Imbali yeNkqubo ye-Vertebroplasty
Ngo-1987, uGalibert waqala wabika ngokusetyenziswa kwendlela ye-PVP ekhokelwa ngumfanekiso ukunyanga isigulana esine-C2 vertebral hemangioma. Isamente ye-PMMA yafakwa kwi-vertebrae kwaye kwafunyanwa iziphumo ezilungileyo.
Ngo-1988, uDuquesnal waqala ukusebenzisa indlela ye-PVP ekunyangeni ukwaphuka kwethambo lomqolo elicinezelweyo. Ngo-1989 uKaemmerlen wasebenzisa indlela ye-PVP kwizigulana ezine-metastatic spinal tumor, waza wafumana iziphumo ezilungileyo.
Ngo-1998 i-US FDA yavuma indlela ye-PKP esekelwe kwi-PVP, enokubuyisela ngokuyinxenye okanye ngokupheleleyo ukuphakama komqolo ngokusebenzisa i-catheter yebhaluni efuthwayo.
I-Vertebroplasty Kyphoplastyyinkqubo apho kufakwa isamente ekhethekileyo kwi-vertebra eqhekekileyo ngenjongo yokunciphisa iintlungu zomqolo wakho nokubuyisela ukuhambahamba.
Iseti yePVP Vertebroplasty ekhethwayo
1. Uxinzelelo oluncinci lwe-vertebral, i-vertebral endplate kunye nodonga olungasemva azinazo zonke
2. Abantu abadala, imeko yomzimba engentle kunye nezigulana ezingayinyamezeliyo utyando olude
3. Izigulana zabantu abadala ezijovwe ngenaliti ye-multi-vertebral
4. Iimeko zoqoqosho zimbi
Ikhithi yePKP Kyphoplasty ekhethwayo
1. Ukubuyisela ukuphakama komqolo kunye nokulungisa i-kyphosis kuyadingeka
2. Ukwaphuka okuxinzelelweyo kwethambo lomqolo okubuhlungu
Ukuhlangabezana neemfuno zeklinikhi ze-thoracic kunye ne-lumbar vertebra
Umda wokhuseleko we-200psi kunye nomda ophezulu we-300psi
Isiqinisekiso sokubuyiselwa kobude namandla omqolo
Isangqa ngasinye yi-0.5ml, ukuchaneka okuphezulu kokujikeleza okujikelezayo
Ukutshixa ngexesha lokuvala kwenza umsebenzi ube lula.
Abantu abakhubazekileyo abanokuqhekeka koxinzelelo lwethambo lomqolo olubuhlungu, unyango oluzinzileyo kwisigaba se-subacute sokuqhekeka koxinzelelo lwethambo lomqolo olubizwa ngokuba yi-osteoporotic (Ukuqhubela phambili okubonakalayo kwe-VCF kyphosis ebuhlungu kwisigaba se-subacute, i-Cobb angle>20°
I-VCF ebuhlungu engapheliyo (> iinyanga ezi-3) kunye nokungadibani
Ithumba lomqolo (Ithumba lomqolo elibuhlungu elingenasiphako se-cortical posterior), i-hemangioma, ithumba elisasazekayo, i-myeloma, njl.njl.
Ukuphuka komqolo okungazinziyo okungengokwenzakalisa, unyango oluncedisayo lwenkqubo yesikrufu se-posterior pedicle ukunyanga ukwaphuka komqolo, ezinye
● Iingxaki zokuxinana kwegazi
● Ukuqhekeka okuzinzileyo okungenazo iimpawu
● Iimpawu zokucinezelwa komqolo
● Usulelo olukhawulezileyo/olungapheliyo oluvela kwithambo lomqolo
● Ayina-aleji kwisamente yamathambo kunye nesithako somphuhlisi
● Izigulana ezingakwaziyo ukusebenza ngenxa yokwaluphala ngenxa yokungasebenzi kakuhle kwezinye izitho zomzimba
● Izigulana ze-VCF ezine-facet joint dislocation okanye i-prolapsed intervertebral disc
● Njengoko ubuchule kunye nezixhobo zotyando ziqhubeka, ububanzi bezinto ezichaseneyo buyancipha.