Histori ea Vertebroplasty System
Ka 1987, Galibert o ile a tlaleha ka lekhetlo la pele tšebeliso ea mokhoa oa PVP o tataisoang ke setšoantšo ho phekola mokuli ka C2 vertebral hemangioma. Samente ea PMMA e ile ea kenngoa mokokotlong oa mokokotlo 'me ho ile ha fumanoa sephetho se setle.
Ka 1988, Duquesnal o ile a qala ho sebelisa mokhoa oa PVP oa ho phekola lefu la masapo a mabeli a mokokotlo oa mokokotlo oa mokokotlo.
Ka 1998 US FDA e amohetse mokhoa oa PKP o ipapisitseng le PVP, e ka khutlisetsang bophahamo ba lesapo la mokokotlo ka mokhoa o itseng kapa ka ho felletseng ka ho sebelisa catheter ea balune e fofang.
Vertebroplasty Kyphoplastyke ts'ebetso eo ho eona samente e khethehileng e kenngoa ka har'a vertebra e robehileng ka sepheo sa ho imolla bohloko ba mokokotlo le ho tsosolosa ho tsamaea.
PVP Vertebroplasty Set e Ratoang
1.Slight vertebral compression, vertebral endplate le backwall li ntse li tiile
2.Batho ba tsofetseng, boemo bo bobe ba 'mele le bakuli ba sa mamelleng ho buuoa nako e telele
3.Bakuli ba tsofetseng ba ente ea li-vertebral tse ngata
4.Maemo a moruo a fokola
PKP Kyphoplasty Kit e Ratoang
1.Ho tsosolosa bophahamo ba vertebral le ho lokisa kyphosis ho hlokahala
2.Ho robeha ha vertebral compressive fracture
Kopana le litlhoko tsa kliniki bakeng sa vertebra ea thoracic le lumbar
200psi moeli oa polokeho le moeli o phahameng oa 300psi
Netefatsa ho tsosolosoa ha bophahamo ba vertebral le matla
Sedikadikwe se seng le se seng 0.5ml, ho nepahala ho phahameng ha spiral propelling
Ho notlela hang-hang ho nolofatsa ts'ebetso.
The invalids of painful vertebral compression fractures conservative treatment in subacute phase of osteoporotic vertebral compression fracture ( Ho bonahala ho tsoela pele ha bohloko VCF kyphosis in subacute phase, Cobb angle>20 °
E sa foleng (> likhoeli tse 3) VCF e bohloko le ho se kopane
Sehlahala sa mokokotlo (sehlahala se bohloko sa vertebral ntle le sekoli se ka morao), hemangioma, hlahala ea metastatic, myeloma, joalo-joalo.
Ho robeha ha mokokotlo ho sa tsitsang ho sa tsitsang, kalafo ea adjuvant ea posterior pedicle screw system ho phekola fractures ea vertebral, tse ling.
● Mathata a ho tsoa mali
● Maqhetsoana a tsitsitseng a asymptomatic
● Matšoao a ho hatelloa ha lesapo la mokokotlo
● Tšoaetso ea mokokotlo e matla/e sa foleng
● Ho hanana le samente ea masapo le motsoako oa motsoako oa lisebelisoa
● Bakuli ba ho se mamelle ho sebetsa ka lebaka la botsofali le ho se sebetse hantle ha litho tse ling
● Bakuli ba VCF ba nang le "facet joint dislocation" kapa "prolapsed intervertebral disc".
● Ha mekhoa le lisebelisoa tsa ho buoa li ntse li tsoela pele, boholo ba li-contraindication le tsona bo ntse bo fokotseha.