Inyigisho yo guhuza umugongo | Ubwoko bwa cage ubwoko nibikoresho
Akazu ka interineti ni ibikoresho byatewe byashyizwe hagati yumubiri wurugingo rwegeranye mugihe cyatoranijwe cyo guhuza umugongo. Byaremewe kubungabunga umwanya wa disiki yateguwe, gutanga inkunga yuburyo no kwakira ibikoresho-amagufwa mugihe fusion ikura. Ubwoko bw'akazu, ingano, ibikoresho hamwe no gukosora byatoranijwe kubarwayi runaka, uburyo bwo kubaga hamwe na sisitemu y'ibikoresho byemewe.
Ikiraro cyo guhuza abantu ni iki?
Akazu ka interbody fusion nigikoresho cyatewe uruti rwumugongo rushyizwe mumwanya uhuza ibinyabuzima nyuma yo kubaga akuyeho disiki yose cyangwa igice cyangiritse mugihe cyateganijwe cyo guhuza. Ibisobanuro bya FDA birimo ibikoresho bikozwe mubikoresho nka titanium na polymers hanyuma byinjizwa mumyanya myibarukiro cyangwa lumbosacral.
Akazu ntabwo ari disiki isimburwa igamije kubungabunga ibintu bisanzwe. Uruhare rwarwo rujyanye no guhuza: rushyigikira igice cyavuwe mugihe amagufwa mashya akura hagati yintegamubiri yegeranye. Ibishushanyo byinshi birimo gufungura imbere cyangwa guteranya icyumba cyibikoresho byamagufwa hamwe nibintu byo hanze bigamije gukorana na vertebral endplates.
XC Medico itegura ibishushanyo biboneka muri yo interage cage ibicuruzwa ibyiciro . Amapaji y'ibicuruzwa ni ingirakamaro mu gusobanukirwa intera, ariko ibimenyetso bifatika, kubirwanya, ibisabwa byo gukosora hamwe nubuhanga bwo kubaga bigomba kwemezwa uhereye kubikoresho byanditseho.
Ukuntu Urutirigongo rwumugongo rushyigikira uburebure bwa disiki, Guhuza no guhuza
Itandukaniro ryingenzi: decompression ya nervice ikorwa muburyo bwo kubaga. Akazu gashobora gufasha kugumana disiki cyangwa uburebure bwa foraminal mubyubatswe byatoranijwe, ariko ntibigomba gusobanurwa nkigenga byigenga bikiza imitsi cyangwa byemeza ububabare.
Ubwoko bwa Cage Yumuntu Ukoresheje Kubaga
Ikariso ya interbody isanzwe ishyirwa mubice byumugongo nuburyo bwakoreshejwe kugirango bugere kumwanya wa disiki. Amagambo ahinnye asobanura inzira, ntabwo ari imiterere yatewe. Igicuruzwa cyemewe kuburyo bumwe ntigikwiye gufatwa nkibindi.
Kugirango ubone uburyo bwagutse bwerekana uburyo amakarito ahuza imigozi ya pedicle, amasahani yinkondo y'umura hamwe nibikoresho byihariye, suzuma ibya XC Medico uruti rw'umugongo hamwe na sisitemu y'ibikoresho.
| Akazu cyangwa kwiyegereza | Inzira rusange yo kwinjira Ibitekerezo | bisanzwe Ibishushanyo | bya sisitemu yo kwemeza |
|---|---|---|---|
| Inkondo y'umura / ACDF | Inzira y'inkondo y'umura | Ikirenge cyegeranye, uburebure bwa nyababyeyi hamwe nu mfuruka, icyumba cya graft hamwe n'ibimenyetso byerekana amashusho. | Niba isahani yimbere itandukanye cyangwa ikosowe ikenewe cyangwa byemewe. |
| Akazu ka TLIF | Transforaminal lumbar approach | Kwinjiza umwirondoro, ikirenge, icyerekezo cyanyuma, guhuza inseri hamwe na lordotic amahitamo. | Fungura cyangwa ntoya yibikoresho byibikoresho hamwe ninyongera yinyuma. |
| Akazu ka PLIF | Inzira yinyuma | Kwinjira inyuma, cage numero numwanya nkuko byagenwe na sisitemu runaka. | Ikigeragezo, gushiramo, ibikoresho byo gushushanya hamwe no gukosora inyuma. |
| Akazu ka ALIF | Inzira yimbere | Ibirenge binini, uburebure na Lordose urwego, standalone cyangwa igishushanyo mbonera cyo gukosora. | Kwegera ibikoresho, imigozi yo gukosora cyangwa amasahani hamwe nibicuruzwa byihariye. |
| LLIF / OLIF akazu | Inzira yegeranye cyangwa ihanamye | Ikirenge kinini, umwirondoro winjiza hamwe nibikoresho byihariye. | Neuromonitoring, sisitemu yo kwinjira hamwe nibindi bisabwa byo gukosora nkuko bikenewe. |
Inkondo y'umura ya Cage ya ACDF
Cervical interbody cage ikoreshwa muburyo bwatoranijwe bwimbere yinkondo y'umura hamwe nuburyo bwo guhuza. Ibishushanyo birashobora gukoreshwa hamwe nisahani yinyuma yimbere cyangwa irashobora gushiramo ibintu byo gukosora, bitewe na sisitemu yemewe. Subiramo XC Medico ACDF cervical fusion ibisubizo kubicuruzwa-sisitemu rusange.
TLIF na PLIF Cage ya Posterior Lumbar Fusion
TLIF na PLIF byombi bigera kumwanya wa disikuru kuva mumihanda ishingiye inyuma, ariko koridor ikora, cage geometrie, uburyo bwo gushiramo nuburyo bwa cage birashobora gutandukana. Ntabwo ari byiza kuvuga ko inzira ya buri muntu ikoresha ingo ebyiri. Kurugero rwimikorere yihariye ya sisitemu, reba i Sisitemu ya cage ya TLIF na MIS-TLIF.
ALIF na Lumbar Lage
Akazu ka ALIF kinjizwa binyuze muburyo bwimbere. Inzira zinyuranye kandi zihamye zikoresha koridoro zitandukanye nibikoresho byihariye. Iyi miryango ya cage ikunze gutanga ibirenge hamwe na lordotic amahitamo yagenewe inzira yabo. Uwiteka kwihagararaho wenyine ALIF PEEK cage sisitemu yerekana ibiziritse hamwe na screw; ibisobanuro byayo ntibigomba kuba rusange kuri buri gikoresho cya ALIF.
Igihagararo cyagutse cyagutse
Ikariso ihagaze yagennye ibipimo. Ikariso yagutse yinjizwa muburyo bworoshye kandi ihindurwa murwego rwemewe nyuma yo gushyirwa. Kwaguka ntabwo bihita bisobanura ibisubizo byiza byubuvuzi. Ubukanishi bwibikoresho, imipaka yo kwagura, guhuza amakuru, guhuza intego, gukosora nibimenyetso bihari bigomba gusuzumwa.
PEEK vs Titanium Interbody Cage
PEEK na titanium bikoreshwa cyane mubikoresho byo guhuza abantu, ariko ntanubwo bisumba isi yose. Ibikoresho bifatika bikorana na cage geometrie, imiterere yubuso, gutegura amaherezo, ibintu byabarwayi hamwe nuburyo bwuzuye bwo gukosora. Ibisabwa byo kwamamaza ntibigomba gusimburwa nibimenyetso byihariye.
| Ibikoresho cyangwa igishushanyo | Ibiranga amashusho Ibitekerezo | bya tekinike hamwe nubuso | Ibibazo byo kugenzura |
|---|---|---|---|
| PEEK | Umubiri w'akazu ka radiyo; ibimenyetso bya radiopaque bikoreshwa muburyo bwo kwerekana umwanya. | Imiterere ya polymer itandukanye nibyuma; geometrie nibikorwa byo gukora bikomeza kuba ingenzi. | Ibyiciro byubuvuzi, ibishushanyo mbonera, ibipimo, ubuso, kwipimisha no kuranga. |
| Umuti ukomeye wa titanium | Radiopaque kandi irashobora gukora ibihangano byerekana amashusho bitewe nibikoresho nuburyo. | Imbaraga nyinshi; modulus nimyitwarire yubuso itandukanye na PEEK. | Gukoresha ibisobanuro, inzira yo gukora, imiterere yubuso nibimenyetso bya mashini. |
| Titanium yuzuye cyangwa yongeweho | Radiopaque; visualisation biterwa na geometrie nuburyo bwo gufata amashusho. | Ubwubatsi bubi butangiza gukora, gukora isuku no kugenzura. | Ibisobanuro bya porosity, kwemeza inzira, isuku no gushyigikira ibimenyetso byerekana. |
| Titanium yubatswe PEEK | Igumana umubiri wa radiolucent polymer hamwe nibice bya radiopaque. | Gupfundikanya, gutwikira, ibice hamwe nimyitwarire yimbere bisaba kugenzura. | Igikorwa cyo gutwikira, kwemeza, kugenzura, gusukura nibimenyetso byihariye. |
Impamvu ibikoresho by'akazu bitagaragaza ibisubizo byonyine
Amatsinda ya XC Medico aboneka cervical na lumbar polymer igishushanyo cyayo PEEK cervical cervical and lumbar cage range . Emeza icyiciro nyacyo cyibikoresho, ikimenyetso cya radiopaque, sterile cyangwa non-sterile imiterere nuburenganzira bwisoko kuri buri cyitegererezo.
Ntukandike 'MRI umutekano ' uhereye kubikoresho byonyine: Umutekano wa MR cyangwa ubwuzuzanye bigomba kugenwa uhereye kuri sisitemu yuzuye y'ibikoresho hamwe na label yayo iriho ubu, ntabwo bivuye ku magambo rusange yerekeye PEEK cyangwa titanium.
Nigute Utuzu twa Interbody dukoreshwa mugubaga umugongo?
Ibisobanuro biratandukanye cyane hagati yinkondo y'umura, inyuma yinyuma, transforaminal, imbere ninyuma. Ibikurikira nurwego rwohejuru rwuburezi aho kuba inyigisho zo kubaga.
Gukuraho Disiki, Gutegura Kurangiza no Kwinjiza Akazu
Umwuga-ukoresha usabwa: guhuza abantu bisaba tekiniki yo kubaga. FDA irasaba ko ibyo bikoresho byaterwa gusa nabaganga babaga bafite ubunararibonye bafite amahugurwa yihariye muri icyo gikoresho. Abarwayi bagomba kuganira ku nyungu zihariye, ubundi buryo hamwe n’ingaruka hamwe n’ubuvuzi bwabo.
Ni ibihe bintu bishobora kuvurwa hamwe no guhuza abantu?
Guhuza abantu birashobora gufatwa nkigice cyo kuvura indwara zumugongo zatoranijwe mugihe inzobere yatojwe yemeje ko guhuza bikwiye. Ibyerekana biterwa nakarere ka rugongo, ibimenyetso, amashusho, guhungabana, ubuvuzi bwambere, ibintu byabarwayi hamwe nuburenganzira bwemewe bwibikoresho byatoranijwe.
- Indwara ya disiki igenda isobanurwa nibisobanuro byavuzwe mubikoresho byanditse;
- byatoranijwe kubibazo bya spondylolisthesis cyangwa umugongo udahungabana;
- ubugororangingo bumwe busaba kwiyubaka no guhuza;
- pseudoarthrosis cyangwa kubaga ubugororangingo mubihe byatoranijwe;
- ibindi bintu bisabwa byumwihariko na gahunda yo kubaga no kwerekana ibikoresho.
Akazu ka interbody ntikwiriye kuri buri muntu ufite ububabare bwumugongo cyangwa ijosi. Kuvura kutabaga, decompression nta fusion cyangwa ubundi buryo bushobora gutekerezwa bitewe nisuzuma. Uru rupapuro ntirushobora kumenya niba umurwayi akeneye kubagwa.
Inyungu zishobora kubaho hamwe ningaruka zo gufunga abantu
Intego zigenewe kubaka umuntu arashobora kubamo kubungabunga umwanya wa disiki yateguwe, gushyigikira guhuza ibice, gutwara umutwaro no gutanga ibidukikije byo guhuza amagufwa. Izi nintego nintego zikurikirana, ntabwo byemejwe nibisubizo byabarwayi.
Inshuro zingaruka ntizishobora gukusanyirizwa hamwe hamwe nijanisha ryisi yose kurugero rwinzira zose. Ibisubizo biratandukanye nibikoresho, uburyo, umubare winzego, gukosora, ibihingwa, ubuzima bwabarwayi, igishushanyo mbonera no gukurikirana. Kubera iyo mpamvu, kugereranya ALIF idashyigikiwe, TLIF na PLIF igereranya-igipimo cyo kugereranya kuva mu ngingo ibanza ntigomba gutangazwa.
Nigute abaganga bahitamo akazu k'umuntu?
Guhitamo ni igikoresho- kandi cyihariye-cyihangana. Ibintu bishobora kubamo urwego rwumugongo, kwiyegereza, ibipimo bya disiki-umwanya, kurangiza anatomy, guhuza ibyifuzo, guhuza amagufwa, ikirenge cyikirenge, uburebure, inguni ya lordotic, ibikoresho, ingano yububiko, ibimenyetso byerekana amashusho, uburyo bwo gushiramo no gukosora byiyongera.
Akazu kagomba kandi guhuzwa nigeragezwa ryacyo, gushiramo, ibikoresho byabugenewe hamwe nibisanzwe cyangwa byuzuzanya. Igikoresho gisa-kiva muyindi sisitemu ntigomba gufatwa nkigishobora. Ibitaro nababitanga bagomba gusuzuma ibyatewe hamwe nibikoresho bihujwe hamwe nubuyobozi bugezweho bwo gukoresha.
Amagambo ashinzwe: nta kantu kamwe 'keza ka interbody. ' Ihitamo rikwiye ryatoranijwe nu muganga ubaga avuye mu bikoresho byemewe ukurikije ibyo umurwayi akeneye, uburyo buteganijwe hamwe na label yihariye.
Sisitemu ya Cage Sisitemu kubitaro nababitanga
Abaguzi babigize umwuga bakeneye ibirenze urutonde rwibikoresho. Suzuma niba uburebure, ikirenge hamwe na materix ya lordose bihuye nibisabwa byaho; niba ibigeragezo n'abashiramo byuzuye; kandi niba uruhushya rwibicuruzwa, kuranga, gukurikiranwa, gupakira, kuboneza urubyaro hamwe ninkunga nyuma yisoko birahari mugihugu cyerekezo.
Uwiteka Urutirigongo rwuzuye rwimikorere ya portfolio isobanura uburyo akazu gahuye na sisitemu yo gukosora inkondo y'umura na thoracolumbar. Abaguzi bashaka inganda zimbitse no kugereranya abatanga isoko barashobora gukomeza gutandukana interbody fusion cage uruganda rukora.
Uku gutandukana ni nkana: ingingo iriho irasubiza ikibazo cyamakuru 'akazu ka interbody niki? ' Mugihe ubuyobozi bwahujwe buvuga iterambere ryibicuruzwa, ibikoresho, inganda noguhitamo ibicuruzwa.
Ibibazo Bikunze Kubazwa Kubijyanye na Cage Yumuntu
Akazu ka interbody gakoreshwa iki?
Akazu ka interbody gakoreshwa muburyo bwatoranijwe bwo guhuza umugongo kugirango bunganire umwanya wateguwe hagati yimibiri yintegamubiri yegeranye kandi akenshi kugirango uhuze ibikoresho-byamagufwa mugihe fusion ikura.
Umuntu wese arafunga akazu ka disiki?
Oya. Disiki yubukorikori isanzwe igamije kubungabunga icyerekezo. Akazu kavanze gakoreshwa nkigice cyuburyo bugamije gukora uruvange hagati yintegamubiri zegeranye.
Niki gishyirwa imbere mu kato?
Igishushanyo kinini cage kirimo umwanya wibikoresho byamagufwa. Ubwoko bwa graft hamwe nibisabwa bigenwa nabaganga babaga bakurikije uburyo, umurwayi nibicuruzwa byanditse.
Ni irihe tandukaniro riri hagati ya TLIF, PLIF na ALIF?
Amagambo ahuye nuburyo butandukanye bwo kubaga ingingo. Buri buryo bushobora gusaba ikirenge gitandukanye, umwirondoro winjiza, icyerekezo hamwe na sisitemu y'ibikoresho. Amazina yibicuruzwa byonyine ntabwo ashyiraho guhinduranya.
PEEK iruta titanium kumugongo wumugongo?
Nta bikoresho ari byiza kuri bose. PEEK na titanium bifite amashusho atandukanye, ubukanishi, ubuso nibikorwa byo gukora. Guhitamo bigomba gusuzuma igikoresho cyuzuye, gukoresha uruhushya, ibimenyetso bifatika na gahunda yo kubaga.
Akazu ka interbody karashobora gukoreshwa nta mugozi cyangwa inkoni?
Sisitemu zimwe zirimo gukosora cyangwa zemerewe porogaramu yihariye yihagararaho, mugihe izindi zisaba amasahani yinyongera, imigozi cyangwa inkoni. Kurikiza ibimenyetso byubu hamwe nubuhanga bwo kubaga kubikoresho nyabyo.
Ni izihe ngaruka nyamukuru zijyanye no gufunga abantu?
Ingaruka zishobora kuba zirimo kugabanuka, kwimuka, gutakaza gukosorwa, kunanirwa kw'ibigize, pseudoarthrosis, kwandura no gukomeretsa imitsi, imitsi cyangwa ibikomere. Inzira- n’abarwayi byihariye bishobora kuganirwaho nabaganga babaga.
Ubuvuzi nubuyobozi
- Amerika FDA: Icyiciro cya II Igenzura ridasanzwe Ubuyobozi bwibikoresho byo guhuza umubiri
- Ibitaro bya Royal National Orthopedic: Ubuyobozi bw'abarwayi kubaga umugongo wo hasi
- Sosiyete y'Abanyamerika y'Amajyaruguru: Igishushanyo cya Fusion Cage, Ibikoresho na Coatings
