Umlando weSistimu ye-Vertebroplasty
Ngo-1987, uGalibert waqala ukubika ngokusetshenziswa kobuchwepheshe be-PVP obuqondiswa yisithombe ukwelapha isiguli esine-C2 vertebral hemangioma. I-PMMA cement yafakwa emathanjeni futhi kwatholakala umphumela omuhle.
Ngo-1988, uDuquesnal waqala ukusebenzisa indlela ye-PVP ekwelapheni ukuphuka komgogodla okucindezelwa yi-osteoporotic. Ngo-1989 uKaemmerlen wasebenzisa indlela ye-PVP ezigulini ezine-metastatic spinal tumor, futhi wathola imiphumela emihle.
Ngo-1998 i-US FDA yavuma inqubo ye-PKP esekelwe ku-PVP, engabuyisela kancane noma ngokuphelele ukuphakama komgogodla ngokusebenzisa i-catheter yebhaluni efuthwayo.
I-vertebroplasty Kyphoplastyinqubo lapho kufakwa khona usimende okhethekile ku-vertebra ephukile ngenhloso yokuqeda ubuhlungu bomgogodla wakho nokubuyisela ukunyakaza.
Isethi ye-PVP Vertebroplasty Ekhethwayo
1. Ukucindezelwa okuncane komgogodla, i-endplate yomgogodla kanye nodonga lwangemuva akuphelele
2. Abantu abadala, isimo somzimba esibi kanye neziguli ezingakubekezeleli ukuhlinzwa isikhathi eside
3. Iziguli esezikhulile ezijovwe ngemijovo eminingi yethambo lomgogodla
4. Izimo zomnotho zimbi
Ikhithi ye-PKP Kyphoplasty Ekhethwayo
1. Ukubuyisela ukuphakama komgogodla nokulungisa i-kyphosis kuyadingeka
2. Ukuphuka kokucindezeleka komgogodla okubuhlungu
Hlangana nezidingo zezokwelapha ze-thoracic kanye ne-lumbar vertebra
I-margin yokuphepha engu-200psi kanye nomkhawulo ophezulu we-300psi
Isiqinisekiso sokubuyiselwa kokuphakama namandla omgogodla
Indilinga ngayinye ingu-0.5ml, ukunemba okuphezulu kokujikeleza okujikelezayo
Ukukhiya okuvalayo kwenza ukusebenza kube lula.
Ukwelashwa okulondolozayo kwezifo ezibuhlungu zokucindezeleka komgogodla esigabeni se-subacute sokuphuka kokucindezeleka komgogodla we-osteoporotic (Ukuqhubeka okubonakalayo kwe-VCF kyphosis ebuhlungu esigabeni se-subacute, i-Cobb angle>20°
I-VCF ebuhlungu engapheli (> izinyanga ezingu-3) enezinkinga zokungasebenzi
Isimila somgogodla (Isimila somgogodla esibuhlungu esingenasici se-cortical ngemuva), i-hemangioma, isimila esisakazekile, i-myeloma, njll.
Ukuphuka komgogodla okungazinzile okungalimazanga, ukwelashwa okusizayo kohlelo lwesikulufu se-posterior pedicle ukwelapha ukuphuka komgogodla, okunye
● Izinkinga zokuqina kwamalunga
● Ukuqhekeka okuzinzile okungenazimpawu
● Izimpawu zokucindezelwa komgogodla
● Ukutheleleka okunamandla/okungapheli komgogodla
● Ukungezwani nosimende wamathambo kanye nesithako sonjiniyela
● Iziguli ezingasakwazi ukusebenza kahle ngenxa yokuguga ngenxa yokungasebenzi kahle kwezinye izitho zomzimba
● Iziguli ezine-VCF ezikhumukile emalungeni noma i-disc ye-intervertebral ephukile
● Njengoba ubuchwepheshe kanye namadivayisi okuhlinzwa ethuthuka, ububanzi bezindlela zokuvimbela ukuhlinzwa buyancipha futhi.