Tsarin tsinkayen karewa na karewa na C1-2 kuma an ruwaito a cikin wallafe-wallafen don samun adadin 88% zuwa 100%.
A cikin 2014, Markus R et al wallafa kan dabarar m truirt fiction a cikin mujallar kasusuwa & hadin gwiwa (AM). Labarin ya ba da cikakken bayani game da manyan abubuwan da dabarun tiyata, bibiyar bayan-sama, alamu da tsaurara a matakai shida.
Labarin ya jaddada cewa kawai nau'in karar II an fi shi madaidaiciya don madaidaiciyar zane-zane da kuma cewa an fi son shinge na dunƙule.
Mataki na 1: Intrape Matsayin Mai haƙuri
1. Kyakkyawan kayan tarihi da na ƙasashe dole ne a ɗauka don bayanin mai aiki.
2. Dole ne a kiyaye mai haƙuri a cikin wurin bude baki yayin tiyata.
3. Ya kamata a sake yin karaya gwargwadon iko kafin fara tiyata.
4. Ya kamata a yi kashin mahaifa gwargwadon iko don samun cikakkiyar bayyanar da gindin Odonid.
5. Idan hyperexexevations daga cikin kashin mahaifa ba zai yiwu ba - misali, a cikin fashewar hauhawar wuta tare da gangarancin Odonid, to, za a iya ba da yin fassarar mai haƙuri a cikin hanyarsa.
6. Rufe kai mai haƙuri a matsayin tsayayyen wuri-wuri. Marubutan suna amfani da Mayfield shugaban firam (wanda aka nuna a cikin adadi 1 da 2).
Mataki na 2: Hanyar
Ana amfani da daidaitaccen tsarin tarko don fallasa Layer na Traferal ba tare da lalata duk wani mahimmin tsarin damuwa ba.
Mataki na 3: Motosa Shiga
Matsakaicin shigarwar shigarwa yana kusa da gefe mara kyau na gindin jikin C2 na Vertebal. Sabili da haka, gefen yanayin c3-C3 dole ne ya fallasa. (kamar yadda aka nuna a cikin Figures 3 da 4 da ke ƙasa) adadi na 3
Arbow na baki a cikin Hoto 4 ya nuna cewa an lura da cewa an lura da con a hankali a lokacin karatun CT.
2. Tabbatar da shigarwa a ƙarƙashin Intertopostorics da kuma a kaikaice lilin ra'ayoyi na cervical spine. 3.
3. Zamar da allura tsakanin matsanancin gefen C3 na sama da maɓallin shigarwar C2 don nemo mafi kyawun shiga.
Mataki na 4: Screments
1. 1.8 mm 1.8 mm diamita aka saka allura ta farko a matsayin jagora, tare da allura da aka samo asali kaɗan kadan a baya ga notochord. Bayan haka, an saka 4 mm ko 4 mm na mirge mm. Yakamata yakamata a hankali ya kamata a hankali Cefalad karkashin INTEROPOORORORIRIRIRIRIRALIRA DA KYAUTATAWA KYAUTA.
2. Place the hollow drill in the direction of the guide pin under fluoroscopic monitoring and slowly advance it until it penetrates the fracture. A cikin m ba ya kamata ya shiga cikin cortex na kungiyar Notochord don kada Pin ɗin yana fitowa da m rumfa.
3. Auna tsawon lokacin da ake buƙata m dunƙule da tabbatar da shi tare da ma'aunin CT da ya fi dacewa don hana kurakurai. Lura cewa m dunƙule bukukuwa don shiga cikin cortics kashin a bakin odonid tsari (don sauƙaƙe mataki na gaba na cracture karshen matsi).
A mafi yawan lokuta maganganun marubutan, an yi amfani da dunƙule guda ɗaya don gyarawa, tare da wanda aka nuna a gindin tsari na Odonider suna shiga cikin ƙwararrun ƙasa, tare da ƙarshen dunƙulen ƙwanƙwasa a bakin odontoid tsari. Me yasa aka ba da shawarar da aka ba da shawarar? Marubutan sun kammala cewa zai yi wuya a sami batun shigar da dace a gindin tsari na Odonti idan an sanya sukurori daban-daban daban daban daban daban daban.
Hoto na 5 yana nuna m a tsakiya located a gindin tsari na Odonti yana fuskantar Cortext kawai ya shiga cikin cortex na kashi kawai a bayan Odontoid tsari.
Amma ban da factor amincin, yi biyu sukurori ƙara yawan kwanciyar hankali?
Binciken kwayoyin halitta da aka buga a shekarar 2012 a cikin jaridar Orthoppical Orthoppical da kuma bincike mai dangantaka ta Gang Feng et al. Daga Kwalejin Siralen na Ingila ya nuna cewa dunƙule ɗaya da dunƙule guda biyu suna samar da matakin daidaito a cikin gyaran odontoid. Saboda haka, dunƙule ɗaya ya isa.
4. Lokacin da matsayin karaya da jagorar jagorar an tabbatar, ana sanya akwatunan kwallaye masu dacewa. Matsayin sukurori da fil ya kamata a lura a ƙarƙashin Fluoroscopy.
5. Ya kamata a ɗauki kulawa don tabbatar da cewa na'urar kunkunawa ba ta ƙunshi kyallen takarda ba lokacin yin kowane ɗayan ayyukan da ke sama. 6. Taskar da sukurori don amfani da matsin lamba ga sararin sama.
Mataki na 5: Riki ƙulli
1
2. Cikakken Haemostasis yana da mahimmanci don rage rikice-rikice bayan kai kamar Hematoma Mix na Trachea.
3..
4. Cikakken rufewa na zurfin yadudduka ba lallai ba ne.
5. Kawo mai rauni ba zaɓi bane da ake buƙata (marubuta yawanci ba sa sanya magudanan possecors).
6. An ba da shawarar suturar intramalmalmalmal don rage tasirin bayyanar mara haƙuri.
Mataki na 6: Biye-sama
1. Marasa lafiya ya kamata ci gaba da sanya rigar wuya a tsawon makonni shida, sai dai idan an kula da aikin jinya yana buƙatar shi, kuma ya kamata a kimanta shi tare da tunanin bayan lokaci.
2. Matsakaicin radiograors da na a kaikaice na kashin baya ya kamata a sake nazarin shi a 2, 6, da makonni 12 kuma a cikin watanni 6 zuwa 12 bayan tiyata. An yi shi ne a cikin makonni sha biyu bayan tiyata.
Lokaci: Dec-07-2023
