Case Study: MIS Cement Screw hmanga L3 Compression Fracture awm theihna tur

Kum chanve leh kum upa lam damlote vertebral compression fractures (VCFs) hian harsatna pahnih a thlen fo thin: structural restoration nghal a tulna leh osteoporotic emaw degenerative bone-a secure fixation neih harsatna te. He case study hian hlawhtling taka hman dan tur a zirchiang a ni XC Medico MIS 5.5 System Cement Augmented Fenestrated Screw chu Chile rama clinical setting-ah hman a ni.

1. Operation hmaa endikna leh Clinical Findings

Hmeichhia kum 54 mi chuan a tlu tlem hnuah a hnungzang natna nasa tak, chak lo tak a nei tih a rawn lang a. Taksa enfiahnaah chuan lumbar spine chungah localized tenderness a awm a, mobility pawh nasa takin a restricted tih hmuhchhuah a ni.

Figure 1: Pre-operative imaging-ah L3 vertebral body compression fracture (30% velin a san zawng a tlahniam) leh lumbar degeneration chhinchhiahna a awm tih hmuhchhuah a ni.

Initial imaging (Figure 1) ah chuan L3 compression fracture a awm tih hmuhchhuah a ni a , vertebral height 30% vel a tel a ni. Report chuan lumbar degenerative changes , vertebral margin-a ruh hyperplasia leh physiological curvature straightening te pawh a tarlang bawk. Damlo kum leh ruh degenerative nature avang hian traditional pedicle screw fixation hian 'pull-out' emaw, loosening emaw risk sang tak a tawk a ni.

2. Surgical Strategy: Engvangin nge MIS Cement tihpun?

Dr. Alejandro Silva chuan soft tissue trauma tih tlem leh dam chakna tur Minimally Invasive Surgery (MIS) approach a thlang a ni. hman tura thutlukna siam XC Medico Cement Augmented Fenestrated Screw hi thil pawimawh tak pahnih atanga siam a ni a:

• Enhanced Anchoring: Fenestrated design hian PMMA cement injection dik tak a siam thei a, 'bone-cement-screw' composite a siam a, chu chuan degenerative bone-ah pull-out strength nasa takin a tipung a ni.
• MIS Compatibility: 5.5mm system hi percutaneous delivery atan a tha ber a, thisen hloh leh operation hnua natna tihziaawmna a ni.

3. Intra-operative Execution leh Post-operative Results te chu a hnuaia mi ang hian a ni

He procedure hi fluoroscopic guidance hnuaiah tih a ni. XC Medico fenestrated screws chu L2 leh L4-ah dah a ni a, L3 vertebra fractured flanking-ah dah a ni. PMMA cement chu uluk takin hollow screw shafts hmangin an inject a, a chhehvela cancellous bone nen optimal interlacing an nei thei a ni.

Figure 2: Post-operative CT-ah chuan screw te chu hmun tha takah a awm a, cement chu fenestrations vel ah inang tlang taka sem darh a ni a, chu chuan stability a pe nghal a ni.

Figure 3: Spinal alignment kimchang a lo awm leh ta. Internal fixation a stable a, L3 height pawh a vawng reng bawk.

Post-operative CT leh DR (Figures 2 & 3) te chuan internal fixation chu a position tha em em tih a nemnghet a ni . Vertebral height chu a vawng reng a, cement dispersion pawh a inang tlang hle. Damlo hian darkar 24 chhungin a natna chu 70%-in a tlahniam tih a sawi a, operation hnu ni hnihnaah brace hmangin mobilize a ni.

4. Thutawp

Chilean medical team-te surgical expertise leh XC Medico-a spinal technology hmasawn tak takte thawhhona chuan clinical outcome ṭha zawk a siam a ni. MIS 5.5 System Cement Augmented Fenestrated Screw hi ruh quality tlahniam damlote ruh tliak (complex fracture) buaipuitu spine surgeon-te tan hmanraw pawimawh tak a ni tih a chiang hle.