Amaphutha eziguli eziguli kanye nesayithi azinambitha futhi angavikeleka. Ngokusho kweKhomishini ehlanganyelwe ekuvunyelweni kwezinhlangano zezempilo, amaphutha anjalo angenziwa ngama-41% wokuhlinzwa kwamathambo / ama-petiatric. Okokuhlinzwa kwe-Spine, kwenzelwa iphutha lendawo yokuhlinza lapho ingxenye ye-vertebral noma i-latalization ayilungile. Ngaphezu kokwehluleka ukubhekana nezimpawu zesiguli kanye ne-pathology, amaphutha ezingxenye kungaholela ezinkingeni ezintsha zezokwelapha ezifana nokuwohloka kwe-disc okusheshayo noma ukuqina komgogodla ngenye indlela asymptomatic noma ngenye indlela.
Kukhona nezinkinga zezomthetho ezihambisana namaphutha e-Spine ukuhlinzwa, kanye nomphakathi, izinhlaka zikahulumeni, izibhedlela, kanye nemiphakathi ehlinzayo inokubekezelela amaphutha anjalo. Ukuhlinzwa okuningi kwama-spinalina, njengokuqondisa ukuqondiswa, ukufuya, ukuwohloka kwe-lamimimomy, kanye ne-kyphoplasty, kwenziwa kusetshenziswa indlela engemuva, futhi ukuma kahle kubalulekile. Naphezu kobuchwepheshe bokucabanga njengamanje, amaphutha wesendlali asaqhubeka, ngezigameko ezisukela ku-0.032% kuya ku-15% abikwe ezincwadini. Akukho siphetho sokuthi iyiphi indlela yokwenza kwasendaweni enembile kakhulu.
Izazi ezivela eMnyangweni Wezama-Orthopedic Sokuhlinzwa eNtabeni iSinayi Medicine, e-USA, zenze ucwaningo lwemibuzo olu-inthanethi oluphakamisa ukuthi iningi labakwaSpine Jest lisebenzisa kuphela amaphutha endawo, ku-Spine j. Ucwaningo lwenziwe kusetshenziswa uhlu lwemibuzo lwe-imeyili. Ucwaningo lwenziwe kusetshenziswa isixhumanisi esithunyelwe nge-imeyili kwiphepha lemibuzo elithunyelwe kumalungu omhlangano waseNyakatho Melika (kufaka phakathi odokotela abahlinzayo be-orthopedic kanye ne-neurosurgeons). Uhlu lwemibuzo lwathunyelwa kanye kuphela, njengoba kunconywe yiNyakatho Melika Spine Society. Isamba sodokotela abangama-2338 bayithola, 532 bavula isixhumanisi, kanye no-173 (7.4% isilinganiso sokuphendula) siqedele uhlu lwemibuzo. Amaphesenti angamashumi ayisikhombisa nambili abaqedi abahlinza amathambo, ama-28% ayengama-neurosurgeons, kwathi abangama-73% babenodokotela be-spine ekuqeqeshweni.
Uhlu lwemibuzo lwaluqukethe imibuzo eyi-8 (Umdwebo 1) Ukumboza izindlela ezisetshenziswa kakhulu zokwenziwa kwasendaweni (zombili izimpawu zomhlaba ze-anatomical kanye nokwenziwa kwemifanekiso) Uhlu lwemibuzo aluzange luhlolwe noma luqinisekise. Uhlu lwemibuzo luvumela izinqumo eziningi zokuphendula.
Umdwebo imibuzo eyi-1 eyisishiyagalombili evela kuhlu lwemibuzo. Imiphumela ikhombisile ukuthi i-fluoroscopy ye-intraperative yayiyindlela esetshenziswa kakhulu yokwenziwa kwasendaweni yangemuva kwe-thoracic thoracic kanye ne-lumbar spine ukuhlinzwa (ama-89% no-86%, ngokulandelana), ngokulandelana), ngokulandelana). Abadokotela abangu-76 bakhetha ukusebenzisa inhlanganisela yazo zombili izindlela zokwenziwa kwasendaweni. Izinqubo ezinama-spinoung kanye nezitolo ezihambelana nazo kwakuyizimpawu zomhlaba ezisetshenziswa kakhulu ze-anatomic ze-thoracic kanye ne-lumbar spine ukuhlinzwa (ama-67% no-59%), kulandelwa izinqubo zokuPhina (49% no-52%) (Fig. 2). Ama-68% odokotela avumile ukuthi benze amaphutha endawo okwenziwa engxenyeni engxenyeni yawo, amanye awo alungiswe nge-Interaperatively (Fig. 3).
Fig. 2 Ukufanekisa kanye nezindlela ze-anatomical theration zasendaweni ezisetshenzisiwe.
I-Fig. 3 udokotela kanye nokulungiswa kwamanye amathuba okuhlinza amaphutha wengxenye.
Okwemaphutha okwendawo, ama-56% alobo odokotela asebenzisa ama-radiographs asebenza ngokungabanye futhi ama-44% asetshenziselwe i-fluoroscopy. Izizathu ezijwayelekile zamaphutha wokuma opele ekwephule ukubona ngeso lengqondo iphuzu lesethenjwa elaziwayo (isib. Izimbangela ezijwayelekile zamaphutha wokubeka isikhundla ezingezimali zifaka ukuxhumana okunganele ne-fluoroscopist, ukwehluleka ukubuyisela emuva ngemuva kokuma (ukunyakaza kwenaliti okuma endaweni ngemuva kokuma (namaphoyinti wereferensi angalungile ngesikhathi sokuma (i-lumbar 3/4 kusuka kubambo
I-Fig. Izizathu ezi-4 zamaphutha ongelona osebenzisana futhi ahlanganyele.
Imiphumela engenhla ikhombisa ukuthi yize kunezindlela eziningi zokwenziwa kwasendaweni, iningi lodokotela abahlinzayo lisebenzisa abambalwa babo kuphela. Yize amaphutha wesendlalelo ahlinzayo avelakancane, ngokufanele awona. Ayikho indlela ejwayelekile yokuqeda la maphutha; Kodwa-ke, ukuthatha isikhathi sokwenza isikhundla nokuhlonza izimbangela ezijwayelekile zamaphutha wokubeka isikhundla kungasiza ekunciphiseni izehlakalo zamaphutha ezingxenye ezihlinzayo e-thoracolumbar spine.
Isikhathi Seposi: Jul-24-2024
