Aho uherereye: Santiago, Chili
Abaganga Bayobora: Dr. Alejandro Silva & Dr. Roberto Gomez
Murebwayire: Umugore w'imyaka 54
Gusuzumwa: L3 Kumeneka kwa Vertebral (VCF) hamwe no Kwangirika kwa Lumbar
Ivunika rya vertebral (VCFs) ku barwayi bageze mu za bukuru ndetse n’abasaza bakunze kwerekana ibibazo bibiri: gukenera gusubizwa mu buryo bwihuse hamwe n’ingorabahizi zo kugera ku mutekano mu magufwa ya osteoporotic cyangwa yangirika. Uru rubanza rwiga rugaragaza neza ikoreshwa rya XC Medico MIS 5.5 Sisitemu ya sima Yongerewe Fenestrated Screw mumavuriro muri Chili.
1. Isuzumabumenyi mbere yubushakashatsi hamwe nubuvuzi bwa Clinical
Umugore w'imyaka 54 yerekanwe n'ububabare bukabije bwo mu mugongo nyuma yo kugwa gake. Isuzuma ryumubiri ryagaragaje ubwuzu bwaho hejuru yumugongo kandi bigabanya cyane kugenda.
![Mbere yo gukora CT ya L3 Ivunika rya Vertebral]()
Igishushanyo 1: Kwerekana amashusho mbere yo kwerekana kwerekana kuvunika umubiri wa L3 (hafi 30% gutakaza uburebure) nibimenyetso byo kwangirika.
Kwerekana amashusho yambere (Igishusho 1) byemeje kuvunika L3 kwikuramo birimo 30% byuburebure bwurugingo. Raporo yanagaragaje impinduka zo kwangirika kw'imitsi , harimo hyperplasia yo mu magufwa ku nkombe z'urugingo no kugorora imiterere ya physiologique. Bitewe n'imyaka umurwayi afite ndetse no kwangirika kw'amagufwa, gukosora imashini ya pedicle gakondo yahuye n'akaga gakomeye ko 'gukuramo ' cyangwa kurekura.
2. Ingamba zo Kubaga: Kuki Kwiyongera kwa SIS MIS?
Muganga Alejandro Silva yahisemo uburyo bwo kubaga Minimally Invasive Surgery (MIS) kugirango agabanye ihahamuka ryoroshye kandi yihute gukira. Icyemezo cyo gukoresha XC Medico Cement Augmented Fenestrated Screw cyari gishingiye kubintu bibiri bikomeye:
- Kuzamura Anchoring: Igishushanyo mbonera cyemerera gutera neza sima ya PMMA, bigakora 'igufwa-sima-screw ' ibice byongera imbaraga zo gukuramo amagufwa yangirika.
- MIS Guhuza: Sisitemu 5.5mm itezimbere mugutanga percutaneous, kugabanya gutakaza amaraso nububabare bwa nyuma yibikorwa.
Reba Ibicuruzwa byihariye: MIS 5.5 Umuyoboro mwiza
3. Gushyira mu bikorwa ibikorwa n'ibisubizo bya nyuma yibikorwa
Inzira yakorwaga iyobowe na fluoroscopique. XC Medico imigozi ya fenestrated yashyizwe kuri L2 na L4, kuruhande rwa vertebra yacitse. Isima ya PMMA yatewe inshinge yitonze binyuze mu mwobo wuzuye, igera ku guhuza neza n'amagufwa akikije.
![Nyuma ya CT CT ya MIS Cement Yongerewe Umuyoboro wa Fenestrated Mugongo]()
Igishushanyo 2: CT nyuma yibikorwa CT yerekana imigozi muburyo bwiza hamwe na sima ikwirakwizwa neza kuri fenestrasi, itanga umutekano muke.
![X-ray yerekana XC Medico Uruti rwimbere rwimbere]()
Igishushanyo 3: Guhuza umugongo byuzuye byagaruwe. Imbere yo gukosora irahagaze, kandi uburebure bwa L3 buragumaho.
Nyuma yo gukora CT na DR (Ishusho 2 & 3) yemeje ko gukosora imbere byari bihagaze neza . Uburebure bwa vertebral bwagumishijwe, kandi isima ya sima yari imwe. Umurwayi yavuze ko ububabare bwagabanutseho 70% mu masaha 24 hanyuma akangurirwa gukandagira ku munsi wa kabiri nyuma yo kubagwa.
4. Umwanzuro
Ubufatanye hagati yubuhanga bwo kubaga bwitsinda ryubuvuzi bwa Chili hamwe n’ikoranabuhanga rya XC Medico ryateye imbere byavuyemo ivuriro ryiza. MIS 5.5 Sisitemu ya sima Yongerewe Fenestrated Screw yerekana ko ari igikoresho cyingenzi kubaganga babaga umugongo bahura n’imvune zikomeye ku barwayi bafite amagufwa yangiritse.
Ibibazo Bikunze Kubazwa (Ibibazo)
Ikibazo: Ni izihe nyungu zibanze z'umugozi wa fenestrated?
Igisubizo. Ibi nibyingenzi kubarwayi barwaye osteoporose aho imiyoboro gakondo ishobora kunanirwa.
Ikibazo: Ese gahunda yo gutera sima ifite umutekano?
Igisubizo: Yego, iyo bikozwe munsi yubuyobozi bwa fluoroscopique, inshinge ziragenzurwa cyane. Sisitemu ya XC Medico yagenewe gutanga itandukaniro rimwe, bigabanya ibyago byo kumeneka kwa sima.
Ikibazo: Nigute MIS igereranya no kubaga umugongo gakondo?
Igisubizo: Minimally Invasive Surgery (MIS) ikoresha uduce duto, biganisha ku kwangirika kwimitsi, kugabanuka kw'amaraso, kumara igihe gito ibitaro, no gusubira vuba mubikorwa bya buri munsi.
