I-Spinal Stenosis kanye ne-Disc Herniation kuyize izimbangela ezivame kakhulu ze-Lumbar nerve Root Compression kanye ne-radiculat. Izimpawu ezinjengobuhlungu emuva nomlenze ngenxa yaleli qembu lezinkinga zingahluka kakhulu, noma zinokushoda kwezimpawu, noma zibe zimbi kakhulu.
Ucwaningo oluningi lukhombisile ukuthi ukucindezelwa okuhlinzayo lapho izindlela zokwelashwa ezingapheli zingaphumeleli imiphumela emihle yokwelapha. Ukusetshenziswa kwamasu ahlaselayo kancane kunganciphisa izinkinga ezithile zesendlalelo futhi kunganciphisa isikhathi sokutakula kwesiguli uma kuqhathaniswa nokuhlinzwa okuvulwa kwendabuko okuvulwa kwe-lumbar.
Emagazini wakamuva we-Tech Orthop, uGandhi et al. Ukusuka eDrexel University College of Medicine kunikeza incazelo eningilizayo yokusetshenziswa kohlelo lokubuyiselwa kwe-tubular ekuhlaseleni ngokuhlaselelwayo kwe-lumbar decompomive. I-athikili ifundeka kakhulu futhi ibalulekile ekufundeni. Amaphuzu amakhulu amasu abo okuhlinza achazwa kafushane ngale ndlela elandelayo.
Umdwebo 1
Umdwebo 2
Umdwebo 3. Ukuvela kwe-parasagittal nge-blue dot ukumaka isikhundla se-midline.
Umdwebo 4. Ukunwetshwa kancane kancane kwe-incision ukudala isiteshi sokusebenza.
Umdwebo 5
Umdwebo 6. Ukuhlanza izicubu ezithambile ngemuva kwe-cautery ukuqinisekisa ukubonwa okuhle kwezimpawu zomhlaba wonke.
Umdwebo 7
Umfanekiso. 8. Ukudutshulwa nge-grinder drill: Indawo isetshenziswa futhi amanzi ifakwe ukugeza imfucumfucu yamathambo futhi inciphise ubukhulu bomonakalo owenziwe ngokushisa okukhiqizwa yi-grinder drinder.
Umdwebo 9
Ababhali baphetha ngokuthi ukusetshenziswa kohlelo lokubuyiselwa kwe-tubular requctions for i-lumbar decomression ngezindlela ezihlaselayo ezinokuhlasela zinezinzuzo ezingaba khona ngokuhlinzwa kwendabuko okuvulwa kwendabuko. Ijika lokufunda liyalawuleka, futhi odokotela abahlinzayo abaningi bangaqedela ngokuqhubekayo amacala anzima ngenqubo yokuqeqeshwa kweCadalaveric, isithunzi, kanye nokusebenza ngezandla.
Njengoba ubuchwepheshe buqhubeka nokuvuthwa, kulindeleke ukuthi bakwazi ukunciphisa ukopha, izinhlungu, amazinga okutheleleka, kanye nesibhedlela kuhlala ngamasu ahlaselayo ahlaselayo.
Isikhathi sePosi: Dec-15-2023
