I-TLIF yeendlela zokudibanisa i-lumbar interbody

2023-12-26

I-TLIF (i-Transforaminal lumbar interbody fusion, i-FIG. 1) yinkqubo esebenzayo kwikliniki.Ukuba ungugqirha omtsha we-spine, usenokuba awuzange ubone yonke i-LIF enqabileyo, kodwa kufuneka wazi i-TLIF.Ubuchule be-TLIF bungena kwidiski ekujoliswe kuyo. ngokusebenzisa indawo ye-foraminal yangasemva kwaye yenza unyango lwe-intervertebral space, njenge-disc decompression, ukulungiswa kwendawo ye-intervertebral, kunye ne-bone graft fusion.

Ubuchule be-TLIF bunokuthiwa yeyona ndlela isebenzayo yokudibanisa i-lumbar interbody.

Ukuqaliswa kweteknoloji ye-TLIF kufuneka ihluke kwi-PLIF (i-posterior lumbar interbody fusion, i-FIG. 2). I-PLIF kunye ne-TLIF zisondelelene, kwaye kunzima ukubahlula ngokupheleleyo.Ubuchule be-PLIF baphuhliswa ngexesha leMfazwe Yehlabathi II. Ityhila umgudu womgogodla ngokususa i-lamina, inkqubo ye-spinous, i-ligamenta flameum kunye nezinye izakhiwo ngasemva ukukhulula ukunyanzeliswa kwe-nerve, kwaye emva koko ifake ithambo kwindawo ye-vertebral ukufezekisa injongo ye-intervertebral fusion.Ngokoncwadi lwamandulo, uMercer et al. . zicebise iindlela ezininzi zotyando zotyando lwe-lumbar slip kwingxelo yabo ye-1936 yoncwadi, kubandakanywa ukuxutywa kwe-posterior interspinous kunye ne-graft enkulu yamathambo kunye ne-anterior intervertebral space fusion, njl. Ngelo xesha, ingcamango ye-posterior intervertebral fusion yayingacetywanga ngokucacileyo. Kwiminyaka elishumi kamva, uJaslow okokuqala kucetywe ngokucacileyo indlela ye-intervertebral bone graft fusion emva kwe-discectomy, ethathwa njengonyaka wokuqala wokuzalwa kweteknoloji ye-PLIF.Ithandwa ngoogqirha abangoovulindlela abanjengoCloward, ubuchule sele budume kwihlabathi jikelele.

iindlela zokudibanisa i-interbody fusion

Njengendlela esetyenziswa ngokubanzi kuqheliselo lwezonyango, iTLIF iye yaba yindlela esisiseko sotyando lomqolo ngenxa yokuguquguquka okufanelekileyo kobugcisa, i-neuroprotection ekhuselekileyo, ulawulo olwanelisayo lwe-intervertebral space kunye ne-fusion rate.Nakuluhlu olungapheliyo lwanamhlanje lwe-LIF, i-TLIF kufuneka iqhubeke nokukhanya njengoko esinye sezakhono ezisisiseko ekufuneka oogqirha botyando babe nezakhono kwaye bathembeke.