha e like me ka hiki. ʻOiai e loaʻa ana ka hopena like a ʻoi aku ka maikaʻi e like me ke ʻoki ʻana i ka spine, hiki iā ia ke hōʻemi i ka hōʻeha ʻana o nā maʻi, hoʻoikaika i ko lākou hoʻōla mua ʻana, a hoʻemi i ka hopena o ke ʻoki. Eia nō naʻe, ʻaʻole hiki ke hoʻololi loa i ke ʻoki ʻoki ʻoki ʻana i ka spine maʻamau. Pono e hoʻoholo ʻia ka hoʻolālā hana kikoʻī e like me ke kūlana o ka mea maʻi, ʻenehana lapaʻau, kamaʻilio ma waena o nā kauka a me nā mea maʻi a me nā mea ʻē aʻe. ʻO ka hōʻiliʻili ʻike o ka ʻoki ākea maʻamau ke kumu no ka hōʻoki ʻana i ka liʻiliʻi. Ke loaʻa nā pilikia liʻiliʻi invasive i nā pilikia, pono e hoʻololi ʻia e wehe i ke kaʻina i ka manawa e hōʻoia maikaʻi ai i ka palekana o nā maʻi a me ka maikaʻi o ke ʻoki. ʻO ka mea hope loa, pono mākou e hoʻomanaʻo i ka poʻe maʻi maʻi i ka mālama pono ʻana a me ka hoʻomaʻamaʻa ʻepekema ma hope o ke kaʻina kūleʻa he mea koʻikoʻi loa ia, ʻaʻole hiki ke hoʻomaikaʻi maikaʻi wale i ka maikaʻi o ka hoʻoponopono ʻana, akā pale pū kekahi i ka hoʻi hou ʻana a i ʻole ka maʻi vertebral pili.
E. ʻaʻa iwi kuamoʻo a me ka mumū
ʻO ka puʻupuʻu, ka maʻi maʻi a me ka mumū suppurative o ka cervical, thoracic a me ka lumbar vertebrae.
F. Hopena
1. ʻAʻohe wahi makapō i ka ʻoki ʻana i ke kuamoʻo
ʻO ka palekana a me ka hilinaʻi ka ʻimi mua ʻana o ka ʻoki ʻana i ka spinal. Hoʻomaʻamaʻa nui ia a mālama i nā maʻi degenerative o ke kuamoʻo, e like me ka cervical spondylotic myelopathy, ossification o ka thoracic ligamentum flavum, lumbar spinal stenosis, disc herniation ma kēlā me kēia māhele mai ka cervical spine a hiki i ka lumbar spine, a me ka ossification o ka ligament longitudinal hope. Eia kekahi, pili pū ia me nā ʻano ʻeha a me nā maʻi āpau e loaʻa ana i loko o ke kuamoʻo, e like me ka haʻi ʻana o ka spinal a me ka dislocation, spinal deformity, spinal tumor (primary and metastatic), spinal tuberculosis a suppurative infection.
2. ʻO ka ʻoki ʻāʻī ʻāʻī ʻana palena ʻole
No ka hana o ka cervical spondylotic myelopathy a me ka ossification o ka hope longitudinal ligament o ka cervical spine, kekahi mau haukapila a i ʻole nā kauka wale nō e hana i nā hana mua a hope paha. ʻO kaʻoiaʻiʻo, he nui nā ʻano hana e koho ai - ka decompression cervical mua a me ka grafting iwi a me ka hoʻoponopono kūloko, hope cervical laminoplasty (puka hoʻokahi, ʻelua puka), a me ka decompression mua a me ka hope a me ka hoʻoponopono kūloko. Loaʻa iā mākou ka nui o ka ʻike kūleʻa i kēia mau ʻano hana, hiki ke hoʻohana kūpono ʻia e like me nā kūlana like ʻole, ʻAʻole i kaupalena ʻia e kekahi ʻenehana, nā kūlana a me nā manaʻo haiki, a hāʻawi i ka pāʻani piha i nā pono o kēlā me kēia ʻano.
3. He maʻalahi a hilinaʻi hoʻi ke ʻoki ʻana i ka vertebra Thoracic
No ka ossification o ka thoracic posterior longitudinal ligament, he mea paʻakikī a makaʻu ʻia e nā halemai nui he nui, ua hana mākou i ka decompression hope. No nā poʻe maʻi me ka hoʻopiʻi mua (ossification o nā ligaments a i ʻole protrusion o intervertebral discs), ua hana ʻia ka decompression anterior o ka spinal cord e ke ala tunneling e hoʻokō ai i ka decompression piha 360 ° a puni ka spinal cord, ka mea i pale i ka decompression anterior ma o thoracotomy a hoʻemi loa i ka trauma. Hoʻohana pū ʻia kēia ʻano hana decompression 360 ° i ka hana o ka maʻi maʻi liʻiliʻi i hoʻokumu ʻia e ka thoracic intervertebral disc prolapse a me ka osteoporotic compression fracture.
4. ʻAʻole pono ka fusion intervertebral i ka unuhi ʻana i ka iwi pelvic
No ka lumbar spinal stenosis a i ʻole lumbar spondylolisthesis i kumu ʻia e nā kumu like ʻole, ʻo ke kumu mua o ka hana ʻo ka decompression nerve. Ke paʻa ʻole ka spine, hoʻoholo ʻia ka hui ʻana o ka spinal e like me ke kiʻekiʻe o ka instability a me ka spondylolisthesis. Koho ʻia ka postolateral spinal bone graft (PLF) a i ʻole interbody bone graft (PLIF) e like me ke kūpono no ka hoʻopaʻa ʻana i loko o ka pedicle screw. I ka PLIF, ua hoʻohana ʻia ka ʻāpana vertebral arch a me ka inferior articular process complex (median incision) e like me ka iwi interbody graft wikiwiki, ʻaʻole wale ka loaʻa ʻana o nā mea kālai iwi maikaʻi loa, akā pale pū nō hoʻi i ka lawe ʻana i ka iwi mai ke pelvis a i ʻole ke kūʻai ʻana i kahi hale fusion interbody, e hoʻopau i nā pilikia o ka wehe ʻana i ka iwi a hoʻemi nui i ke kumukūʻai.
No ka mea CZMEDITECH , loaʻa iā mākou kahi laina huahana piha loa o implants oki kuamoo a nā mea kani like , nā huahana me 5.5mm a me 6.0mm spinal pedicle screw system, anterior cervical plate system, posterior cervical screw system, anterior thoracic plate system, anterior thoracolumbar plate system, titanium mesh cage, peek cage system, titanium cage, posterior cervical laminoplasty system, minimally invasive supporting instrument screw system. Eia kekahi, ua kūpaʻa mākou e hoʻomau i ka hoʻomohala ʻana i nā huahana hou a me ka hoʻonui ʻana i nā laina huahana, i mea e hoʻokō ai i nā pono hana o nā kauka a me nā maʻi hou aʻe, a e hoʻokūkū pū i kā mākou hui i ka honua holoʻokoʻa orthopedic implants a me nā ʻoihana.
