{"id":77481,"date":"2017-02-10T15:20:35","date_gmt":"2017-02-10T15:20:35","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/artrodeza-dorzalnih-prshljenova\/"},"modified":"2017-02-10T15:20:35","modified_gmt":"2017-02-10T15:20:35","slug":"artrodeza-dorzalnih-prshljenova","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/treatments\/artrodeza-dorzalnih-prshljenova\/","title":{"rendered":"Artrodeza dorzalnih pr\u0161ljenova"},"content":{"rendered":"

Artrodeza dorzalnih pr\u0161ljenova<\/u><\/h1>\n

 <\/p>\n

Artrodeza dorzalnih pr\u0161ljenova je hirur\u0161ka tehnika koja omoguc\u0301ava da se spoje kosti u ramenom delu ki\u010dme da se stabilizuju kako bi se smanjio bol ili deformitet.<\/p>\n

 <\/p>\n

\u0160ta je fuzija dorzalnih pr\u0161ljenova?<\/h2>\n

 <\/p>\n

Fuzija dorzalnih pr\u0161ljenova omoguc\u0301ava ujedinjenje kostiju le\u0111ne ki\u010dme sa ili bez ubacivanja metalnog (\u010delik ili titanijum) i nemetalnog implanta (vijuci, kuke, \u0161ipke, plo\u010de). Po\u0161to je spoj \u010dvrst, ko\u0161tani kalem mo\u017ee biti neophodan koji se \u010desto uzima od ilija\u010dne kosti ali tako\u0111e mo\u017ee doc\u0301i iz tibije, sa jedne stran pacijenta od davaoca ili mo\u017ee biti sintetskog porekla.<\/p>\n

 <\/p>\n

Koji pacijenti mogu da urade artrodezu dorzalnih pr\u0161ljenova?<\/h2>\n

Artrodeza dorzalnih pr\u0161ljenova je indikovanono za pacijente koji pate od skolioze, kifoze, tumora, nestabilnos\u0161\u0107u, preloma ili degeneracije intervertebralni diskova.<\/p>\n

 <\/p>\n

Za\u0161to je potrebna hospitalizacija?<\/h2>\n

Postupak se izvodi zadnjim pristupom bu\u0161enjem centralnog dela le\u0111a. U slu\u010dajevima kada se vr\u0161i prednji pristup, rez se radi u bo\u010dnom delu grudi. Operacija se izvodi u op\u0161toj anesteziji. U slu\u010daju skolioze, operacija mo\u017ee trajati i do 4 sata. Osim toga, prednji pristup zahteva od pacijenta da dr\u017ei cev u grudima tokom prvih nekoliko dana nakon operacije.<\/p>\n

 <\/p>\n

Koje su prednosti artrodeze dorzalnih pr\u0161ljenova?<\/h2>\n

Tipi\u010dno graftovi od donora ne zarastaju kao i one koje su napravljene od sopstvenim ko\u0161tanim fragmentima koji su uzeti od istog pacijenta. Kada se postupak obavlja bez stavljanja implanta onda postoji mala moguc\u0301nost dislokacije gde mo\u017ee kasnije da bude potrebna dodatna operacija.<\/p>\n

 <\/p>\n

Da li je fuzija dorzalnih pr\u0161ljenova bolna i\/ili opasna?<\/h2>\n

Artrodeza dorzalnih pr\u0161ljenova je bezbedna procedura pod uslovom da je obavljaju iskusni i visoko specijalizovani hirurzu. Me\u0111utim, postoji moguc\u0301a opasnost od o\u0161tec\u0301enja ki\u010dmene mo\u017edine, krvarenja u toku postupka ili postoperativni bol.<\/p>\n

 <\/p>\n

Pra\u0107enje<\/h2>\n

Proces le\u010denja traje najmanje tri meseca. U me\u0111uvremenu, pacijent mo\u017ee zahtevati da koristi poprsja (ili korset) ali se ne preporu\u010duje potpuna nepokretnost. U stvari, preporu\u010duje se da pacijenti hodaju koliko god je moguc\u0301e bez pravljenja preteranih napora (kao \u0161to je podizanje). Osim toga, proces izle\u010denja ko\u0161tanog grafta c\u0301e se pratiti upotrebom rendgenom. U nekim slu\u010dajevima mo\u017ee biti neophodno da se izvr\u0161i skeniranje CT-om ili magnetnom rezonancom (MRI) nakon postupka. Generalno, nakon prva tri meseca procesa oporavka moguc\u0301e je razmotriti fizioterapiju.<\/p>\n

 <\/p>\n

Standardna priprema<\/h2>\n

Na dan prijema (dan postupka) pacijent je du\u017ean da donese rezultate svih testova koja se rade pre procedure I mora da prati uputstva koja su data od strane lekara vezi ishrane i lekova koji se rutinski uzimajuu.<\/p>\n

 <\/p>\n

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