{"id":37753,"date":"2017-02-10T15:22:22","date_gmt":"2017-02-10T15:22:22","guid":{"rendered":"http:\/\/humanitas.local\/cure\/artrodeza-lumbalnih-prshljenova\/"},"modified":"2017-11-03T13:19:33","modified_gmt":"2017-11-03T13:19:33","slug":"artrodeza-lumbalnih-prshljenova","status":"publish","type":"treatment","link":"https:\/\/www.humanitas.net\/sr\/treatments\/artrodeza-lumbalnih-prshljenova\/","title":{"rendered":"Artrodeza lumbalnih pr\u0161ljenova"},"content":{"rendered":"

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

 <\/p>\n

Fuzija lumbalnog pr\u0161ljena je hirur\u0161ka tehnika koja omoguc\u0301ava da se spoje kosti u lumbalnom delu ki\u010dme kako bi ga stabilizovali i smanjili bol ili deformitet.<\/p>\n

 <\/p>\n

\u0160ta je artrodeza lumbalnih pr\u0161ljenova?<\/h2>\n

Artrodeza lumbalnog pr\u0161ljena omoguc\u0301ava ujedinjenje kostiju lumbalne ki\u010dme sa ili bez ubacivanja metalnog (\u010delik ili titanijum) i nemetalnog implanta (vijuci, kuke, \u0161ipke, plo\u010de). Po\u0161to kostna unifikacija \u010dvrsta, potreban je ko\u0161tani graft \u0161to se mo\u017ee uzeti iz ilija\u010dne kosti, tibije ili sa jedne strane pacijenta ili donora ili mo\u017ee biti sintetskog porekla.<\/p>\n

 <\/p>\n

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

Fuzija lumbalnih pr\u0161ljenova je indikovano u slu\u010dajevima nestabilnosti ki\u010dme, degeneracije intervertebralnih diskova ili preloma.<\/p>\n

 <\/p>\n

\u0160ta je potrebna hospitalizacija?<\/h2>\n

Prednji pristup se izvodi kroz reza u levom delu trbuha ili alternativno u centru abdomena. Za razliku od prednjeg, zadnji pristup se vr\u0161i kroz rez na centralnom delu le\u0111a. Operacija se izvodi u op\u0161toj anesteziji dok se operi\u0161u le\u0111a pacijenta. To je dugotrajan rad koji zahteva strpljenje da se ostane u bolnici 2 do 5 dana.<\/p>\n

 <\/p>\n

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

Prednji pristup ima prednost jer ne uti\u010de ni na mi\u0161ic\u0301e le\u0111a, ni na nerve. \u0160tavi\u0161e \u010dini se da ima bolje rezultate. Zadnji pristup je bila uspe\u0161na u 60-70% slu\u010dajeva. Najbolji rezultati su dobijeni u prisustvu jasne nestabilnosti zbog frakture ili spondilolisteze.<\/p>\n

 <\/p>\n

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

Iskustvo hirurga i ekspertiza centra gde se radi artrodeza lumbalnih pr\u0161ljenova su izuzezno bitni za celokupni uspeh ove intervencije. Glavni rizik je da se kalem ne\u0107e oporaviti ili pacijent do\u017eivi dislokaciju (naj\u010de\u0161c\u0301e se de\u0161ava u odsustvu implanta).<\/p>\n

Osim toga, postoji moguc\u0301nost o\u0161tec\u0301enja krvnih sudova usmerene ka nogama, creva ili uretera i kod mu\u0161karaca retrogradna ejakulacija (za intervencije u blizini pr\u0161ljena L5 i S1). Drugi moguc\u0301i rizici su kila, o\u0161tec\u0301enja membrane, bubrege, korene nerava ili ki\u010dmene mo\u017edine, krvarenje i infekcije.<\/p>\n

 <\/p>\n

Pra\u0107enje<\/h2>\n

Proces le\u010denja traje najmanje tri meseca gde podr\u0161ka mo\u017ee biti potrebna kao na primer da se nosi korset. U me\u0111uvremenu c\u0301e biti potrebno pratiti proces ozdravljenja preko radiografije. CT skeniranje ili magnetna rezonanca mo\u017ee biti potrebna. Fizi\u010dka aktivnost se treba postepeno nastaviti i tek posle tri meseca mnakon operacije se mo\u017ee po\u010deti sa procenom intervencije rehabilitacijom.<\/p>\n

\r\n<\/pre>\n
Standardna priprema<\/h2>\n
Kada pacijent bude primljen u bolnicu pre operacije, on\/ona treba da donese rezultate svih testova koji se rade pre procedure i da prate uputstva data od strane lekara u vezi sa hranom i lekovima koji se rutinski koriste.<\/p>\n
 <\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","yoast_head":"\nArtrodeza lumbalnih pr\u0161ljenova - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/sr\/treatments\/artrodeza-lumbalnih-prshljenova\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Artrodeza lumbalnih pr\u0161ljenova - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Artrodeza lumbalnih pr\u0161ljenova   Fuzija lumbalnog pr\u0161ljena je hirur\u0161ka tehnika koja omoguc\u0301ava da se spoje kosti u lumbalnom delu ki\u010dme kako bi ga stabilizovali i smanjili bol ili deformitet.   \u0160ta je artrodeza lumbalnih pr\u0161ljenova? 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