I-Pseudoarthrosis ligama elisetyenziselwa ukuchaza oko kwenzekayo xa i-fusion fusion ayiphumelelanga. Ubuncwane bomgca bunjani uhlobo lotyando olwenziwa emva kweengxaki ezahlukeneyo ezibandakanya kodwa ezingagqibekanga kwi-corliosis curve correction, iingxaki ze-disc kunye / okanye ubuthathaka okanye ukungazinzi kwimpumputhe (enokusulela isifo okanye isisu). Injongo ephambili yomthambo wamagxa ukunciphisa intlungu kunye nokuphucula umsebenzi.
Ukuze ugulane umthambo kunye / okanye u-radiculopathy, unjongo yokukhupha, okanye ukwenza indawo, iimbilini kunye / okanye intambo yomgogodla njengoko bewela kwiindawo ezikwindawo yomqolo.
Ngokutsho kwe-American Academy ye-Orthopedic Surgeons (AAOS), ukuxuba umgogodla kubaluleke kakhulu kwinkqubo yokulumala. Ingcamango ukujoyina i-vertebrae kunye nommelwane kunye, kunye nexesha, bavumele ukuba bafake kwi-bone eyodwa.
I-AAOS ithi (ngokuphindaphindiweyo kunye ne "instrumentation" njengeentonga, iifrews, kunye / okanye iingcingo) zonke iintlobo zomgudu zibandakanya ukubeka uhlobo oluthile lwezinto eziphathekayo kwisithuba phakathi kwe-vertebrae ekugqibeleni ikhule ndawonye njengeyunithi eqinile. Le nto ibizwa ngokuba yi-bone graft. I-AAOS ithi i-graft ikwandisa ukuveliswa kwethambo kwaye ivuselela ukuphilisa nokuxuba.
Izizathu
Kodwa kwenzeka ntoni ukuba u-fusion fusion ayithathi? Oogqirha bajonga kule "njengobunyano" okanye i-pseudoarthrosis. Kwiimeko zama-non-unions, okwenziweyo okwenziwe ngethambo kwenzeka ngexesha lokulungisa ngokukhawuleza emva kwenkqubo.
Ngokuqhelekileyo, ukuphulukiswa kwethambo elingenasifo kukukhokelela ekutheni i-pseudoarthrosis. Ngamanye amaxesha oku kungenxa yokucwangcisa kunye / okanye oko kwenzekayo ngexesha lotyando; ngamanye amaxesha ngenxa yezinto ozizisa etafileni ezifana nokubhema okanye ukuthatha i-steroids.
Pseudoarthrosis kunye noTshwala
Ishati elingaphantsi linika uhlobo "lwe-vs" leentlobo zeengxaki ze-pseudoarthrosis.
Qaphela ukuba ukutshaya kuphezulu kuludwe lwezinto zeMpilo . Ndiyazi ukuba kunzima ukuyeka ukutshaya, kodwa kufuneka ukwazi ukuba abanye oogqirha basemagunyeni abayi kusebenza nabashushu (ngaphandle kweimeko apho ubomi bakho buya kuba yingozi ngaphandle kwayo.)
Ngoba? Ngenxa yokuba ukutshaya kunokukhokelela ekunciphiseni i-33% kwizinga lokuxuba, ngokutsho koogqirha uSteven Ondra noShaden Marzouk kwinqaku yabo "Iingqinisiso zokuhlaziya iLumbar Pseudarthrosis" epapashwe kwiwebhusayithi yeMedscape. Bathi isizathu sokuba ukutshaya kubambelela emithanjeni yakho yegazi kunye nokunciphisa inani lokukhula kweempahla zegazi kwisiza sokuxuba. Ukuze uphumelele, i-fusions idinga igazi elitsha nemithambo yegazi (kunye neerameter eziqhelekileyo) inokuyihambisa.
| Izinto zeMpilo | Izinto zoPhando |
|---|---|
| Ukutshaya | Inani lamanqanaba afakwa |
| Ukunyanya | Uhlobo lwe-fusion lwenziwa |
| Ukusetyenziswa kweSteroid engapheliyo | Ukukhethwa kwezinto zokufakelwa (kunye ne- autograft ekhethiweyo.) |
| Osteoporosis | Isimo kunye nokulungiswa kommandla ohlanganisiweyo |
| Iswekile yemellitus | Ukufakwa kwegraft |
| Ukungondleki | Ukusetyenziswa kwezixhobo zokugqithisa ukugcina umlenze ulungelelaniswe kwaye ungashukumi emva kokuhlinzwa (okubizwa ngokuba yilungiselelo lwangaphakathi.) |
| I-arthritis evuthayo | Ingaba lo kuhlolwa ngokutsha? |
| Esinye isifo esingapheliyo | |
| Pseudoarthrosis yangaphambili |
Ngecala lokugqirha, i-Scoliosis Research Society ithi, nangona kunjalo kwizandla eziphambili zokugonywa, umngcipheko we-pseudoarthrosis ungenani eli-5% -15%. Abagqirha kufuneka bathathe ingqalelo kwizinto ezithile kunye ne-biomechanics jikelele, imeko ye "indawo" ehlanganisiweyo kunye nezinye izinto.
Pseudoarthrosis kunye neT Bone Graft Material
Ngokubhekiselele kwinto ekufuneka isetyenziselwe ukuxhamla amathambo, ngelixa kukho amathuba amaninzi, kuquka ukufakelwa kwamathambo, iingcali ziyavuma ukuba ukusebenzisa ithambo lomguli (elibizwa nge-autograft) lilungele.
Kodwa oku akunakwenzeka njalo. Kuxhomekeke kwizinto ezinjengezempilo yakho, ukuba yeyiphi indawo yesitrafti (oko kukuthi umlenze wakho, umlenze okanye enye indawo apho ithambo ithathwa khona) lifana, ukuba ukusebenzisa izixhobo (oko kukuthi, iintonga, izikhonkwane kunye / okanye iingcingo) zicwangciswe kwaye ukuba i-fusion iya kwenziwa phambi okanye ngasemva.
Ngokuqhelekileyo, i-fusion ikholomu yangaphambili (i-anterior ithetha ngaphambili kunye nekholomu ibhekisela kwimibutho ye-vertebral edibeneyo ukwenzela ukuba wenze ikholamu yakho yomgudu) iyaphumelela. Ngaphandle kwazo zonke ezi ziguquko, ukuba unayo ipseudoarthrosis ngaphambili kwaye uhamba ngokuhlinzwa, usebenzise i-autograft material kufuneka.
Ukuchonga i-Pseudoarthrosis
Oogqirha badla ixesha elinzima ukufumanisa i-pseudoarthrosis. Esinye sezizathu kukuba unako okanye ungaboni izimpawu. Esinye isizathu kukuba akukho mntu unokuthetha ngokuqinisekileyo ukuba ixesha elide emva kokuba utyando lwakho lomgogodla luphi na intlungu enxulumene nayo okanye ezinye iimpawu zenzeka. Unokuvakalelwa intlungu kwiinyanga ezili-pseudoarthrosis okanye kwiminyaka emva kokuhlinzwa kwakho kwemisipha.
Kwaye ekugqibeleni, ngamanye amaxesha i-pseudoarthrosis yinto eqheleke kakhulu emthanjeni, okwenza kube nzima ukuba ifilimu ibe nzima, ukuba ingenakwenzeka, kwi-radiologist yokufunda.
Unyango lwePseudoarthrosis
Utyando lwe-pseudoarthrosis luya kuqala ngokuzenzekelayo ngamachiza, unyango lomzimba okanye ulawulo lweentlungu. Ukuba oko kungaphumeleli ngokukhawuleza ukukhulula iimpawu zakho, ugqirha wakho unokucebisa ukuba uhlaziywa ngokutsha .
Imithombo:
AAOS. Umswakama. Website yeOrthoInfo. http://orthoinfo.aaos.org/topic.cfm?topic=a00348
I-Scoliosis Research Society. Pseudoarthrosis. Ukuguga. Kwiwebhusayithi ye-SRS. https://web.archive.org/web/20150214215129/http://www.srs.org/patient_and_family/the_aging_spine/pseudarthrosis.htm
I-Ondra, S., MD, iMarzouk, S., MD Iinkqubo zokuhlaziya iLumbar Pseudarthrosis. Website yeMedscape. http://www.medscape.com/viewarticle/462180_2