Nyu R&D dizayn

MIS | Teknɔlɔjik Ɔpgrɛd - Tɛknɔlɔjik Advantej - Pɔst-ɔpareshɔn Rizɔlt | czmeditech we gɛt fɔ du wit am

di Minimally Invasive Spine System (MIS) na wan stet-כf-di-at tεknכlכji we de mek i ebul fכ trit prεsis tru sכm sכm sכm sכmtin dεm fכ kכndishכn dεm lεk hεnia disk dεm εn spεnal stεnosis.

Nyu dizayn ditel

Minimally invasive advantej dɛn

Minimized trauma

Smɔl insishɔn dizayn:

di tכpik insishכn dεm na כnli 1-2 cm, we de ridyus di mכsul dεm we de strip εn di sכft tisu dεm we de pwεl.

Prɛsishɔn pozishɔn teknɔlɔji:

Impruv akkuracy fɔ implant plesmɛnt wit intraɔpareshɔn nevigishɔn (ɛgz. O-am, 3D-C-am) ɔ rɔbɔt ɛp (ɛgz. Mazor X, Globus Medical).

Ridyus blɔd we de kɔmɔt insay di ɔpreshɔn:

minimally invasive access technology de ridyus di risk fכ vaskulכr injuri, spεshal fכ ol כ kכmorbid pasεnshכn dεm.

Fasta postɔparetiv rikavari

Fɔ shɔt tɛm we yu de na ɔspitul:

mכst pasεnshכn dεn kin dischaj 24-48 awa afta dεn כpεrayshכn, kכmpεr to 3-5 de fכ tradishכnal opin כpεrayshכn.

Fɔ ebul fɔ muv kwik kwik wan:

Nɔr pen ɛn bɛtɛ mɔsul protɛkshɔn de alaw di sikman fɔ go bak to dɛn ɛvride wok kwik kwik wan.

Bayomekanikal ɔptimayzeshɔn

Nyu matirial aplikeshɔn dɛn:

eg.

Dynamik stεbilizεshכn sistεm dεm:

sכm implant dεm (εgz. Dynesys, Coflex) de kip di spεnal mobiliti εn rεdכks di risk fכ adjasent sεgmεnt dεjεnεreshכn.

Di indikashɔn dɛn we dɛn dɔn ɛkspɛn

fכ kכba bכku spεnal patכlayzm dεm lεk dijεnεraytiv disk sik, lכmbar spεnal stεnosis, mild spondylolisthesis εn vεrbral frakshכn.

临床案列 we de na di wɔl

Dis na ripɔtmɛnt risach kes dɛm insay di las ia dɛm:

1. Randomized kontrכl trial כf lכmbar spayna fכshכn (TLIF) .

Di we aw dɛn mek di stɔdi:

prospektiv multicenter RCT (2022) we de kɔmpia MIS-TLIF (minimally invasive) wit opin TLIF.

Sampul saiz: .

120 pasɛnt dɛn we gɛt singl-segmɛnt dijeneretiv lɔmbar spayna sik.

Rizɔlt dɛn:

Di tɛm we dɛn kin du ɔpreshɔn:

sכm lכng na di MIS grup (min 150 min vs. 130 min), bכt 60% lεs bכdi (<100 ml vs. 250 ml).

Pen we dɛn kin gɛt afta dɛn dɔn du di ɔpreshɔn:

50% ridyushɔn pan VAS skɔ 1 wik afta di ɔpreshɔn na di MIS grup, nɔ signifyant difrɛns bitwin di tu grup dɛn afta 3 mɔnt.

Fushɔn rɛt: .

1 ia posכpεraytiv CT sho >90% fכs rεt in di tu grup dεm.

Di prɔblɛm dɛn we kin apin:

Infεkshכn rεt 2% in MIS grup vs 8% in opin grup.

2. Lכng tεm fכlכ-ap stכdi fכ di dinamik stεbilizεshכn sistεm (Coflex) .

Di we aw dɛn mek di stɔdi:

Yuropian 5-ia fכlכ-ap stכdi (2021) we de evaluate Coflex implantation fכ di tritmεnt fכ lumbar spinal stenosis.

Sampul saiz: .

80 pasɛnt dɛn.

RIZƆLT:

Fɔ mek di wok go bifo:

di ODI (dysfunction index) dכn dכn frכm 45 poynt na di beslayn to 20 poynt na 5 ia.

NEIGBƆR SƐKSHƆN DƐGRƐDƐSHƆN:

כnli 12% pan di pasεnshכn dεm divεlכp adjasent sεgmεnt prכblεm, we sכmtεm lכw pas kכvεshכnal fכshכn (~30%).

Ri-ɔpareshɔn rɛt: .

kumulativ 5 ia ri-opεrayshכn rεt fכ 8%, mεntal wan biכs fכ di implant lכs (4%) כ di sεmtin rεkכrεshכn.

3. Multicenter stɔdi fɔ rɔbɔt-asist MIS implant dɛn

Di we aw dɛn mek di stɔdi:

retrospektiv stכdi we dεn pכblish insay 2023 fכ analכz di risכlt dεm fכ MIS skru plesmεnt wit Mazor rכbכtik εp.

Sampul saiz: .

500 skru plesmεnt dεm (thoracolumbar spine).

Rizɔlt dɛn:

Prɛsishɔn:

98.6% pan di skru pozishɔn dɛn bin satisfay (Gertzbein-Robbins gredin A/B).

Di prɔblɛm dɛn we kin apin:

nεv rכt injuri rεt 0.4% kכmpεr to 3-5% fכ kכvεshכnal frihan plesmεnt.

Fɔ no mɔ bɔt di prɔdak ɛn di ditel dɛn, duya kɔntakt wi!