TLIF ya lumbar interbody tekinike yo guhuza

TLIF. unyuze mumwanya winyuma wimbere kandi ukora ubuvuzi bwimyanya ndangagitsina, nka disompression ya disiki, gutegura umwanya uhuza ibinyabuzima, hamwe no guhuza amagufwa.

Tekinike ya TLIF irashobora kuvugwa ko aribwo buryo bukoreshwa mubuvuzi bwa lumbar interbody fusion tekinike.

Kwinjiza tekinoroji ya TLIF bigomba gutandukana na PLIF (posterior lumbar interbody fusion, FIG. 2). PLIF na TLIF baregeranye, kandi biragoye kubitandukanya rwose.Ubuhanga bwa PLIF bwakozwe mugihe cyintambara ya kabiri yisi yose. Iragaragaza umuyoboro wumugongo ikuraho lamina, inzira ya spinous, ligamenta flameum nizindi nyubako zinyuma kugirango igabanye imitsi, hanyuma igatera amagufwa mumwanya wurugingo kugirango igere ku ntego yo guhuza intanga hagati. Nkurikije ubuvanganzo bwa kera, Mercer et al. . basabye uburyo bwinshi bwo kubaga uburyo bwo kubaga umugongo muri raporo y’ubuvanganzo yo mu 1936, harimo guhuza imvururu zinyuranye hamwe n’amagufwa manini hamwe n’imbere y’imbere hagati y’ibindi, n'ibindi. Muri icyo gihe, igitekerezo cyo guhuza imiyoboro y’inyuma nticyatanzwe ku buryo bweruye. Nyuma yimyaka icumi, Jaslow yabanje kwerekana ku buryo bweruye uburyo bwo guhuza amagufwa ya intervertebral nyuma yo gutandukana, bifatwa nkumwaka wambere wivuka rya tekinoloji ya PLIF.Yakunzwe nabapayiniya babaga umugongo nka Cloward, ubwo buhanga bumaze kumenyekana kwisi yose.

Nubuhanga bukoreshwa cyane mubikorwa byubuvuzi, TLIF yahindutse tekinike yifatizo yo kubaga uruti rwumugongo kubera uburyo bwiza bwo guhuza tekiniki, imitekerereze ya neuroprotection itekanye, imicungire y’imyanya ndangagitsina hamwe n’igipimo cyo guhuza.Nubwo no mubuzima butandukanye butagira iherezo bwubuzima, TLIF igomba gukomeza kumurika nkuko bumwe mu bumenyi bwibanze abaganga babaga umugongo bakeneye kuba abahanga kandi bizewe.