Nhoroondo yeSistimu yeVertebroplasty
Muna 1987, Galibert akatanga kutaura nezvekushandiswa kwenzira yePVP inotungamirirwa nemifananidzo kurapa murwere ane C2 vertebral hemangioma. Simende yePMMA yakapinzwa mumapfupa emusana uye mhedzisiro yakanaka yakawanikwa.
Muna 1988, Duquesnal akatanga kushandisa nzira yePVP kurapa kutyoka kwemapfupa emusana ane osteoporotic vertebral compressive fracture. Muna 1989, Kaemmerlen akashandisa nzira yePVP pavarwere vane metastatic spinal bundu, uye akawana mhedzisiro yakanaka.
Muna 1998 US FDA yakabvumidza nzira yePKP yakavakirwa paPVP, iyo inogona kudzoreredza kukwirira kwemusana zvishoma kana zvachose nekushandisa catheter yebharumu inofefeterwa.
Kuvhiyiwa kweVertebroplasty Kyphoplastyinzira iyo simende yakakosha inopinzwa mu vertebra yakatyoka nechinangwa chekurerutsira marwadzo emusana wako uye kudzorera kufamba-famba.
Seti yePVP Vertebroplasty Inodiwa
1. Kudzvanywa kwemusana, mutsipa wepazasi nemadziro ekumashure hazvina kukanganiswa
2. Vanhu vakwegura, muviri usina kunaka uye varwere vasingashiviriri kuvhiyiwa kwenguva refu
3. Varwere vakwegura vanobayiwa jekiseni remusana rine mitsetse yakawanda
4. Mamiriro ehupfumi haana kunaka
Kiti yePKP Kyphoplasty Inodiwa
1. Kudzorera kukwirira kwemusana uye kugadzirisa kyphosis kunodiwa
2. Kutyoka kwemutsipa kunoshungurudza
Sangana nezvinodiwa zvekiriniki zve vertebra yechipfuva neye lumbar
200psi yekuchengetedza muganho uye 300psi muganho wepamusoro
Vimbiso yekudzoreredza kukwirira kwemusana uye simba
Denderedzwa rega rega 0.5ml, kunyatsoita spiral propelling
Kukiya panze kunoita kuti basa rive nyore.
Kurapa kwevarwere vane marwadzo ekupwanyika kwemutsipa kunorwadza muchikamu che subacute che osteoporotic vertebral compression fracture (Kufambira mberi kuri pachena kwekurwadziwa kweVCF kyphosis muchikamu che subacute, Cobb angle>20°
VCF inorwadza kwenguva refu (>mwedzi mitatu) isina kubatana
Bundu remusana (Bundu remusana rinorwadza risina dambudziko remusana remusana), hemangioma, bundu remusana, myeloma, nezvimwewo.
Kutyoka kwemusana kusingakanganise, kurapwa kwemusana kwemashure etsoka dzetsoka kurapa kutyoka kwemusana, zvimwe
● Zvirwere zvekuvhara ropa
● Kutsemuka kwakasimba kusina zviratidzo
● Zviratidzo zvekumanikidzwa kwemutsipa wemusana
● Utachiona hwemusana hunorwadza/husingaperi
● Zvinokonzera kusawirirana nesimende yemapfupa uye chinhu chinogadzira simende
● Varwere vane kusakwanisa kushanda zvakanaka nekuda kwekukwegura uye kusashanda zvakanaka kwezvimwe zvikamu zvemuviri
● Varwere vane VCF vane facet joint dislocation kana prolapsed intervertebral disc
● Sezvo nzira dzekuvhiya dziri kufambira mberi, huwandu hwezvirambidzo zviri kudererawo.