Labaran Wasan Labaran Laminical Laminiclasty

Mabuɗin

1. Elepoolar ElepecTric wuƙa yanke faslia kuma sannan ya kwace tsoka a karkashin periosteum a karkashin periicular tsarin ba ya kamata a cire shi domin ya kiyaye amincin da ba a hankali da tashin hankali.

2. Biyan hankali to A hankali karuwar bude kofa ta gaba daya, ana iya amfani da guda uku don buɗe shi zuwa faɗin da ya dace, kuma don haka a kan akai-akai, wanda zai iya guje wa cikakken rauni na slotted gefe zuwa iyakar da zai yiwu;

3. Lokacin da budeG Horo ba a ciki, ciging daga Ligamentum flavum a wurin buɗe shafin na iya haifar da zubar da jini don dakatar da zubar da jini, ko kuma za ka iya amfani da zubar da jini, ko kuma zaka iya amfani da zubar da jini.

An kirkiro tiyata na Jafananci na farko da aka kirkira a cikin shekarun Jafananci a shekarun 1970s. Kodayake an inganta shi da yawa, aikin asali na asali har yanzu yana ƙaruwa ko ƙasa ɗaya, wanda ya fi dacewa da tiyata mai yawa, kuma yana ɗaya daga cikin tiyata na cervical don tiyata.

1.Open-qoor Expansile Cervical Laminoplasty

Wannan labarin ya fito ne daga sashen tiyata na neurological a Jami'ar Miami a Miami, Florida, kuma dangane da takamaiman kofa, kamar yadda aka bayyana a kasa:

An sanya haƙuri a cikin yanayin da aka yi, an yi amfani da kai tare da Mayfield kansa Mayeld zuwa Midline, sannan fatar ta a karkashin wuka na fasikanci, da kuma Kariyar kayan haɗin gwiwar karkara na karkara na karkara ta hanyar, da kuma jita-jita na titin Enenidal ya kamata a yi kama da amincin yanayin tashin hankali bandbrae; An ba da cikakkiyar fallasa da ƙananan fallasa. Farantin bayyanuwa na sama da ƙananan farantin farantin C2 na farfajiyar T1, sannan ƙananan na uku na farantin T1, sannan kuma a na uku na farantin t1 na Mm na t1-mm suna tursasawa da karfi na mater na 2-mm. Daga cikin kayan marmari na cizon sauro ya ciji ta hanyar karfin gwiwa don shirya don ɗaukar kashi.

Next na kofar C3-C7 an yi shi, kamar yadda aka nuna a cikin adadi da ke sama, a gefe daya da aka yi amfani da shi a matsayin betex a cikin cortext a cikin cortex a cikin cortex a cikin cortex a cikin cortex a cikin cortex a cikin cortex a cikin wani yanki, da kuma a An yi amfani da kai a kan nika a bude ƙofar.

Bayan nika ta cikin Cortex, a bude gefen ƙofar yana buƙatar a tsabtace shi tare da ligamalentum a fili, kuma za a iya ɗaukar ɗan gajeren fata, sannan za'a iya kulawa da karuwar sifar da aka buɗe, da ƙananan yara Za'a iya amfani da Spantulas don buɗe farantin vertebral na ƙaramin adadin kafin buɗe ɗayan, sannan kuma a sake guje wa kofa tazara zuwa ƙarshen yanki zuwa iyakar gwargwado.

Ya kamata a ɗan rage yanayin damuwa a wurin da aka sanya katangar kashi ba tare da buƙatar kafaffun canjin waje ba, tare da masu canjin kashi ya tafi daga cikin ɓangaren ɓangare a gefen hade.

2.Open-Door maigida

This article, from the Department of Neurosurgery at Keck Medical Center of the University of Southern California, has almost the same title as the previous document, with a change in the order of the English words, and a high degree of consistency in its method and philosophy of operation, and reflects the uniformity in the training of surgeons in the United States.

Jaka da sassan muni sun kusan c3-7 don sauƙaƙe gudun hijira na baya; An kiyaye tushen Laifi na Benenidal don sauƙaƙe kwanciyar hankali; An yi amfani da wasan kwaikwayon kai wanda aka buɗe don buɗe ƙofar don rage lalacewar igiyar kashin baya; An sanya shinge na kashin a C3, 5, da 7 don tallafawa buɗe ƙofar.

Bayanin Bayanin Bayani: A, bayyanar Lanaza daga kasan C2 zuwa saman T1. B, hakowar tsagi na mortral tare da cikakken osteotomy a gefe daya da kuma wani yanki ostyotomy a daya gefen. C, daukaka na Layana daga C3 zuwa C7 a matsayin guda ɗaya. d, sanya wani yanki mai ban sha'awa.

Hoto na hoto: An sake hangen nesa bayan ramuka masu hako a cikin tsararren c3, C5, da C7 (a) da kuma bayan sanya wani yanki na mkars (b).

Koyaya, kayan aikinta na kashin sa, ban da kashi ɗaya na yau da kullun (Fig.), Babban yanki ne na acid raga da aka yi da (BC Fig.), Wanda ya zama gama gari a China. A cikin sharuddan nisa na bude kofa, da kyakkyawan found an ɗauka shine 10-15 mm, wanda ya ɗan bambanta da 8-16 mm sama.

A lokacin da yake yin buɗewar buɗe ido guda ɗaya, ciging kashe ligamentum flavum a cikin shafin na ƙofar na iya haifar da zubar da jini ko getery sponge don dakatar da zub da jini.