Okulongoosa omugongo .

Ebitukwatako .

Changzhou Meditech Technology Co., Ltd .., Esangibwa mu Changzhou Science & Education Town, Jiangsu Province,Isspecialized mu Manufacturing Orthopedic Implants n'ebikozesebwa.

Oluvannyuma lw’emyaka egisukka mu 10 okunoonyereza n’okukulaakulanya, tulina 10 main product series era nga zino ze spinal system, intramedullary nail system, trauma plate ne screw system, locking plate ne screw system, CMF system, external fixator system, medical power tool system, general surgical instruments system, enkola y’okufuula ebirungo by’omubiri n’enkola y’amagumba.

Ng’omusuubuzi w’ebyobujjanjabi ebweru w’eggwanga alina obumanyirivu obw’emyaka egisukka mu kkumi, era nga tulina satifikeeti za CE ne ISO, ebintu byaffe bibadde bitwalibwa mu mawanga mangi nga USA, Germany, Argentina, Chile, Mexico, India,Thailand, Malaysia, Turkey, Misiri, South Africa, Ivory Coast, n’ebirala.

Mu musingi gwa 'omutindo okusooka, obuweereza okusooka, R&D esooka, obuyiiya first', kampuni yaffe ewangula erinnya eddungi mu ggwanga n'ebweru w'eggwanga. Kkampuni eno etwala abalwadde abaganyula ng’ekigendererwa kyayo eky’olubeerera era ekola kaweefube atasala ku bulamu bw’abantu.

Okulongoosa omugongo .

Waliwo ebika bingi eby’okulongoosa omugongo, okusinga nga biyingirira nnyo era nga biggule. Ebimu ku bimenyese mu kifuba, okusannyalala kwa disiki, akafuba k’omugongo, obulwadde bwa scoliosis bisobola okujjanjabibwa mu ngeri ey’okulongoosa. Okulongoosa okutali kwa maanyi okusinga kuzingiramu: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus removal, percutaneous pedicle screw rod internal fixation, etc. Okulongoosa okuggule okusinga kuzingiramu okukendeeza okuggule n’okunyweza munda, laminectomy, okuggya okunyigirizibwa okuggule n’okunyweza munda, n’ebirala era tujja kuleeta bino mu kimu nga tuyita mu kimu:

A. Obulwadde bwa Cervical Spondylosis .

Ku lw’okulongoosa obusimu obuyitibwa cervical disc herniation, cervical spondylotic myelopathy, ne ossification y’omugongo ogw’emabega ogw’omugongo ogw’omumwa gwa nnabaana, amalwaliro agamu oba abasawo balongoosa mu maaso oba okulongoosa emabega. Mu butuufu, waliwo ebika by’okulongoosa bingi by’osobola okulondamu. Abantu balina obumanyirivu bungi mu kulongoosa ebika bino, ebiyinza okukozesebwa mu ngeri entuufu okusinziira ku mbeera ez’enjawulo, awatali tekinologiya yenna, embeera, n’ebirowoozo ebifunda, era ne bawa omuzannyo omujjuvu ku birungi ebikwatagana eby’ebika by’okulongoosa eby’enjawulo. Ku bulwadde bwa cervical spondylosis obuzibu, okukendeeza ku buzito n’okunyweza okuyita mu nkola zombi ez’omu maaso n’ez’emabega bisobola okukendeeza ennyo ku budde bw’okuweebwa ekitanda, era ekikolwa ky’okukendeeza ku buzito obujjuvu kisingako.

• Okukendeeza ku buzito bw’omumwa gwa nnabaana mu maaso n’okuyungibwa n’okussaako amagumba n’okunyweza munda: .

Kikozesebwa ku spondylosis y’omumwa gwa nnabaana n’okufuluma kw’ebitundu ebimpi eby’omugongo (1-3 spaces) eby’ebimera eby’omu maaso. Kirina enkizo y’okusalako obutereevu ekiwundu, ekintu eky’angu era ekirungi. Ye nkola esinga okukolebwa bulijjo n’enkola enkulu ey’okujjanjaba obulwadde bwa cervical spondylosis.

• Okukendeeza ku buzito bw’omumwa gwa nnabaana emabega n’okulongoosa laminopsty:

Kikozesebwa ku spondylosis y’omumwa gwa nnabaana n’omuwendo n’ekitundu ky’okunyigirizibwa kw’omugongo ogw’omugongo n’okunyigirizibwa kw’omumwa gw’omugongo, awamu n’okunyigirizibwa okw’amaanyi okw’omu maaso (ossification of posterior longitudinal ligament, intervertebral disc). Kibeera kya decompression etali butereevu, ekirina enkizo ey’okukuuma omulimu gw’okutambula kw’omumwa gwa nnabaana era nga tekirina bulabe bwonna.

• Okukyusa disiki y’omumwa gwa nnabaana ey’ekikugu: .

Kikozesebwa ku balwadde abali wansi w’emyaka 60 nga balina okunyigirizibwa kwa short segment anterior intervertebral disc. Wadde nga kikendeeza n’okumalawo okunyigirizibwa kw’omugongo, kikuuma omulimu gw’omugongo gw’omumwa gwa nnabaana, kikendeeza ku busobozi bw’okwanguyiza okuvunda kw’ebitundu ebiriraanyewo, abalwadde basobole okutambula nga bukyali oluvannyuma lw’okulongoosebwa era omulimu gubeera kumpi n’embeera y’omubiri.

• Omutendera ogusooka ogw’omu maaso n’ogw’emabega okukendeeza ku buzito bw’omumwa gwa nnabaana n’okunyweza .

Okukendeeza ku buzito (decompression) kujjuvu era tekuliiko bulabe, kusaanira obulwadde bwa cervical spondylosis obw’amaanyi era obw’enjawulo. Ku mbeera z’obulwadde bwa cervical spondylotic myelopathy nga zirina ekika kya clamp oba ekitundu ekiwanvu eky’omugongo n’okunyigirizibwa okw’amaanyi okw’omu maaso, waliwo obuzibu obumu mu kulongoosa okw’omu maaso oba okw’emabega kwokka. Tutwala ekifo ekitera okulongoosebwa emabega, n’oluvannyuma ne tukwata ekifo eky’okugolola eky’omu maaso, n’okukendeera okw’omu maaso okw’omutendera ogusooka n’ogw’emabega.

Ebirungi : Oluvannyuma lw’okukendeeza ku buzito obw’emabega, omugongo gw’omumwa gwa nnabaana gusobola okukulukuta emabega, ekifo ekiri mu maaso g’omugongo gw’omumwa gwa nnabaana kyeyongera nnyo, era puleesa eri mu kisenge ky’omugongo ekendeera, ekikendeeza ku bulabe bw’okulongoosa mu maaso. Mu kiseera kye kimu, okunyigirizibwa okw’enjuyi zombi kuwummuzibwa, okukendeeza ku buzito (decompression) kujjuvu, ekikolwa kiba kyeyoleka, era kiyamba mu kuzzaawo enkola y’omugongo; Kikendeeza ku bulumi bw’abalwadde era kyangu abalwadde okukkiriza. Kyewala obuzibu bw’okuweebwa ekitanda emirundi ebiri, okulongoosebwa omulundi ogw’okubiri, endwadde empanvu, n’okukekkereza ssente z’okujjanjabibwa mu ddwaaliro.

• Okukendeeza ku buzito bw’omumwa gwa nnabaana mu nnabaana ow’emabega

Okugerageranya n’enkola ey’omu maaso, okukendeera kw’okukendeera kw’omumwa gwa nnabaana okw’emabega tekyetaagisa kuyungibwa kwa magumba era tekifiirwa bbanga lya kutambula kwa mugongo gwa nnabaana. Posterolateral cervical disc disc herniation nucleus pulposus removal okuyita mu nkola ey’emabega ekolebwa wansi w’okulaba obutereevu era kyangu nnyo, kale tekirina bulabe era kyesigika. Ebiraga: Okuserengeta kw’omugongo gw’omumwa gwa nnabaana oluvannyuma lw’omugongo ogw’emabega, okusannyalala kw’omugongo ogw’omutendera gumu ogw’omu lubuto, okusannyalala kw’omugongo ogw’omugatte ogw’omutendera ogw’enjawulo nga teguliimu kusannyalala kw’omugongo ogw’omu makkati, n’obubonero bw’ebikoola obutasalako oluvannyuma lw’okusalako omugongo n’okuyungibwa mu maaso.

• Okulongoosa obulwadde bw’ensingo obw’okungulu .

Obuvune n’endwadde z’omugongo gw’omumwa gwa nnabaana ogw’okungulu bisobola okuleeta obuzibu obw’amaanyi mu mugongo. Olw’ensengekera y’omubiri enzibu, amalwaliro agasinga tegasobola kugajjanjaba. Okugeza, atlantoaxial fracture n’okuseeseetula, atlanto occipital malformation, ne rheumatoid upper cervical spondylopathy, okufuluma mu maaso n’okunyweza emabega bisobola okukozesebwa okukendeeza ku kuseeseetula, okumalawo okunyigirizibwa kw’omugongo, n’okutaasa obulamu.

B.lumbar disc herniation, okusannyalala kw’omugongo gw’omugongo, omugongo spondylolisthesis, discogenic omugongo obulumi .

Intervertebral fusion tekyetaagisa kuggyawo magumba ga kifuba olw’okusannyalala kw’omugongo oba lumbar spondylolisthesis ekiva ku nsonga ez’enjawulo. Ekigendererwa ekisooka eky’okulongoosebwa kwe kukendeeza ku busimu. Omugongo bwe guba nga tegunywevu, okuyungibwa kw’omugongo kusalibwawo okusinziira ku ddaala ly’obutabeera mu ntebenkevu ne spondylolisthesis. Ekitundu ky’omugongo ekiyitibwa posterolateral spinal bone graft (PLF) oba interbody bone graft (PLIF) kisunsulwa okusinziira ku oba nga kituukirawo ku pedicle screw internal fixation. Mu PLIF, ekisenge kyonna eky’omugongo ekiggiddwamu n’enkola y’ebitundu by’omubiri (inferior articular process complex) (median incision) bikozesebwa ng’okusimbibwa kw’amagumba wakati w’omubiri, ekitakoma ku kufuna kintu ekisinga obulungi eky’okusimba amagumba, naye era kyewala okuggya amagumba mu kisambi oba okubeera n’okugula ekiyumba ky’okuyunga wakati w’omubiri, ekimalawo ebizibu by’okuggya amagumba n’okukendeeza ennyo ku kukendeeza ku nsimbi ezisaasaanyizibwa.

• lumbar disc herniation .

Okusinziira ku bika by’endwadde eby’enjawulo, fenestration ya nucleus pulposus, laminectomy ne discectomy (oluusi n’okuyungibwa kw’amagumba n’okunyweza munda) n’okukyusa disiki ey’obutonde birondebwa.

• Obulwadde bw’omugongo mu kifuba .

Okukendeeza ku buzito bw’omumwa gw’omugongo n’omutala gw’ebikoola by’obusimu kisoboka. Ku balwadde abalina obutabeera mu ntebenkevu mu mugongo, okunyweza okukyukakyuka oba okunyweza okuyungibwa kulina okukolebwa mu ngeri ey’okulonda, abalwadde basobole okutuuka ku kiruubirirwa ky’obujjanjabi ku ssente entono n’okufuna ebivaamu ebimatiza.

1) Okunyweza okukyukakyuka kw’omugongo gw’omugongo - Tekikoma ku kutebenkeza mugongo, naye era kikuuma omulimu gw’entambula y’omugongo. Ebirungi byayo mulimu: (1)Kisobola okukendeeza ennyo ku puleesa ya disiki y’omugongo n’okuziyiza okuvunda kwa disiki y’omugongo; (2)Ekiyungo kya elastic kikuuma era ne kizzaawo bbalansi ey’ebitundu bisatu ey’ekitundu ky’entambula.

2) Okulongoosa omugongo okutali kwa maanyi nnyo mu kulongoosa omugongo nga bikuumibwa bulungi ebinywa - enkola ey’omulembe ey’okulongoosa eyanjulwa okuva ebweru w’eggwanga. Oluvannyuma lw’okwongera okulongoosa, okulongoosebwa kulina okusalako okutono, tekusekula binywa, kukuuma enkula y’emisuwa n’omugongo, era okukendeeza ku buzito wansi w’endabirwamu enkulu era microscope yeesigika mu bujjuvu, teyonoona nnywevu ya mugongo, era erina okuddamu okutono oluvannyuma lw’okulongoosebwa. Abalwadde basobola okutambulira ku lunaku olwokubiri, ne bava mu ddwaaliro nga wayise ennaku 5-7.

• lumbar spondylolisthesis .

Kisinga okulaga okukendeeza ku buzito n’okukendeeza, okuyungibwa kw’amagumba, n’okunyweza okw’omunda okw’ekikolo. Era kye kika ky’okulongoosa ekisinga okukozesebwa nga tukozesa okunyweza pulati ya titanium. Okulongoosa kuno kuzibu era kunene mu minzaani. Ekivaako oba omutendera ogw’okusooka ogwa spondylolisthesis, lumbar spondylolysis, kyangu nnyo okukolagana nakyo mu budde.

1) Okusannyalala kw’omugongo kuyinza okuva ku kumenyaamenya obukoowu bw’ekitundu ky’omugongo gw’omugongo (isthmus, small joints) olw’okukola dduyiro enfunda eziwera. Singa tewona, okusobola okuziyiza obulwadde bwa lumbar spondylolisthesis naddala ng’obubonero bwe bweyoleka, amagumba agasimbibwamu amagumba gasobola okukozesebwa okuddaabiriza isthmus, sikulaapu bbiri ne waya ya titanium, nga nnyangu era nga terimu bulabe.

2) lumbar spondylolisthesis yajjanjabwa n’okukendeeza ku kulongoosa okuggule, intervertebral bone graft fusion (PLIF), ne pedicle internal fixation. Ekigendererwa ekisooka eky’okulongoosebwa kwe kukendeeza ku busimu. PLIF PEEK lumbar fusion cage bweba ekolebwa, vertebral cage arch yonna ne inferior articular process complex (median incision) zikozesebwa nga quick interbody bone graft, ezitasobola kufuna material y’amagumba esinga obulungi yokka, naye era okwewala okuggya amagumba okuva mu pelvis oba okugula great fusion device (interbody fusion cage), okuggyawo complications of complications of the complications of the complications of the complications.

• Discogenic Low Back Pain .

Dynamic lumbar fixation, artificial disc replacement ne interbody fusion (anterior oba posterior) byalondebwa.

C. Okumenya omugongo .

Okuva ku kumenya kw’omugongo ogw’okungulu okutuuka ku kumenya kw’omugongo gwa lumbosacral, okukendeeza ku buzito bw’omugongo mu maaso oba emabega n’okunyweza omugongo bitwalibwa.

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Mu kukendeeza okuggule, okukendeeza ku buzito n’okunyweza okw’omunda okw’okumenya kwa thoracolumbar burst fracture, decompression effect esobola okulondoolebwa obulungi okukendeeza ku buvune bwa iatrogenic.

2. Okulongoosa percutaneous Kyphoplasty ey’okujjanjaba okunyigiriza okunyigirizibwa kw’omugongo mu bakadde .

Empiso emu yokka eya seminti w’amagumba y’esobola okufukibwa. Tekinologiya wa ddala ayingirira nnyo obulumi n’okuva ku kitanda oluvannyuma lw’ennaku 1-3 ng’olongooseddwa.

D. Okulongoosa omugongo okutali kwa maanyi nnyo .

A. Ekigendererwa ky’okulongoosa omugongo mu ngeri etali ya maanyi (MISS) kwe kutuuka ku kiva mu kulongoosa okwa bulijjo n’okukendeeza ku buvune bw’okulongoosa nga bwe kisoboka, okusobola okukendeeza ku buzibu bw’okulwala, okuvaamu omusaayi mu kulongoosebwa, okusula mu ddwaaliro, n’ebirala, abalwadde basobole okuwona ne badda mu bulamu obwa bulijjo n’okukola amangu ddala nga bwe kisoboka.

Okulongoosa okutali kwa maanyi nnyo mu kulongoosa abantu mulimu:

1. Tekinologiya w’okulongoosa endoscopic .

Endoscopy y’omugongo etegeeza nti omusawo alongoosa, wansi w’obulagirizi bwa X-ray oba okutambula mu kiseera ky’okukola, akozesa ebikozesebwa mu kugaziya okuboola okuva ku lususu okutuuka ku biwundu by’omugongo, okuteekawo emikutu gy’okulongoosa endoscopic n’okulongoosa, akozesa amazzi nga medium, magnies and displays the internal operates on the high-fintition display screens. Enkola z’okulongoosa ezisinga okukozesebwa mulimu: lateral lumbar foraminal endoscopy, posterior lumbar lamina approach endoscopy, n’okulongoosa endoscopic mu nnabaana emabega. Bw’ogeraageranya n’okulongoosa okw’ekinnansi oba okulongoosebwa microsurgery, erina ebirungi bino wammanga: (1) Ebiraga ebigazi, okuvaamu omusaayi omutono n’okulumwa, tewali kwonooneka ku nsengekera y’omugongo eya bulijjo, era okutwalira awamu okusalako kuba wansi wa sentimita emu; (2) Okulongoosa wansi w’okusannyalala mu kitundu kuyinza okulondebwa, era empuliziganya mu kiseera ekituufu wakati w’abasawo n’abalwadde eriwo okusobola okwanguyiza okulongoosebwa n’okwewala obuvune mu busimu obw’omu kiseera; (3) Ebizibu ebitono, okuwona amangu, bisobola okuva ku kitanda oluvannyuma lw’okulongoosebwa, okusiibulwa mu nnaku 1-2, oba okulongoosebwa omulwadde ebweru; (4) omuwendo gw’abakwatibwa obulwadde obutono; (5) Ekizibu eky’ekiseera ekiwanvu eky’okuvunda okw’amangu okw’ebitundu ebiriraanye mu kuyungibwa okwasooka kwewalibwa. Ebizibu mulimu: (1) Waliwo omuwendo ogumu ogw’okuddamu okulwala. Oluvannyuma lw’okuddamu okubeerawo, okuddamu okulongoosa kujja kuba kuzibu nnyo era nga kwa bulabe olw’okunywerera kw’enkovu y’okulongoosa okusooka. (2) Waliwo ebizibu ebimu, nga residual nucleus pulposus compression, dural ne nerve root obuvune, intervertebral space infection, okuvaamu omusaayi, postoperative sensory abnormalities; (3) Ebiraga okulongoosa biba bya bumu, okusinga okujjanjaba okuserengeta kwa simple intervertebral disc. Ku complex intervertebral disc herniation oba combined spinal stenosis, era esobola okujjanjabibwa. Singa effect eba mbi, open surgery yeetaagibwa nate.

2. Tekinologiya w’okunyweza n’okunyweza munda mu nsi .

Okuyungibwa kw’omugongo n’okunyweza munda nkola ya kulongoosa nsonga enkulu ey’okujjanjaba obuzibu bw’omugongo. Okuyita mu nkola ey’omu maaso, ey’omu maaso, ey’ebbali, ey’emabega n’ey’emabega ey’omugongo gw’omugongo, okusiba amagumba oboba okugatta, enkola y’ennyondo ey’omu maaso n’enkola y’okukyusakyusa (intertransverse process) ziteekebwa mu kifo ekiri wakati w’omugongo, olwo okukwatagana kw’amagumba wakati w’ennyondo z’omugongo ne kusobola okubaawo, ne kuteekawo n’okukuuma obutebenkevu bw’omugongo gw’omugongo. Mu ndowooza, ekitundu ky’okulongoosa tekijja kuddamu. Enkola ya minimally invasive fusion ne internal fixation mulimu minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) ne minimally invasive lateral lumbar interbody fusion (LLIF). LLIF era erimu vertical lateral fusion cage (DLIF) ne oblique lateral fusion (OLIF esinga okwettanirwa. Tekinologiya ono ow’okunyweza munda mu mubiri (minimally invasive fusion internal fixation technology) okusinga ayanjula ebigaziya eby’enjawulo n’ebikozesebwa mu kuzza obuggya ebituli (tubular retractors) okukendeeza ku kwonooneka kw’ebitundu ebigonvu n’okufuula okulaba obulungi ekitundu ky’okukoleramu okusoboka. Kiyinza okukolagana n’endabirwamu ekola oba endabirwamu enkulu ezikula okusobola okugaziya ekifo we balongooseza, okusobola okukendeeza ku kutema olususu n’okwonooneka kw’ebitundu by’omubiri eby’omunda, n’okusobozesa okulongoosa omugongo okussa mu nkola obujjanjabi obusinga okukola obulungi nga tewali nnyo kwonooneka kwa iatrogenic. Bw’ogeraageranya n’okulongoosa okuggule, tekinologiya ow’okunyweza munda mu mubiri mu ngeri etali ya kuyingirira nnyo alina ebirungi mu kumala mu ddwaaliro, okufiirwa omusaayi, obudde bw’okuwona n’obudde okudda mu bulamu obwa bulijjo. Mu kiseera kye kimu, mu budde obutuufu esobola okukuuma ensengeka y’empagi ey’emabega ey’omugongo, okukendeeza ku kwonooneka kw’ebinywa, era bwe kityo n’ekendeeza ku bulumi oluvannyuwa.lw’okulongoosebwa. Tekunologiya w’okuyungibwa okutono n’okunyweza munda alina ebiraga eby’enjawulo, omuli endwadde ez’enjawulo ezivunda omugongo,muli endwadde ez’enjawulo ezivunda omugongo, okusannyalala kw’omugongo, okuwunyiriza disc complelo obutariera mu ntebenkevu, okusannyalala, n’ebirala eri abalwadde abalina embeera ez’amaanyi ennyo ezitasaanira endoscopy, okulongoosebwa ng’okwo kulina okumira emirundi mingi.

3. Okulongoosa omugongo okuyita mu lususu .

Kibeera mu kulongoosa okutali kwa maanyi nnyo, omuli percutaneous vertebroplasty (PVP) ne percutaneous balloon Kyphoplasty (PKP). Ye tekinologiya seminti w’amagumba ow’obujjanjabi oba ebirungo ebikola amagumba ag’obutonde (artificial bone biomaterials) bifuyirwa mu mubiri gw’omugongo ogurwadde nga bayita mu kufumita olususu okunyweza omubiri gw’omugongo. Endwadde ezikozesebwa mulimu: 1. Okumenyeka kw’okunyigirizibwa kw’omugongo, okutali kukola bulungi n’okujjanjaba oba okujjanjaba eddagala; 2. Ebizimba ebitali birungi oba ebizimba ebitali bituufu eby’omubiri ogw’omugongo; 3. Okumenyeka kw’omugongo n’obulwadde bwa osteonecrosis oba nonunion oluvannyuma lw’okumenya; 4. okumenya okunyigirizibwa okutanywevu oba okunyigirizibwa kw’omugongo okutali kwa multi segment; 5. Okumenyeka kwakutuka nga kuliko ekisenge eky’emabega ekitaliiko kamogo eky’omubiri gw’omugongo. Ebifaananyi by’okulongoosa kuno: 1. Enkola y’okuyingira mu nsonga mu ngeri entono wansi w’okubudamya okw’omu kitundu erina ekiseera ekitono eky’okukola, okusala kuli mu sentimita 0.5, okuvaamu omusaayi kuli 2-3ml, ate ekikolwa eky’okukendeeza obulumi kiba kitegeerekeka bulungi. Kirina omulimu gw’okumalawo obulumi n’okuddamu okuzimba amaanyi g’eggumba mu kiseera kye kimu. 2. Ku balwadde abakadde n’abanafu, akabi k’okulongoosa katono, era ebizibu ebiyinza okuva ku kutasobola kutambula byewalibwa. 3. Okuwona oluvannyuma lw’okulongoosebwa kwa mangu ate ng’obudde bw’okujjanjabibwa mu ddwaaliro bumpi. . 5. Kikendeeza nnyo ku budde abalwadde okuwummulako ku kitanda era nga beetaaga abalabirira.

4. Okulongoosa omugongo nga kiyambibwako roboti n’okutambulira ku mazzi .

Okulongoosa omugongo kyetaagisa abasawo okulongoosebwa n’obutuufu obw’amaanyi, era ensobi entonotono zijja kuleetawo ebivaamu eby’akatyabaga. Okugeza, ku tekinologiya w’okuyingiza sikulaapu y’ekikomera, mu nkola y’okuyingiza sikulaapu, alina okukakasa nti sikulaapu eteekebwa munda mu kikolo. Dyaamu y’ekikolo ky’omugongo eri nga mm 8, ate oludda olw’omunda n’olw’okunsi olw’ekikolo (pedicle) bikulu mu nsengekera z’obusimu. Dyaamu yaffe eya sikulaapu eri mm 6.5, ekitegeeza nti sikulaapu bw’emala okukutuka mu bisenge eby’omunda n’ebya wansi eby’ekikolo, okwonooneka kw’obusimu obw’amaanyi kuyinza okuvaamu. N’olwekyo, obutuufu n’obukuumi bw’okuyingiza sikulaapu bikulu nnyo. Roboti y’okulongoosa amagumba n’enkola y’okutambulira mu mazzi, elungamizibwa ebifaananyi bya 3D, esobola okuteeka obulungi sikulaapu okusinziira ku kkubo eritegekeddwa, sikulaapu mu ngeri ey’otoma oba ey’ekitundu mu bikulukusi by’ebikoola, okukendeeza ku kwonooneka kw’ebinywa ebikyetoolodde n’ebitundu ebirala ebigonvu, n’okukakasa obutuufu n’obukuumi bw’okulongoosa. Ku tekinologiya ow’endokopiki, okutambulira ku mazzi okugatta nakyo kisobola okukendeeza ennyo ku budde bw’okufumita, okwonooneka kw’ebitundu ebigonvu n’obutabeera bulungi bw’abalwadde mu kiseera ky’okulongoosebwa. Okukozesa robot assisted ne navigation spinal surgery kijja kuganyula nnyo abalwadde abalina endwadde z’omugongo.

Mu kigambo kimu, tekinologiya w’omugongo oguyingira mu mubiri omutono asobola okutuuka ku kigendererwa ky’obujjanjabi mu ngeri ey’obukuumi era ennungi nga akendeeza ku buvune nga bwe kisoboka. Wadde nga kituuka ku kikolwa kye kimu oba ekisinga obulungi ng’okulongoosebwa omugongo mu ngeri ey’olubeerera, kiyinza okukendeeza ku buvune bw’abalwadde mu kulongoosa, okutumbula okuwona nga bukyali, n’okukendeeza ku biddirira eby’okulongoosa. Wabula okulongoosa omugongo okutali kwa maanyi tekisobola kukyusa ddala kulongoosa kwa kinnansi. Enteekateeka y’okulongoosa ey’enjawulo erina okusalibwawo okusinziira ku mbeera y’omulwadde, tekinologiya w’obujjanjabi, empuliziganya wakati w’abasawo n’abalwadde n’ensonga endala. Obumanyirivu okukuŋŋaanyizibwa mu kulongoosa okwa bulijjo okuggule gwe musingi gw’okulongoosa okutali kwa maanyi nnyo. Okulongoosebwa okutali kwa maanyi bwe kusanga obuzibu, kyetaaga okukyusibwa okulongoosebwa mu budde mu budde okukakasa obulungi obukuumi bw’abalwadde n’obulungi bw’okulongoosa. N’ekisembayo, tusaanidde okujjukiza abalwadde abalongoosebwa nti okulabirira n’obwegendereza n’okukola dduyiro wa ssaayansi oluvannyuma lw’okulongoosebwa obulungi nakyo kikulu nnyo, ekitasobola kukoma ku kulongoosa bulungi mutindo gwa kuddaabiriza, wabula n’okwewala okuddamu oba obulwadde bw’omugongo obuliraanye.

E. Ekizimba eky’omugongo n’okuzimba .

Ekizimba, akafuba n’okuzimba mu nnabaana, ekifuba n’omugongo.

F. Okumaliriza .

1. Tewali kitundu kya muzibe mu kulongoosa omugongo .

Obukuumi n’okwesigamizibwa kwe kusooka okugoberera okulongoosebwa omugongo. Okusinga ezuula n’okujjanjaba endwadde ezivunda ez’omugongo, gamba nga omumwa gwa nnabaana myelopathy, ossification of the thoracic ligamentum flavum, lumbar spinal stenosis, disc herniation ku buli kitundu okuva ku mugongo gw’omumwa gwa nnabaana okutuuka ku mugongo gw’omugongo. Okugatta ku ekyo, era kikwata ku buvune obw’engeri zonna n’endwadde ezibeerawo mu mugongo, gamba ng’okumenya omugongo n’okuseeseetula, okulema kw’omugongo, ekizimba ky’omugongo (ekisookerwako n’ekigenda mu bitundu ebirala), akafuba k’omugongo oba okukwatibwa obulwadde obuyitibwa suppurutive infection.

2. Okulongoosa omumwa gwa nnabaana ogutaliiko kkomo .

Ku lw’okulongoosa mu nnabaana spondylotic myelopathy ne ossification of the posterior longitudinal ligament of the cervical spine, amalwaliro agamu oba abasawo bakola okulongoosa okw’omu maaso oba okw’emabegaokwokka. Mu butuufu, waliwo ebika by’okulongoosa ebiwerako eby’okulondako - okukendeera kw’okunyigirizibwa kw’omumwa gwa nnabaana mu maaso n’okusimba amagumba n’okunyweza munda, okulongoosa omumwa gwa nnabaana emabega (omulyango gumu, oluggi lw’emirundi ebiri), n’okukendeera kw’okunyigirizibwa okw’omu maaso n’okw’emabega n’okunyweza okw’omunda. Tulina obumanyirivu bungi obw’obuwanguzi mu bika by’emirimu bino, ebiyinza okukozesebwa mu ngeri entuufu okusinziira ku mbeera ez’enjawulo, tekiziyizibwa tekinologiya yenna, mbeera n’ebirowoozo ebifunda, era kiwa omuzannyo omujjuvu eri ebirungi ebikwatagana eby’enkola ez’enjawulo.

3. Okulongoosa omugongo mu kifuba kyangu era kyesigika .

Ku lwa ossification of the thoracic posterior longitudinal ligament, ekizibu era ekitya amalwaliro mangi amanene, twakola segmental posterior decompression. Ku balwadde abalina okunyigirizibwa okw’omu maaso (ossification of ligaments oba protrusion of intervertebral discs), okukendeera kw’okunyigirizibwa okw’omu maaso okw’omugongo kwakolebwa mu nkola y’okukola tunneling okutuuka ku 360 ° okukendeera okujjuvu okwetoloola omugongo, ekyewala okukendeera kw’okunyigirizibwa okw’omu maaso okuyita mu kifuba n’okukendeera ennyo. Enkola eno eya 360 ° Decompression era ekozesebwa mu kukola ku kusannyalala kw’ebitundu by’omubiri ebya wansi okuva ku kifuba eky’omu kifuba ekiyitibwa thoracic intervertebral disc prolapse n’okumenya kw’amagumba.

4. Intervertebral fusion tekyetaagisa kuggyamu magumba ga kifuba .

Ku lw’okusannyalala kw’omugongo oba lumbar spondylolisthesis olw’ensonga ez’enjawulo, ekigendererwa ekisooka eky’okulongoosebwa kwe kukendeeza ku buzito bw’obusimu. Omugongo bwe guba nga tegunywevu, okuyungibwa kw’omugongo kusalibwawo okusinziira ku ddaala ly’obutabeera mu ntebenkevu ne spondylolisthesis. Ekitundu ky’omugongo ekiyitibwa posterolateral spinal bone graft (PLF) oba interbody bone graft (PLIF) kisunsulwa okusinziira ku oba nga kituukirawo ku pedicle screw internal fixation. Mu PLIF, ekisenge kyonna eky’omugongo ekiggiddwamu n’enkola y’ebitundu by’omubiri (inferior articular process complex) (median incision) bikozesebwa ng’okusimbibwa kw’amagumba wakati w’omubiri, ekitakoma ku kufuna kintu ekisinga obulungi eky’okusimba amagumba, naye era kyewala okuggya amagumba mu kisambi oba okubeera n’okugula ekiyumba ky’okuyunga wakati w’omubiri, ekimalawo ebizibu by’okuggya amagumba n’okukendeeza ennyo ku kukendeeza ku nsimbi ezisaasaanyizibwa.

A CzMeditech , tulina product line enzijuvu ennyo eya . Okulongoosa omugongo ne . corresponding instruments , the products including 5.5mm and 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 pedicle screw enkola n’ebintu byabwe ebiwagira. Okugatta ku ekyo, twewaddeyo okukola ebintu ebipya obutasalako n’okugaziya layini z’ebintu, okusobola okutuukiriza ebyetaago by’okulongoosa eby’abasawo n’abalwadde abawera, era n’okufuula kkampuni yaffe okuvuganya ennyo mu nsi yonna ey’amagumba n’amakolero g’amagumba.