Enye imbono ebonakalayo yoogqirha bomgudu (ngokubanzi) -kuba ngaba i-neurosurgeons, ugqirha wamazinyo okanye enye-kukuba ukuba uye wahanjiswa kwi-aphoyintimenti enye, ngokuzenzekelayo uthetha ukuba uya kuhlinzwa.
Nangona ngokuqinisekileyo oku akusoloko kuyinyaniso, (kwaye nceda ugcine engqondweni ukuba unelungelo lokufuna imibono evela kunogqirha ongaphezu kweyodwa), kunokunceda kuwe kuphando lwakho ukuba uqaphele ukuba izifundo ezininzi zijonga izinga lokusetyenziswa utyando lwe-spinal fusion , inkqubo eyenziwa ngabagqirha bama-orthopedic kunye nama-neurosurgeons, zikhomba ngolu hlobo.
Ngokomzekelo, uCowan, Dimick, Wainess, Upchurch, Chandler, La Marca ufunyenwe kwisifundo sawo se-2006, "Ukutshintsha ekusebenziseni ukuhluma kweminwe eMinited States," ukuba ukuxhamla kwiindawo ezintathu eziphambili zomgudu wenyuka phakathi kuka-1993 no-2003 I- neck mix , ithi, yanda ngo-89%, ngelixa i-thoracolumbar (phakathi kweendawo ezisezantsi) iphakama ngo-31%. Kwaye i- lumbar spinalons fusions yanda nge-134%!
Abaphandi baye bafumanisa ukuba izigulane kunye ne-lumbar fusions zandisa kakhulu izigulane ezaziphakathi kweminyaka engama-40 no-59. Inani leemfesane ezinikezelwa izigulane ezingama-60 nangaphezulu liye zavuka.
Kwaye ekugqibeleni, uCowan, et. al. yafumanisa ukuba njengenkqubo yokugulisa isigulane, ukuxhamla umgudu kwakunzima kakhulu ngo-2003 kunokuba ngo-1997; Ngo-1997, bekuyimigaqo-41 evame kakhulu; ngo-2003, nge-19.
Yintoni eyabangela ukuphakama kwi-Spinal Fusions?
Omnye unokuthi acingisise ngezizathu ezinokwenzeka zokukhawuleza.
Kodwa ekufundeni kwabo, "iUnited States iqhubekile ekutyunjeni kwe-lumbar ukulungiswa kweemeko ezikhubazayo," uDeyo, et. al. Ukuhlaziywa kweengxelo zomgogodla owenziwe emkhatsini we-1998 no-2001. (Basebenzisa iProjekthi yoNyango lwezeMpilo kunye nokuSebenza kwiSouth African Inpatient Sample nedatha ye-US kubalo.)
Ababhali beli phofu bathi ukunyuka kwenkqubo ye-fusion, "eyona mkhulu kakhulu eyanda kwimiqathango emikhulu yamathambo," kubonakala ihambelana nokuvunyelwa kwe-FDA yeziphene ezintsha zokuhlinzwa.
Deyo, kunye. al. Kwakhona ivakalisa ukuba ngeli xesha, ukwanda okwenziwe ngokukhawuleza kwindlela yokuhlinzwa kwamagqabhagqabha e-spinal kwenzeka kwizihlwele ezingaphezu kwe-60; ngamanye amagama, abadala kunye nabadala.
UDeyo kunye neqela lakhe bafuna idatha engcono malunga nokusetyenziswa kwamagulane okugqithiseleyo, ngokubhekiselele ukuba "oku kunyuka akuhambelananga neengxelo zeenkcazo ezicacileyo okanye ukuphucula ukusebenza."
Imithombo:
Cowan J., uDichard J., U-R., U-Upc Church G., uChandler W., La Marca F. Utshintsho ekusebenziseni ukuhluma kweminwe eMinited States. Neurosurgery. Julayi 2006.
Iimeko kunye neZonyango. Iwebsite ye-AANS, iNgcaciso yolwazi lweMonde.
UDeyo R., uGrey D., uKreuter W., uMirza S., uMartin B. United States iindwendwe kwi-lumbar fusion operation for conditions degenerative. Isihlwele. Juni 2005.
UGologorsky Y., Knightly J., Chi J., Groff M. IsiShedulwazi samaZinga esizwe lonke asibonanga ngokuchanekileyo izibonakaliso zokurhweba. J Neurosurg Spine. Disemba 2014.