TLIF ya lumbar interbody fusion njira

TLIF (Transforaminal lumbar interbody fusion, FIG. 1) ndiyo ntchito yaikulu muzochita zachipatala.Ngati ndinu dokotala watsopano wa opaleshoni ya msana, mwina simunawone LIF yonse yokongola, koma muyenera kudziwa TLIF.Njira ya TLIF imalowa mu disc chandamale. Kupyolera mu malo a posterior foraminal ndikuchita chithandizo cha intervertebral space, monga disc decompression, intervertebral space kukonzekera, ndi kuphatikizika kwa mafupa.

Njira ya TLIF ikhoza kunenedwa kuti ndiyo njira yothandiza kwambiri ya lumbar interbody fusion.

Kuyambitsidwa kwaukadaulo wa TLIF kuyenera kukhala kosagwirizana ndi PLIF (posterior lumbar interbody fusion, FIG. 2). PLIF ndi TLIF ali pafupi wina ndi mzake, ndipo n'zovuta kuwasiyanitsa kwathunthu.Njira ya PLIF inapangidwa pa nthawi ya nkhondo yachiwiri ya padziko lonse. Imawulula ngalande ya msana pochotsa lamina, njira ya spinous, ligamenta flameum ndi zida zina kumbuyo kuti zithetse kupsinjika kwa mitsempha, ndiyeno zimayika fupa m'malo a vertebral kuti akwaniritse cholinga cha intervertebral fusion. Malinga ndi mabuku akale, Mercer et al. . Anapereka njira zingapo zopangira opaleshoni ya lumbar slip mu lipoti lawo la mabuku a 1936, kuphatikizapo kuphatikizika kwapambuyo kwapambuyo ndi mafupa akuluakulu ndi kuphatikizika kwapakati pa intervertebral space fusion, ndi zina zotero. choyamba anafotokozera momveka bwino njira ya intervertebral bone graft fusion pambuyo pa discectomy, yomwe imatengedwa kuti ndi chaka choyamba cha kubadwa kwa teknoloji ya PLIF.Yodziwika ndi opaleshoni ya opaleshoni ya msana monga Cloward, njirayi yakhala yotchuka padziko lonse lapansi.

Monga njira yomwe imagwiritsidwa ntchito kwambiri pazachipatala, TLIF yakhala njira yapangodya ya opaleshoni ya msana chifukwa cha luso lake lotha kusintha, chitetezo cha chitetezo cha msana, chitetezo chokwanira cha intervertebral space management and fusion rate. imodzi mwazofunikira zomwe madokotala ochita opaleshoni a msana ayenera kukhala aluso komanso odalirika.