Li-screws tsa Pedicle, lithupa le likarolo tsa ho notlela li etsa mohaho o ka morao o ka tsitsitseng likarolo tse khethiloeng tsa mokokotlo ha motsoako o ntse o tsoela pele. Khetho ea sistimi e tlameha ho ipapisa le sebopeho se sebelitsoeng, ts'ebeliso e reriloeng, moralo oa kaho, boleng ba masapo, lisebelisoa tse tsamaellanang le litokomane tse ikhethileng tsa 'maraka.
Li-Screws tsa Pedicle ke Eng?
Li-screw tsa Pedicle ke likarolo tsa ho lokisa tse kenngoeng ka har'a lesapo la mokokotlo ka har'a 'mele oa lesapo la mokokotlo. Hang ha li kopantsoe le lithupa tsa longitudinal, li fana ka lintlha tsa ankora bakeng sa mohaho oa mokokotlo oa mokokotlo. Ho ipapisitse le sistimi e ikhethileng le ts'ebeliso ea eona e reriloeng, li-screw screw tsa pedicle li ka sebelisoa e le karolo ea mekhoa e sebetsanang le ho se tsitse ha mochini kapa bokooa bo hlokang ho kopanngoa le lisebelisoa.
Lentsoe 'pedicle screw' le hlalosa karoloana, eseng ntho e le 'ngoe e kentsoeng bokahohleng. Litsamaiso li fapane ka sebopeho sa screw, bophara le bolelele ba bolelele, bophara ba molamu, mochine oa ho notlela, lisebelisoa, lisebelisoa, ho kenya tšebetsong mosebetsi le matšoao a amohelehang. Lintlha tsena li tlameha ho netefatsoa litokomaneng bakeng sa sistimi e ntseng e hlahlojoa.
Ke Eng e Etsang Mohaho oa Pedicle Screw?
Kaho e felletseng hangata e kenyelletsa ho feta sekurufu ka bosona. Hantle-ntle karolo e behiloeng e fapana ho ea ka moetsi le tsamaiso, empa tlhahlobo e atisa ho kenyelletsa lihlopha tse latelang.
| Karolo ea likarolo | Karolo e akaretsang ho aheng | Seo bareki ba lokelang ho se netefatsa |
|---|---|---|
| Pedicle screw | E fana ka ankora ka har'a vertebra | Moralo, boholo, sebaka se reriloeng sa mokokotlo, tlhahiso ea thepa le ho ngola |
| Molamu | E kopanya liankora ho pholletsa le maemo a hloekisitsoeng | Diameter, bolelele kapa liforomo tse fumanehang, thepa le ho lumellana le hlooho ea screw |
| Karolo ea ho notlela | E sireletsa molamu ka har'a hlooho ea screw | Tatelano ea ho notlela, mokhanni o hlokahalang, litaelo tsa torque le boemo ba tšebeliso e le 'ngoe |
| Lihokelo | E ka atolosa kapa ea hokahanya likarolo tsa mohaho ha e kenyelelitsoe tsamaisong | Litlhophiso tse amohetsoeng le litšebelisano tse ikhethileng tsa sistimi |
| Lisebelisoa tsa ho kenya | Tokisetso ea ts'ehetso, ho kenya screw, ho beha molamu le ho notlela ho qetela | Lenane la lisebelisoa, moralo oa terei, tlhokomelo, litaelo tsa ho nchafatsa le ho sebetsa bocha |
Baphatlalatsi ha baa lokela ho nahana ka ho lumellana ho tsoa ho litekanyo tse tšoanang kapa chebahalo. Likarolo le lisebelisoa tse tsoang lits'ebetsong tse fapaneng ha lia lokela ho tsoakoa ntle le haeba tšebeliso e joalo e tšehetsoa ka ho hlaka ke litokomane tse amehang tsa moetsi le litlhoko tse sebetsang.
Kamoo Pedicle Screw Fixation e Tšehetsang Spinal Fusion
Ho kopana ha mokokotlo ho ikemiselitse ho theha borokho bo tsoelang pele ba masapo pakeng tsa li-vertebrae tse khethiloeng. Mohaho oa 'screw-and-rod' oa pedicle o ka fokotsa ho sisinyeha maemong a lisebelisoa le ho boloka kamano e reriloeng pakeng tsa vertebrae ha fusion e ntse e tsoela pele. Ka hona moaho o tšehetsa tikoloho ea fusion; ha se sebaka sa ho lokisa masapo, leano la ho hlomathiseletsoa kapa pholiso ea likokoana-hloko.
Sephetho sa kliniki se ke ke sa boleloa esale pele ka screw feela. Liphello li ka 'na tsa susumetsoa ke ho hlahlojoa, boemo ba mokokotlo, mokhoa oa ho buuoa, moralo oa ho haha, boleng ba lesapo, ho kenngoa ho kenngoa, khetho ea graft, boemo ba ho tsuba, li-comorbidities, ho latela litaelo tsa ka mor'a ts'ebetso le lintlha tse ling. Ka lebaka lena, leqephe la sehlahisoa kapa sengoloa sa thuto ha sea lokela ho ts'episa sekhahla se itseng sa fusion, ho fokotsa bohloko kapa nako ea ho hlaphoheloa.
Tšebeliso ea Thoracolumbar le Cervical e Hloka Tlhahlobo e arohaneng
Pedicle morphology, meaho e potolohileng, maano a ho lokisa le litsamaiso tse fumanehang li fapana ho pholletsa le mokokotlo. Polelo e batsi ea hore sekurufu se le seng se sebetsa 'molala le mokokotlo o ka tlase' ha ea lekana bakeng sa liqeto tsa bongaka kapa tsa theko.
Mehaho ea Thoracolumbar e ka 'na ea sebelisa mekhoa e bulehileng kapa ea percutaneous pedicle screw. Bareki ba lokela ho netefatsa scope e ngotsoeng ea anatomical, screw and rod range, likhetho tsa phokotso, lisebelisoa tse tsamaellanang le meeli efe kapa efe e ikhethileng ea ts'ebetso.
Ho lokisoa ha cervical pedicle ho kenyelletsa lintlha tse fapaneng tsa anatomical mme ha ea lokela ho hlahisoa ka kakaretso ho tsoa ho data ea lumbar. Netefatsa hore na tsamaiso e hlahlobiloeng e reretsoe ka ho khetheha bakeng sa sebaka sa cervical kapa occipitocervical-thoracic le ho hlahloba mekhoa le lisebelisoa tsa eona tse inehetseng.
XC Medico e thathamisa lihlahisoa tse arohaneng tsa mokokotlo oa popelo, ho kenyelletsa le a mokhoa oa ho lokisa mokokotlo oa mokokotlo oa mokokotlo . Litlhaloso tsa eona, tšebeliso e reretsoeng le ho lumellana li lokela ho hlahlojoa ka mokhoa o ikemetseng ho tloha tsamaisong ea thoracolumbar pedicle screw.
Meetso e Tloaelehileng ea Pedicle Screw
Mantsoe a latelang a hlalosa mekhahlelo e tloaelehileng ea meralo ho pholletsa le indasteri. Ha ba thehe likarolo tsa sehlahisoa se itseng sa XC Medico ntle le haeba se netefalitsoe leqepheng le lumellanang la sehlahisoa le litokomane tsa tekheniki.
| Sehlopha sa moralo | Sebopeho se akaretsang | Ntlha ea tekolo |
|---|---|---|
| Monoaxial | Hlooho ea screw e na le kamano e tsitsitseng le shaft | Lekola ts'ebeliso e reriloeng ea kaho le litlhoko tsa ho tsamaisana le melamu |
| Polyaxial | Hlooho e ka bua pele e notlela ho qetela | Hlahloba mefuta e fapaneng ea li-angulation, mochine oa ho notlela le lisebelisoa tse lumellanang |
| Sekoti sa ho fokotsa | Hlooho e atolositsoeng e ka thusa ho fokotsa molamu pele ho kopano ea ho qetela | Netefatsa mokhoa oa ho fokotsa mosebetsi, mokhoa oa ho tlosa li-tab le lisebelisoa tse inehetseng |
| Sekurufu se tiileng | E etselitsoe ho kenngoa ka mokhoa o hlalositsoeng oa tsamaiso ea mosebetsi | Netefatsa lipompo, li-probes, li-driver le tatelano ea ho kenya |
| Sekurufu sa cannulated | E na le kanale e bohareng e ka ts'ehetsang ho kengoa ho thehiloeng ho guidewire | Netefatsa terata ea tataiso, dilator le ts'ebetso ea litšoantšo, hammoho le litemoso tsa sistimi |
Screw Diameter, bolelele le trajectory ha se liqeto 'tse kholoanyane li lula li le betere'. Li khethiloe ho sebelisa anatomy, boleng ba masapo, litšoantšo, litlhoko tsa ho haha, kahlolo ea ngaka le meeli ea tsamaiso e khethiloeng.
Open vs. Minimally Invasive Pedicle Screw Systems
Sistimi e bulehileng le ea percutaneous ka bobeli e ka theha meaho ea ho lokisa ka morao, empa phihlello ea bona, phano ea li-implant le litlhoko tsa lisebelisoa lia fapana. 'e hlaselang hanyane' e hlalosa mokhoa oa ts'ebetso le ts'ebetso ea ts'ebetso; ha ea lokela ho sebelisoa e le tšepiso ea bokahohle ea liphello tse molemo tsa kliniki bakeng sa mokuli e mong le e mong kapa pontšo.
| Sebaka sa tlhahlobo | Sistimi e bulehileng ea | Percutaneous/MIS |
|---|---|---|
| Phihlello | Ho pepeseha ka ho otloloha ha likarolo tse ka morao | Liphasejene tse nyane tse kenang ho sebelisoa lisebelisoa tse ikhethileng tsa ho tsamaisa thepa |
| Ho kenya sekere | Lisebelisoa tse bulehileng tsa ho lokisetsa le ho kenya tsamaiso | Hangata e sebelisa mehato e itšetlehileng ka guidewire- le imaging ha e boletsoe |
| Phano ea molamu | Molamu o behiloe ka har'a mohaho o pepesitsoeng | Ts'ebetso e inehetseng ea percutaneous rod-delivery |
| Litlhoko tsa seletsa | Terei e bulehileng le lisebelisoa tsa ho qhekella | Li-dilator, li-sleeve, litora kapa li-extender le lisebelisoa tsa molamu oa MIS ha ho hlokahala |
| Potso ea bohlokoa ea ho reka | Na ho na le litlhophiso tse felletseng tsa sesebelisoa se bulehileng? | Na likarolo tsohle tsa phihlello, litataiso, phokotso le li-rod li kenyelelitsoe? |
Bakeng sa mohlala o khethehileng oa tsamaiso, hlahloba Leqephe la tsamaiso ea 'pedicle screw' e fokolang haholo 'me u kope litlhaloso tsa eona tsa hajoale, lenane la lisebelisoa le litokomane pele u etsa qeto ea ho lumellana kapa ho fihlella 'maraka.
Lintlha tse Sebelisitsoeng ho Khetha Pedicle Screw System
Khetho ea tleliniki ke ea sehlopha sa kalafo. Dihlopha tsa phumantsho ya thepa di tshehetsa qeto eo ka ho netefatsa hore tlhophiso e sisintsweng e phethehile, e ngodilwe mme e loketse mmaraka wa moo e yang teng.
Lintlha tsa bongaka le tsa tekheniki
- Sebaka sa mokokotlo le maemo a kenyelletsoeng mohahong
- Tlhahlobo, ho se tsitse kapa ho senyeha ho sebetsanang le mokhoa o reriloeng
- Pedicle morphology, phasejete ea masapo e fumanehang le tsela e reriloeng
- Bone boleng le mefokolo efe kapa efe e khethehileng ea tsamaiso
- Mokhoa o bulehileng, oa percutaneous kapa o mong o reriloeng oa ho buoa
- Boitšoaro bo hlokehang ba li-screw-head, leano la ho fokotsa le tlhophiso ea molamu
- Koetliso ea lingaka le ho tloaelana le tsamaiso e nepahetseng
- Ho ngolisoa ha sehlahisoa, matšoao, li-contraindication, litemoso le litemoso
Lintlha tsa ho reka le ho aba
- Lethathamo le felletseng la screw le rod tse hlokahalang bakeng sa linyeoe tse reriloeng
- Ho netefalitsoe ho lumellana ha li-implants, likarolo tsa ho notlela le lisebelisoa
- Terei ea lisebelisoa e phethehile, tlhahlobo le ts'ebetso ea ho nchafatsa
- Boemo ba phepelo e sa hloekang kapa e sa tsoakoang le tlhaiso-leseling e sebetsang
- Ho ngolla, ho latelloa, taolo ea lotho le tlhophiso ea liphutheloana
- Ngoliso e ikhethileng 'marakeng le ho fumaneha ha litokomane tsa tekheniki
- Boikarabello ba phetoho-tsebiso le taolo ea phetolelo
- Polelo ea esale pele, nako ea ho tlatselletsa pele le lethathamo la boholo ba bohlokoa
Likotsi tse ka 'nang tsa E-ba teng le Meeli ea Bopaki
Mathata a ka 'nang a amahanngoa le lisebelisoa tsa mokokotlo oa mokokotlo a ka kenyelletsa ho se sebetse hantle, ho lemala ha methapo ea kutlo kapa methapo ea mali, ho lokoloha, ho hula, ho kenya deformation kapa ho senya, tšoaetso, ho lahleheloa ke khalemelo, ho se be teng le tlhokahalo ea ho ntlafatsa. Lena ha se lethathamo le felletseng. Leibole ea sistimi e sebetsang e lokela ho sebelisoa bakeng sa matšoao a eona a felletseng, li-contraindication, litemoso, litemoso le tlhaiso-leseling ea ketsahalo e mpe.
Theknoloji ea ho beha ke sebaka se seng moo bopaki bo tlamehang ho hlalosoa ka hloko. Tlhahlobo e hlophisitsoeng ea 2024 le tlhahlobo ea meta ea ho lokisa thoracolumbar e tlalehile phapang e itekanetseng ea ho behoa ha screw e amohelehang ea meriana pakeng tsa lihlopha tse tsamaisoang le tse tloaelehileng, ha ho ntse ho sa fumane phapang e khōlō ho bohloko kapa bokooa ba bokooa. Tlhahlobo e hlophisitsoeng e arohaneng ea li-screw tsa cervical pedicle ha ea ka ea fumana molemo o moholo o amanang le ho tsamaea. Liphetho tsena ha lia lokela ho kopanngoa ho ba tseko e akaretsang ea hore ho tsamaea ho lula ho ntlafatsa sephetho se seng le se seng sa opereishene kapa mokuli.
Pedicle Screw System Checklist bakeng sa Bahlahisi
Pele o kopa khotheishene ea ho qetela kapa ho haha moralo oa ngoliso ea lehae, kopa bopaki bo hokahaneng le mohlala le 'maraka o nepahetseng. Lenane le latelang ke qalo 'me le lokela ho ikamahanya le litlhoko tsa sebaka.
| Hlahloba sehlopha | Lipotso tseo u ka li botsang | Bopaki bo ka botsoang |
|---|---|---|
| Boemo ba tsamaiso | Ke li-implants le lisebelisoa life tse etsang sistimi e felletseng? | Lethathamo la hajoale, lethathamo la likarolo le lenane la lisebelisoa |
| Tšebeliso e reriloeng | Ke sebaka sefe sa anatomical, maemo le basebelisi ba koahetsoeng? | Ho ngolisoa ka ho khetheha ka 'maraka, IFU le bopaki ba ngoliso |
| Litekanyo | Na sekoti se hlokehang, melamu le likhokahanyo li teng? | Lipampiri tse netefalitsoeng le likhoutu tsa ho odara |
| Ho lumellana | Ke likarolo life tse ka sebelisoang hammoho? | Matrix e lumellanang le moetsi kapa litokomane tse laoloang |
| Lisebelisoa | Ke lintho life tse sebetsang karolong e 'ngoe le e 'ngoe ea implant? | Tlhaloso ea lintho tse bonahalang le bopaki bo sebetsang ba tumellano |
| Lisebelisoa | Na sekoaelo sa terei se lokisa, ho kenya, ho fokotsa le ho notlela ho qetela? | Sebopeho sa terei, mabitso a lisebelisoa le litaelo tsa tlhokomelo |
| Tlhophiso ea phepelo | Na sehlahisoa ha se na likokoana-hloko kapa ha se kotsi, 'me se phuthetsoe joang? | Tlhophiso ea ho paka, ho ngola le ho sebetsana le litaba |
| Traceability | Mohlala, boholo le lotho li khetholloa joang ka kabo? | Leibole ea lisampole, rekoto ea ho latelloa le ts'ebetso ea litletlebo |
| Fetola taolo | Liphetoho tsa sehlahisoa, ts'ebetso, mofani oa thepa kapa lileibole li phatlalatsoa joang? | Tumellano ea boleng le lipehelo tsa tsebiso ea phetoho |
Lekola Maqephe a Sistimi ea XC Medico Pedicle Screw
Lihokelo tse latelang ke lintlha tsa ho qala tsa tlhahlobo ea sehlahisoa, eseng lipolelo tsa hore litsamaiso li ka fetoha kapa li loketse mokuli ea itseng. Netefatsa litokomane tsa hajoale bakeng sa tlhophiso e nepahetseng eo u e hlokang.
Batla sehlopha se pharaletseng sa lihlahisoa tsa XC Medico pele u fokotsa tlhophiso e hlokahalang.
Lekola leqephe la sehlahisoa le inehetseng 'me u kope karolo ea lona ea hajoale le litokomane tsa lisebelisoa.
Lekola sistimi ena ka boikemelo bakeng sa boholo, litlhophiso tse fumanehang le litokomane.
Sheba botlalo ba terei 'me u netefatse hore sesebelisoa se seng le se seng se lumellana le mokhoa o khethiloeng oa ho kenya.
Bakeng sa pono e batsi ea li-implants le lisebelisoa tse amanang, etela XC Medico's tharollo ea ho lokisa mokokotlo.
Lipotso Tse Botsoang Khafetsa
Karolo ea li-screw tsa pedicle ho fusion ea lesapo la mokokotlo ke efe?
Li-Pedicle screws li sebetsa e le liankora bakeng sa moaho oa ho lokisa o thehiloeng molamu. Mohaho o fokotsa motsamao mme o boloka tatellano e reriloeng ha fusion ea baeloji e ntse e tsoela pele. Li-screws ka botsona ha li etse fusion.
Ke likarolo life tse etsang 'screw screw' ea pedicle?
Moaho hangata o kenyelletsa likurufu tsa pedicle, lithupa le likarolo tsa ho notlela, tse nang le likhokahano kapa likarolo tsa phokotso moo sistimi e itseng e lumellang. Lisebelisoa tse inehetseng lia hlokahala bakeng sa ho lokisa, ho kenya, ho beha melamu le ho notlela ho qetela.
Phapano ke efe lipakeng tsa li-screw tsa pedicle tse bulehileng le tsa MIS?
Li fapane haholo ka phihlello, phano ea li-implant le phallo ea tšebetso ea lisebelisoa. Sistimi ea percutaneous hangata e hloka phihlello e inehetseng le lisebelisoa tsa ho tsamaisa melamu. Ha ho mokhoa o mong le o mong o lokelang ho hlalosoa e le o phahameng ka ho fetesisa bakeng sa matšoao kapa mokuli.
Na likarolo tse tsoang ho li-screw tsa pedicle tse fapaneng li ka kopanngoa?
Se ke oa nahana ho lumellana ho tsoa ho litekanyo tse tšoanang kapa chebahalo. Sebelisa feela litlhophiso tse tšehetsoeng ke litokomane tse amehang tsa moetsi le litlhokahalo tse sebetsang tsa taolo.
Ke litokomane life tseo mofani oa thepa a lokelang ho li kōpa?
Kopa lethathamo la hajoale le likhoutu tsa ho odara, manane a sistimi le lisebelisoa, litlhaloso, ho ngola le IFU, tlhaiso-leseling ea thepa, tlhophiso ea liphutheloana, tlhaiso-leseling ea traceability le litokomane tsa taolo tse ikhethileng tsa mmaraka tse sebetsang ho lihlahisoa tse nepahetseng.
Litšupiso le Boholo ba Bopaki
- US FDA. Tataiso bakeng sa Basebetsi ba Indasteri le FDA: Sisteme ea Mokokotlo 510(k)s.
- Papalia GF, le ba bang. Navigated thoracolumbar pedicle screw fixation khahlanong le mekhoa e tloaelehileng: tlhahlobo e hlophisitsoeng le tlhahlobo ea meta. Mokokotlo. 2024.
- Ho beoa ka nepo le lintlafatso bakeng sa li-screw tsa cervical pedicle tse behiloeng ka ntle kapa ntle le ho tsamaea: tlhahlobo e hlophisitsoeng le tlhahlobo ea meta. 2023.
- Perdomo-Pantoja A, et al. Ho nepahala ha mekhoa ea morao-rao ea ho beha li-screw tsa pedicle mokokotlong: tlhahlobo e hlophisitsoeng le tlhahlobo ea meta. Mokokotlo. 2019.
Boitlhotlhollo ba bongaka le taolo: Sengoliloeng sena se fana ka tlhaiso-leseling e akaretsang ea thuto le theko. Ha se keletso ea bongaka, mokhoa oa ho buoa, ho ngola lihlahisoa kapa ho nka sebaka sa IFU e sebetsang. Liqeto tsa bongaka li tlameha ho etsoa ke litsebi tse tšoanelehang tsa tlhokomelo ea bophelo. Ho fumaneha ha sehlahisoa, tšebeliso e reriloeng, boemo ba ngoliso le litokomane li ka fapana ho ea ka 'maraka le tlhophiso; li netefatse pele li reka kapa ho sebelisoa.
Lekola Sistimi ea Pedicle Screw bakeng sa Mmaraka oa Hau
Bolella XC Medico 'maraka oa hau moo u eang teng, sebaka sa mokokotlo se hlokahalang, mofuta oa sistimi e ratoang le litlhoko tsa litokomane. Kopa lenane la likarolo tse ikhethileng tsa sehlahisoa, tlhophiso ea lisebelisoa le tlhaiso-leseling e fumanehang ea taolo pele u bapisa mantsoe a qotsitsoeng.
Kopa litokomane tsa tsamaiso
