Nudzɔdzɔ Ŋuti Numekuku: MIS Siminti Kplu na L3 Compression Fracture

Zi geɖe la, akɔta ƒe gbagbã (VCF) le dɔnɔ siwo xɔ ƒe titina kple ame tsitsiwo me nyea kuxi eve: alesi wòhiã be woagbugbɔ xɔtunua aɖo enumake kple alesi wòsesẽna be woaɖo ƒu si gblẽ alo ƒu si gblẽ la me dedie. Nudzɔdzɔ sia ku ɖe alesi wozãa... XC Medico MIS 5.5 System Cement Augmented Fenestrated Screw le atikewɔƒe le Chile.

1. Do Ŋgɔ Na dɔwɔwɔ na ame ƒe Dɔdamɔnu Kple Dɔdaƒe ƒe Nusiwo Wokpɔ

Nyɔnu aɖe si xɔ ƒe 54 tsɔ akɔtave sesẽ si nana wògbɔdzɔna la va le esi wòdze anyi vie megbe. Lãmedodokpɔ ɖee fia be teƒe ɖeka ƒe akɔta ƒe akɔta ƒe vevesese le eye wòxe mɔ ɖe ʋuʋu nu ŋutɔ.

Nɔnɔmetata 1: Nɔnɔmetata siwo woɖe do ŋgɔ na dɔwɔwɔ na ame si ɖe L3 akɔta ƒe ŋutilã ƒe nutete ƒe gbagbã (si ade 30% ƒe kɔkɔme ƒe bu) kple akɔta ƒe gbegblẽ ƒe dzesiwo fia.

Nɔnɔmetata gbãtɔ (Nɔnɔmetata 1) ɖo kpe L3 ƒe nutete ƒe gbagbã si lɔ akɔta ƒe kɔkɔme ƒe 30% ɖe eme dzi. Nyatakakaa ɖe tɔtrɔ siwo va le akɔta ƒe gbegblẽ hã fia , siwo dometɔ aɖewoe nye ƒu ƒe ʋuʋu fũ le akɔta ƒe gowo kple ŋutilã ƒe ƒoƒo ƒe dzɔdzɔe. Le dɔnɔa ƒe ƒexɔxɔ kple ƒua ƒe gbegblẽ ta la, pedicle screw fixation si wozãna tsã la dze ŋgɔ afɔku gã aɖe be 'pull-out' alo loosening.

2. Amekoko ƒe Mɔnu: Nukatae MIS Siminti Dzidziɖedzi?

Ðɔkta Alejandro Silva tia Amekoko si Me Womezãa Ame O (MIS) ƒe mɔnu be wòaɖe lãmeka falɛfalɛwo ƒe nuveviwɔame dzi akpɔtɔ eye wòahaya kabakaba. Nyametsotso be woazã XC Medico Cement Augmented Fenestrated Screw la nɔ te ɖe nu vevi eve dzi:

• Enhanced Anchoring: Fenestrated ƒe nɔnɔme ɖe mɔ ɖe PMMA siminti dodo pɛpɛpɛ, si wɔa 'ƒu-simenti-screw' ƒokpli si dzia hehe ƒe ŋusẽ ɖe edzi ŋutɔ le ƒu si gblẽ me.
• MIS ƒe Ðekawɔwɔ: Wotrɔ asi le 5.5mm ƒe ɖoɖoa ŋu nyuie wu na vidzidzi to ŋutigbalẽ me, si ɖea ʋu ƒe gege kple vevesese le dɔwɔwɔ vɔ megbe dzi kpɔtɔna.

3. Amewuwu le dɔwɔwɔ me kple dɔwɔwɔ vɔ megbe emetsonuwo

Wowɔ dɔa le fluoroscopic ƒe mɔfiame te. Wotsɔ XC Medico ƒe fenestrated screws da ɖe L2 kple L4, le L3 ƒe akɔtaƒu si gbã la axadzi. Wodo PMMA siminti nyuie to gavi siwo me do le la me, si na be woate ŋu atsɔe aƒo ƒu nyuie wu kple ƒu si ƒo xlãe si nye cancellous.

Nɔnɔmetata 2: CT si wowɔ le dɔwɔwɔ vɔ megbe ɖe gavi siwo le nɔnɔme nyuitɔ me fia eye siminti la ma sɔsɔe ƒo xlã fenestrations, si naa woli ke enumake.

Nɔnɔmetata 3: Wogbugbɔ akɔta ƒe ɖoɖo bliboa ɖo anyi. Ememe fixation la li ke, eye woléa L3 ƒe kɔkɔme me ɖe asi.

CT kple DR si wowɔ le dɔwɔwɔ vɔ megbe (Nɔnɔmetata 2 & 3) ɖo kpe edzi be ememe fixation la le teƒe si sɔ pɛpɛpɛ . Wolé akɔta ƒe kɔkɔme me ɖe asi, eye siminti si kaka la sɔ. Dɔnɔa gblɔ be vevesesea dzi ɖe kpɔtɔ 70% le gaƒoƒo 24 me eye wotsɔ akɔtaɖonu ƒoe le dɔwɔwɔ nɛ vɔ megbe ŋkeke evelia dzi.

4. Nyataƒoƒo

Chiletɔwo ƒe atikewɔlawo ƒe amekoko ŋuti nunyalawo kple XC Medico ƒe aklã ƒe mɔ̃ɖaŋununya deŋgɔ ƒe nuwɔwɔ aduadu na be dɔdamɔnu me tsonu nyo wu. MIS 5.5 System Cement Augmented Fenestrated Screw ɖee fia be enye dɔwɔnu vevi aɖe na akɔtadɔdala siwo kpɔa akɔta ƒe gbagbã sesẽwo gbɔ le dɔnɔ siwo ƒe ƒu ƒe nyonyome me gblẽ ŋu.