Pseudoarthrosis ishoko rinoshandiswa kurondedzera chinoitika kana musana wepelinha usingabudiriri. Chirwere chepine fusion chirongwa chekuvhiya kumashure chinopiwa nekuda kwezvinetso zvakasiyana siyana kusanganisira asi zvisingarevi kurongwa kwe Scoliosis curve, matambudziko ehurukuro uye / kana kushaya simba kana kusagadzikana mumusana (izvo zvinogona kutapukirwa kana tumarara). Icho chinangwa chepamusoro chepelinus fusion ndeche kuderedza marwadzo nekuvandudza basa.
Nokuda kwepinini stenosis uye / kana radiculopathy, chinangwa chekudzikamisa, kana kugadzirisa, mitsipa uye / kana chirwere chepelinha sezvavanopfuura nepakati mumutsara wepelinha.
Maererano neAmerican Academy of Orthopedic Surgeons (AAOS), kugadzirwa kwepamuviri kunonyanya kushambadza. Pfungwa iyi ndeyokubatana nemuvakidzani, zvinokonzera vertebrae pamwe chete, uye nekufamba kwenguva, zvibvumira kuti vashandise mune rimwe chete, rakasimba bone.
IAAOS inotaura kuti (kazhinji pamwe chete ne "instrumentation" yakadai sematanda, zvigadzirwa, uye / kana waya) zvose zvinokonzerwa nemasipiringi zvinosanganisira kuisa mamwe mapfupa mune imwe nzvimbo pakati pe vertebrae ichazoguma pamwe chete sechikamu chakasimba. Izvi zvinonzi "bone graft". IAAOS inotaura kuti kubatanidzwa kunowedzera kutema kwefupa uye kunokurudzira kuporesa uye kusanganisa.
Zvinokonzera
Asi chii chinoitika kana musana wechipfuva usingatori? Vanachiremba vanotaura izvi se "kusina kubatana" kana pseudoarthrosis. Muzviitiko zvisiri zvemasangano, hazvikwanisi mapfupa akaumbwa anoitika panguva yekugadzirisa nguva pfupi kutevera nzira.
Muzhinji, mashoma ekuporesa mapfupa ndiyo inotungamirira ku pseudoarthrosis. Dzimwe nguva izvi zvinokonzerwa nekugadzirira uye / kana chii chinoitika panguva yekuvhiyiwa; dzimwe nguva ndezvikonzero zvezvinhu zvaunounza patafura sekusvuta kana kutora steroids.
Pseudoarthrosis uye Kusvuta
Chati iri pasi apa inopa "iwe vs ivo" kuenzaniswa kwepseudoarthrosis ngozi.
Cherechedza kuti kuva muputa kunokwira kumusoro kweEalth Factors . Ndinoziva zvakaoma chaizvo kurega kusvuta, asi iwe unofanirwa kuziva kuti vamwe vanachiremba vepfungwa havangamboshandisi kune vanoputa (kunze kwemamiriro ezvinhu apo hupenyu hwako hwaizova pangozi pasina.)
Sei? Nokuti kusvuta kunogona kutungamirira ku 33% kuderera kwehuwandu hwekukanganiswa, maererano nevanovhiya vaSteven Ondra naShaden Marzouk munyaya yavo "Revision Strategies yeLumbar Pseudarthrosis" yakabudiswa paWebscape website. Vanoti chikonzero ndechokuti kusvuta kunokonzera mishonga yako yeropa uye kunoderedza kuwanda kwehuwandu hwekuvhara ropa mumunda we fusion. Kuti zvibudirire, kufungidzira kunoda ropa iro mitsva ine mutsva uye yeropa (ine zvidimbu zvemadhenari) inokwanisa kununura.
| Health Factors | Surgical Factors |
|---|---|
| Kusvuta | Nhamba yemazinga akabatanidzwa |
| Kuwedzera muviri | Mhando ye fusion yakaitwa |
| Chronic Steroid Use | Chisarudzo chekubatanidza zvinhu (ne autograft inosarudzwa.) |
| Osteoporosis | Mamiriro uye kugadzirira kwekubatanidzwa kwepamusoro |
| Diabetes mellitus | Nzvimbo yekubatanidza |
| Kusadya zvakakwana | Kushandisa chirongwa chokuvhiya kuchengetedza musana wakabatana uye usina kusimba mushure mekuvhiyiwa (kunonzi kugadzirirwa mukati.) |
| Inflammatory arthritis | Icho ichi chirwere chekuvandudzwa here? |
| Zvimwe zvirwere zvisingaperi | |
| Pseudoarthrosis yapfuura |
Pamugumo wokuvhiya, Scoliosis Research Society inotaura kuti kunyange mune zvakanakisisa pakuvhima, pangozi ye pseudoarthrosis inodarika 5% - 15%. Vanachiremba vanofanira kutora munyaya dzakananga uye zvakakwana biomechanics, mamiriro e "nzvimbo" yakabatanidzwa nezvimwe zvinhu.
Pseudoarthrosis uye Bone Graft Material
Sezvo pane izvo zvingashandiswa kuti pfupa rive nehanya, apo pane mikana yakawanda iripo, kusanganisira yakagadzirirwa mashekeri emapfupa, nyanzvi dzinobvumirana kuti kushandiswa kwemapfupa pachake pachake (anonzi autograft) kwakanakisisa.
Asi izvi hazviiti nguva dzose. Izvo zvinoenderana nezvinhu zvakadai sehutano hwako huri pasi, iyo nzvimbo yekubatanidza (kureva chiuno chako, musana kana imwe nzvimbo inotorwa pfupa) yakafanana, kana kushandiswa kwesimbi (kureva, tsvimbo, zvigadzirwa uye / kana waya) zvakarongwa uye kana fusion ichaitwa mberi kana shure.
Kazhinji, anterior column fusion (anterior inoreva mberi uye koronome inoreva miviri yakadzika yakakanyiwa kuti igadzire mushonga wako wespinha) inobudirira zvikuru. Kunyange nezvose izvi zvinoshandiswa, kana uine pseudoarthrosis uye usati waenda kuburikidza nekuvhiyiwazve, kushandisa autograft zvinhu zvinofanira.
Kuongorora chirwere chePseudoarthrosis
Vanachiremba vanowanzova nenguva yakaoma yekuwana pseudoarthrosis. Chimwe chikonzero cheizvi ndechokuti iwe unogona kana usingaoni zviratidzo. Chimwe chikonzero ndechokuti hapana munhu anogona kutaura zvakasimba kuti kwenguva yakareba sei mushure mekuvhiya kwako kwepelin fusion chero upi hupi hune humwe huri huri huri huri humwe kana zvimwe zviratidzo zvinogona kuitika. Iwe unganzwa kurwadziwa kubva pamwedzi wepseudoarthrosis kana kunyange makore mushure mekuvhiyiwa kwepelinus fusion.
Uye pakupedzisira, dzimwe nguva pseudoarthrosis inongova shoma duku mumapfupa, zvichiita kuti zvioneke pafirimu zvakaoma, kana zvisingaiti, kune radhiologist yekuverenga.
Kurapa kwePseudoarthrosis
Kurapa kwepseudoarthrosis kunotanga kutanga nemaitiro nemishonga, chirwere chepanyama kana kutambudzika kwekutambudzika. Kana izvozvo zvisingakwanisi kugadzirisa zviratidzo zvako zvinogutsa, chiremba wako angaratidza kuvhevedzwa kwezvekuvandudzwa .
Sources:
AAOS. Spinal Fusion. OrthoInfo website. http://orthoinfo.aaos.org/topic.cfm?topic=a00348
Scoliosis Research Society. Pseudoarthrosis. The Aging Spine. SRS website. https://web.archive.org/web/20150214215129/http://www.srs.org/patient_and_family/the_aging_spine/pseudarthrosis.htm
Ondra, S., MD, Marzouk, S., MD Revision Strategies for Lumbar Pseudarthrosis. Medscape webusaiti yepaiti. http://www.medscape.com/viewarticle/462180_2