Enkola ya titanium posterior spinal fixation system okukozesebwa occipitocervical, omumwa gwa nnabaana ogwa waggulu n’omumwa gwa nnabaana ogwa wansi okutebenkeza.
Titanium ow’ekika kya Titanium
Omuggo ogutakyukakyuka ogwa mm 3.5
Okunyweza emabega mu ngeri ya sikulaapu
Enkola eno eyanjuliddwa n’enkola eziwera ez’okunyweza occipital, dizayini y’omuggo eya mm 3.5 eya wansi, ebikozesebwa eby’okwesalirawo ku mize egy’enjawulo egy’obujjanjabi, n’ensengeka ya sikulaapu eya polyaxial okusobola okutereeza enzimba ekyukakyuka.
Enkola ez’enjawulo ez’okunyweza occipital fixation zisobola okulondebwa okusinziira ku musawo alongoosa by’ayagala n’ebyetaago by’omusango.
Enkola eno ekozesa omuggo ogunywevu ogwa mm 3.5 mu buwanvu nga guliko ekizimbe ekinyweza emabega ekya wansi.
Ebikozesebwa eby‟okwesalirawo biriwo okuwagira emize egy‟enjawulo egy‟obujjanjabi n‟enkola y‟emirimu gy‟okulongoosa gye baagala.
Dizayini ya low-profile eyamba okukendeeza ku kusikirizibwa kw’ebitundu ebigonvu ebyetoolodde ekizimbibwa.
Enkola y’obuwuzi bwa ‘negative-angle’ eyamba okuziyiza omukono gwa sikulaapu okugaziwa.
Dizayini ya sikulaapu ya polyaxial ey’ensengeka ey’enjawulo ewagira entambula esinga obunene ey’oludda olumu okutuuka ku 55°.
Ebirimu mu nkola bitegekeddwa nga kaadi ezirabika kale bisoma bulungi ku mutimbagano okusinga PDF eyasooka okusaasaanyizibwa. Kuuma ekiwandiiko ky’okukozesa abakugu waggulu w’ekitundu kino ng’ofulumya.
Omulwadde ateekebwa mu mbeera ey’okusitama nga bwe kiri ku mutindo gw’okusala omumwa gwa nnabaana ogw’emabega ogwa midline. Laga eggumba ly’omumwa gwa nnabaana, ekisenge eky’emabega ekya atlas, n’ekitundu ky’omumwa gwa nnabaana (articular mass) n’ekisenge ky’omumwa gwa nnabaana ebyetaaga okuyungibwa.
Oluvannyuma lw’okuzuula ekifo we bayingira n’enkoona y’okuyingira, eggumba ly’omubiri (cortical bone) lisimibwa n’ekyuma ekisima ekiggule era ekituli ne kigaziwa.
Ekifo ekiyingira mu sikulaapu kinnyonnyolwa nga munda okutuuka mu kifo ekiri wakati mu kizito ky’ebbali ne mm 2 waggulu. Enkoona y’okuyingira eserengese ebweru 20°-25° ate ng’eyolekera enkomerero y’omutwe 30°-40°, ng’ekwatagana n’oludda lw’ennyindo oluliraanyewo.
Okuteeka obulungi sikulaapu za C3-C7 eza wansi mu nnabaana kiyamba okukendeeza ku bulabe bw’emisuwa gy’omugongo n’obusimu ate nga kiwa obuwanvu bwa sikulaapu obusingako n’okunyweza obulungi.
Omumwa gwa nnabaana ogwa wansi C3-C7: ekifo ekiyingira mu sikulaapu kiri mm 2-5 munda mu bbali w’ebweru wa bulooka y’ebbali ne mm 2-3 wansi w’omusingi gw’engulu y’ennyindo (articular surface) ey’oludda olwa waggulu. Enkoona y’okuyingira eri 30°-45° munda mu nnyonyi ya coronal, nga ennyonyi ya sagittal ekwatagana n’enkomerero eya waggulu.
Upper cervical C1-C2: C1 lateral mass screw entry kunnyonnyolwa nga 18-20mm ku mabbali g’ensonga wakati w’ekikuta eky’emabega ekya atlas, nga obuziba bufugibwa ku mm nga 28. Okuyingira kwa sikulaapu ya C2 pedicle kunnyonnyolwa mu makkati ga layini eyeesimbye wakati mu kizito eky’ebbali, ng’obuziba okutwalira awamu buli mm 24-26.
Ennyonnyola zino ez’okuyingira mu sikulaapu biba bya kikugu ebijuliziddwa okuva mu IFU era bisinziira ku mbeera y’okulongoosa entongole.
Kozesa ekintu ekisima n’ekiragiro okusima n’okuzuula obuziba bw’olina okusima. Teekateeka ekiragiro ku minzaani ekwatagana okusobola okukomya obuziba.
Fuga sipiidi y’okusima n’obuziba mu ngeri enkakali okusinziira ku biwandiiko ebipimiddwa. Lekera awo okusima amangu ddala ng’omaze okutuuka mu buziba obwateekebwawo okwewala okuyingira ennyo mu kitundu ky’omugongo n’okwonoona obusimu obw’okumpi oba ebitundu by’emisuwa.
Ggyawo ekintu ekisima nga ekituli kiwedde era oyoze ebisasiro by’amagumba munda mu kinnya kya pilot.
Obuziba bw’ekkubo lya sikulaapu bupimibwa n’ekipima obuziba era sikulaapu ez’obuwanvu obutuufu zirondebwa.
Singa eggumba likaluba, osobola okukozesa okukuba.
Ekitundu kino kikyusa empapula z’okuyingiza omubiri mu nsengeka y’omukutu entegeerekeka nga zirina kaadi z’enkola ezaawuddwamu n’ebifaananyi ebikwatagana nabyo.
Kozesa sikulaapu okuteeka sikulaapu. Teeka hexagon ya sikulaapu mu sikulaapu yonna, olwo osike mu mukono ogusiba okuteeka sikulaapu.
Kozesa ebyuma ebikwata sikulaapu okuyamba mu kuyingiza sikulaapu n’okugiteeka mu kifo. Mu mutendera ssaamu sikulaapu ezisigadde ng’ogoberera ekifaananyi ky’enkola ekifaanagana.
Londa obuwanvu bw’omuggo obutuufu okusinziira ku kukoona kw’omubiri gw’omulwadde. Omuggo gusalibwa era ne gunyiga okusinziira ku ntambula y’omuggo okusobola okusikiriza sagittal curve y’omugongo.
Okufukamira okuyitiridde n’okuddiŋŋana kulina okwewalibwa okukuuma obulungi bw’ebintu. Omuggo gulina okukeberebwa n’obwegendereza oba tegunnabaawo nga tegunnateekebwa mu mubiri.
Kwata omuggo n’ebyuma ebikwata omuggo oguteeke mu bifo ebiringa U ebya sikulaapu eziteekeddwamu.
Ng’okozesa ekisumuluzo ekisooka okutikka, ssaamu pulagi ya sikulaapu mu kifo ekiriko obuwuzi obulinga U. Mu kusooka nyweza sikulaapu emu eya set n’ekisumuluzo eky’enjuyi mukaaga okunyweza omuggo okumala akaseera.
Oluvannyuma lw’omuggo gw’omugongo okutuula mu bifo ebiringa U ebya sikulaapu za pedicle, okukendeeza n’okukyusakyusa (contouring maneuvers) bisobola okukolebwa.
Okunyigiriza: ssaako ebyuma ebinyigiriza ku sikulaapu za pedicle eziriraanye era osse amaanyi ag’okuggalawo munda okusembereza omugongo abiri ng’oyita mu kuyungibwa kw’omuggo.
Okuwugulaza: teeka ekiwugulaza wakati wa sikulaapu bbiri eziriraanye n’okuwugula okuyita ku muggo okusobola okuddamu obuwanvu bw’omugongo obubuze n’okufulumya emirandira gy’obusimu egyanyigirizibwa.
Okuzimbulukuka: kwata omuggo n’ebikyusa emiggo era okyuse omuggo gw’omugongo munda mu kifo kya sikulaapu U-slot okutereeza okukoona kwa sagittal n’okulaganya ebiggule bya sikulaapu.
Ng’okozesa omukono oguziyiza okuzimbulukuka, ssaamu pulagi ya sikulaapu mu kifo ekiringa U ekya sikulaapu era oginyweze okumala akaseera n’ekisumuluzo eky’enjuyi mukaaga.
Siba sikulaapu zonna ez’omumwa gwa nnabaana n’ez’omumwa gwa nnabaana okuva waggulu okutuuka wansi, era oteekemu ebiyungo ebiwanvu (transverse connectors) nga bwe kyetaagisa.
Oluvannyuma lw’okukakasa okukwatagana kw’oyagala n’ekifo ky’okuteekebwamu, kola okunyweza okusembayo kwa sikulaapu zonna eziteekeddwawo ng’okozesa ekisumuluzo ekiragiddwa ekikoma ku ttooki.
Kakasa nti ebitundu byonna bikubiddwa bulungi era nga ekizimbisibwa kinywevu nga ekiwundu tekinnaggalwa.
Weetegereze: ekisumuluzo ekikoma ku torque kikozesebwa mu ngeri ey’okwesalirawo era etundibwa mu ngeri ey’enjawulo.
Kakasa alignment, implant position, component locking era construct stability nga tonnaggalawo.
Emmeeza wansi zikyusa amawulire g’ebintu bya PDF mu mmeeza z’omukutu eziddamu okusobola okwanguyirwa okulambula n’okuwandiika.
| REF | bwa Diameter | Obuwanvu |
|---|---|---|
| CPPS3512 | Φ3.5 | 12mm |
| CPPS3514 | Φ3.5 | 14mm |
| CPPS3516 | Φ3.5 | 16mm |
| CPPS3518 | Φ3.5 | 18mm |
| CPPS3520 | Φ3.5 | 20mm |
| CPPS3522 | Φ3.5 | 22mm |
| CPPS3524 | Φ3.5 | 24mm |
| CPPS3526 | Φ3.5 | 26mm |
| CPPS3528 | Φ3.5 | 28mm |
| CPPS3530 | Φ3.5 | 30mm |
| CPPS4010 | Φ4.0 | 10mm |
| CPPS4012 | Φ4.0 | 12mm |
| CPPS4014 | Φ4.0 | 14mm |
| CPPS4016 | Φ4.0 | 16mm |
| CPPS4018 | Φ4.0 | 18mm |
| CPPS4020 | Φ4.0 | 20mm |
| CPPS4022 | Φ4.0 | 22mm |
| CPPS4024 | Φ4.0 | 24mm |
| CPPS4026 | Φ4.0 | 26mm |
| CPPS4028 | Φ4.0 | 28mm |
| CPPS4030 | Φ4.0 | 30mm |
| REF | Okunnyonnyola |
|---|---|
| RJHHL35 | 35mm |
| RJHHL40 | 40mm |
| RJHHL45 | 45mm |
| REF | Obuwanvu |
|---|---|
| TB35100 | 100mm |
| TB35200 | 200mm |
| REF | Okunnyonnyola |
|---|---|
| RJHZG | / |
Amawulire agakwata ku bikozesebwa gasengekeddwa okuva ku mmeeza ya PDF eyasooka mu nsengeka y’okusengeka enzikiriziganya, ekwatagana n’omukutu.
Buli kivuga ekiwandiikiddwa kiweebwa n’omuwendo 1 okusinziira ku mmeeza y’ebivuga eyasooka.
