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I- CZMEDITECH izinhlelo zokufakelwa komgogodla zisetshenziswa ezinhlobonhlobo zezinqubo zomgogodla, kuhlanganise nokuhlanganiswa komlomo wesibeletho, ukuhlanganiswa kwe-lumbar, ukulungiswa kokukhubazeka, ukulungiswa kwe-fracture, nokwelashwa komgogodla owohlokayo. Amasistimu afana nezikulufu ze-pedicle, izinduku, amakheji e-interbody, namapuleti omlomo wesibeletho akhethwa ngokuya nge-pathology, izinga lomgogodla, ikhwalithi yamathambo, kanye nezindlela zokuhlinza ukusiza ukubuyisela ukuqondanisa, ukusimamisa umgogodla, nokuhlanganisa ukusekela.
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A Odokotela abahlinzayo ngokuvamile bacabangela ukuxilongwa, izinga lomgogodla elithintekile, ikhwalithi yamathambo, ubunzima bokungazinzi, kanye nendlela yokuhlinzwa. Baphinde bahlole ukuthi icala libandakanya ukuhlukumezeka, ukonakala, ukukhubazeka, noma ukuhlinzwa okubukeziwe. Izinto zokufakelwa, ukuhambisana kwesistimu, ukulula kokufakelwa, nokuzinza kwe-biomechanical isikhathi eside nakho kubalulekile lapho ukhetha isisombululo esifanele sokufakelwa komgogodla.
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Ucwaningo lwecala lomgogodla lusiza ukukhombisa impumelelo yokuhlanganisa ngokubonisa ukuthi amasistimu okufakelwa asebenza kanjani kuzilungiselelo zangempela zokuhlinzwa ngokuhamba kwesikhathi. Ngokuvamile bahlola ukuqondanisa kwangemva kokuhlinzwa, ukuqhubeka kwe-radiographic fusion, ukuzinza kwesigaba, nokululama kokusebenza. Ukulandelela isikhathi eside kungabonisa nokuthi izinhlelo ze-pedicle screw, amakheji, izinduku, namapuleti ayaqhubeka nokuhlinzeka ngokusekela okuphumelelayo nokugcina ukuzinza komgogodla ngemva kokuhlinzwa.
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A Izingozi ezingaba khona zifaka ukutheleleka, ukuxegiswa kwe-implant, ukungakhulumi, ukucasuka kwemizwa, ukungahambi kahle kwesikulufu, ukuwohloka kwengxenye eseduze, kanye nokubambezeleka ukuphola. Izinga langempela lezinkinga lincike esimweni sesiguli, inkimbinkimbi yokuhlinzwa, nokukhethwa kokufakelwa. Ukuhlela ngokucophelela ngaphambi kokuhlinzwa, inqubo yokuhlinzwa enembile, kanye nokusetshenziswa kwezinhlelo ezithembekile zokufakelwa komgogodla kungasiza ekunciphiseni lezi zingozi futhi kuthuthukise imiphumela.
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A Ezimweni ezikhethiwe, ukuhlinzwa komgogodla okungavamisile kancane kungafinyelela imiphumela efana nokuhlinzwa okuvulekile. Kungase kunciphise ukulimala kwezicubu ezithambile, ukulahlekelwa igazi, nobuhlungu bangemva kokuhlinzwa kuyilapho lisahlangabezana nemigomo yokuwohloka nokuqiniswa. Kodwa-ke, ukufaneleka kokuhlinzwa okuhlasela kancane kuncike ku-pathology, i-anatomy, uhlelo lokuhlinza, kanye nokwakheka kwesistimu yokufakelwa. Womabili amasu angavamisile kancane navulekile angasebenza uma efaniswa nenkomba efanele.
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Izinto ezivamile zokufakelwa komgogodla zihlanganisa i-titanium alloy, insimbi engagqwali, ne-PEEK. I-Titanium isetshenziswa kakhulu kwizikulufi ze-pedicle, izinduku, namapuleti ngenxa yamandla ayo, ukumelana nokugqwala, kanye nokuvumelana kwayo ne-biocompatibility. I-PEEK ivamise ukusetshenziswa kumakheji e-interbody ngoba ikhanya futhi ine-elastic modulus eseduze nethambo, engasiza ekuhloleni kwesithombe nokwabelana ngomthwalo. Ukukhetha kwezinto ezibonakalayo kuncike ekusebenzeni kokufakelwa, izidingo ze-imaging, kanye nentandokazi kadokotela ohlinzayo.
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Isikhathi sokululama siyahlukahluka kuye ngohlobo lokuhlinzwa, inani lamazinga okwelashwa, impilo yesiguli, kanye nokuxilongwa. Ukululama kokuqala kungase kuqale phakathi namasonto ambalwa, kuyilapho ukuhlanganisa okuphelele nokuzinza kwesikhathi eside ngokuvamile kudinga izinyanga ezimbalwa. Ukuvuselelwa kwangemva kokuhlinzwa, ukuthwebula izithombe ezilandelwayo, nokuqhubeka komsebenzi olawulwayo kuyizingxenye ezibalulekile zokululama. Ukuzinza kokutshala kanye nokuphulukiswa kwebhayoloji ndawonye kuthonya umugqa wesikhathi wokugcina wokuthola kabusha.
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Ukuhlanganiswa komgogodla wesibeletho kanye ne-lumbar spinal fusion kuyahluka ku-anatomy, biomechanics, ukukhethwa kokufakelwa, kanye nenjongo yokuhlinzwa. Ukuhlanganiswa komlomo wesibeletho kuvame ukusetshenziselwa ukwelapha ukuwohloka kwe-disc, ukungazinzi, noma ukucindezelwa kwezinzwa entanyeni, ngokuvamile kusetshenziswa amakheji omlomo wesibeletho noma amapuleti angaphambili omlomo wesibeletho. I-Lumbar fusion ijwayele ukusetshenziselwa ukungazinzi kweqolo eliphansi, i-stenosis, i-spondylolisthesis, noma ukukhubazeka, ngokuvamile ngezinhlelo ze-pedicle screw kanye namakheji e-lumbar interbody. Isu lokulungisa liyahluka ngoba umgogodla womlomo wesibeletho kanye ne-lumbar unezidingo ezihlukene zokunyakaza nomthwalo.
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Isistimu yesikulufu se-pedicle iqinisa umgogodla ngokufaka izikulufu ku-vertebral pedicles futhi iwaxhume ngezinduku ukuze kukhawulwe ukunyakaza engxenyeni eselashiwe. Lokhu kulungiswa kwangaphakathi kusiza ukugcina ukuqondana, ukusekela ukulungiswa kokukhubazeka, nokudala indawo ezinzile yokuhlanganisa amathambo. Izinhlelo ze-screw ze-Pedicle zisetshenziswa kakhulu ezinkambisweni ze-thoracic kanye ne-lumbar ngoba zinikeza ukulungiswa okuqinile futhi zingashintshwa ku-pathologies ehlukene njengokuhlukumezeka, ukuwohloka, kanye ne-scoliosis.
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Izikulufu ze-Pedicle, amakheji, izinduku, kanye nezinhlelo zokulungisa zivame ukusetshenziswa ezinkambisweni ezifana ne-PLIF, i-TLIF, ukuhlanganisa umgogodla wangemuva, ukulungiswa kokukhubazeka, ukuqiniswa kokuphuka kwe-vertebral, nokuhlinzwa okubukeziwe. Izinqubo zomlomo wesibeletho zingase ngaphezu kwalokho zisebenzise amapuleti angaphambili omlomo wesibeletho kanye namakheji omlomo wesibeletho, kuyilapho izinqubo ze-thoracic ne-lumbar zivame ukuthembela ezinhlelweni zokulungisa ezisekelwe ku-pedicle. Inhlanganisela eqondile yokufakelwa incike ekutheni inhloso yokuhlinzwa ukuwohloka, ukuqiniswa, ukulungiswa kokuqondanisa, noma ukwesekwa kwe-fusion.
