TLIF ye lumbar interbody fusion maitiro

TLIF (Transforaminal lumbar interbody fusion, FIG. 1) ndiyo inonyanya kushandiswa mumakiriniki maitiro.Kana iwe uri chiremba mutsva wepelinha, unogona kunge usina kuona LIF yose inofadza, asi unofanira kuziva TLIF.Iyo nzira yeTLIF inopinda mu disc target. kuburikidza ne posterior foraminal space uye inoita intervertebral space treatment, yakadai se disc decompression, intervertebral space preparation, uye bone graft fusion.

Tekinoroji yeTLIF inogona kunzi ndiyo inonyanya kurapa lumbar interbody fusion nzira.

Kuiswa kweTLIF tekinoroji kunofanirwa kunge kusingaparadzaniswe nePLIF (posterior lumbar interbody fusion, FIG. 2). PLIF neTLIF zviri pedyo kune mumwe nemumwe, uye zvakaoma kuzvisiyanisa zvachose.Unyanzvi hwePLIF hwakagadzirwa munguva yeHondo Yenyika II. Inofumura mutsara wemusana nekubvisa lamina, spinous process, ligamenta flameum uye zvimwe zvivako kumashure kuti zvigadzirise kudzvinyirira kwetsinga, uye zvino inoisa pfupa munzvimbo ye vertebral kuti iite chinangwa che intervertebral fusion. Maererano nemabhuku ekare, Mercer et al. . vakaronga nzira dzakawanda dzekuvhiya dzekuvhiyiwa kwelumbar slip mushumo wavo wezvinyorwa zve 1936, kusanganisira posterior interspinous fusion nehombe yemapfupa uye anterior intervertebral space fusion, etc. Panguva iyoyo, pfungwa ye posterior intervertebral fusion yakanga isina kutsanangurwa zvakajeka. Makore gumi gare gare, Jaslow. akatanga akanyatsotsanangura nzira ye intervertebral bone graft fusion mushure me discectomy, iyo inoonekwa segore rekutanga rekuberekwa kwePLIF teknolojia.Inofarirwa nekupayona vanachiremba vanovhiya musana vakadai saCloward, nzira yacho yakabva yave yakakurumbira pasi rose.

Senzira inoshandiswa zvakanyanya mumakiriniki ekudzidzira, TLIF yave nzira yekona yekuvhiyiwa kwemusana nekuda kwehutano hwakanaka hwekugadzirisa, kuchengetedza neuroprotection, inogutsa intervertebral space management uye fusion rate.Kunyange mumarudzi anhasi asingagumi eLIF, TLIF inofanira kuramba ichipenya se imwe yeunyanzvi hunokosha hunodiwa nevanovhiya musana vanoda kuve nehunyanzvi uye hwakavimbika.