Nsɛm a Wɔayɛ no Ho Nhwehwɛmu: MIS Cement Screw a wɔde yɛ L3 Compression Fracture

Vertebral compression fractures (VCFs) a ɛba ayarefo a wɔadi mfe mfinimfini ne wɔn a wɔn mfe akɔ anim mu no taa de asɛnnennen abien ba: hia a ehia sɛ wɔsan yɛ nhyehyɛe no ntɛm ara ne sɛnea ɛyɛ den sɛ wobenya dompe a nnompe ayɛ mmerɛw anaasɛ asɛe no mu den. Saa asɛm yi hwehwɛ sɛnea wɔde... XC Medico MIS 5.5 System Cement Augmented Fenestrated Screw wɔ ayaresabea tebea bi mu wɔ Chile.

1. Nhwehwɛmu a wɔyɛ ansa na wɔayɛ oprehyɛn ne nea wɔahu wɔ ayaresabea

Ɔbea bi a wadi mfe 54 de akyi yaw a emu yɛ den a ɛma ɛyɛ mmerɛw bae bere a ɔhwee ase kakra akyi. Nipadua mu nhwehwɛmu daa no adi sɛ ɛhɔ yɛ mmerɛw wɔ akyi berɛmo no so na ɛmma wontumi nkɔ baabiara kɛse.

Mfonini 1: Mfonini a wɔyɛ ansa na wɔreyɛ oprehyɛn a ɛkyerɛ L3 vertebral body compression fracture (bɛyɛ 30% a ɛyera ne tenten) ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ akyi berɛmo no asɛe.

Mfonini a edi kan (Mfonini 1) sii so dua sɛ L3 compression fracture a ɛfa bɛyɛ 30% wɔ vertebral sorokɔ ho. Amanneɛbɔ no nso kyerɛe sɛ nsakrae a ɛba akyi berɛmo mu , a nnompe a ɛyɛ kɛse wɔ akyi berɛmo no ano ne nipadua no a ɛkɔ akyiri a ɛyɛ tẽẽ ka ho. Esiane ɔyarefo no mfe a wadi ne sɛnea dompe no sɛe nti, na atetesɛm mu pedicle screw fixation hyia asiane kɛse sɛ 'twe-out' anaasɛ ɛbɛsansan.

2. Oprehyɛn Ho Ɔkwan: Dɛn Nti na MIS Cement Augmentation?

Oduruyɛfo Alejandro Silva paw Minimally Invasive Surgery (MIS) kwan bi so na ama ntini a ɛyɛ mmerɛw no ayɛ mmerɛw na ama ne ho atɔ no ntɛmntɛm. Gyinae a wosii sɛ wɔde XC Medico Cement Augmented Fenestrated Screw bedi dwuma no gyina nneɛma abien a ɛho hia so:

• Enhanced Anchoring: Fenestrated nhyehyɛe no ma kwan ma wɔde PMMA semɛnte injection pɛpɛɛpɛ, na ɛyɛ 'bone-cement-screw' composite a ɛma ahoɔden a wɔtwe fi dompe a asɛe mu kɔ soro kɛse.
• MIS Compatibility: Wɔayɛ 5.5mm nhyehyɛe no yiye ama awo a wɔde fa honam ani, na ɛtew mogya a wɔhwere ne ɛyaw a ɛba wɔ oprehyɛn akyi no so.

3. Oprehyɛn mu Kum ne Oprehyɛn Akyi Nea Efi Mu Ba

Wɔyɛɛ oprehyɛn no wɔ fluoroscopic akwankyerɛ ase. Wɔde XC Medico fenestrated screws guu L2 ne L4, wɔ L3 akyi berɛmo a abubu no nkyɛn. Wɔde ahwɛyiye guu PMMA semɛnte mu faa nkɔnsɔnkɔnsɔn a ɛwɔ tokuru no mu, na ɛmaa ne dompe a ɛyɛ cancellous a atwa ho ahyia no bɛkaa ho yiye.

Mfonini 2: Oprehyɛn akyi CT kyerɛ nkɔnsɔnkɔnsɔn a ɛwɔ gyinabea pa a semɛnte no akyekyɛ pɛpɛɛpɛ atwa fenestations no ho ahyia, na ɛma ɛyɛ den ntɛm ara.

Mfonini 3: Wɔasan de akyi berɛmo a ɛne ne ho hyia koraa aba. Fixation a ɛwɔ mu no yɛ nea ɛyɛ den, na wɔhwɛ L3 sorokɔ no so.

CT ne DR a wɔyɛe wɔ oprehyɛn akyi (Mfonini 2 & 3) no sii so dua sɛ na emu fixation no si baabi a ɛfata . Wɔkɔɔ so kuraa akyi berɛmo no sorokɔ mu, na na semɛnte a wɔapete no yɛ pɛ. Ɔyarefo no bɔɔ amanneɛ sɛ ɛyaw no so tew 70% wɔ nnɔnhwerew 24 mu na wɔde brace boaboaa no ano wɔ oprehyɛn no akyi da a ɛto so abien no.

4. Nsɛm a wɔde wie

Chile nnuruyɛfo kuw no oprehyɛn ho abenfo ne XC Medico akyi berɛmo ho mfiridwuma a ɛkɔ anim a wɔyɛe no yɛɛ biako no maa nea efii mu bae a ɛkorɔn wɔ ayaresabea. MIS 5.5 System Cement Augmented Fenestrated Screw no da adi sɛ ɛyɛ adwinnade a ɛho hia ma akyi berɛmo ho oprehyɛn ho animdefo a wodi ayarefo a wɔn nnompe mu akisikuru a ɛyɛ den ho dwuma.