{"id":1763,"date":"2026-06-23T08:08:11","date_gmt":"2026-06-23T08:08:11","guid":{"rendered":"https:\/\/nevrohirurgija.mk\/?p=1763"},"modified":"2026-06-23T08:08:11","modified_gmt":"2026-06-23T08:08:11","slug":"mielopatia-cervikale-e-shkaktuar-nga-kompleksi-degjenerativ-disk-osteofit","status":"publish","type":"post","link":"https:\/\/nevrohirurgija.mk\/?p=1763&lang=sq","title":{"rendered":"Mielopatia cervikale e shkaktuar nga kompleksi degjenerativ disk-osteofit"},"content":{"rendered":"<div dir=\"auto\">\n<div dir=\"ltr\">\n<h4><strong>Ass. Dr. Bllagoj Shuntov.\u00a0\u00a0<\/strong><\/h4>\n<p>Ju paraqesim rastin e nj\u00eb pacienti 56-vje\u00e7ar me t\u00eb dh\u00ebnat prej m\u00eb shum\u00eb se dy vite simptomash progresive, t\u00eb ndjekura nga \u00e7rregullimet e ecjes dhe ngurt\u00ebsis\u00eb s\u00eb ekstremiteteve t\u00eb poshtme. Ekzaminimi neurologjik tregoi shenja t\u00eb paraliz\u00ebs spastike t\u00eb ekstremiteteve t\u00eb poshtme dhe shenja t\u00eb rritjes s\u00eb reflekseve t\u00eb muskujve dhe tetiv\u00ebve, duke treguar p\u00ebrfshirjen e rrug\u00ebve t\u00eb gjata n\u00eb palc\u00ebn kurrizore.<\/p>\n<p>Fotografit\u00eb me rezonanc\u00eb magnetike paraoperative treguan shenja t\u00eb d\u00ebmtimit t\u00eb nj\u00eb pjese t\u00eb segmentit cervikal t\u00eb palc\u00ebs kurrizore n\u00eb nivelin C5-C6 me kompresion t\u00eb theksuar ventral t\u00eb palc\u00ebs kurrizore cervikale t\u00eb shkaktuar nga kompleksi i madh dhe i fort\u00eb disk-osteofit.<\/p>\n<p>Pacienti ishte trajtuar kirurgjikalisht me dekompresion dhe fuzion cervikal t\u00eb p\u00ebrparm\u00eb (ACDF). Nd\u00ebrhyrja p\u00ebrfshinte heqjen e plot\u00eb t\u00eb kompleksit t\u00eb osteofiteve dhe reseksionin e ligamentit t\u00eb pasm\u00eb gjat\u00ebsor (PLL), i cili arriti dekompresion t\u00eb drejtp\u00ebrdrejt\u00eb dhe t\u00eb plot\u00eb t\u00eb palc\u00ebs kurrizore. Fluoroskopia intraoperative (rengeni intraoperativ) konfirmoi dekompresion p\u00ebrkat\u00ebs dhe rikonstruksion t\u00eb k\u00ebnaqsh\u00ebm t\u00eb segmentit.<\/p>\n<p>Operacioni ishte kryer duke p\u00ebrdorur nj\u00eb teknik\u00eb t\u00eb sakt\u00eb mikrokirurgjikale me ndihm\u00ebn e mikroskopit neurokirurgjik dhe diseksionit t\u00eb kujdessh\u00ebm anatomik.<\/p>\n<p>Pas operacionit, pacienti u sh\u00ebrua pa v\u00ebshtir\u00ebsi dhe \u00ebsht\u00eb n\u00eb gjendje t\u00eb q\u00ebndrueshme t\u00eb p\u00ebrgjithshme dhe neurologjike. Pas p\u00ebrfundimit t\u00eb mjekimit spitalor, do t\u00eb vijoj\u00eb periudha e terapis\u00eb fizikale dhe rehabilitimit.<\/p>\n<p>Rastet e tilla na kujtojn\u00eb se tek pacient\u00ebt me mielopati cervikale progresive, dekompresimi n\u00eb koh\u00eb dhe i plot\u00eb i palc\u00ebs kurrizore mbetet faktori kryesor n\u00eb p\u00ebrmir\u00ebsimin e funksionit neurologjik dhe cil\u00ebsis\u00eb s\u00eb jet\u00ebs.<\/p>\n<\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1745\" src=\"https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1.jpeg\" alt=\"\" width=\"2048\" height=\"2048\" srcset=\"https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1.jpeg 2048w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1-320x320.jpeg 320w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1-1200x1200.jpeg 1200w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1-160x160.jpeg 160w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1-768x768.jpeg 768w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1-1536x1536.jpeg 1536w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1-540x540.jpeg 540w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/06\/\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430-\u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430-1-1080x1080.jpeg 1080w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" \/><\/p>\n<\/div>\n<p><iframe loading=\"lazy\" title=\"\u0426\u0435\u0440\u0432\u0438\u043a\u0430\u043b\u043d\u0430 \u043c\u0438\u0435\u043b\u043e\u043f\u0430\u0442\u0438\u0458\u0430 \u043f\u0440\u0435\u0434\u0438\u0437\u0432\u0438\u043a\u0430\u043d\u0430 \u043e\u0434 \u0434\u0435\u0433\u0435\u043d\u0435\u0440\u0430\u0442\u0438\u0432\u0435\u043d \u0434\u0438\u0441\u043a-\u043e\u0441\u0442\u0435\u043e\u0444\u0438\u0442 \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\" width=\"563\" height=\"1000\" src=\"https:\/\/www.youtube.com\/embed\/0KPwO3K8BqI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<div dir=\"auto\">\n<div dir=\"ltr\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div dir=\"auto\" role=\"textbox\" aria-label=\"Message Body\">\n<div dir=\"ltr\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div dir=\"auto\" role=\"textbox\" aria-label=\"Message Body\">\n<div dir=\"ltr\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div dir=\"auto\">\n<div dir=\"ltr\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ass. Dr. Bllagoj Shuntov.\u00a0\u00a0 Ju paraqesim rastin e nj\u00eb pacienti 56-vje\u00e7ar me t\u00eb dh\u00ebnat prej m\u00eb shum\u00eb se dy vite simptomash progresive, t\u00eb ndjekura nga \u00e7rregullimet e ecjes dhe ngurt\u00ebsis\u00eb s\u00eb ekstremiteteve t\u00eb poshtme. Ekzaminimi neurologjik tregoi shenja t\u00eb paraliz\u00ebs spastike t\u00eb ekstremiteteve t\u00eb poshtme dhe shenja t\u00eb rritjes s\u00eb reflekseve t\u00eb muskujve dhe tetiv\u00ebve,Leer M\u00e1s<\/p>\n","protected":false},"author":5,"featured_media":1744,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[101],"tags":[],"class_list":["post-1763","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-sq"],"_links":{"self":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts\/1763","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1763"}],"version-history":[{"count":1,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts\/1763\/revisions"}],"predecessor-version":[{"id":1764,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts\/1763\/revisions\/1764"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/media\/1744"}],"wp:attachment":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1763"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1763"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1763"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}