Nin ko kɛlenw : MIS Siman kuru min bɛ kɛ ka L3 degun kari

Banabagatɔ cɛmancɛ ni mɔgɔkɔrɔbaw ka kɔkolo karilenw (VCF) ka teli ka gɛlɛya fila lase u ma: a ka kan ka u jɔcogo segin u cogo kɔrɔ la joona ani ko a ka gɛlɛn ka kolotugudaw jɔcogo ɲuman sɔrɔ kolotugudaw la walima kolo tiɲɛnenw na. Nin ko in sɛgɛsɛgɛli bɛ baara kɛcogo ɲuman sɛgɛsɛgɛ XC Medico MIS 5.5 System Cement Augmented Fenestrated Screw kɛnɛyaso dɔ la Sili jamana na.

1. Jateminɛ kɛli sani opereli ka kɛ ani kɛnɛyaso ka sɔrɔw

Muso dɔ min si ye san 54 ye, o nana ni kɔdimi jugumanba ye, min bɛ mɔgɔ fanga dɔgɔya, a binna dɔɔni kɔfɛ. Farikolola sɛgɛsɛgɛli y’a jira ko yɔrɔ dɔ bɛ sɔgɔsɔgɔ kɔkolo kan ani ka taama dantigɛ kosɛbɛ.

Jaa 1 : Ja minnu bɛ kɛ ka kɔn opereli ɲɛ, olu bɛ L3 kɔkolo farikolo degun kari jira (a bɛ se ka kɛ 30% ye a janya la) ani kɔkolo tiɲɛni taamasiɲɛw.

Ja fɔlɔw (Ja 1) y’a jira ko L3 degun karilen don min bɛ kɛ ni kɔkolo janya 30% ɲɔgɔn ye. Raporo in y’a jira fana ko kɔkolo bɛrɛbɛrɛ caman bɛ yeli la , i n’a fɔ kolo caman bɔli kɔkolo dakunw na ani farikolo kurulen tilennen. Banabagatɔ si hakɛ ni kolo tiɲɛni kosɔn, laadala pedicle screw fixation tun bɛ faratiba la 'pull-out' walima ka lajɔ.

2. Opereli fɛɛrɛ: Mun na MIS siman bonya?

Dɔgɔtɔrɔ Alejandro Silva ye opereli kɛcogo dɔ sugandi min bɛ wele ko Minimally Invasive Surgery (MIS) walasa ka farikolo yɔrɔ nugulamaw ka joginda dɔgɔya ani ka kɛnɛya teliya. Desizɔn min tara ka baara kɛ ni XC Medico Cement Augmented Fenestrated Screw ye , o tun sinsinnen bɛ fɛn fila kan minnu nafa ka bon kosɛbɛ:

• Enhanced Anchoring: Fenestrated design bɛ sira di PMMA siman pikiri tigitigi ma, ka 'kolo-siman-screw' fɛnɲɛnamafagalan dɔ dilan min bɛ dɔ fara kosɛbɛ bɔli fanga kan kolo tiɲɛnen na.
• MIS bɛnkan : 5,5mm sigida labɛnna ka ɲɛ walasa ka jiginni kɛ farikolo la, ka joli bɔli ni dimi dɔgɔya opereli kɔfɛ.

3. Opereli kɔnɔ waleyali ani opereli kɔfɛ jaabiw

O kɛcogo in kɛra ni fluoroscopie bilasirali ye. XC Medico fenestrated screws bilala L2 ni L4 la, ka L3 kɔkolo karilen kɛrɛfɛ. PMMA siman pikiri kɛra ni hakilisigi ye ka tɛmɛn sɔgɔsɔgɔninjɛ sɔgɔlenw fɛ, ka se ka jɛɲɔgɔnya ɲuman sɔrɔ ni kansɛri kolo lamininen ye.

Jaa 2 : Opereli kɔfɛ CT bɛ juruw jira minnu bɛ yɔrɔ ɲuman na ni siman tilalen don ɲɔgɔn fɛ fenestrations lamini na, o bɛ sabatili di teliya la.

Jaa 3 : Kɔkolo dafalen bɛ segin a cogo kɔrɔ la. Kɔnɔnafili bɛ sabati, wa L3 janya bɛ mara.

Opereli kɔfɛ CT ni DR (Ja 2 & 3) y’a jira ko kɔnɔna sirili tun bɛ yɔrɔ dafalen na . Kɔkolo janya tun bɛ mara, ani siman jɛnsɛnni tun bɛ kɛ cogo kelen na. Banabagatɔ y’a jira ko dimi dɔgɔyara 70% sanga 24 kɔnɔ, ka sɔrɔ ka a lamaga ni bolokɔni ye opereli kɔfɛ tile filanan na.

4. Kuncɛli

Sili dɔgɔtɔrɔso jɛkulu ka opereli dɔnniya ni XC Medico ka kɔkolo fɛɛrɛ kɔrɔlenw ka jɛkafɔ kɛra sababu ye ka kɛnɛyaso sɔrɔcogo ɲuman sɔrɔ. MIS 5.5 System Cement Augmented Fenestrated Screw b’a jira ko a ye baarakɛminɛn nafama ye kɔkolo operelikɛlaw bolo minnu bɛ ka kari gɛlɛnw ɲɛnabɔ banabagatɔw la minnu kolo cogoya bɛ tiɲɛ.