Thuto-pale: MIS Cement Screw for L3 Compression Fracture

Vertebral compression fractures (VCFs) ho bakuli ba lilemong tse bohareng le ba tsofetseng hangata ba hlahisa phephetso e 'meli: tlhokahalo ea ho tsosolosoa ha mohaho hang-hang le bothata ba ho fumana ho lokisoa ka mokhoa o sireletsehileng ho osteoporotic kapa degenerative bone. Pale ena e hlahloba ts'ebeliso e atlehileng ea XC Medico MIS 5.5 System Cement Augmented Fenestrated Screw sebakeng sa bongaka sa Chile.

1. Tlhahlobo ea Pele ho Ts'ebetso le Liphuputso tsa Tleliniki

Mosali ea lilemo li 54 o ne a e-na le mahlaba a bohloko a ka morao a mokokotlo ka mor'a ho oa hanyenyane. Tlhahlobo ea 'mele e ile ea senola bonolo ba sebaka ka holim'a lumbar lesapo la mokokotlo le ho sisinyeha haholo.

Setšoantšo sa 1: Litšoantšo tsa pele ho ts'ebetso e bontšang ho robeha ha 'mele oa L3 vertebral (hoo e ka bang 30% tahlehelo ea bophahamo) le matšoao a ho senyeha ha lumbar.

Setšoantšo sa pele (Setšoantšo sa 1) se netefalitse ho robeha ha khatello ea L3 e amanang le hoo e ka bang 30% ea bophahamo ba mokokotlo. Tlaleho e boetse e bontšitse liphetoho tse fokolang tsa lumbar , ho akarelletsa le hyperplasia ea masapo ka mahlakoreng a mokokotlo le ho otloloha ha mokokotlo oa 'mele. Ka lebaka la lilemo tsa mokuli le ho senyeha ha lesapo, mokhoa oa setso oa 'pedicle screw fixation' o tobane le kotsi e kholo ea 'ho hula' kapa ho lokoloha.

2. Leano la Karo: Hobaneng MIS Cement Augmentation?

Dr. Alejandro Silva o ile a khetha mokhoa oa Minimally Invasive Surgery (MIS) ho fokotsa ts'oaetso ea lisele tse bonolo le ho potlakisa ho hlaphoheloa. Qeto ea ho sebelisa XC Medico Cement Augmented Fenestrated Screw e ne e ipapisitse le lintlha tse peli tsa bohlokoa:

• Anchoring e Ntlafetseng: Moralo o entsoeng ka fenestrated o lumella ente e nepahetseng ea samente ea PMMA, ho theha motsoako oa 'bone-samente-screw' o eketsang matla a ho hula lesapong le fokolang.
• Tšebelisano ea MIS: Sistimi ea 5.5mm e ntlafalitsoe bakeng sa ho beleha ka percutaneous, ho fokotsa tahlehelo ea mali le bohloko ba kamora ho buuoa.

3. Liphello tsa ho Koetlisetsoa ka hare ho Ts'ebetso le Liphetho tsa Ka mor'a Ts'ebetso

Tsamaiso e etsoa tlas'a tataiso ea fluoroscopic. XC Medico dikurufu tse fenestrated li ile tsa behoa L2 le L4, mabapa le lesapo la mokokotlo la L3 le robehileng. Samente ea PMMA e ne e kentsoe ka hloko ka har'a li-screw shafts, e leng se ileng sa etsa hore ho be le ho hokahana hantle le lesapo le pota-potileng.

Setšoantšo sa 2: Post-operative CT e bonts'a li-screws sebakeng se loketseng le samente e arolelitsoeng ka mokhoa o lekanang ho pota-potile li-fenestrations, ho fana ka botsitso hang-hang.

Setšoantšo sa 3: Ho tsosolosoa ka ho feletseng ha mokokotlo oa mokokotlo. Ho lokisa ka hare ho tsitsitse, 'me bophahamo ba L3 bo bolokiloe.

The post-operative CT le DR (Figure 2 & 3) e tiisitse hore ho lokisoa ka hare ho ne ho behiloe ka ho phethahetseng . Bophahamo ba lesapo la mokokotlo bo ile ba bolokoa, 'me ho hasana ha samente ho ne ho tšoana. Mokuli o ile a tlaleha phokotso ea 70% ea bohloko nakong ea lihora tsa 24 'me a bokelloa ka marang-rang letsatsing la bobeli la ts'ebetso.

4. Qetello

Tšebelisano pakeng tsa litsebi tsa ho buoa tsa sehlopha sa bongaka sa Chile le theknoloji e tsoetseng pele ea mokokotlo ea XC Medico e ile ea fella ka liphello tse phahameng tsa kliniki. The MIS 5.5 System Cement Augmented Fenestrated Screw e ipaka e le sesebelisoa sa bohlokoa bakeng sa lingaka tsa mokokotlo tse sebetsanang le ho robeha ho rarahaneng ho bakuli ba nang le boleng ba masapo bo senyehileng.