Indawo: I-Santiago, i-Chile
i-Lead Surgeons: uDkt. Alejandro Silva kunye noDkt Roberto Gomez
Isigulane: I-54 yeminyaka ubudala
yokuxilongwa kowesifazane: i-L3 Vertebral Compression Fracture (VCF) kunye ne-Lumbar Degeneration
I-Vertebral compression fractures (VCFs) kwi-middle-age and asebekhulile izigulane zihlala zibonelela ngomngeni ombini: imfuno yokubuyiselwa kwesakhiwo ngokukhawuleza kunye nobunzima bokufikelela ukulungiswa okukhuselekileyo kwi-osteoporotic okanye ithambo eliwohlokayo. Olu phando luphonononga ukusetyenziswa ngempumelelo kwe XC Medico MIS 5.5 System Cement Augmented Fenestrated Screw kwindawo yeklinikhi eChile.
1. Uvavanyo lwangaphambi kokusebenza kunye neziphumo zeklinikhi
Owasetyhini oneminyaka engama-54 ubudala unikwe iintlungu ezibuhlungu, ezibuthathaka ezisezantsi emva kokuwa okuncinci. Uvavanyo lomzimba lubonise ukuthamba kwendawo phezu kwe-lumbar spine kunye nokunciphisa kakhulu ukuhamba.
![I-CT yangaphambili ye-L3 ye-Vertebral Compression Fracture]()
Umzobo 1: I-imaging yangaphambi kokusebenza ebonisa i-L3 vertebral body compression fracture (malunga ne-30% yokulahleka kobude) kunye neempawu zokunciphisa i-lumbar.
I-imaging yokuqala (Umfanekiso 1) iqinisekisile i- L3 yokunyanzeliswa kwe-fracture ebandakanya malunga ne-30% yokuphakama kwe-vertebral. Ingxelo iphinde yabonisa utshintsho lwe-lumbar degenerative , kubandakanywa i-bone hyperplasia kwimida ye-vertebral kunye nokulungiswa kwe-curvature ye-physiological. Ngenxa yobudala besigulane kunye nobume bethambo, ukulungiswa kwe-pedicle screw fixation kujongene nomngcipheko omkhulu 'wokukhupha' okanye ukukhulula.
2. ISicwangciso soTyando: Kutheni iMIS Cement Augmentation?
UDkt. Alejandro Silva ukhethe indlela yoCwangciso oluNcinci (i-MIS) lokunciphisa ukuxhatshazwa kwezicubu ezithambileyo kunye nokukhawuleza ukubuyiswa. Isigqibo sokusebenzisa i -XC Medico Cement Augmented Fenestrated Screw sasisekelwe kwizinto ezimbini ezibalulekileyo:
- I-Anchoring eyomeleziweyo: Uyilo lwefenestrated luvumela inaliti yesamente ye-PMMA echanekileyo, ukudala 'ithambo-samente-isikrufu' edibeneyo eyandisa kakhulu amandla okutsala kwithambo eliwohlokayo.
- Ukuhambelana kwe-MIS: Inkqubo ye-5.5mm ilungiselelwe ukuhanjiswa kwe-percutaneous, ukunciphisa ukulahleka kwegazi kunye neentlungu zasemva kokuhlinzwa.
Jonga iiNgcaciso zeMveliso: MIS 5.5 Fenestrated Screw
3. UKwenza kwiNtsebenziswano kunye neziphumo zasemva kotyando
Inkqubo yenziwa phantsi kolawulo lwe-fluoroscopic. I-XC Medico izikrufu zefenestrated zafakwa kwi-L2 kunye ne-L4, ecaleni kwe-L3 vertebra eyaphukileyo. I-PMMA isamente yafakwa ngononophelo kwi-screw shafts, ifezekisa ukudibanisa okufanelekileyo kunye nethambo elirhangqileyo elirhoxisiweyo.
![I-post-operative CT ye-MIS Cement Augmented Fenestrated Screw in Spine]()
Umzobo 2: I-CT ye-post-operative ibonisa izikrini kwindawo efanelekileyo kunye ne-samente isasazwe ngokulinganayo malunga neefenestrations, inika ukuzinza ngokukhawuleza.
![I-X-reyi ebonisa i-XC Medico Spinal Internal Fixation System]()
Umzobo 3: Ulungelelwaniso olupheleleyo lomgogodla lubuyiselwe. Ukulungiswa kwangaphakathi kuzinzile, kwaye ukuphakama kwe-L3 kugcinwa.
I-post-operative CT kunye ne-DR (Amanani 2 & 3) aqinisekisile ukuba ukulungiswa kwangaphakathi kubekwe ngokugqibeleleyo . Ukuphakama kwe-vertebral kwagcinwa, kwaye ukusabalalisa kwesamente kwakufana. Isigulane sichaze i-70% yokunciphisa intlungu kwiiyure ze-24 kwaye yahlanganiswa kunye ne-brace ngosuku lwesibini emva kokusebenza.
4. Isiphelo
Intsebenziswano phakathi kobuchule botyando beqela lezonyango laseChile kunye ne-XC Medico yobuchwephesha bomqolo obuphuhlileyo bubangele iziphumo eziphezulu zeklinikhi. I -MIS 5.5 System Cement Augmented Fenestrated Screw ingqina ukuba sisixhobo esiyimfuneko koogqirha botyando abajongene nokwaphuka okuntsonkothileyo kwizigulane ezinomgangatho wamathambo obuthathaka.
Imibuzo Ebuzwa Rhoqo (FAQ)
Q: Loluphi uncedo oluphambili lwesikrufu sefenestrated?
A: Izikrufu ezifenethiweyo zineendawo ezivulekayo ezisecaleni ezincinci ezivumela i-PMMA yesamente yethambo ukuba iphumele ngaphandle, ibambe isikrufu ngokukhuselekileyo ethanjeni. Oku kubalulekile kwizigulana ezineosteoporosis apho izikrufu zemveli zinokusilela.
Umbuzo: Ngaba inkqubo yokutofa kwesamente ikhuselekile?
A: Ewe, xa isenziwa phantsi kwesikhokelo esiqhubekayo se-fluoroscopic, inaliti ilawulwa kakhulu. Inkqubo ye-XC Medico yenzelwe ukubonelela ngokusasazeka okufanayo, ukunciphisa umngcipheko wokuvuza kwesamente.
Umbuzo: I-MIS ithelekisa njani notyando lomqolo ovulekileyo lwemveli?
A: I-Minimally Invasive Surgery (MIS) isebenzisa izithintelo ezincinci, ezikhokelela kumonakalo omncinci wemisipha, ukunciphisa ukulahleka kwegazi, ukuhlala esibhedlele okufutshane, kunye nokubuyela ngokukhawuleza kwimisebenzi yemihla ngemihla.
