Amakuru - Fungura-umuryango winyuma yinyuma yinkondo yumujyi

Urufunguzo

1. Unipolar elecIcyuma cya Tric gigabanya Fascia hanyuma gihagarara imitsi munsi ya perosteum, yitondera ku kurinda ingingo ya Arnotular, Hagati aho, imvugo yimizi yubusazi itagomba gukurwaho kugirango igamane ubusugire bwitsinda ryurugendo rwabaringa.

2. Witondere T.o Kwiyongera buhoro buhoro gufungura umuryango muri rusange, ibice bibiri bito birashobora gukoreshwa mugukingura igice gito cyisahani imwe, hanyuma ukayifungura buhoro buhoro, hanyuma ukayifungura buhoro buhoro, hanyuma ukayifungura buhoro buhoro, ukaba ushobora kuzimya buhoro buhoro.

3. Iyo ufunguyeG urugi ruhabirugero, kuruma flavum ya ligameyisure irashobora kuganisha ku maraso yambaye ubururu, muri iki gihe, urashobora gutondeka, cyangwa gelatin sponge kugirango uhagarike kuva amaraso.

Gufungura-umuryango inyuma yumugongo urushyi c'urugongo rwahimbwe bwa mbere nintiti z'Abayapani mu myaka ya za 70. Although it has been improved many times, the basic surgical operation is still more or less the same, which is relatively more convenient and similar to the posterior double-door operation with similar therapeutic effect, and it is one of the classic cervical spine surgery for spine surgeons.

1.OPEN-URUGENDO RUFATA CYIZA

Iyi ngingo ikomoka mu kinyamakuru cya Miami mu bitaro bya kaminuza ya Miami i Miami, muri Floride, ndetse no ku guhitamo kw'imiryango yose, mu gihe yakoresheje imbavu zifunguye, ubwo yakoreshaga ibitero ku muryango, nk'uko byasobanuwe hepfo, nk'uko byasobanuwe hano hepfo:

Umurwayi yashyizwe mu mwanya wa Prone, umuyobozi yagaruwe hamwe na Mayfield Umutwe, kaseti yakoreshejwe mu gukuramo ibitugu by'umurwayi no kugikorwa ku buri bw'imirimo, maze imitsi yakoreshejwe mu icumba rya Faleziya y'ingingo z'intwari zashyizwe ahagaragara, hamwe na ligament yumuzi w'imizi ntigomba kumenyekana kugirango ukomeze ubusugire bwa vertubrae cervobra; hejuru no hepfo guhura. Ranges yo hejuru kandi yo hepfo yageze ku gice cyo hepfo ya C2 hakuweho isahani ya T1, naho icya gatatu cyisahani ya C2 cyakuweho hamwe nisahani ya MM 2 kurubuga rwa Dura, nigice Muburyo bwuzuye bwarumwe nimbaraga ziruma kugirango witegure gushinswa igufwa.

Ibikurikira C3-C7 Gufungura Urugi byakozwe, nkuko bigaragara ku gishushanyo kivuzwe haruguru, muri rusange ibimenyetso biremereye byakoreshejwe nk'ahantu ho gukingura Igice, kandi umutwe usya umutwe usya wakoreshwaga kumuryango.

Nyuma yo gusya kugera kuri Cortex Byoroheje, uruhande rwumuryango rukeneye gusukurwa na flavumu ya ligametum hamwe na spatula yo mucyaro ikurura ingufu zurugi ruhamye rwumuryango ufunguye, hamwe na spotula ebyiri Irashobora gukoreshwa mugukingura isahani imwe ya vertebral kumafaranga make mbere yo gufungura undi, hanyuma agakoresha inzira buhoro buhoro mubugari bwuzuye kuruhande rwibibanza bitashoboka.

Hagomba kubaho ahantu hashobora kuboneka ahari kurubuga aho amagufwa agashyirwaho amagufwa make, kandi abanditsi babonye ibibazo bike mumavuko, hamwe no guhinduranya amagufwa biguye muburyo bwa swone kuruhande rwa rusi.

2.Imiryango ya cervical coupleasile laminosty

Iyi ngingo, kuva mu ishami rya Neurosurger muri Keck Centre ya kaminuza ya Kaminuza ya Kaminuza y'Amajyepfo, ifite umutwe umwe nk'umwe mu buryo bwo gukora, kandi agaragaza uburinganire bw'amagambo n'igikorwa mu mahugurwa yo kubaga muri Amerika.

Ibice byo kubaga byari hafi ya C3-7 kugirango byorohereze imyambaro yinyuma yumugongo; Imizi yimizi ya spenoidal yarabitswe kugirango yoroshya umutekano winkondo y'umura; Umukino wo gusya umutware wakoreshejwe mugukingura umuryango kugirango ugabanye ibyangiritse kumugongo; n'amagufwa yashyizwe kuri C3, 5, na 7 kugirango ashyigikire gufungura umuryango.

Icyitonderwa Igishushanyo: A, Kugaragaza Lamina kuva hepfo ya C2 kugeza hejuru ya T1. b, gucukura bikabije kuruhande hamwe na osteotomy yuzuye kuruhande rumwe na osteotomy igice kurundi ruhande. c, ubutumbure bwa lamina kuva C3 kugeza C7 nkigice kimwe. d, gushyiramo amagufwa yamagufa.

ICYITONDERWA CYIZA: Reba imitekerereze nyuma yo gucukura imyobo ya C3, C5, na C7 (a) na nyuma yo gushyira rubagisito ka allograft (b).

Ariko, ibikoresho byayo byamagufwa, usibye amagufwa ya allogeneic (fig. A), ni autobete ya autogen Ukurikije ubugari bwurugi, ubugari bwiza bufatwa nki mm 10-15, itandukanye gato na mm 8-16 hejuru.

Mugihe ukora umuryango umwe ufungura urugi rwa Vortebral, kurumaho flavum ya ligamentum ahanditse gufungura imiryango, muriki gihe urashobora guhagarika amaraso kugirango uhagarike amaraso cyangwa gelatin sponge kugirango uhagarike kuva amaraso.

3. LAMONCHESCHEST

Usibye gushyigikira igufwa ryurugi, ubundi buryo bwo gutunganya imiryango isobanurwa muriyi ngingo, nkuburyo bwa karuvati hamwe na microplate nuburyo busanzwe bukoreshwa muburyo bwo kuvura no gutanga umusaruro utekanye.