I roto i ngā whare rongoā pokanga tuaiwi, he maha ngā wā ka pātai āwangawanga ngā tūroro, "E te tākuta, me hiahia ahau ki ngā tīwiri mō tōku āhua?" He nui te mataku o te nuinga o te tangata ki ngā pokanga "whakauru tīwiri" tuaiwi, ā, ka mataku i te whakahua noa i ngā tīwiri. Ko te tikanga iti rawa te whakaekenga otīwiri pedicle percutaneousKua kawea mai e te whakapiri he huarahi hou mō te "whakanoho tīwiri" i roto i te pokanga tuaiwi.

Ko ngā tino take e wehi ai te tini o ngā tūroro i te pokanga "whakaurunga tīwiri" ko ngā āwangawanga mō ngā take e whai ake nei: he tapahi nui i te pokanga, he kino o te kino o ngā uaua, he puhoi te whakaoranga i muri i te pokanga, me ngā hua ataahua kino.
Ki te whakatauritea ki te pokanga whakatakotoranga tīwiri tuku iho, he maha ngā painga o te whakapiri tīwiri waewae ki te kiri.
Ngā tapahi iti ake, ā, he ataahua ake - Ko ngā tikanga tuku iho me tapahi nui kia pai ai te tirohanga o te tūnga o ngā tīwiri. He rerekē, ko te PPSF me tapahi noa i te 1.5–2.0 cm mō te tīwiri kotahi. I te whakakotahitanga me te tuitui whakapaipai kiri, ka iti ake te koha ka puta, ā, he ataahua ake.
He iti ake te toto, he tere ake te ora - Ko ngā tikanga tuku iho ko te tango i te kiko uaua paravertebral. Ka whakamahia e te PPSF ngā ngongo urunga kua whānui haeretia, me te kore e tapahia te uaua, ka iti ake te toto e ngaro ana, ka iti ake te whara o te uaua, ka tutuki ai te pokanga tino iti rawa te whakaekenga.
He iti ake te mamae i muri i te pokanga, he iti ake hoki ngā raruraru mō te wā roa - Ko te pokanga tuku iho me tango whānuitia, me te hoki roa o ngā kiko huri noa i te tuaiwi. Ka karohia e te PPSF te tango noa me te kukume roa, ka iti ake te mamae i muri i te pokanga. Nā te mea kāore e whara i ngā peka o muri o ngā io tuaiwi, ka ārai i te tangohanga o te uaua multifidus, ka puta ai te ngoikore o te hope, te mamae mau tonu, me te mate pukupuku cervical.
Kāore e hiahiatia he ngongo waikeri, ā, he poto ake te noho hōhipera - He maha ngā wā ka puta he toto nui i muri i te pokanga tuku iho, ā, e hiahiatia ana he ngongo waikeri mō ngā rā 1–3. Mā te PPSF ka kore e hiahiatia he ngongo waikeri, ka taea te haere wawe, ā, ka poto ake te noho hōhipera.
A ZATHTīwiri Pedicle Iti Rawakei roto ko te tīwiri Mono-Angle, te tīwiri Multi-Angle me te tīwiri Uni-Plane me ētahi atu
| Kotahi-KokiTīwiri Pedicle | Ø5.5mm*30mm/Ø5.5mm*35mm/Ø5.5mm*40mm/Ø5.5mm*45mm/ Ø6.0mm*40mm/Ø6.0mm*45mm/Ø6.0mm*50mm Ø6.5mm*35mm/Ø6.5mm*40mm/Ø6.5mm*45mm/Ø6.5mm*45mm Ø7.0mm*35mm/Ø7.0mm*40mm/Ø7.0mm*45mm/Ø7.0mm*50mm/Ø7.0mm*55mm |
| Maha-KokiTīwiri Tuaiwi | Ø5.5mm*35mm/Ø5.5mm*40mm/Ø5.5mm*45mm Ø6.0mm*35mm/Ø6.0mm*40mm/Ø6.0mm*45mm/Ø6.0mm*50mm Ø6.5mm*35mm/Ø6.5mm*40mm/Ø6.5mm*45mm/Ø6.5mm*45mm/Ø6.5mm*50mm Ø7.0mm*35mm/Ø7.0mm*40mm/Ø7.0mm*45mm/Ø7.0mm*50mmØ7.0mm*55mm |
| Uni-PlaneTīwiri Tuaiwi | Ø5.5mm*35mm/Ø5.5mm*40mm/Ø5.5mm*45mm Ø6.0mm*35mm/Ø6.0mm*40mm/Ø6.0mm*45mm/Ø6.0mm*50mm Ø6.5mm*35mm/Ø6.5mm*40mm/Ø6.5mm*45mm/Ø6.5mm*45mm/Ø6.5mm*50mm Ø7.0mm*35mm/Ø7.0mm*40mm/Ø7.0mm*45mm/Ø7.0mm*50mmØ7.0mm*55mm |
Ki te hiahia koe ki te ako atu mō ngātīwiri waewae tuaiwimōhiotanga, tēnā koa whakapā maiwhakapā mai; mā tā mātou tīma koe e whakarato ki te tautoko ngaio me ngā whakautu.
Wā tuku: 13 Paenga-whāwhā 2026
