Taariikhda Nidaamka Vertebroplasty
Sannadkii 1987, Galibert wuxuu markii ugu horreysay soo sheegay adeegsiga farsamada PVP ee sawir-qaadista lagu daweeyo bukaan qaba hemangioma laf-dhabarta C2. Sibidhka PMMA ayaa lagu duray laf-dhabarta waxaana la helay natiijo wanaagsan.
Sannadkii 1988, Duquesnal wuxuu markii ugu horreysay adeegsaday farsamada PVP isagoo daweynaya jabka lafaha ee lafaha. Sannadkii 1989, Kaemmerlen wuxuu adeegsaday farsamada PVP bukaannada qaba burooyinka laf-dhabarta ee metastatic, wuxuuna helay natiijo wanaagsan.
Sannadkii 1998, Hay'adda Cuntada iyo Beeraha ee Mareykanka (FDA) waxay ansixisay farsamada PKP iyadoo ku saleyneysa PVP, taasoo qayb ahaan ama gebi ahaanba soo celin karta dhererka laf-dhabarta iyadoo la isticmaalayo kateetar buufin ah oo la buufin karo.
Qalliinka laf-dhabarta (vertebroplasty)waa hab lagu duro sibidh gaar ah laf-dhabarta jabtay iyadoo ujeedadu tahay in la yareeyo xanuunka laf-dhabartaada iyo soo celinta dhaqdhaqaaqa.
Set-ka Vertebroplasty-ga ee PVP ayaa la doorbidayaa
1. Cadaadis yar oo laf-dhabarta ah, saxanka dambe ee laf-dhabarta iyo derbiga dambe ayaa isku mid ah
2.Dadka waayeelka ah, xaaladda jidhkoodu liito iyo bukaanada aan u dulqaadan karin qalliinka dheer.
3. Bukaannada waayeelka ah ee lagu duro duritaan laf-dhabarta badan
4. Xaaladaha dhaqaale ayaa liita
Qalabka PKP Kyphoplasty-ga ayaa la doorbidayaa
1. Soo celinta dhererka laf-dhabarta iyo saxitaanka kyphosis ayaa loo baahan yahay
2. Jabka cadaadiska laf-dhabarta oo dhaawac ah
Buuxi baahiyaha caafimaad ee laf-dhabarta laf-dhabarta iyo lumbar labadaba
Xadka badbaadada 200psi iyo xadka ugu badan ee 300psi
Dammaanad qaad soo celinta dhererka laf-dhabarta iyo xoogga
Wareeg kasta 0.5ml, saxnaan sare oo ah jiidista wareega
Qufulka off-ka ayaa sahlaya hawlgalka.
Dadka naafada ah ee xanuunka qaba ee jabka laf-dhabarta ayaa daaweyn wanaagsan ku sameeya marxaladda subacute ee jabka lafaha ee laf-dhabarta (Horumarka muuqda ee kyphosis-ka VCF ee xanuunka leh ee marxaladda subacute, xagasha Cobb> 20°
VCF xanuun badan oo daba-dheeraada (> 3 bilood) oo aan la isku xidhin
Buro laf-dhabarta ah (Buro xanuun badan oo laf-dhabarta ah oo aan lahayn cillad laf-dhabarta dambe), hemangioma, buro metastatic ah, myeloma, iwm.
Jabka laf-dhabarta oo aan degganayn oo aan dhaawac lahayn, daawaynta taageerada ee nidaamka boolal ee dhabarka si loo daaweeyo jabka laf-dhabarta, kuwa kale
● Dhibaatooyinka xinjirowga dhiigga
● Jab aan calaamado lahayn oo deggan
● Calaamadaha cadaadiska laf-dhabarta
● Caabuqa daran/daba-dheeraada ee laf-dhabarta
● Xasaasiyadda sibidhka lafaha iyo maaddada horumarisa
● Bukaannada qaba dulqaad la'aanta qalliinka oo ay ugu wacan tahay da'da weyn oo leh cillado kale oo xubnaha ah
● Bukaannada qaba VCF oo leh kala-goysyada wejiga ama saxanka laf-dhabarta ee soo noqnoqda
● Iyadoo ay socdaan horumarka farsamada qalliinka iyo aaladaha, baaxadda waxyaabaha ka hortagga ah ee la xiriira ayaa sidoo kale sii yaraanaya.