Mbiri ya Vertebroplasty System
Mu 1987, Galibert adalemba koyamba za kugwiritsa ntchito njira ya PVP yotsogozedwa ndi zithunzi pochiza wodwala yemwe ali ndi C2 vertebral hemangioma. Simenti ya PMMA idalowetsedwa m'chiuno ndipo zotsatira zake zinali zabwino.
Mu 1988, Duquesnal anayamba kugwiritsa ntchito njira ya PVP pochiza kusweka kwa mafupa a msana komwe kumakhudzidwa ndi osteoporosis. Mu 1989, Kaemmerlen anagwiritsa ntchito njira ya PVP pa odwala omwe ali ndi khansa ya msana yomwe inafalikira, ndipo anapeza zotsatira zabwino.
Mu 1998, US FDA idavomereza njira ya PKP kutengera PVP, yomwe imatha kubwezeretsa kutalika kwa msana pang'ono kapena kwathunthu pogwiritsa ntchito catheter ya baluni yopumira.
Kukonza mafupa a msana (vertebroplasty)ndi njira yomwe simenti yapadera imabayidwa mu vertebra yosweka ndi cholinga chochepetsa ululu wa msana wanu ndikubwezeretsa kuyenda bwino.
Seti ya PVP Vertebroplasty Yokondedwa
1. Kupsinjika pang'ono kwa msana, chivundikiro cha msana ndi khoma lakumbuyo sizikuwonongeka
2. Okalamba, thupi losauka komanso odwala omwe safuna opaleshoni yayitali
3. Odwala okalamba omwe amalandira jakisoni wa multivertebral
4. Mkhalidwe wa zachuma ndi woipa
Kiti ya PKP Kyphoplasty Yokondedwa
1. Kubwezeretsa kutalika kwa msana ndi kukonza kyphosis ndikofunikira
2. Kusweka kwa msana komwe kumapweteka kwambiri
Kukwaniritsa zofunikira zachipatala za vertebra ya thoracic ndi lumbar
Malire a chitetezo a 200psi ndi malire apamwamba a 300psi
Tsimikizirani kubwezeretsa kutalika ndi mphamvu za msana
Bwalo lililonse la 0.5ml, kulondola kwambiri kwa spiral propelling
Kutseka kotseguka kumapangitsa kuti ntchitoyi ikhale yosavuta.
Odwala omwe ali ndi vuto la kupweteka kwa vertebral compression fractures, chithandizo chokhazikika mu subacute phase ya osteoporotic vertebral compression fracture (Kupita patsogolo kwa VCF kyphosis yopweteka mu subacute phase, Cobb angle>20°
VCF yopweteka yosatha (yopitirira miyezi itatu) yokhala ndi mgwirizano wosalumikizana
Chotupa cha msana (Chotupa chopweteka cha msana chopanda vuto la posterior cortical), hemangioma, chotupa chofalikira, myeloma, ndi zina zotero.
Kusweka kwa msana kosakhazikika kosaopsa, chithandizo chowonjezera cha dongosolo la screw posterior pedicle pochiza kusweka kwa msana, zina
● Matenda a magazi kuundana
● Kusweka kosalekeza kwa zizindikiro
● Zizindikiro za kupsinjika kwa msana
● Matenda a msana omwe amakhudza kwambiri/nthawi yayitali
● Kusamvana ndi simenti ya mafupa ndi chinthu chopangira zinthu
● Odwala omwe ali ndi vuto la kulephera kugwira ntchito chifukwa cha ukalamba komanso ziwalo zina sizikugwira ntchito bwino.
● Odwala a VCF omwe ali ndi vuto la facet joint dislocation kapena prolapsed intervertebral disc
● Pamene njira zopangira opaleshoni ndi zipangizo zikupitilira, kuchuluka kwa zinthu zotsutsana nazo kukuchepa.