E pili ana iā mākou
ʻO Changzhou Meditech Technology Co., Ltd., Aia ma Changzhou Science & Education Town, ka mokuʻo Jiangsu, i kūikawā i ka hana ʻana Nā mea hoʻokomo 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, CMF Pā laka and screw system, External Fixator } system, Mea hana uila lapaʻau system, general surgical instruments system, sterilization container system and veterinary system.
Ma ke ʻano he mea kūʻai aku i nā mea lapaʻau me ka ʻoi aku o ʻumi makahiki o ka ʻike, a me CE a me ISO palapala hōʻoia, 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 me: 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 kaʻina 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 ponoʻī o nā ʻano ʻokoʻa like ʻole. 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 i ka disc cervical cervical:
Hoʻohana ia i nā maʻi ma lalo o 60 mau makahiki me ka ʻāpana pōkole anterior intervertebral disc compression. ʻOiai ka decompressing a me ka hoʻokuʻu ʻana i ka paʻi ʻana o ka spinal cord, mālama ia i ka hana o ka cervical spine, hoʻemi i ka hiki ke hoʻolōʻihi i ka degeneration o nā ʻāpana e pili ana, i hiki i nā maʻi ke neʻe ma mua ma hope o ka hana ʻana a 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 kahi kūlana no ka ʻoki hope ʻana, a laila lawe i ke kūlana supine no ka ʻoki mua ʻana, a me ka pae mua mua a me ka decompression hope.
Pōmaikaʻi : Ma hope o ka decompression hope, hiki i ka spinal spinal cord ke neʻe i ka hope, ua hoʻonui nui ʻia ka ākea ma mua o ka spinal cord, a ua hoʻemi ʻia ke kaomi ʻana o ke kuamoʻo, e hōʻemi ana i ka hopena o ke ʻoki mua. I ka manawa like, ua hoʻomaha ʻia ka hoʻopiʻi bilateral, ua hoʻopau ka decompression, ua 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 aku nei i nā hemahema o ka hoʻomaha 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 wehe ʻana o ka posterolateral cervical disc herniation nucleus pulposus ma o 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, multilevel 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 haʻi ʻana o ka atlantoaxial a me ka dislocation, ka 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 hoʻopili ʻana i ke kuamoʻo, 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. Ua koho ʻia ka postolateral spinal bone graft (PLF) a i ʻole interbody bone graft (PLIF) e like me ka mea kūpono no ka hoʻoponopono ʻana i loko o ka pedicle screw. I ka PLIF, 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 ka iwi 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.
Wahi a 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 o 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 ka hoʻoponopono ʻana, 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 ʻo ka decompression ma lalo o ke aniani hoʻonui a me ka microscope e hilinaʻi piha ʻia, ʻaʻole e hōʻino i ke kūpaʻa o ka iwi kuamoʻo, a loaʻa kahi 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. Inā ʻaʻole ia e ho'ōla, i mea e pale aku ai i ka lumbar spondylolisthesis, ʻoiai ke ʻike ʻia nā hōʻailona, hiki ke hoʻohana ʻia ka hoʻopili iwi no ka hoʻoponopono ʻana i ka isthmus, ʻelua wili a me kahi kaula titanium, 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 a pau 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 hoʻohui interbody (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.
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 minimally invasive ka mea:
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 hiki i nā ʻeha spinal, hoʻokumu i nā ala endoscopic a me ka ʻokiʻoki ʻana, hoʻohana i ka wai ma ke ʻano, hoʻonui a hōʻike i nā hopena o loko a me nā ʻeha ma ka ʻaoʻao hōʻike kiʻekiʻe ma o ka ʻōnaehana endoscopic. ʻO nā ʻano hana ʻokiʻoki maʻamau i hoʻohana ʻia, ʻo ia hoʻi: endoscopy foraminal lumbar lateral, hope hope 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 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 hoʻohui liʻiliʻi liʻiliʻi a me nā ʻenehana hoʻoponopono kūloko e pili ana i ka liʻiliʻi invasive transforaminal lumbar interbody fusion (MIS-TLIF) a me ka liʻiliʻi 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 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 hui pū me ka microscope hana a i ʻole ke aniani hoʻonui mana nui e hoʻonui i ke kahua ʻoki o ka hihiʻo, 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 ʻano maʻi degenerative spinal, 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 lāʻau 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 hoʻokomo 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 ke hōʻeha ʻia ke aʻalolo nui. 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, i alakaʻi ʻia e nā kiʻi 3D, hiki ke hoʻonohonoho pololei i nā wili e like me ke ala i hoʻolālā ʻia, e hoʻopaʻa maʻalahi a semi-aunoa paha i nā wili pedicle, 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 minimly 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 hōʻemi i ka hopena o ke kaʻina. 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 kūikawā 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 ka ʻoki i ka manawa e hōʻoia maikaʻi ai i ka palekana o nā maʻi a me ka pono o ke ʻoki. ʻO ka mea hope loa, pono mākou e hoʻomanaʻo i ka poʻe maʻi ʻokiʻoki i ka mālama pono ʻana a me ka hoʻomaʻamaʻa ʻepekema ma hope o ke kaʻina kūleʻa he mea nui loa, ʻaʻole hiki ke hoʻomaikaʻi wale i ka maikaʻi o ka hoʻoponopono hou ʻana, akā ke pale aku i ka hoʻihoʻi ʻana a i ʻole ka maʻi vertebral pili.
E. ʻaʻa ʻāʻī 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 i ka lumbar spine, a me ka ossification o ka hope longitudinal ligament. 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 or suppurative infection.
2. ʻO ke ʻoki ʻāʻī ʻāʻī ʻole 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 kauka a i ʻole nā kauka 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 hoʻopaʻa ʻana i loko, ka laminoplasty cervical hope (puka hoʻokahi, puka pālua), 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 liʻiliʻi, a hāʻawi i ka pāʻani piha i nā pono o nā ʻano like ʻole.
3. He maʻalahi a hilinaʻi hoʻi ke ʻoki ʻana i ka vertebra Thoracic
No ka ossification o ka thoracic posterior longitudinal ligament, ka 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 360 ° decompression piha a puni ka spinal cord, ka mea i pale i ka decompression mua 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 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. Ua koho ʻia ka postolateral spinal bone graft (PLF) a i ʻole interbody bone graft (PLIF) e like me ka mea kūpono no ka hoʻoponopono ʻana i loko o ka pedicle screw. I ka PLIF, 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 ka iwi 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 hou, 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 mea maʻi hou aʻe, a e hoʻokūkū pū i kā mākou hui ma ka honua holoʻokoʻa Nā mea hoʻokomo orthopedic a me nā ʻoihana mea kani.
