I-OLIF inikeza indlela ye-oblique lateral retroperitoneal endaweni ye-lumbar intervertebral disc ngenkathi inciphisa ukuphazanyiswa kwemisipha ye-psoas, i-posterior musculature kanye ne-neural structures. Inqubo isekela ukubuyiselwa kokuphakama kwe-disc, ukulungiswa kwe-sagittal, ukuchithwa okungaqondile kanye nokuhlanganiswa okuthembekile kwe-lumbar interbody.
L2–L5 kanye namakesi e-L5–S1 akhethiwe
Indlela ye-OLIF inikeza ukuwohloka okungaqondile kanye nokuhlanganiswa kwe-interbody ngokusebenzisa i-oblique lateral corridor ngenkathi igcina izakhiwo zomgogodla ezingemuva futhi ikhawulela ukuphazamiseka emisipha ezungezile kanye nezicubu ezithambile.
Inikeza ukufinyelela ku-lumbar disc space ngokusebenzisa i-retroperitoneal corridor ngaphandle kokudlula ngokuqondile emsipha we-psoas.
Ikheji ye-OLIF enezinyawo ezinkulu isekela ukubuyiselwa kobude bediski, ukuqondana kwesigaba kanye nobukhulu beforaminal.
Ukulungiswa kwekheji le-Lordotic kusiza ukubuyisela ukuqondanisa kwe-lumbar futhi kunikeze ukwakhiwa kabusha kwekholomu yangaphambili elawulwayo.
Ikheji ye-OLIF ingahlanganiswa ne-open posterior fixation, ukulungiswa kwe-MIS okungezelelwe usimende noma izikulufu ze-pedicle percutaneous.
I-OLIF interbody cage ingabhangqwa nezinhlelo eziningi zokuzinzisa kwangemuva ngokwesimo se-lumbar, indlela yokuhlinzwa, ikhwalithi yamathambo namandla okulungisa adingekayo.
Ukulungiswa kokulungiswa okuqinile kwangemuva okuhlanganisa ikheji ye-OLIF nesistimu ye-screw-rod ye-pedicle engu-6.0 mm yezifo ezikhethiwe ze-lumbar degenerative, ukungazinzi, ukukhubazeka kanye nezimo ze-spondylolisthesis.
Ukucushwa okungangeneleli kancane okuhlanganisa ikheji ye-OLIF nezikulufu ezinwetshiwe zesamende ze-MIS 5.5 zeziguli ezikhethiwe ezidinga i-screw anchoring.
Inketho yokulungisa ngemuva kwe-percutaneous edizayinelwe ukusekela ukuqina kwekheji ye-OLIF ngenkathi ikhawulela ukuphazamiseka kwemisipha yangemuva kanye nezicubu ezithambile.
Isistimu ye-screw-rod ye-pedicle engu-6.0 mm inikeza ukuqiniswa okuqinile kwangemuva kokwakhiwa kabusha kwe-OLIF, ukusekela ukuqina kwekheji, ukuqondanisa umgogodla kanye nokulungiswa kwe-lumbar kwamazinga amaningi.
Uhlelo lwe-posterior thoracolumbar fixation oluhambisana nokugeleza komsebenzi wokwakha kabusha kwe-OLIF evulekile.
Isekela ukulungiswa kwediski, ukukhethwa kwesilingo, ukufakwa kwekheji kanye nokuma kokufakelwa okulawulwayo.
Isikulufu se-Penestrated pedicle esidizayinelwe ukulethwa kukasimende wethambo okulawulwayo ezinqubweni zokulungisa ezikhethiwe.
Amathuluzi afanayo okubeka isikulufu esingavaleli kancane kanye nokugeleza komsebenzi wokulethwa kukasimende.
Isistimu yezikulufu ezinwetshiwe ze-MIS 5.5 ze-cement-augmented fenestrated isekela ukuqina okungavamisile okuncane futhi ingase ithuthukise ukubambelela ngezikulufu ezigulini ezikhethiwe ezinekhwalithi encishisiwe yamathambo.
I-5.5 MIS Spinal System II ihlanganisa ukulungiswa kwesikulufu se-percutaneous pedicle nekheji ye-OLIF ukuze isekele ukwakhiwa kabusha kwe-lumbar kuyilapho kunciphisa imisipha yangemuva kanye nokuphazamiseka kwezicubu ezithambile.
Isixazululo sesikulufu se-Percutaneous pedicle esidizayinelwe ukulungiswa kwe-lumbar yangemuva ehlasela kancane.
Izisetshenziswa ezinikelwe zokubeka isikulufu se-percutaneous, isingeniso senduku nokulungiswa kokugcina kokwakha.
Ukugeleza komsebenzi okulandelayo kuveza ukulandelana kokuhlinzwa okujwayelekile kwe-OLIF. Indlela yokugcina, ukukhethwa kokufakelwa kanye nesu lokulungisa ngemuva kufanele kunqunywe udokotela ohlinzayo ngokusho kwecala ngalinye.
I-OLIF idinga i-interbody edidiyelwe, ukufinyelela, kanye namakhono okulungisa ngokuvamile angeziwe, okwenza ukuhlolwa komphakeli kube banzi kunegeometry yekheji iyodwa. Abasabalalisi abakha iphothifoliyo ye-lumbar ene-multi-approach bangaqhathanisa okuholayo Abahlinzeki be-lumbar fusion implant kuyo yonke i-TLIF, i-PLIF, i-ALIF, i-OLIF, ukulungiswa kwangemuva, nezinsimbi ezifanayo.
Inikeza ukuwohloka okungaqondile kanye nokuhlanganiswa kwe-interbody ngokusebenzisa indlela encane ye-oblique lateral engavamile ngenkathi igcina izakhiwo zomgogodla wangemuva.
Isiguli sibekwe endaweni ye-lateral decubitus. Indlela encane ye-oblique lateral retroperitoneal engenele kancane iyenziwa ukuze kufinyelelwe izinga lediski eliqondiwe.
I-disc ethintekile iyasuswa, futhi ama-endplates e-cartilaginous alungiselelwe ngokucophelela ukuze enze umbhede ofanele wokuhlanganisa ngenkathi egcina ubuqotho be-endplate.
Ikheji ye-OLIF egcwele into ekhethiwe yokuxhunyelelwa ifakwa esikhaleni sediski ukubuyisela ubude bediski, ukusekela ukuqondanisa kwe-sagittal nokuhlinzeka ngokusekela kwekholomu yangaphambili.
Uhlelo oluvulekile noma olungena kancane lwe-pedicle screw-rod lusetshenziswa ngokuya ngohlelo lokuhlinzwa ukuze kuhlinzekwe ukuzinza okungeziwe nokugcina ukuqondanisa komgogodla.
Ukuthwebula kwe-Fluoroscopic kwenziwa ukuze kuqinisekiswe indawo yekheji, ukuzinza kokufakelwa kanye nokuqondisa komgogodla ngaphambi kokuvalwa kokugcina kwesilonda.
I-XC Medico ingamisa amakheji e-OLIF, amasistimu okulungisa angemuva, izikulufu ezingezwe usimende namathuluzi okuhlinza afanayo njengesixazululo esisodwa sokuhlanganisa i-lumbar.
Amakheji, izikulufu ze-pedicle namathuluzi afanayo ahlinzekwe ngaphakathi kwesixazululo somkhiqizo owodwa ohlanganisiwe.
Izinketho zokulungisa ezivuliwe, ze-MIS kanye nezesimende ezihlelwe ngokwezidingo zenqubo.
Thumela osayizi bakho bekheji abadingekayo kanye nokulungiswa kokulungisa ukuze uthole amanani okufakelwa ahlanganisiwe namathuluzi.
Amakhathalogi omkhiqizo, ukucaciswa kanye nezinto zokwethulwa komsabalalisi ziyatholakala.
Ukucushwa okukhethiwe kokufakelwa, ukupakisha kanye nezinsizakalo zokufaka uphawu kungaxoxwa ngazo.
Sitshele osayizi bekheji be-OLIF abadingekayo, amaleveli e-lumbar, inketho yokulungisa ngemuva kanye nokulungiselelwa kwensimbi. Ithimba lethu lizohlela ukufakwa okuphelele kanye nekhotheshini yethuluzi lomsabalalisi wakho, isibhedlela noma iphrojekthi ye-OEM.
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