Isigulana somonde kunye neempazamo zesiza zinzulu kwaye zithintelwe. NgokweKhomishini edibeneyo yokuqokelelwa kwemibutho yempilo yempilo, ezo mpazamo zinokwenziwa ukuya kuthi ga kwiipesenti ezingama-41 ze-Ortopedic / Pentratic utyandele. Utyando weSpine, impazamo yendawo yendawo yenzeka xa icandelo le-vertebral okanye i-lakeration ayichanekanga. Ukongeza kokusilela ukulungisa iimpawu kunye ne-pathology, iimpazamo zesangqa zinokukhokelela kwiingxaki zonyango ezifana nokwenza okhethiweyo kwi-disc diegeciction okanye i-spinal engacacanga kwindawo ye-AsyMMMMTTTTTTMMATIC okanye ye-SPINAL kwi-AsyMMMMMTMMATIC okanye i-spinal ye-ASMMMMTTTTTTTTTTTTATIC okanye i-spinal ye-spinal.
Kukho nemicimbi yezomthetho ehambelana neempazamo zengqokelela yoqhaqho, kwaye uluntu, iiarhente zikarhulumente, izibhedlele, kunye noluntu logqirha zinonyamezelo kwezo mpazamo. Uninzi lotyando, njengento ecekeceke, i-furion, i-leminectosy decompints, kunye ne-kyphoplasty, isetyenziswa usebenzisa indlela engasentla, imeko efanelekileyo ibalulekile. Ngaphandle kwetekhnoloji yokucinga ngoku, iimpazamo zesahlulo zisenzeka, kunye namaxabiso ehlogng ukusuka kwi-0.032% ukuya kwi-15% exeliweyo kuncwadi. Akukho sigqibo sokuba yeyiphi indlela yokwazisa ichanekile.
Abaphengululi abavela kwiSebe loNyango lwe-Orthoped kwiNtaba yeSikolo seSikolo saseSikolo, i-USA, baqhuba iindlela eziqhelekileyo zonyango, kwaye kwinqaku elipapashiweyo ngoMeyi ka-2014 kwi-SPINE J. Olu phononongo lwenziwe kusetyenziswa i-imeyile kwikhwela kwiphepha lemibuzo elithunyelwe kumalungu oMbutho weSpine waseMntla Melika (kubandakanya oogqirha bamathambo kunye ne-iurosurgeons). Iphepha lemibuzo lathunyelwa kube kanye, njengoko kucetyiswa nguMbutho weSpine waseNyakatho. Bebonke abangama-2338 abaye bayifumana, i-532 ivule ikhonkco, kunye ne-173 (7.4%) Inqanaba lokuphendula) ligqityiwe iphepha lemibuzo. Iipesenti ezingamashumi asixhenxe anesibini yeepesenti zangugqirha wamathambo, iipesenti ezingama-28 zazizii-neurosurgeons, kwaye iipesenti ezingama-73 yayingamagqirha aqengqelekayo kuqeqesho.
Iphepha lemibuzo liqukethe imibuzo emi-8 epheleleyo (Fig. 1) Ukugubungela ezona ndlela zisetyenziswayo zekhaya (zombini iimpawu zomhlaba kunye nokubonisa iimpazamo), kunye nokunxulumana neempazamo zokuqala. Ikhweshine yayingeyondawo yokuvavanywa okanye iqinisekisiwe. Iphepha lemibuzo livumela ukhetho lweempendulo ezininzi.
Umzobo 1 Imibuzo esibhozo kwikhweshine. Iziphumo zibonise ukuba i-Fluoroscopy ye-IntraodOpy yayiyeyona ndlela isetyenziswayo yendawo esetyenziswayo yendawo engasemva kwe-posteracic kunye ne-89% ne-86%, ngokulandelelana), ngokulandelelana). Ngama-78 ogqirha bakhetha ukusebenzisa indibaniselwano yazo zombini iindlela zokwenza indawo. Iinkqubo ezinesidima kunye neepaki ezihambelana nazo zezona zisetyenziselwa umhlaba oqhelekileyo we-anatomic ye-anatomic kunye ne-57% kwaye i-59%), ilandelwa ziinkqubo ezinesidima (i-49%) (Fig. 2). I-68% yogqirha ivumile ukuba benza ukuba benze iimpazamo zendawo yokuhlala, ezinye zazo zangaphakathi (Fig. 3).
Fig. Ukucinga kunye neendlela zokwenza i-anatomical yendawo yokuhlala.
Umzobo 3 ugqirha kunye nolungiso lwangaphakathi lweempazamo zesahlulo se-subment.
Kwimpazamo yendawo, i-56% yala magqirha isebenzise i-radiolos ekhuselekileyo kunye ne-44% esetyenzisiweyo ye-fraoperapeative fluoroscopy. Izizathu eziqhelekileyo ukuba zithintele iimposiso zendawo zokuthintela ukubaluleka kokuma komhlaba yayingaphumeleli kwinqaku lesalathiso elaziwayo (umzekelo, umqolo we-SACOMIGS), iingcambu ze-vertegrame (i-anatomical ribs), kunye ne-Aatomigued Ribs). Izizathu eziqhelekileyo zeempazamo zokubeka i-intraopeetive ziquka unxibelelwano olungaphelelanga kwi-fluoroscopist, ukusilela kokubeka endaweni ye-Fluoroscopy), kunye neendawo zokubonisa ezingalunganga ngexesha lokuma (i-Lumbar 3/4 evela kwiimbambo ezantsi) (umzobo 4).
Umzobo 4 Izizathu zeempazamo zokwenza indawo kunye ne-intramotives.
Ezi ziphumo zingasentla zibonisa ukuba nangona zininzi iindlela zokwenza indawo, uninzi logqirha zisebenzisa nje ezimbalwa zazo. Nangona iimpazamo zesahlulo soqhawulo-mtshato sinqabile, kufanelekile ukuba singabikho. Akukho ndlela eqhelekileyo yokuphelisa ezi mpazamo; Nangona kunjalo, ukuthatha ixesha lokwenza nokuchonga izizathu eziqhelekileyo zezikhundla kunokunceda ukunciphisa imeko yeempazamo zesahlulo se-suracolmumbar spine.
IXESHA LOKUQALA: UJUL-24-2024
