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xerxemlis wina instrumentuli stabilizacia tuberkulozuri spondilitis dros

xerxemlis wina instrumentuli stabilizacia tuberkulozuri spondilitis dros. Gg . xosiaSvili , n. naTaZe “ samSabaToba ”, 28.12.10. istoriuli cnobebi. 1779 wels ingliselma eqimma ser persival Ppot -ma pirvelad aRwera xerxemlis tuberkulozi ;

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xerxemlis wina instrumentuli stabilizacia tuberkulozuri spondilitis dros

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  1. xerxemliswinainstrumentulistabilizaciatuberkulozurispondilitisdrosxerxemliswinainstrumentulistabilizaciatuberkulozurispondilitisdros Gg. xosiaSvili, n. naTaZe “samSabaToba”, 28.12.10

  2. istoriulicnobebi • 1779 welsingliselmaeqimmaser persivalPpot-ma pirveladaRweraxerxemlistuberkulozi; • am daavadebisaTvisdamaxasiaTebelicvlilebebinapovniaZvelegvipturimumiebisarqeologiurmasalebSic.

  3. statistika • Zval-saxsristuberkuloziwarmoadgenstuberkulozisyvelaSemTxvevaTa 4-5%-s, maTganxerxemlistuberkulozigvxvdeba 40-50% SemTxvevaSi.

  4. operaciulimkurnalobisCvenebebituberkulozurispondilitisdros • xerxemliskifo-skoliozurideformacia (5 graduszemeti); • xerxemlisstabilurobisdarRveva (ramodenimemalissxeulis an erTimalissxeulis 50% - is dametisdestruqcia); • zurgistvinis an nervulifesvebiskompresiissindromi (tkivili, parezi, plegia ); • fistulozuriprocesi, romelicaremorCilebakonservatulmkurnalobas; • didizomisnawveTiabscesi an abscesi, romelicaremorCilebakonsevatulmkurnalobas; • rezistentulituberkulozi;

  5. TBspondilitisdrosoperaciuliCarevisamocanebi • dazianebulimalebismocileba. • perifokaluriabscesebismocileba. • zurgistviniskompresiislikvidacia. • xerxemlissayrdenifunqciisaRdgena. • xerxemlisoperirebulisegmentisimobilizacia. • xerxemlisdeformaciiskoreqcia

  6. operaciuliCarevisetapebi • operaciulimidgomebixerxemalze • radikalurietapi- paTologiuriqsovilebismocileba (xerxemliswinasvetisZvlovanistruqturebi, perifokaluriabscesebi,- maTSorisepiduruli). • aRdgeniTietapi- xerxemlisstabilurobisdasayrdenifunqciisuzrunvelyofa.

  7. operaciisaRdgeniTietapi 1. Zvlovani defeqtebis Canacvleba 2. xerxemlis dazianebuli segmentis imobilizacia

  8. ZvlovanidefeqtebisCanacvleba • transplantatis “oqrosstandarti”: trikortikaluriRrublovaniZvali (autonekni, TeZosZvlisfrTa) • xelovnuriimplantebi

  9. konkretulimagaliTebi

  10. sainteresoSemTxveva (dif.diagnostikasimsivnesTan)

  11. xerxemlistuberkulozidaskoliozurideformacia

  12. mkveTrikifozurideformaciaSerwymulixangrZlivfistulozurprocesTanmkveTrikifozurideformaciaSerwymulixangrZlivfistulozurprocesTan

  13. samidazianebulimalissxeulisCanacvlebaimplantiT

  14. autotransplantati “+’’BbiologiuradyvelazeTavsebadi “_” xSiradxdebakolafsidagawova, xangrZliviwoliTireJimi implanti “+” xerxemlisdeformaciiskoreqciisSesaZlebloba, pacientisfexzeadgomadasiaruli 3-10 dReSi “_” infeqciisrecidivisriski (adheziurifaqtori- Oga) SedarebiTidaxasiaTeba

  15. gmadlobT yuradRebisaTvis gmadlobTyuradRebisaTvis

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