Akụkọ ihe mere eme nke Vertebroplasty System
Na 1987, Galibert buru ụzọ kọọ ngwa nke usoro PVP na-eduzi ihe oyiyi iji gwọọ onye ọrịa nwere C2 vertebral hemangioma. A na-agbanye simenti PMMA n'ime vertebrae wee nweta nsonaazụ dị mma.
Na 1988, Duquesnal bu ụzọ tinye usoro PVP n'ịgwọ mgbawa osteoporotic vertebral compressive. Na 1989 Kaemmerlen tinyere usoro PVP na ndị ọrịa nwere etuto azụ azụ metastatic, wee nweta nsonaazụ dị mma.
N'afọ 1998, US FDA kwadoro usoro PKP dabere na PVP, nke nwere ike iweghachi akụkụ ma ọ bụ kpam kpam elu vertebral site na iji catheter balloon na-ekpo ọkụ.
Vertebroplasty kyphoplastybụ usoro nke a na-etinye ciment pụrụ iche n'ime vertebra gbajiri agbaji na ebumnuche nke iwepụ ihe mgbu azụ gị na iweghachi mmegharị ahụ.
PVP Vertebroplasty Tọọ masịrị
1.Slight vertebral mkpakọ, vertebral endplate na backwall adịchaghị
2.Ndị agadi, ahụ dara ogbenye na ndị ọrịa na-anaghị anabata ịwa ahụ ogologo oge
3.Elderly ọrịa nke multi-vertebral injection
4.Economic ọnọdụ adịghị mma
Ngwa kyphoplasty PKP masịrị
1.Iweghachi elu vertebral na mezie kyphosis dị mkpa
2.Traumatic vertebral mkpakọ mgbawa
Zute ihe ndị chọrọ ụlọ ọgwụ maka ma thoracic na lumbar vertebra
Oke nchekwa 200psi na oke oke 300psi
Na-ekwe nkwa mweghachi nke ịdị elu vertebral na ike
Gburugburu nke ọ bụla 0.5ml, oke ziri ezi nke ịgbagharị gburugburu
Mkpọchi na-apụ apụ na-eme ka ọrụ ahụ dị mfe.
Ndị na-adịghị mma nke mkpakọ vertebral na-egbu mgbu na-agbaji ọgwụgwọ na-agbanwe agbanwe na mpaghara subacute nke osteoporotic vertebral compression fracture (ọganihu pụtara ìhè nke VCF kyphosis na-egbu mgbu na mpaghara subacute, Cobb angle>20 °).
VCF na-egbu mgbu (> ọnwa 3) na enweghị njikọ
Ọrịa vertebral (akpụ vertebral na-egbu mgbu na-enweghị ntụpọ cortical dị n'azụ), hemangioma, etuto metastatic, myeloma, wdg.
Ọkpụkpụ ọkpụkpụ na-adịghị akwụsi ike na-adịghị akwụsi ike, ọgwụgwọ adjuvant nke sistemu pedicle screw system iji gwọọ mgbaji vertebral, ndị ọzọ.
● Nsogbu nke coagulation
● Njiji siri ike nke asymptomatic
● Ihe mgbaàmà nke mkpakọ ọkpụkpụ azụ
● Vertebral nnukwu/ọrịa na-adịghị ala ala
● Ihe nfụkasị ahụ na ciment ọkpụkpụ na ihe mmepụta ihe
● Ndị ọrịa anaghị arụ ọrụ n'ihi ịka nká na arụ ọrụ akụkụ ndị ọzọ
● Ndị ọrịa nke VCF nwere nkwarụ nkwonkwo facet ma ọ bụ diski intervertebral gbagoro agbago
● Ka usoro ịwa ahụ na ngwaọrụ na-aga n'ihu, njedebe nke contraindications na-ebelatakwa.