TLIF don dabarun haɗin gwiwa na lumbar

TLIF (Transforaminal lumbar interbody fusion, FIG. 1) shine babban aiki na yau da kullum a cikin aikin asibiti.Idan kun kasance sabon likitan likitancin kashin baya, mai yiwuwa ba ku ga duk LIF mai ban sha'awa ba, amma dole ne ku san TLIF.Tsarin TLIF ya shiga cikin diski na manufa. ta hanyar sararin samaniya na baya kuma yana yin maganin sararin samaniya na intervertebral, irin su lalata diski, shirye-shiryen sararin samaniya, da haɗin haɗin kashi.

Ana iya cewa dabarar TLIF ita ce mafi kyawun dabarun haɗin gwiwa na lumbar na asibiti.

Gabatarwar fasahar TLIF dole ne ya kasance ba za a iya raba shi da PLIF (haɗin haɗin gwiwa na lumbar na baya, FIG. 2). PLIF da TLIF suna kusa da juna, kuma yana da wuya a bambance su gaba daya. An kirkiro dabarar PLIF a lokacin yakin duniya na biyu. Yana fallasa canal na kashin baya ta hanyar cire lamina, tsari mai laushi, ligamenta flameum da sauran sifofi a baya don kawar da matsawa na jijiyoyi, sa'an nan kuma ya sanya kashi a cikin sararin vertebral don cimma manufar haɗin gwiwar intervertebral. Bisa ga tsohon wallafe-wallafe, Mercer et al. . ya ba da shawarar hanyoyin tiyata da yawa don aikin tiyata na lumbar a cikin rahoton wallafe-wallafen su na 1936, gami da haɗin kai na baya tare da babban kashin kasusuwa da haɗin sararin samaniya na baya, da dai sauransu. na farko a fili ya ba da shawarar hanyar haɗin kashin kasusuwa bayan discectomy, wanda ake ɗaukarsa a matsayin shekarar farko ta haihuwar fasahar PLIF. Shahararrun likitocin majagaba na kashin baya irin su Cloward, dabarar ta zama sananne a duniya.

Kamar yadda yadu amfani da dabara a asibiti yi, TLIF ya zama wani ginshiƙi dabara domin kashin baya tiyata saboda da kyau fasaha adaptability, aminci neuroprotection, m intervertebral sarari management da Fusion rate.Ko da a yau m iri-iri na LIFs, TLIF ya kamata ci gaba da haskaka kamar yadda. daya daga cikin basirar da likitocin kashin baya ke bukata don zama gwani kuma abin dogara.