Iindaba - I-Pude-Douder-Dounter Portality ye-Laminical Laminists

Isitshixo

I-1. I-ENupolar ElecI-ricmesi inciphisa i-fascia kwaye emva koko ingenzi umsipha phantsi kwe-pioistem, inikele ingqalelo ekukhuseleni i-artical sydrial gener, i-ligament ye-ligament kwingcambu yecandelo le-tervical;

2. Hlawula to Ukunyuka ngokuthe ngcembe ukuvulwa komnyango nawo, i-spatulas ezimbini ezincinci zingasetyenziselwa ukuvula iplate encinci yeplate ye-vertebral enye, kwaye ke ivulele i-4mm, kwaye inokuthi ivule i-4mm), nto leyo enokuphepha ukugcwala ngokupheleleyo kwelona cala liphezulu.

I-3. Xa i-wikinG umnyango ungazichazanga, ukuluma i-Ligantom DlavUm kwindawo yokuvula kunokukhokelela kwi-velous plexus, ngeli xesha, ungayisebenzisi i-elektrocoading ukumisa ukopha, okanye i-gelatin sponges ukunqanda ukopha.

I-Proude-Coude-Count PutterInger Spine utyando yaqala ukufundwa ngabafundi baseJapan ngeminyaka yee-1970. Nangona kuye kwaphuculwa kaninzi, umsebenzi osisiseko wokuziphatha usese ngaphezulu okanye ungaphantsi, nto leyo elula kwaye ifana nomsebenzi wendlu ka-Perstical ofanayo we-spine utyando lwe-spine phedgeres.

I-1.open-mpu mnyango ye-Erpansic Cervial Laminist

Eli nqaku livela kwiSebe leMfundo kwiDyunivesithi yesibhedlele saseMiami eMiami, eFlorida, kunye nokhetho olukhethekileyo lwenkqubo, besenza i-C7 kwizigulana ezivulekileyo kwaye zifaka iindidi ezivulekileyo, njengoko kuchaziwe ngezantsi: njengoko kuchaziwe ngezantsi: njengoko kuchaziwe ngezantsi:

Isigulana sabekwa kwindawo eqhubekayo, intloko yayimiselwa ngesakhelo sentloko ye-cayfield, itheyipu yayisetyenziselwa ukufihla i-farcia, kwaye isikhumba sisetyenziselwa i-farioteum emva kwe-faccia kunye ne-fascia enenqanaba elinye I-numputer, kunye nokukhuselwa kokudityaniswa kwe-artical ijongile, kwaye i-ligani yengcambu yeengcambu kufuneka ingakhiwanga ukuze igcinwe ingqibelelo yebhendi ye-vertebrae ye-vertebrae ye-vertebrae ye-vertebrae ye-vertebrae ye-vertem. yenziwe kwangaphambili kwaye iphantsi. I-ranges ephezulu nangaphantsi iphantsi ifikelele kwicandelo elingaphantsi le-C2 Vertebral Plates kunye nePlate ye-T1 Vertebral Plates, kunye nesinye kwisithathu se-vertebral sasuswa nge-2-vertebral plating cerceps ukuveza i-Dura Mater, kwaye Inxalenye yenkqubo ye-spineus yalunywa ngamandla okulungisa ukulungiselela ukwenziwa kwethambo.

Okulandelayo kuvulwa ucango lwe-C3 C7, njengoko kubonisiwe kumzobo apha ngasentla, i-hinge idlule kwindawo yokuvula i-vertex kunye nendawo yokuvulela i-hinges i-cortex kwaye i-hinge i-hinge yayiyi-cortex kwi-cortex kwi-cortex kwingoma enye, Kwaye intloko yomdlalo intloko isetyenziselwa ukuvula umnyango.

Emva kokugaya i-cortex ngobom, icala elivulekileyo lomnyango kufuneka licocwe nge-vertebral platsing certing de ibekwe kwi-PRETABE RODS ROSTER, kwaye emva koko unikezele ngokunyuka ngokuthe kratya kubukhulu becala isetyenziselwe ukuvula iplate enye ye-vertebral yesixa esincinci ngaphambi kokuvula enye, emva koko iphindaphinde inkqubo, kwaye emva koko ivuleke kancinci, kwaye ngaloo ndlela, inokuthintelwa ukuphepha ukwaphuka kwe-slots ukuya kwinqanaba eliphezulu.

Kufanele ukuba kubekho ubukho obuncinci boxinzelelo olucekeceke kwindawo apho ibhloko yethambo ibekwe ngaphandle kwesidingo sokulungiswa kwethambo kwindawo ekliniki esuswe kwithambo le-hinge.

2.open-ndlu ye-OpenVical Expansile ye-Laminsplaile

Eli nqaku livela kwiSebe le-Neurosurgery kwiZiko lezoNyango laseMazantsi eCalifornia, iphantse yangqengqeleka kwi-odolo yendlela ye-English, kwaye ibonisa ukufana koxinzelelo lwe-United States.

I-subning gapgical progin yayiphantse yaqokelelwa kuphela c3-7 ukulungiselela ukufuduka kwezinto zasemva kwe-portering yentambo ye-spinal; Ingcambu ye-SPHONIDY Ingca igcinwe ilungiselelwe ukuzinza komsinga; I-ring yomdlalo oyintloko yayisetyenziselwa ukuvula umnyango ukuze unciphise umonakalo kwintambo yomgogodla; Kwaye iibhloko zethambo zabekwa kwi-C3, 5, kunye ne-7 ukuxhasa ukuvulwa komnyango.

Inqaku lenqaku: a, ukuvezwa kweLamina ukusuka ezantsi kwe-C2 ukuya phezulu kwe-T1. B, ukuntywila kwe-roove ye-roove ye-osteotomy epheleleyo kwelinye icala kunye ne-osteotomy yenxalenye kwelinye icala. C, ukuphakama kwe-lamina ukusuka kwi-C3 ukuya kwi-C7 njengeyunithi enye. D, ukubekwa kwe-Alobift Bone Spacer.

Inqaku lomzobo

Nangona kunjalo, izinto zayo zethambo, ukongeza kwithambo le-Allognec (Fig. A), yi-vertebraus autebral bone graft ye-polylactic acid mesh, njengoko iboniswe ngezantsi (i-BC.), Engaqhelekanga eTshayina. Ngobubanzi bomnyango ovulekileyo, ububanzi obufanelekileyo bujongwa njenge-10-16 mm, eyahluke kancinci ukusuka kwi-8-16 mm ngaphezulu.

Xa usenza iplate enye yendawo ye-vertebral, iluma i-Ligantom FlavUm kwindawo yokuvulwa komnyango kunokubangela ukopha kwithambo, ungasebenzisa i-elektrocaoagrocoading ukumisa ukopha.

3. I-laminical laminical laminical

Ukongeza ekuxhaseni ibhloko yethambo emnyango, ezinye iindlela zokulungisa umnyango zichazwe kweli nqaku, njengendlela ye-tire ye-tire kunye nendlela yokucoca i-cire kunye nendlela yokulungisa i-microplate, ibonelela ngokulungiswa okukhuselekileyo.