Imwe nzira yakakosha yevashandi vepamusoro (mushandi) -kusanganisira neurosurgeons, chirwere chemapfupa kana mimwe-ndeyokuti kana iwe wakatumirwa kusangana nemumwe, zvinoreva kuti iwe uchange uine chirwere chekare.
Kunyange zvazvo chokwadi izvi hachisi chokwadi nguva dzose, (uye fungisisa uchiyeuka kuti une kodzero yekutsvaga maonero kubva kune vanodarika imwe chiremba), zvingakubatsira kwauri mukutsvakurudza kwako kuti uone kuti zvidzidzo zvakawanda zvinotarisa kuwanda kwekushandiswa kwe chirwere chepelinus fusion , chirongwa chakaitwa nevechiremba vezvemapfupa uye neurosurgeons, inotaura pane izvi.
Semuenzaniso, Cowan, Dimick, Wainess, Upchurch, Chandler, La Marca vakawana mukudzidza kwavo muna 2006, "Kuchinja mukushandiswa kwepelin fusion muUnited States," kushungurudzika kwezvikamu zvitatu zvikuru zvemupaka zvakanyanya pakati pe 1993 ne2003 " Neck fusions , ivo vanoti, yakawedzera ne 89%, asi kushungurudzika mu thoracolumbar (pakati pepasi yakaderera shure) yakasimuka ne 31%. Uye runyararo rwomukomana rwemapapiro rwakawedzerwa nekunaya 134%!
Vatsvakurudzi vakaona zvakare kuti mhirizhonga dzemakwenzi nemakondomu dzakawedzera zvakanyanya kune varwere vaiva pakati pemakore makumi mana nemakumi mashanu. Nhamba yekushungurudzwa kwakaitirwa varwere kwemakore makumi matanhatu nekure zvakare yakasimuka.
Uye pakupedzisira, Cowan, et. al. akawana kuti senzira yekurapa, chirwere chepelinha chakanga chakawanda zvikuru muna 2003 kupfuura muna 1997; Muna 1997, ndiyo ndiyo yakanga yakawanda inowanzoitwa; muna 2003, ye19.
Chii Chinokonzera Kurwisana Mumasana Etsva?
Mumwe angafungidzira zvikonzero zvingangodaro zvekukurumidza.
Asi mukudzidza kwavo, "United States inowanzoita chirwere chekunyengedza kwemafuro ekugadzirisa zvinhu," Deyo, et. al. yakarondedzerwa zvinyorwa zvepfungwa dzepaginal dzakapiwa pakati pe1991 na2001. (Vakashandisa Project Health Care Cost and Use Project Nationwide Inpatient Sample uye US Census data kuti zviite saizvozvo.)
Vanyori vekuongorora uku vanotaura kuti kuwedzera kwekufambisa kwemaitiro, iyo "yakakura zvikuru iyo inowedzera kune dzimwe maitiro makuru emasvomhu," inoita seinoenderana neDefA yekubvumirwa kwezvitsva zvitsva zvokuvhiya.
Deyo, et. al. inotaura zvakare kuti munguva ino, kuwedzera kunowedzera mukupereta kwepelinal fusion kwakaitika mumhomho inopfuura 60; mune mamwe mazwi, vakuru uye vakwegura.
Deyo neboka rake vanodana kudarika data pamusoro pekushanda kwakanaka kwepinal fusion ndeyevatano, vachicherechedza "kuwedzera uku hakuna kubatanidza nemishumo yejekesti yakajekeswa kana kubudirira kubudirira."
Sources:
Cowan J., Dimick J., Waity R., Upchurch G., Chandler W., La Marca F. Kuchinja mune kushandiswa kwepelin fusion muUnited States. Neurosurgery. July 2006.
Mamiriro uye Mishonga. Website yeAANS, Murepa Wekutsvaga Page.
Deyo R., Grey D., Kreuter W., Mirza S., Martin B. United States maitiro ekugadzirwa kwemafiro ekugadzirwa kwemaitiro ekuderera. Wakapona. June 2005.
Gologorsky Y., Knightly J., Chi J., Groff M. Mutemo Wose Wepachipatara Shanduro yekushambadzira haina kunyatsoratidzira zviratidzo zvekuvhiya kwekusanganiswa. J Neurosurg Spine. Dec 2014.