ʻI heʻene ʻiloʻi ʻa e tuʻa mo e ngaahi founga kehekehe ʻe lava ke fakahoko ʻi he konga ko ʻeni ʻo e sino, kuo pau ke tau talanoa ki he posterior lumbar fusion. ʻI he ʻuhinga ko ʻeni, kuo pau ke tau kamata ʻaki ʻetau pehe ko e Lumbar arthrodesis ko ha founga QUIRúʻa ia ʻoku kau ai ʻa e Ko e FusióN ʻo e ongo VéLumbar rtebrae ʻaupito, he ko eí taʻofi koe mei hono hiki ha konga vertebral ʻoku ne fakatupu ha mamahi siʻisiʻi. Ko e mamahi ko ʻeni, faʻa, ʻOku foaki ia ʻi he taʻepau ʻo e sino mo e ngaahi hokotanga hui vertebral.
ʻI he ngaahi tuʻunga takitaha ʻo e tuʻa ʻoku tau ʻilo ai ʻoku ʻi ai ha feituʻu intervertebral ʻi he konga anterior pea mo ha ongo hokotanga hui ʻi he konga posterior. ʻOku ngaue fakataha ʻa e ngaahi fale ko ʻeni, aʻusia ʻoku fakaʻuhingaʻi ha konga ʻo e fokotuʻu pea fakaʻata ha ngaahi tuʻunga lahi ʻo ia.
El segmento intervertebral L5-S1, toeén ʻiloa ko e kaungaón lumbosacral, Ko ha feituʻu ia ʻoku angamaheni ʻaki ai ʻa e lumbar mamahi mo e IC.áTicas, ʻa ia ʻoku ne uesia ʻa e tuʻunga lelei ʻo e moʻui ʻa e kau mahaki. ʻI he ʻuhinga ko ʻení., Taimi ʻe niʻihi ʻoku fie maʻu ke hoko atu ki he Ngāuéón ʻo herniated Tisi ʻe arthrodesis. Hokó,óTe tau fakamatalaʻi ʻa e meʻa kotoa pe ʻoku fie maʻu ke ke ʻilo fekauʻaki mo e Tafaíko ha posterior lumbar fusion.
Ífakahokohoko fakamotuʻalea
Faʻahinga ʻo e fusion
ʻI he vahaʻa ʻo e téNgaahi founga QuirúNgaahi naunau ʻoku fakaʻaongaʻi ʻi he fotunga ʻo e Más ʻoku fie maʻu ke tau fakaʻilongaʻi ʻa e ngaahi meʻa ko ʻeni:
- ʻOku ʻi ai ha ngaahi fakatata ʻo e ngaahi meʻa ʻoku fie maʻu: Ko e founga QUIRúʻOku fakahoko ia ʻi heés ʻi he tafaʻaki ki mui.
- Intersom arthrodesisáPosterior lumbar tica: ʻOku fakahoko ʻa e founga ngaue mei mui pea ʻoku kau ai hono toʻo ʻo e Tisi ʻi he vahaʻa ʻo ha ongo Vértebrae pea fakahu ʻa e fakahoko óSEO/implants ʻi he feituʻu kuo kamata ʻi he vahaʻa ʻo e ongo sino vertebral.
- Intersom arthrodesisáTransforaminal lumbar tica: tatau mo e PLIF, Ko e faʻahinga tafa ko ʻeniíKo ha toeén ʻoku fakahoko ia mei he tafaʻaki ki mui ʻo e tuʻa.
- Intersom arthrodesisáanterior lumbar tica: Ko e tafaón ʻoku fai ia mei muʻa pea ʻoku kau ai ʻa e hoko atu ke toʻo ʻa e Tisi ʻi he vahaʻa ʻo e ongo vértebrae pea fakahu ʻa e fakahoko óSEO/implants ʻi he feituʻu ʻoku originates ʻi he vahaʻa ʻo e ongo sino vertebral.
- Anterior/posterior vertebral arthrodesis: ʻi he meʻa ni, ʻOku fakahoko ʻa e founga ngaue mei muʻa mo mui.
- Intersom arthrodesisáFuʻu lateral tica: ʻI he meʻa ni, ko ha fusionáʻA ia ʻoku hoko ai ʻa e tokanga mei he tafaʻaki.
¿CuáʻOku fakaʻaongaʻi ʻa Posterior lumbar fusion?
Ko e arthrodesis ko ha tokonión traumáʻulungaanga faitotonu ʻoku totonu ke fakaʻilongaʻi ʻe ha timi traumatóKau mataotao ʻi he fotunga ʻi he feituʻu lumbar. Ko e tokoni ko ʻenión quirúʻOku fie maʻu ia ki he kakai ko ia ʻoku nau maʻu ha taha ʻo e ngaahi kafo pe pathology ko ʻeniíhaohaoa:
- Fractures, V-infections mo e/pe ngaahi foʻi ngunguélumbar rtebrae
- Degenerative lumbar Tisi mahaki
- Lumbar spondylolisthesis
- Lumbar Kanali stenosis
Ko e ngaahi pathologies ko ʻeniíʻI heʻenau fakahehema ke fakatupu ha mamahi ʻi he ngaahi hui ʻo e tuʻa, Fakaʻaongaʻi ʻo e presión ʻi he ngaahi neave pea ʻe lava pe ke ulo atu ʻi he vaʻe. Ko e tokonión quirúrgica toʻoá ʻi he kau mahaki ko ia ʻoku ʻi ai haʻanau Foakiñpe CRóTuʻa nico, pea hili haʻane ʻahiʻahiʻi ha t keheéNgaahi founga ʻoku ʻikai invasive, kuo teʻeki ai ke ola lelei ʻeni.
¿CuáKo e loloa ʻo e tokonión ʻo posterior lumbar osteoarthritis?
Ko e taimi ʻo e tokonión ʻo ha posterior lumbar osteoarthritis fakafalala ki he núKo e ngaahi konga pe kuo uesia, angamaheni ke fakahoko ʻa e arthrodesis ʻi ha tuʻunga ʻe taha pe ua. ʻI he faʻahinga meʻa ko ʻeni, Ko e loloaón quirúKo e tuʻunga ʻo e tuʻunga ʻe taha ʻoku faʻa 3 houa ʻe, lolotonga ʻenau ʻi ha tuʻunga ʻe ua ʻoku nau faʻa aʻu ki he 4 houa ʻe ʻo e loloaón.
Ko e fakamohe ʻoku fakahoko ʻoku fakalukufua, pea ʻoku totonu ke tuku ʻa e mahaki ʻi he tepile quiróFano mafuli ki lalo, ko ʻeku ʻuhinga, TisemaúʻOku fakahehema ʻa e bito. Hili ʻene maʻu ʻa e tuʻunga ke arthrodesar radiolly.ógica, ʻOku fie maʻu ke kamata ʻaki e tafaíki he, ʻOku fakafalala pe ia ki he téFounga ke fakahoko ʻakiá ʻI tuʻa ʻi he Víha anterior pe posterior.
Ko e téFounga ʻoku fakaʻaongaʻi mo loloaón ʻo e tokonión ʻe lava ke kehekehe. ʻI he ongo meʻa ni, ʻoku fie maʻu ke fakahoko.ón ʻo ha fakato óSEO ʻi he konga ʻo e tuʻa ʻoku uesia.
Postoperative vahaʻataimi ʻo ha posterior lumbar fusion
Hili e tafaón ʻo e posterior lumbar fusion, Kuo pau ke nofo ʻa e mahaki ʻi he falemahaki ʻi ha ʻaho ʻe tolu pe faíhaohaoa, ʻI he ILI cáFoki kiate kinautoluá fakalakalaka ʻene ʻekitivitii fíSICA. Lolotonga e taimi ko ʻeni, además, ʻoatu kiate koeán ki he analg mahakiéMEKISIKOU Víki he fakamatala pe intravenous.
ʻOku ʻi ai ha ngaahi fokotuʻu ke muimui ki ai hili hono fai e tokoni ko ʻenión ʻoku peheni:
- Fakatupulaki e ʻekitivitii física fakalakalaka pea ʻikai excesses ke aʻusia ha fakaakeakeón óMaʻuʻanga Fakamatala.
- ʻOua naʻa ke fakamalohiʻi ʻa e feituʻu ʻo e tuʻa ʻaki haʻo fakaʻaongaʻi flexión o tracción ʻi ha ngaahi uike lahi.
- ʻOku totonu ke fakaʻehiʻehi mei hono fakaʻaongaʻi ʻo e tapaka ki he fusimileón óʻoku ʻikai uesia.
Fakaakeakeón ʻo posterior lumbar fusion
Ke lava ʻo fakaakeake ʻi ha founga óPtima hili e tokonión, ʻOku mahuʻinga ke fai e tafaíke fakahoko ʻe ha traumatókau mataotao ʻi he fakaʻilonga ʻokué feʻunga pea maʻu ha taukei fuoloa ʻi heʻene hoko ko ha palofesinale. Además, ʻOku mahuʻinga ke muimui maʻu pe ʻa e mahaki ki he ngaahi fakahinohino mo e ngaahi polokalama ʻoku ʻomi ʻe he mahaki.éDico pe physiotherapist.
Ko e ki ki he fakaakeakeón ʻo e posterior lumbar fusion ko e lue ʻo fakalakalaka pea ʻi ha founga ʻoku faʻa hoko. Ko e meʻa tatau pē, ʻE ala fie maʻu ha ngaahi fakataha physiotherapy mo e fakaakeake.ón ko e traumatóFetuʻutaki ki he fakaʻilongaá koeʻuhi ko e mahaki.
Fakafoki Mai ʻo ha Toe Fakafokión ʻi he taimi ʻoku ngaue ai ʻoku fakahoko ia ʻi he vahaʻa ʻo e 4 pea mo 8 hili ha ngaahi uike mei aiés ʻo e tokonión quirúrgica. ʻOku ʻikai faʻa ʻi ai ha sequelae hili e tafa ko ʻeni.ón. ʻI he ngaahi meʻa lahi, ʻoku fakafalala ʻa e sequelae ki he háBitos mo e taʻu motuʻa ʻo e mahaki. Ko e ʻuhinga ia ʻoku mahuʻinga lahi ai ʻa e fakaakeake.ón, koeʻuhi ʻoku ʻi ai ha ngaahi meʻa ʻe niʻihi ʻe faingataʻaʻia ai ʻa e mahaki mei he mamahi.
ʻI he founga ni, ʻOku ke ʻiloʻi ʻa e meʻa ʻoku posterior lumbar fusion, Ko ha founga quirúʻA ia ʻoku fie maʻu ke fai ʻi ha ngaahi meʻa kehekehe ke lava ʻo matuʻuaki ʻa e mamahi, ʻi he ngaahi meʻa kotoa ko ia ʻoku, Hili opting ki ha ngaahi faitoʻo kehe ʻoku ʻikai invasive, Kuo teʻeki ai ke ola lelei ʻa e founga ngaue pea kuo teʻeki ai fakaleleiʻi ʻa e palopalema naʻe faingataʻaʻia ai ʻa e mahaki.
