Kuvhiya kwemurwere uye nhumbi zvokukanganisa zvakakomba uye zvinodzivirira. Zvinoenderana neyakajairwa komisheni pakuregererwa kwemasangano ehutano hwehutano, zvikanganiso zvakadaro zvinogona kuitwa kusvika ku14% yeOrtiatric kuvhiya. Kune Spine Kuvhiya, Iko Kuvhiya Saiti Kukanganisa kunoitika kana chikamu che vertebral kana kuderera zvisiri izvo. Pamusoro pekutadza kugadzirisa zviratidzo zvezvemurwere uye zvokuriritira
Kune zvakare nyaya dzemutemo dzakabatana nezvikanganiso zvechikamu muSpine Kuvhiya, uye veruzhinji, masangano ehurumende, zvipatara, uye nzanga dzekuvhiya vane zero zero kuzvikoshesa kwakadaro. Vakawanda vanovhiya, vakadai sekureva, fusion, laminectomy kuzvishambadzira, uye kyhelplasty, vanoitwa vachishandisa nzira yepashure, uye chinzvimbo chakakodzera chakakosha. Pasinei nekufungidzira kwekufungidzira tekinoroji, zvikanganiso zvekukakavara zvichiri kuitika, nezviitiko zvine mwero kubva pa0,032% kusvika 15% yakataurwa mumabhuku. Iko hakuna mhedzisiro yekuti ndeipi nzira yekudyidzana inonyanya kuve yakarurama.
Nyanzvi dzinobva kuDhipatimendi reOrthopedic PaGomo reSinai Yekurapa, uye kujekeswa kwakawanda kwekurapa kwekurapa kunogona kuitika maChikwereti. Chidzidzo ichi chakaitwa uchishandisa chinongedzo chemubvunzo wakatumirwa kunhengo dzeNorth American Spine Sangano (kusanganisira Orthopidic vanyaridzi uye neurosurgeons). Mubvunzo wakatumirwa kamwe chete, sezvakakurudzirwa neNorth American Spine Society. Vanhurume vese makumi maviri nematanhatu vakaigamuchira, 532 akavhura chinongedzo, uye 173 (7.4% yekupindura chiyero) vakapedza mubvunzo. Makumi manomwe neshanu muzana evanopedzisa vaive vekureva kweOrthopedic, 28% vaive neurosurgeons, uye 73% vaive vanachiremba vepasiti mukudzidziswa.
Iyo mibvunzo yemubvunzo yaisanganisira mimwe mibvunzo mibvunzo MIBVUNZO YEMIBVUNZO YAKAITWA KUTI UCHIDZE KUKOSHESWA KANA KUKOSHESA. Iyo mibvunzo yemubvunzo inobvumira sarudzo dzakawanda mhinduro.
Mufananidzo 1 mibvunzo misere kubva kumubvunzo. Mhedzisiro yacho yakaratidza kuti inynderative fluoroscopy ndiyo yakanyanya kushandiswa nzira yekubatana kwePosterior uye Lumbar Spine Surgery (89%, zvichitaurwa), 54% uye 58%, zvichiteerana). 76 vanyadzo vakasarudza kushandisa musanganiswa wenzira mbiri idzi dzekutengesa. Iyo spinous maitiro uye zvibodzwa zvinowanzoitwa zvinoshandiswa zvakanyanya anatomic landmarks zveTyatomic uye lumbar Spine Surgery (67% uye 59%), 49% uye 52%) (Fig. 2) (Fig. 2). 68% yevarapi vakabvuma kuti ivo vakaita zvikanganiso zvekunyepedzera, zvimwe zvacho zvakarongedzwa zviri mukati (Fig. 3).
Fig. 2 Kufungidzira uye Anatomical Landmark Local Nzira dzaishandiswa.
Fig. 3 Chiremba uye Intrapaepaperative kururamisa kwekuvhiya kwezvikanganiso zvikanganiso.
Kune zvikanganiso zvemuno, 56% yevarapi ava vaishandisa preoperative radierative radiographs uye 44% yakashandisa intraoperative fluoroscopy. Zvikonzero zvenguva dzose zvechinyakare pamamiriro ezvinhu ekukanganisa kwaive kutadza kuona pfungwa dzinozivikanwa Zvinokonzeresa zvinokonzeresa kupindirana zvikanganiso zvinosanganisira kutaurirana zvisina kukwana neyenziza mushure mekupindirana.
Fig. Zvikonzero 4 zveKugadzirira uye IntranaPerative Localization zvikanganiso.
Mhedzisiro iri pamusoro inoratidza kuti kunyangwe paine nzira dzakawanda dzekutarisa, huwandu hwevanovhiya vanovhiya vanoshandisa mashoma acho chete. Kunyangwe zvikanganiso zvekuvhiya zvisingawanzoitika, zvine musoro ivo vasipo. Iko hakuna nzira yakaenzana yekubvisa izvi zvikanganiso; Nekudaro, kutora nguva yekuita kumira uye kuona zvinokonzeresa zvinokonzeresa zvikanganiso zvinogona kubatsira kuderedza zviitiko zvekuvhiya zvekuvhiya muToracolumbar musana.
Kutumira Nguva: Jul-24-2024
