Nazarin Harka: MIS Cement Screw don L3 Compression Fracture

Ƙunƙarar ƙwayar ƙwayar cuta (VCFs) a cikin tsofaffi da tsofaffi marasa lafiya sau da yawa suna gabatar da ƙalubale guda biyu: buƙatun sake fasalin tsarin nan da nan da wahalar samun ingantaccen gyarawa a cikin osteoporotic ko degenerative kashi. Wannan binciken binciken yana bincika nasarar aiwatar da aikace-aikacen XC Medico MIS 5.5 System Cement Augmented Fenestrated Screw a cikin wurin asibiti a Chile.

1. Ƙididdigar Ƙaddamarwa da Bincike na asibiti

Wata mace mai shekaru 54 da aka gabatar tare da ciwo mai tsanani, mai raɗaɗi na ƙananan baya bayan ƙaramin faɗuwa. Binciken jiki ya nuna tausayi na gida akan kashin lumbar da kuma ƙuntataccen motsi.

Hoto 1: Hoton da aka rigaya ya nuna yana nuna raunin L3 na vertebral na jiki (kimanin 30% asarar tsayi) da kuma alamun lalacewa na lumbar.

Hoto na farko (Hoto na 1) ya tabbatar da karaya ta L3 wanda ya ƙunshi kusan 30% na tsayin kashin baya. Rahoton ya kuma nuna sauye-sauye na degenerative na lumbar , ciki har da hyperplasia na kashi a gefen vertebral da kuma daidaitawa na physiological curvature. Saboda shekarun majiyyaci da kuma lalacewar ƙashi, gyaran gyare-gyaren gyare-gyare na gargajiya ya fuskanci babban haɗari na 'fitarwa' ko sassautawa.

2. Dabarun Tiyata: Me yasa MIS Cement Augmentation?

Dokta Alejandro Silva ya zaɓi hanyar da za a yi amfani da ƙananan ƙwayar cuta (MIS) don rage raunin nama mai laushi da kuma hanzarta farfadowa. Shawarar yin amfani da XC Medico Cement Augmented Fenestrated Screw ya dogara ne akan abubuwa biyu masu mahimmanci:

• Ingantattun Ɗawainiya: Ƙirar da aka ƙera tana ba da damar yin allurar siminti na PMMA daidai, ƙirƙirar haɗin 'kashi-cement-screw' wanda ke haɓaka ƙarfin fitar da ƙashi mai lalacewa.
• Daidaitawar MIS: An inganta tsarin 5.5mm don bayarwa na yau da kullun, rage asarar jini da ciwon bayan aiki.

3. Sakamakon Ciki da Ciki

An yi aikin a ƙarƙashin jagorancin fluoroscopic. XC Medico fenestrated sukurori an sanya su a L2 da L4, flanking da karaya L3 vertebra. An yi allurar simintin PMMA a hankali ta cikin ramukan dunƙulewa, wanda ya sami mafi kyawun mu'amala da ƙashin da ke kewaye.

Hoto 2: CT na baya-bayan nan yana nuna screws a cikin matsayi mai kyau tare da siminti a ko'ina da aka rarraba a kusa da fenestrations, yana ba da kwanciyar hankali nan da nan.

Hoto na 3: An dawo da cikakken daidaitawar kashin baya. Ƙaƙwalwar ciki yana da kwanciyar hankali, kuma ana kiyaye tsayin L3.

CT da DR bayan aiki (Figures 2 & 3) sun tabbatar da cewa gyaran ciki ya kasance daidai matsayi . An kiyaye tsayin kashin baya, kuma tarwatsawar siminti ya kasance iri ɗaya. Mai haƙuri ya ba da rahoton raguwar 70% na ciwo a cikin sa'o'i 24 kuma an motsa shi tare da takalmin gyaran kafa a rana ta biyu bayan aiki.

4. Kammalawa

Haɗin gwiwa tsakanin ƙwarewar aikin tiyata na ƙungiyar likitocin Chilean da fasahar ci gaba na XC Medico ya haifar da kyakkyawan sakamako na asibiti. MIS 5.5 System Cement Augmented Fenestrated Screw ya tabbatar da zama kayan aiki mai mahimmanci ga likitocin kashin baya da ke hulɗa da hadaddun karaya a cikin marasa lafiya tare da ƙarancin ƙashi.