Ibyerekeye Twebwe
Changzhou Meditech Technology Co., Ltd.., giherereye mu mujyi wa Changzhou Science & Education Town, intara ya Jiangsu, yihariye mu gukora imitekerereze ya orthopedic n'ibikoresho.
Nyuma yimyaka irenga 10 ubushakashatsi niterambere, Dufite urutonde rwibicuruzwa 10 byingenzi kandi ni sisitemu yumugongo, sisitemu yimisumari, sisitemu yo guhahamuka hamwe na screw, sisitemu yo gufunga plaque na screw, sisitemu ya CMF, sisitemu yo gukosora hanze, sisitemu yububasha bwubuvuzi, ibikoresho rusange byo kubaga, sisitemu yububiko bwa sisitemu na sisitemu yubuvuzi bwamatungo.
Nkohereza ibicuruzwa mubuvuzi bifite uburambe bwimyaka irenga icumi, hamwe na CE na ISO ibyemezo, ibicuruzwa byacu byoherejwe mubihugu byinshi nka USA, Ubudage, Arijantine, Chili, Mexico, Ubuhinde, Tayilande, Maleziya, Turukiya, Misiri, Afrika yepfo, Coryte d'Ivoire, nibindi.
Ihame rya 'ubuziranenge ubanza, serivisi mbere, R&D mbere, guhanga mbere ', isosiyete yacu yatsindiye izina ryiza haba mugihugu ndetse no mumahanga. Isosiyete ifata abarwayi nkintego zayo zihoraho kandi ikora ibishoboka byose kubuzima bwabantu.
Kubaga umugongo
Hariho ubwoko bwinshi bwo kubaga umugongo, cyane cyane byibasiye kandi burakinguye. Kuvunika bimwe, kuvunika kwa disiki, igituntu cyumugongo, scoliose birashobora kuvurwa kubagwa. Kubaga byibuze byibasiye cyane cyane harimo: vertebroplasty, gukuraho radiofrequency, gukuraho endoscopic nucleus pulposus, kuvanaho pericleane pedicle screw inkoni imbere, n'ibindi.
A. Inkondo y'umura
Kubikorwa byo kuvura inkondo y'umura, myelopathie cervical spondylotic myelopathie, hamwe na ossifisation ya ligamenti ya longitudinal ligament y'umugongo w'inkondo y'umura, ibitaro bimwe na bimwe cyangwa abaganga bakora gusa kubaga imbere cyangwa kubaga inyuma. Mubyukuri, hari ubwoko bwinshi bwo kubaga guhitamo. Abantu bafite uburambe bunoze muri ubu bwoko bwo kubaga, bushobora gukoreshwa muburyo bukurikije ibihe bitandukanye, nta tekinoroji, imiterere, n'ibitekerezo bigufi, kandi bigatanga umukino wuzuye kubyiza byubwoko butandukanye bwo kubaga. Kubintu bigoye byinkondo y'umura, decompression no gukosorwa binyuze muburyo bwimbere ninyuma birashobora kugabanya cyane igihe cyo gushyirwa mubitaro, kandi ingaruka za decompression zuzuye nibyiza.
Inkondo y'umura imbere no guhuza amagufwa hamwe no gukosora imbere ：
Irakoreshwa kuri cervical spondylose hamwe no gusohora ibice bigabanya ibice bigufi (1-3 umwanya) wibimera bya spur. Ifite ibyiza byo kwanga ibisebe bitaziguye, byoroshye kandi byoroshye. Nibikorwa bisanzwe bisanzwe hamwe nuburyo bwibanze bwo kuvura inkondo y'umura.
Inkondo y'umura yinyuma na laminoplasti ：
Irakoreshwa kuri cervical spondylose hamwe numubare hamwe nigice cyo kwikuramo disiketi ya intervertebral na spinal canal stenosis, hamwe no kwikomeretsa bikabije imbere (ossification ya posterior longitudinal ligament, disque intervertebral). Nibintu bya decompression itaziguye, ifite inyungu zo kubungabunga imikorere yimikorere yinkondo y'umura kandi ifite umutekano.
Gusimbuza inkondo y'umura insimburangingo ：
Irakoreshwa kubarwayi bari munsi yimyaka 60 bafite igice kigufi imbere intervertebral disc compression. Nubwo gutesha umutwe no kugabanya kwikuramo uruti rwumugongo, bigumana imikorere yumugongo winkondo y'umura, bigabanya amahirwe yo kwihutisha iyangirika ryibice byegeranye, kugirango abarwayi bashobore kwimuka hakiri kare nyuma yo kubagwa kandi imikorere ikaba yegereye imiterere ya physiologiya.
Icyiciro cya mbere imbere ninyuma yinkondo y'umura decompression no gukosorwa
Decompression iruzuye kandi ifite umutekano, ikwiranye na spondylose ikabije kandi idasanzwe. Kubijyanye na cervical spondylotic myelopathie hamwe nubwoko bwa clamp cyangwa igice kinini cyumugongo stenosis hamwe no kwikuramo imbere, hari aho bigarukira haba kubaga imbere cyangwa inyuma yonyine. Dufata umwanya ukunda kubagwa inyuma, hanyuma dufata umwanya wa supine wo kubaga imbere, hamwe nicyiciro cya mbere imbere na decompression.
Ibyiza : Nyuma yo kwangirika kwinyuma, umugongo wumugongo urashobora gutembera inyuma, umwanya uri imbere yumugongo wumugongo wiyongereye ugereranije, kandi umuvuduko wumuyoboro wumugongo uragabanuka, bikagabanya ibyago byo kubagwa imbere. Muri icyo gihe, kwikuramo byombi biraruhuka, decompression iruzuye, ingaruka iragaragara, kandi ifasha kugarura imikorere yumugongo; bigabanya ububabare bw'abarwayi kandi byoroshye abarwayi kubyakira. Irinda ibibi byo kuba mubitaro kabiri, kubagwa kabiri, inzira ndende, kandi bizigama amafaranga yo kubitaro.
Inyuma y'inkondo y'umura foraminal decompression na discectomy
Ugereranije nuburyo bwimbere, inyuma ya cervical foraminal decompression ntibisaba guhuza amagufwa kandi ntibitakaza intera yimikorere yumugongo winkondo y'umura. Gukuraho posterolateral cervical disc herniation nucleus pulposus ikoresheje inzira yinyuma ikorwa muburyo butaziguye kandi biroroshye, bityo rero ni umutekano kandi wizewe. Ibyerekana: posterolateral cervical disc herniation, urwego rumwe intervertebral foramen stenosis, urwego rwinshi rwa intervertebral foramen stenosis idafite uruti rwumugongo rwagati, hamwe nibimenyetso byumuzi bikomeza nyuma yo gutandukana imbere no guhuza.
Kubaga indwara zo mu ijosi
Gukomeretsa n'indwara z'umugongo wo hejuru w'inkondo y'umura birashobora gutera imikorere mibi y'umugongo. Bitewe nuburyo bugoye bwa anatomique, ibitaro byinshi ntibishobora kubivura. Kurugero, kuvunika kwa atlantoaxial no gutandukana, malformation ya atlanto occipital, hamwe na rheumatoide yo hejuru yinkondo y'umura spondylopathie, kurekura imbere hamwe no gukosora inyuma birashobora gukoreshwa kugirango ugabanye dislokasiyo, kugabanya umugongo wumugongo, no kurokora ubuzima.
B. Disiki ya herniation, lumbar spinal stenosis, lumbar spondylolisthesis, ububabare bwumugongo bwa discogenic
Guhuza intervertebral ntibisaba gukuramo amagufwa ya pelvic amagufa ya lumbar spinal stenosis cyangwa lumbar spondylolisthesis iterwa nimpamvu zitandukanye. Intego yambere yibikorwa ni ugukuraho imitsi. Iyo urutirigongo rudahungabana, guhuza umugongo bigenwa hakurikijwe urwego rudahungabana na spondylolisthesis. Amagufwa yinyuma yumugongo (PLF) cyangwa igufwa ryamagufwa (PLIF) ryatoranijwe ukurikije niba rikwiriye pedicle screw imbere. Muri PLIF, ibikururwa byose byavomwe muri vertebral arch na arctular process complex (median incision) bikoreshwa nkigikorwa cyo guhuza amagufwa yihuta, kikaba kitabona gusa ibikoresho byiza byamagufwa, ariko nanone birinda gufata amagufwa mumitsi cyangwa bigomba kugura akazu kavanze, bikuraho ibibazo byo gukuraho amagufwa kandi bikagabanya cyane ikiguzi cyibikorwa.
Ukurikije ubwoko butandukanye bw’indwara, hatoranijwe fenestration ya nucleus pulposus, laminectomy na discectomy (rimwe na rimwe hamwe no guhuza amagufwa hamwe no gukosora imbere) hamwe no gusimbuza disiki.
Kurandura umuyoboro wumugongo nuyoboro wumuzi birashoboka. Ku barwayi bafite ihungabana ryumugongo, gukosora imbaraga cyangwa gukosora fusion bigomba gukorwa muburyo butandukanye, kugirango abarwayi bashobore kugera kuntego yo kuvura ku giciro gito kandi babone ibisubizo bishimishije.
1) Gukosora neza kwumugongo - ntabwo bihindura urutirigongo gusa, ahubwo binagumana imikorere yimitsi. Ibyiza byayo birimo: (1) irashobora kugabanya cyane umuvuduko wa disiki ihuza kandi ikabuza kwangirika kwa disikuru; .
) Nyuma yo kurushaho kunozwa, igikorwa gifite incike ntoya, ntigikuramo imitsi, kigumana imiterere ya ligaments na vertebrae, kandi decompression munsi yikirahure kinini na microscope yizewe byimazeyo, ntabwo yangiza ituze ryumugongo, kandi ifite igisubizo cyoroshye nyuma yibikorwa. Abarwayi barashobora kugenda kumunsi wa kabiri, bakava mubitaro nyuma yiminsi 5-7.
Nibintu byiza byerekana decompression no kugabanuka, guhuza amagufwa, hamwe na pedicle imbere. Nubwoko busanzwe bwo kubaga ukoresheje titanium plate fixation. Igikorwa kiragoye kandi kinini mubipimo. Impamvu cyangwa icyiciro cyambere cya spondylolisthesis, lumbar spondylolysis, biroroshye cyane guhangana nigihe.
1) Lumbar spondylolysis irashobora guterwa no kuvunika umunaniro wigice cyumugongo wumugongo (isthmus, ingingo nto) kubera imyitozo inshuro nyinshi. Niba idakira, murwego rwo kwirinda lumbar spondylolisthesis, cyane cyane iyo ibimenyetso bigaragara, igufwa ryamagufa rirashobora gukoreshwa mugusana isthus, imigozi ibiri numuyoboro wa titanium, byoroshye kandi bifite umutekano.
2) Lumbar spondylolisthesis yavuwe hamwe no kubagwa kumugaragaro, kugabanya amagufwa yo hagati (PLIF), hamwe na pedicle imbere. Intego yambere yibikorwa ni ugukuraho imitsi. Iyo PLIF peek lumbar fusion cage ikozwe, cage vertebral cage arch hamwe na arctular process complex complex (median incision) ikoreshwa nkigikoresho cyihuta cyo guhuza amagufwa, kidashobora gusa kubona ibikoresho byiza byamagufwa gusa, ariko nanone wirinde gufata igufwa riva mumatembabuzi cyangwa kugura ibikoresho byo guhuza amagufwa (kugabanya interineti)
Kubabara umugongo wo hasi
Dynamic lumbar fixation, gusimbuza disiki yububiko hamwe no guhuza abantu (imbere cyangwa inyuma) byatoranijwe.
C. Kuvunika umugongo
Kuva hejuru ya cervical vertebra kuvunika kugeza kuvunika kwa lumbosacral, kuvunika imbere cyangwa inyuma no gukosora urutirigongo.
1. Intraoperative myelography na transpedicular decompression
Mugabanuka kumugaragaro, decompression hamwe no gukosora imbere imbere ya thoracolumbar yaturika, ingaruka za decompression zirashobora gukurikiranwa neza kugirango igabanye iatrogène.
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Urushinge rumwe gusa rwa sima yamagufa rushobora guterwa. Nubuhanga bwukuri butera kugabanya ububabare no gusohoka muburiri nyuma yiminsi 1-3 nyuma yo kubagwa.
D. Kubaga umugongo byibuze
A. Intego yo kubaga umugongo byibasiye cyane (MISS) ni ukugera ku ngaruka zo kuvurwa bisanzwe no kugabanya ihungabana ryo kubaga bishoboka, kugira ngo ugabanye ibibazo by’ingaruka, kuva amaraso mu mitsi, ibitaro, n'ibindi, kugira ngo abarwayi bashobore gukira no gusubira mu buzima busanzwe no gukora vuba bishoboka.
Inzira nyamukuru yo kubaga byibasiye harimo:
Ikoranabuhanga rya Endoskopi
Uruti rw'umugongo ruvuga ko umuganga ubaga, ayobowe na X-ray cyangwa kugendagenda mu gihe cyo kubaga, akoresha ibikoresho byo kwagura puncture kugira ngo atobore kuva ku ruhu kugeza ibikomere by'umugongo, ashyiraho imiyoboro ya endoskopique na chirurgie yo kubaga, akoresha amazi nk'ikigereranyo, akuza kandi akerekana ibisubizo by'imbere hamwe n'ibikomere kuri ecran yerekana neza binyuze muri sisitemu ya endoskopi, kandi umuganga akora akoresheje ishusho ya ecran. Uburyo bukoreshwa cyane muburyo bwo kubaga burimo: kuruhande rwa lumbar foraminal endoscopi, inyuma yinyuma ya lamina yegereye endoskopi, hamwe no kubaga inyuma ya nyababyeyi. Ugereranije no kubaga gakondo cyangwa kubaga mikorobe, bifite ibyiza bikurikira: (1) Ibimenyetso byinshi, kuva amaraso mato no guhahamuka, nta byangiza imiterere isanzwe yumugongo, kandi muri rusange gutemagura ntibiri munsi ya cm 1; . (3) Ingorane nke, gukira vuba, zirashobora kuva muburiri nyuma yo kubagwa, gusohoka muminsi 1-2, cyangwa kubagwa kwa muganga; (4) Umubare muke wanduye; (5) Ikibazo cyigihe kirekire cyo kwangirika byihuse ibice byegeranye muguhuza hakiri kare biririndwa. Ibibi birimo: (1) Hariho igipimo runaka cyo kwisubiramo. Iyo isubiramo rimaze kuba, reoperation izagorana cyane kandi ishobora guteza akaga bitewe no gukomeretsa inkovu kubikorwa byambere. . . Kuri disiketi igoye ya disiki cyangwa guhuza umugongo, birashobora kandi kuvurwa. Niba ingaruka ari mbi, kongera kubagwa birasabwa.
2. Minimasi yibasiwe na tekinoroji yo gutunganya imbere
Guhuza Lumbar no gukosora imbere nubuhanga bwibanze bwo kubaga kuvura indwara zifata. Binyuze imbere, imbere, kuruhande, kuruhande no inyuma yinyuma yumugongo wumugongo, guteranya amagufwa cyangwa akazu ka fusion, inzira yo guhuza ibice hamwe no guhuza ibice byatewe mumwanya uhuza ibice, kugirango guhuza amagufwa hagati yingingo zomugongo bishobora kubaho, bityo bigashyiraho kandi bikagumana ituze ryumugongo. Mubyukuri, igice cyo kubaga ntikizongera. Ihuriro rito cyane hamwe nubuhanga bwo gukosora imbere harimo guhinduranya byimikorere ya transforaminal lumbar interbody fusion (MIS-TLIF) hamwe na minisiteri yibasiwe na lumbar interbody fusion (LLIF). LLIF ikubiyemo kandi uruzitiro rwa vertical fusion cage (DLIF) hamwe na oblique ikunzwe cyane (OLIF). Tekinoroji ya minimasi yibasiwe na tekinoroji yo gutangiza imbere cyane cyane itangiza kwaguka kwihariye hamwe no gukuramo tubular kugirango bigabanye kwangirika kwinyama no gukora neza neza aho ibikorwa byakorewe bishoboka. Irashobora gufatanya na microscope ikora cyangwa ikirahure kinini cyo gukuza ikirahure kugirango yongere umurima wo kubaga iyerekwa, kugirango igabanye uruhu ndetse no kwangirika kwinyuma yimbere, kandi itume kubaga umugongo gushyira mubikorwa uburyo bwiza bwo kuvura no kwangirika kwa iatrogène. Ugereranije no kubagwa kumugaragaro, tekinoroji ya fusion yimbere ikosora ifite ibisubizo byiza mubijyanye no kuguma mubitaro, gutakaza amaraso, igihe cyo gukira nigihe cyo gusubira mubuzima busanzwe. Muri icyo gihe, irashobora kugumana imiterere yinyuma yinyuma yumugongo, kugabanya kwangirika kwimitsi, bityo bikagabanya ububabare nyuma yo kubagwa. Fusion invasive fusion hamwe na tekinoroji yo gukosora imbere ifite ibimenyetso byinshi byerekana, harimo indwara zitandukanye zangirika zumugongo, uruti rwumugongo, disiki igoye, ihungabana, scoliose, nibindi. Ku barwayi bafite ibibazo bikomeye cyane bidakwiriye endoskopi, ibikorwa nkibi bigomba gukorwa kenshi.
3. Vertebroplasty
Nibikorwa byo kubaga byoroheje byibasiye, harimo vertebroplasti (PVP) hamwe na ballon kyphoplasty (PKP). Nubuhanga bwubuvuzi bwamagufwa ya sima cyangwa ibinyabuzima byamagufwa byatewe mumubiri urwaye urutirigongo urwaye binyuze mu gutobora uruhu kugirango bikomeze umubiri wurugingo. Indwara zishobora gukoreshwa zirimo: 1. Ivunika rya Osteoporotic vertebral compression, ridafite akamaro no kuvura imiti cyangwa imiti; 2. Ibibyimba byiza cyangwa ibibyimba bibi bya metastatike yumubiri wurugingo; 3. Kuvunika umugongo hamwe na osteonecrosis cyangwa kudahuza nyuma yo kuvunika; 4. 5. Kumeneka guturika hamwe nurukuta rwinyuma rwumubiri wurugingo. Ibiranga iki gikorwa: 1.Ubuvuzi bwa interineti bworoheje buterwa na anesthesi yaho bufite igihe gito cyo kubaga, gukomeretsa biri muri 0.5cm, kuva amaraso ni 2-3ml, kandi ingaruka zo gusesengura ziragaragara. Ifite umurimo wo kugabanya ububabare no kongera imbaraga za biomehanike yamagufwa icyarimwe. 2. Ku barwayi bageze mu za bukuru n’intege nke, ibyago byo kubaga ni bito, kandi birinda ingorane zishobora guterwa na immobilisation. 3. Gukira nyuma yo kubagwa byihuse kandi igihe cyo gushyirwa mubitaro ni gito. 4. Bitewe no kugabanya ububabare bwihuse mugihe, ingaruka mbi no guterwa nibiyobyabwenge byo gufata imiti igabanya ububabare biririndwa, kandi imibereho irazamuka. 5.Bigabanya cyane igihe abarwayi baruhukira muburiri kandi bakeneye abarezi.
4. Robo yafashaga kandi ikayobora kubaga umugongo
Kubaga umugongo bisaba abaganga gukora neza, kandi amakosa mato azatera ingaruka mbi. Kurugero, kubijyanye na tekinoroji yo kwinjiza lumbar pedicle, mugihe cyo kwinjiza screw, bigomba kwemezwa ko screw yashyizwe imbere muri pedicle. Diameter ya pedicle lumbar ni nka 8mm, naho imbere n'inyuma ya pedicle ni imyubakire ikomeye. Diameter yacu ya diametre ni mm 6,5, bivuze ko iyo umugozi umaze guca mu rukuta rw'imbere no hepfo ya pedicle, kwangirika gukomeye kwimitsi bishobora kuvamo. Kubwibyo, ubunyangamugayo numutekano byo kwinjiza screw ni ngombwa cyane. Sisitemu ya orthopedic yo kubaga na sisitemu yo kugendana, iyobowe n'amashusho ya 3D, irashobora gushyira neza imigozi ukurikije inzira yateganijwe, mu buryo bwikora cyangwa igice cyikora mu buryo bwikora mu cyuma cya pedicle, kugabanya ibyangiritse ku mitsi ikikije ndetse no mu zindi ngingo zoroshye, kandi bikareba niba umutekano wabyo ari ukuri. Kuri tekinoroji ya endoskopique, kugendana hamwe birashobora kandi kugabanya cyane igihe cyo gutobora igihe, kwangirika kwinyama zoroshye no kutoroherwa kwabarwayi mugihe cyo kubaga. Gukoresha robot yafashijwe no kubaga umugongo bizagirira akamaro cyane abarwayi bafite indwara zumugongo.
Mu ijambo rimwe, tekinoroji yumugongo yibasiye irashobora kugera ku ntego yo kuvura neza kandi neza mugabanya imvune zishoboka. Nubwo kugera ku ngaruka zimwe cyangwa nziza nko kubaga umugongo, birashobora kugabanya ihungabana ryo kubaga abarwayi, bigatera gukira hakiri kare, kandi bikagabanya urukurikirane rwo kubaga. Ariko, kubaga umugongo byibasiye cyane ntibishobora gusimbuza rwose kubaga umugongo gakondo. Gahunda y'ibikorwa yihariye igomba kugenwa ukurikije uko umurwayi ameze, ikoranabuhanga mu buvuzi, itumanaho hagati y'abaganga n'abarwayi n'ibindi bintu. Ubunararibonye bwo gukusanya kubagwa bisanzwe bisanzwe ni ishingiro ryo kubaga byoroheje. Iyo kubaga byibuze byibasiwe ningorane, bigomba guhinduka kugirango bibagirwe igihe kugirango harebwe neza umutekano wabarwayi ningaruka zo kubaga. Hanyuma, twakagombye kwibutsa abarwayi babaga ko kubungabunga no gukora imyitozo ya siyanse nyuma yo kubagwa neza nabyo ari ingenzi cyane, bidashobora gusa kunoza ireme ry’ubuzima busanzwe, ariko kandi birinda ko byongera kubaho cyangwa indwara zifata vertebral.
E. Ikibyimba cy'umugongo no gutwika
Ibibyimba, igituntu hamwe no gutwikwa kwa nyababyeyi, nyababyeyi, thoracic na lumbar vertebrae.
F. Umwanzuro
1. Nta gace gahumye mubaga umugongo
Umutekano no kwiringirwa nibyo byambere byo kubaga umugongo. Isuzuma cyane kandi ikavura indwara zangirika zumugongo, nka cervical spondylotic myelopathie, ossification ya thoracic ligamentum flavum, lumbar spinal stenosis, disiki herni kuri buri gice kuva kumugongo winkondo y'umura kugeza ku ruti rw'umugongo. Byongeye kandi, ivuga kandi ku buryo bwose bwo gukomeretsa n'indwara ziboneka mu ruti rw'umugongo, nko kuvunika umugongo no gutandukana, ubumuga bw'umugongo, ikibyimba cy'umugongo (primaire na metastatike), igituntu cy'umugongo cyangwa kwandura indwara.
2. Kubaga inkondo y'umura itagira imipaka
Kubikorwa bya cervical spondylotic myelopathie na ossifisation yinyuma ya longitudinal ligament yumugongo wigitereko, ibitaro cyangwa abaganga bamwe bakora gusa ibikorwa byimbere cyangwa inyuma. Mubyukuri, hari ubwoko butandukanye bwibikorwa byo guhitamo - imbere yimbere yinkondo y'umura no guteranya amagufwa no gukosora imbere, imbere ya cervical laminoplasti (umuryango umwe, umuryango umwe), hamwe na etape imwe imbere ninyuma ya decompression no gukosora imbere. Dufite uburambe bwinshi bwatsinze muri ubu bwoko bwibikorwa, bushobora gukoreshwa muburyo bukurikije ibihe bitandukanye, Ntabwo bugarukira ku ikoranabuhanga iryo ari ryo ryose, imiterere n'ibitekerezo bigufi, kandi bitanga umukino wuzuye kubyiza byuburyo butandukanye.
3. Kubaga vertebra ya Thoracic biroroshye kandi byizewe
Kugirango osifike ya thoracic posterior longitudinal ligament, igoye kandi itinywa nibitaro byinshi binini, twakoze decompression segmental segmentor. Ku barwayi bafite kwikanyiza imbere (ossifisation ya ligaments cyangwa protrusion ya disiki ya intervertebral), decompression y'imbere y'uruti rw'umugongo yakozwe nuburyo bwa tunnel kugirango igere kuri 360 ° decompression yuzuye ikikije uruti rw'umugongo, birinda kwangirika imbere binyuze muri thoracotomy kandi bigabanya cyane ihahamuka. Ubu buryo bwa 360 ° decompression tekinike bukoreshwa no mubikorwa byo kumugara wo hepfo yatewe na thoracic intervertebral disc prolapse hamwe no kuvunika osteoporotic.
4. Guhuza intervertebral ntibisaba gukuramo amagufwa
Kuri lumbar spinal stenosis cyangwa lumbar spondylolisthesis iterwa nimpamvu zitandukanye, intego yambere yo kubaga ni decompression nervice. Iyo urutirigongo rudahungabana, guhuza umugongo bigenwa hakurikijwe urwego rudahungabana na spondylolisthesis. Amagufwa yinyuma yumugongo (PLF) cyangwa igufwa ryamagufwa (PLIF) ryatoranijwe ukurikije niba rikwiriye pedicle screw imbere. Muri PLIF, ibikururwa byose byavomwe muri vertebral arch na arctular process complex (median incision) bikoreshwa nkigikorwa cyo guhuza amagufwa yihuta, kikaba kitabona gusa ibikoresho byiza byamagufwa, ariko nanone birinda gufata amagufwa mumitsi cyangwa bigomba kugura akazu kavanze, bikuraho ibibazo byo gukuraho amagufwa kandi bikagabanya cyane ikiguzi cyibikorwa.
Kuri CZMEDITECH , dufite umurongo wuzuye wibicuruzwa bya kubaga umugongo no ibikoresho bihuye , ibicuruzwa birimo 5.5mm na 6.0mm sisitemu ya spine pedicle screw sisitemu, sisitemu yimbere yimbere, sisitemu yinyuma ya cervical screw, sisitemu ya plaque ya thoracic, sisitemu ya plaque thoracolumbar, sisitemu ya titanium mesh, cage cage, sisitemu ya titanium, sisitemu yinyuma yinyuma ya sisitemu ya sisitemu ya pedicle. Twongeyeho, twiyemeje gukomeza guteza imbere ibicuruzwa bishya no kwagura imirongo y’ibicuruzwa, kugira ngo duhuze ibyifuzo byo kubaga abaganga n’abarwayi benshi, kandi tunatuma uruganda rwacu rirushanwa cyane mu nganda zose z’imyororokere n’ibikoresho by’inganda.
