Ngokutsho kweAmerican Journal of Roentgenology , ukusetyenziswa kwe-kyphoplasty njengonyango lwe-vertebral compression fractures iyakhula. Kodwa yintoni i-kyphoplasty?
I-Kyphoplasty yindlela encinci yokugulisa umgudu owenzelwa izigulane ezilahlekelwe ukuphakama kwelinye okanye imizimba ye-vertebral ngenxa yokuphulwa komzimba. I-Kyphoplasty iquka i-vertebroplasty, eyenziwa ukulawula intlungu echaphazelekayo.
Zombini iinkqubo zibandakanya umjovo we-acry acrylic ngaphakathi kwithambo, kodwa kwi- kyphoplasty , ibhaluni ifakwa kwakhona ukuba iqhutywe kumzamo wokubuyisela ezinye okanye zonke ukuphakama kwethambo. Zogqirha zenziwa ngokuncedisa i-fluoroscopy, apho ikhamera encinane ifakwe kwindawo leyo; umfanekiso ovezwe kwisikrini ukhokela ugqirha njengoko esebenza.
I-Kyphoplasties ngokubanzi ibandakanya ukuhlala ubusuku esibhedlele ngexesha iindawo zokuhlala zihlala zinikezwa ngezibonelelo ezingaphandle.
Ubuhle balezi zonyango kukuba (kumaxesha amaninzi) ukukhululeka kwentlungu kwenzeka ngokukhawuleza xa bephelile. Akunjalo kuphela, kodwa izinga leengxaki ezinxulumene nalo liphantsi.
Iingxaki ze-Kyphoplasty ne-Vertebroplasty
Nangona i-kyphoplasty kunye ne-vertebroplasty yinkqubo eyaziwayo phakathi koogqirha, kwaye kulula kakhulu isigulane ngenxa yolu hlobo, basacingwa "njengengxabano." Ngo-Agasti ka-2009, i- New England Journal of Medicine yashicilele iziphumo ezivela kwizilingo ezimbini ezincinci ezilawulwa ngandlela-thile, ezifumene ukuba izigulane ze-vertebroplasty zifumana umjovo we-samente kunye nalabo abafumana ijoke ye-placebo abanolwazi malunga nokukhululeka kwentlungu.
Uphando olupapashwe ngo-Meyi 2012 lwe- Orthopedic Review lufumene ukuba izinga le-complication ye-balloon kyphoplasty liphantsi. Ngokufanayo, ama-40 eepesenti zezigulane kwisifundo sabo (esakhangela abantu abangama-297 abafumana ibhaluni kyphoplasty). Kweso sifundo, esinye isigulane saphendule ngokunyuka kwamaxabiso amabhaluni (kunye ne-hypotension kunye ne-tachycardia) kunye nomnye umntu waya kwintliziyo yokuboshwa.
Uphononongo lwabikela ezinye iingxaki, ngokunjalo, umzekelo, ukusuleleka kwaye, emva kwenkqubo, imitshato yokugaya emitsha efuna ibhaluni kyphoplasty.
I-Cement ukuvuza ngokubakho kuphumela kwiziphumo ezintsha zentlungu kwaye kunokunyusa umngcipheko wesinye isithintelo sokutshatyalaliswa kwe-vertebral bone - kwithambo elingummelwane. Ucwaningo olincinci, kwiYunivesithi yaseRochester, lufanisa i-vertebroplasties (vertebroplasty yinkqubo efana ne-kyphoplasty), kwizigulane ezingama-38.
Elinye iqela lafumana umjovo we-samente ngelixa iqela lokuthelekiswa alizange lenze. Uphando lwafumanisa ukuba kwabo bafumana isamente, iipesenti ezingama-58 zafumana ukuphulwa kwe-vertebra eseduze; kulabo abangenayo injected, kuphela iipesenti ezili-12 zaye zafumana ukuphulwa okukufutshane.
Ngomzamo wokuxazulula ezinye zeengxabano malunga ne-sement elambileyo kwi-kyphoplasties kunye ne-vertebroplasties, ukuhlaziywa kwe-2014 epapashwe kwi- Biomedical Research International kuthelekisa le nkqubo yokulawulwa kwezinto ezingenasigqeba ngokubhekiselele kwintlungu, ukukhubazeka, umgangatho wobomi, ukuhlukana okutsha, ukunyuka kwexabiso, i-kyphosis ukulungiswa, ukubuyiswa kokuphakama kwe-vertebral, kunye nesamente kunye nezinye iingxaki.
Abaphandi bafumene ukuba uphando olubini lwenza isisombululo esingcono kunononophelo (oko kukuthi unonophelo). Kule sifundo, iingxaki zazingabonakaliyo, kodwa zange zange zange zizwe, kwaye i-kyphoplasty ifumaneka ngcono kune-vertebroplasty ngokwemimiselo ye-samente ephumayo.
> Imithombo:
> Bergmann M., Oberkircher L., uBliemel C., Frangen T., uRuchholtz S., Krüger A. Iziphumo zonyango lokuqala kunye neengxaki ezinxulumene nebhaluni kyphoplasty. I-Orthop Rev (Pavia). Meyi 2012.
> Lin EP, Ekholm S, Hiwatashi A, Westesson PL.Vertebroplasty: ukuvuza kwamanzi kwidiski kwandisa umngcipheko wokuqhekeka okutsha komzimba we-vertebral. AJNR Am J Neuroradiol. 2004 Feb; 25 (2): 175-80.
> Ede, Suzanne, S. et. al. I-Vertebroplasty kunye ne-Kyphoplasty e-United States: Ukunikezelwa koMboneleli kunye neKhokelo, 2001-2010. AJR Disemba 2012 vol. 199 no. 6 1358-1364 i-doi: 10.2214 / AJR.12.8733.
> Papanastassiou, I., iFilis A., iGerochristou M., Vrionis F. Imiba engqubuzanayo kwi-kyphoplasty kunye ne-vertebroplasty kwi-osteoporotic fractal fractures. Biom Res Res. 2014.