{"id":77208,"date":"2017-03-29T13:40:14","date_gmt":"2017-03-29T13:40:14","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/fuziunea-vertebrelor-cervicale-prin-abordarea-posterioara\/"},"modified":"2017-03-29T13:40:14","modified_gmt":"2017-03-29T13:40:14","slug":"fuziunea-vertebrelor-cervicale-prin-abordarea-posterioara","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/treatments\/fuziunea-vertebrelor-cervicale-prin-abordarea-posterioara\/","title":{"rendered":"Fuziunea vertebrelor cervicale prin abordarea posterioar\u0103"},"content":{"rendered":"<h2 id=\"fuziunea-vertebrelor-cervicale-prin-abordarea-posterioara\">Fuziunea vertebrelor cervicale prin abordarea posterioar\u0103<\/h2>\n<p>&nbsp;<\/p>\n<p>Fuziune a vertebrelor cervicale este o tehnic\u0103 chirurgical\u0103 care permite unificarea vertebrelor cervicale cu coloana vertebral\u0103. \u00cen cazul \u00een care procedur\u0103 este realizat\u0103 printr-o abordare posterioar\u0103, acesta ofer\u0103 acces la nivelul coloanei vertebrale din partea din spate a corpului.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"ce-este-fuziunea-vertebrelor-cervicale-prin-abordarea-posterioara\">Ce este fuziunea vertebrelor cervicale prin abordarea posterioar\u0103?<\/h2>\n<p>Fuziunea vertebrelor cervicale prin abordare posterioar\u0103 poate uni oasele coloanei cervicale, cu sau f\u0103r\u0103 introducerea de metal (titan) sau implanturi de baz\u0103 nemetalice (\u0219uruburi, c\u00e2rlige, tije, pl\u0103ci). Deoarece unirea este solid\u0103, o gref\u0103 osoas\u0103 este necesar\u0103, care poate fi luate din creasta iliac\u0103, din procesele spinoase \u0219i laminele (por\u021biunea posterioar\u0103 a vertebrelor ele \u00eensele), sau poate fi de origine sintetic\u0103.<\/p>\n<p>Procedura implic\u0103 efectuarea unei incizii \u00een zona central\u0103 a spatelui \u0219i o disec\u021bie pentru a expune procesele spinoase ale vertebrelor, de a lamina \u0219i de a fora g\u0103uri \u00een os, \u00een care se introduc \u0219uruburile care sunt necesare pentru a efectua artrodeza.<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"in-cazul-caror-pacienti-se-poate-efectua-tratamentul\">\u00cen cazul c\u0103ror pacien\u021bi se poate efectua tratamentul?<\/h2>\n<p>Fuziunea vertebrelor cervicale anterioare se efectueaz\u0103 \u00een cazul unei traume, deforma\u021biilor survenite din urma unor traume, tumori, infec\u021bii, spondiloz\u0103 cervical\u0103, stenoz\u0103 de col uterin \u0219i deform\u0103ri degenerative.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"este-nevoie-de-spitalizare\">Este nevoie de spitalizare?<\/h2>\n<p>Opera\u0163ia se efectueaz\u0103 sub anestezie general\u0103, cu pacientul intubat. \u00cen cazul traumatismelor cervicale instabile ale coloanei vertebrale trebuie s\u0103 fie imobilizat (de exemplu, cu un guler). Mai mult dec\u00e2t at\u00e2t, aceasta poate lua un cateter de vezic\u0103 urinar\u0103 \u0219i alte instrumente pentru a reduce riscul de tromboza venoas\u0103 profund\u0103. Dup\u0103 ce a fost transferat la masa de opera\u021bie pacientul este fixat cu instrumente adecvate, \u00een scopul de a reduce presiunea abdominal\u0103 \u0219i faciliteaz\u0103 \u00eentoarcerea venoas\u0103 de la picioare.<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"care-sunt-avantajele-fuziunii-vertebrelor-cervicale-prin-abordarea-posterioara\">Care sunt avantajele fuziunii vertebrelor cervicale prin abordarea posterioar\u0103?<\/h2>\n<p>Fuziune a vertebrelor cervicale prin abordarea posterioar\u0103 a fost procedura preferat\u0103 p\u00e2n\u0103 \u00een anii 1980, c\u00e2nd aceea\u0219i procedur\u0103 a \u00eenceput s\u0103 fie realizat\u0103 printr-o abordare anterioar\u0103 pentru tratarea fracturilor traumatice ale coloanei cervicale. \u00cen prezent, dezbaterea cu privire la ceea ce este cea mai bun\u0103 abordare este \u00eenc\u0103 deschis\u0103. Sunt prezentate date \u00een literatura de specialitate arat\u0103 eficien\u021ba ambelor proceduri \u0219i \u00een momentul \u00een care alegerea logic\u0103 porne\u0219te de pe latura care mare parte a problemei care trebuie rezolvat\u0103 este localizat. Chirurgul poate, totu\u0219i, s\u0103 ia \u00een considerare \u0219i al\u021bi parametri, cum ar fi instabilitatea cervical\u0103.<\/p>\n<p>\u00cen plus, abordarea posterioar\u0103 ofer\u0103 avantajul unei reduceri a riscurilor pentru vasele de s\u00e2nge \u0219i viscere. Dezavantajele pot include inconvenien\u0163e majore \u0219i durerea post-operatorie, comparativ cu cele tipice pentru artrodeza de col uterin prin abordarea anterioar\u0103, necesitatea de \u015federe mai lung\u0103 \u00een spital, precum \u0219i riscurile poten\u021biale asociate cu arterele vertebrale \u0219i a structurilor nervoase.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"este-fuziunea-vertebrelor-cervicale-prin-abordarea-posterioara-dureroasa-sau-periculoasa\">Este fuziunea vertebrelor cervicale prin abordarea posterioar\u0103 dureroas\u0103 sau periculoas\u0103?<\/h2>\n<p>Interven\u021bia este asociat\u0103 cu riscul de leziuni ale nervilor \u0219i a pierderii de lichid cefalorahidian. Mai mult dec\u00e2t at\u00e2t, grefele pot cre\u0219te riscul de osteoartrita. Disconfortul \u0219i durerea post-operatorie sunt consecin\u021be comune.<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"control\">Control<\/h2>\n<p>\u00cen urma opera\u021biei este necesar\u0103 monitorizarea func\u021bional\u0103 \u0219i neurologic\u0103 a pl\u0103gii. Unii medici recomand\u0103 utilizarea ortezelor temporare externe, cum ar fi gulere.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"standarde-de-pregatire\">Standarde de preg\u0103tire<\/h2>\n<p>Pacientul trebuie s\u0103 fie \u00een spital cu rezultatele complete de la analizele efectuate \u00een prealabil \u0219i s\u0103 respecte toate instruc\u021biunile date de medici \u00een leg\u0103tur\u0103 cu rutina privind m\u00e2ncarea \u0219i medicamenta\u021bia.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-77208","cure","type-cure","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fuziunea vertebrelor cervicale prin abordarea posterioar\u0103 - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fuziunea vertebrelor cervicale prin abordarea posterioar\u0103 - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Fuziunea vertebrelor cervicale prin abordarea posterioar\u0103 &nbsp; Fuziune a vertebrelor cervicale este o tehnic\u0103 chirurgical\u0103 care permite unificarea vertebrelor cervicale cu coloana vertebral\u0103. \u00cen cazul \u00een care procedur\u0103 este realizat\u0103 printr-o abordare posterioar\u0103, acesta ofer\u0103 acces la nivelul coloanei vertebrale din partea din spate a corpului. &nbsp; Ce este fuziunea vertebrelor cervicale prin abordarea posterioar\u0103? 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