Ọmụmụ ihe: MIS Cement Screw maka mgbaji mgbaji L3

Ọkpụkpụ mkpụkọ vertebral (VCF) na ndị agadi na ndị agadi na-enwekarị ihe ịma aka abụọ: mkpa maka mweghachi nhazi ngwa ngwa na ihe isi ike nke ịnweta nkwụnye nchebe na osteoporotic ma ọ bụ ọkpụkpụ degenerative. Ọmụmụ ikpe a na-enyocha ngwa nke ọma nke ọma XC Medico MIS 5.5 Sistemu Augmented Fenestrated Screw na ebe ụlọọgwụ dị na Chile.

1. Ntụle tupu arụ ọrụ na nchọpụta ụlọ ọgwụ

Otu nwanyị dị afọ 54 gosipụtara nnukwu mgbu azụ azụ na-agwụ ike na-eso obere ọdịda. Nnyocha anụ ahụ gosipụtara nro mpaghara mpaghara n'elu spain lumbar yana mmachi nke ukwuu.

Ọnụ ọgụgụ 1: Ihe ngosi nke mbụ na-egosi mgbawa mgbawa L3 vertebral ahụ (ihe dị ka 30% ọnwụ nke ịdị elu) na ihe ịrịba ama nke nkwụsị nke lumbar.

Onyonyo mbụ (Njirimara 1) kwadoro mgbaji mgbaji L3 nke gụnyere ihe dịka 30% nke elu vertebral. Akụkọ ahụ gosikwara mgbanwe nhụsianya nke lumbar , gụnyere hyperplasia ọkpụkpụ n'akụkụ akụkụ vertebral na ịgbatị nke curvature physiological. N'ihi afọ onye ọrịa na ọdịdị ọkpụkpụ ahụ na-emebi emebi, nhazi pedicle screw fixing nwere nnukwu ihe ize ndụ nke 'ịpụpụ' ma ọ bụ ịtọpụ.

2. Usoro ịwa ahụ: Gịnị kpatara MIS Cement Augmentation?

Dr. Alejandro Silva ahọrọla usoro ịwa ahụ dị ntakịrị (MIS) iji belata nhụjuanya anụ ahụ dị nro ma mee ngwa ngwa mgbake. Mkpebi iji XC Medico Cement Augmented Fenestrated Screw dabere n'ihe abụọ dị oke egwu:

• Nkwakọba agbakwunyere: Nhazi ahụ a kpara akpa na-enye ohere ịgbanye simenti PMMA nke ọma, na-emepụta ihe mejupụtara 'ọkpụkpụ-ciment-screw' nke na-abawanye ike iwepụta n'ọkpụkpụ na-emebi emebi.
• Ndakọrịta MIS: A na-ahazi usoro 5.5mm maka nnyefe percutaneous, na-ebelata ọbara ọbara na mgbu mgbu.

3. Intra-operative Excution na Post-operative Results

Emere usoro a n'okpuru nduzi fluoroscopic. Edebere skru nke XC Medico fenerated na L2 na L4, na-ekutu vertebra L3 gbajiri agbaji. Ejiri nlezianya gbanye simenti PMMA site na mkpanaka ndị nwere oghere, na-enweta njikọ kacha mma na ọkpụkpụ akagbuo gburugburu.

Ọnụọgụ 2: CT na-arụ ọrụ na-egosi skru na ọnọdụ dị mma na ciment na-ekesa nke ọma na gburugburu fenestrations, na-enye nkwụsi ike ozugbo.

Ọgụgụ 3: Ndozi azụ azụ zuru oke. Ndozi nke dị n'ime ahụ kwụsiri ike, a na-echekwa elu L3.

CT na DR mgbe arụchara ọrụ (Figures 2 & 3) kwadoro na nhazi nke ime bụ nke edobere nke ọma . A na-edobe ịdị elu vertebral, na mgbasa nke ciment bụ otu. Onye ọrịa ahụ kọrọ mbelata 70% mgbu n'ime awa 24 wee jiri ihe nkwado chịkọta ya n'ụbọchị nke abụọ gachara.

4. Nkwubi okwu

Mmekọrịta dị n'etiti ọkachamara ịwa ahụ nke ndị otu ahụike Chile na teknụzụ azụ azụ dị elu nke XC Medico butere nsonaazụ ụlọ ọgwụ dị elu. MIS 5.5 Sistemu Cement Augmented Fenestrated Screw na-egosi na ọ bụ ngwá ọrụ dị mkpa maka ndị dọkịta na-awa ọkpụkpụ azụ na-emeso mgbaji dị mgbagwoju anya na ndị ọrịa nwere àgwà ọkpụkpụ mebiri emebi.