OLIF yi nyika ndlela ya oblique lateral retroperitoneal eka ndhawu ya lumbar intervertebral disc loko yi ri karhi yi hunguta ku kavanyeteka eka misiha ya psoas, misiha ya le ndzhaku na swivumbeko swa tinyiyo. Endlelo leri ri seketela ku vuyiseriwa ka ku leha ka disc, ku ringanisiwa ka sagittal, indirect decompression na lumbar interbody fusion leyi tshembekaka.
L2–L5 na timhangu ta L5–S1 leti hlawuriweke
Endlelo ra OLIF rinyika indirect decompression na interbody fusion hiku tirhisa oblique lateral corridor loko kurikarhi ku hlayisa swivumbeko swa posterior spinal xikan’we naku hunguta ku kavanyeteka eka misiha leyi rhendzeleke na ti soft tissues.
Yinyika mfikelelo eka ndzhawu ya lumbar disc hiku tirhisa retroperitoneal corridor handle ko hundza hiku kongoma eka misiha ya psoas.
Xigwitsirisi xa OLIF xa milenge leyikulu xi seketela ku vuyiseriwa ka ku tlakuka ka disc, ku ringanana ka swiphemu na tidimenxini ta foraminal.
Ti configurations ta Lordotic cage ti pfuneta ku vuyisela lumbar alignment xikan’we naku nyika ku lawuriwa ka anterior column reconstruction.
Cage ya OLIF yinga hlanganisiwa na open posterior fixation, cement-augmented MIS fixation kumbe ti percutaneous pedicle screws.
OLIF interbody cage yinga hlanganisiwa na ti posterior stabilization systems totala kuya hi xiyimo xa lumbar, maendlelo ya vuhandzuri, khwalithi ya marhambu xikan’we na matimba ya fixation lawa ya lavekaka.
Xivumbeko xa rigid posterior fixation lexi hlanganisaka kheji ya OLIF na 6.0 mm pedicle screw-rod system eka mavabyi lawa ya hlawuriweke ya lumbar degenerative, ku nga tshamiseki, ku onhaka na timhangu ta spondylolisthesis.
Xivumbeko lexi nga ngheneriki ngopfu lexi hlanganisaka kheji ya OLIF na swikwirikiri swa MIS 5.5 leswi engeteriweke hi semende leswi fenestrated eka vavabyi lava hlawuriweke lava lavaka ku enhanced screw anchoring.
Nhlawulo wa percutaneous posterior fixation lowu endleriweke ku seketela OLIF cage stabilization loko ku ri karhi ku hungutiwa ku kavanyeteka ka misiha ya le ndzhaku na soft-tissue.
Sisiteme ya 6.0 mm pedicle screw-rod yinyika rigid posterior stabilization eka ku pfuxetiwa ka OLIF, ku seketela ku tshamiseka ka cage, ku ringanisiwa ka nkolo xikan’we na multi-level lumbar fixation.
Sisiteme ya posterior thoracolumbar fixation leyi fambelanaka na maendlelo ya ntirho yo pfuxeta OLIF leyi pfulekeke.
Ku seketela ku lulamisiwa ka disc, ku hlawuriwa ka swikambelo, ku nghenisiwa ka khege na ku vekiwa ka implant leyi lawuriwaka.
Fenestrated pedicle screw leyi endleriweke ku lawuriwa ka ku rhumeriwa ka semende ya marhambu eka maendlelo yo hlawuleka yo khoma.
Switirhisiwa swo fambelanisa swa ku vekiwa ka swikwirikiri leswi nga ngheneriki ngopfu na maendlelo ya ntirho yo rhumela semende.
Sisiteme ya MIS 5.5 cement-augmented fenestrated screw system yi seketela minimally invasive posterior stabilization naswona yinga ndlandlamuxa screw anchoring eka vavabyi lava hlawuriweke lavangana khwalithi ya marhambu leyi hungutiweke.
5.5 MIS Spinal System II yi hlanganisa percutaneous pedicle screw fixation na OLIF cage ku seketela ku pfuxetiwa ka lumbar loko yi ri karhi yi hunguta ku kavanyeteka ka misiha ya le ndzhaku na soft-tissue.
Percutaneous pedicle screw solution leyi endleriweke ku khomiwa ka le ndzhaku ka le ndzhaku loku nga ngheneriki ngopfu.
Switirhisiwa leswi tinyiketeleke swa ku vekiwa ka swikwirikiri hi percutaneous, ku nghenisiwa ka nhonga na ku khomiwa ka construct yo hetelela.
Ntirho lowu landzelaka wu humesa ntlhandlamano wa vuhandzuri bya OLIF hi ku angarhela. Endlelo ro hetelela, ku hlawuriwa ka implant na posterior fixation strategy swifanele ku kumiwa hi dokodela wa vuhandzuri kuya hi mhaka ya munhu hi xiyexe.
OLIF yi lava interbody leyi hlanganeke, mfikelelo, naswona hakanyingi vuswikoti byo engetela byo khoma, leswi endlaka leswaku ku kamberiwa ka vaphakeri ku anama ku tlula geometry ya khexe ntsena. Vaxavisi lava akaka photifoliyo ya lumbar ya maendlelo yo tala va nga pimanisa ku rhangela vaphakeri va switirhisiwa swa lumbar fusion ku tsemakanya TLIF, PLIF, ALIF, OLIF, ku khomiwa ka le ndzhaku, na switirhisiwa leswi fambelanaka.
Yinyika indirect decompression na interbody fusion hiku tirhisa minimally invasive oblique lateral approach loko yi hlayisa swivumbeko swa posterior spinal.
Muvabyi u vekiwa eka xiyimo xa lateral decubitus. Endlelo ra oblique lateral retroperitoneal leri nga ngheneriki ngopfu ri endliwa ku fikelela levele ya disc leyi kongomisiweke.
Disiki leyi khumbekaka ya susiwa, naswona ti cartilaginous endplates ti lulamisiwile hi vukheta kuva ti endla mubedo wa fusion lowu faneleke loko ku ri karhi ku hlayisiwa vutshembeki bya endplate.
Cage ya OLIF leyi taleke hi graft material leyi hlawuriweke yi nghenisiwa eka ndzhawu ya disc ku vuyisela ku tlakuka ka disc, ku seketela sagittal alignment xikan’we naku nyika nseketelo wa anterior column.
Endlelo ra pedicle screw-rod leri pfulekeke kumbe leri nga ngheneriki ngopfu ri tirhisiwa kuya hi pulani ya vuhandzuri ku nyika ku tshamiseka loku engetelekeke na ku hlayisa ku ringanana ka nkolo.
Fluoroscopic imaging yi endliwa ku tiyisisa xiyimo xa cage, ku tshamiseka ka implant xikan’we naku ringanisiwa ka nkolo loko kungase pfala xilondza xohetelela.
XC Medico yi nga lulamisa tikheji ta OLIF, tisisiteme to khoma endzhaku, swikwirikiri leswi engeteriweke hi semende na switirhisiwa swa vuhandzuri leswi fambelanaka tanihi xitshunxo xin’we lexi hlanganeke xa lumbar fusion.
Tikheji, swikwirikiri swa pedicle na switirhisiwa swo fambelana leswi phakeriwaka endzeni ka xitshunxo xin’we xa xiendliwa lexi hlanganeke.
Tindlela to khoma leti pfulekeke, ta MIS na leti engeteriweke hi semende leti hleleriweke ku ya hi swilaveko swa maendlelo.
Rhumela tisayizi ta wena leti lavekaka ta tikheji na xivumbeko xa fixation ku kuma nxavo wa implant na instrument lowu hlanganeke.
Tikhathalogu ta swikumiwa, swihlawulekisi na switirhisiwa swa nkandziyiso wa vaxavisi swa kumeka.
Ti configurations ta implant leti hlawuriweke, ku paka na vukorhokeri bya branding swinga xopaxopiwa.
Hi byele tisayizi ta tikheji ta OLIF leti lavekaka, ti levele ta lumbar, posterior fixation option na instrument configuration. Xipano xa hina xi ta hlela xikombelo lexi heleleke xa ku nghenisiwa na xitirhisiwa xa muxavisi wa wena, xibedlhele kumbe phurojeke ya OEM.
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