Taariikhda Nidaamka Vertebroplasty
1987-kii, Galibert ayaa markii ugu horeysay ka warbixiyay codsiga farsamada PVP ee sawirka lagu hago si loogu daweeyo bukaanka qaba C2 hemangioma vertebral. Sibidhka PMMA ayaa lagu duray laf dhabarta waxaana la helay natiijo wanaagsan.
Sannadkii 1988-kii, Duquesnal ayaa markii ugu horreysay codsatay farsamada PVP ee lagu daweynayo jabka jabka lafaha laf dhabarta. Sannadkii 1989-kii Kaemmerlen ayaa farsamayaqaan PVP u adeegsaday bukaannada qaba burooyinka laf-dhabarka ee metastatic, waxayna heleen natiijo wanaagsan.
Sannadkii 1998-kii FDA waxay ansixisay farsamada PKP ee ku salaysan PVP, taas oo qayb ahaan ama gebi ahaanba soo celin karta dhererka laf dhabarta iyadoo la isticmaalayo tuubada buufin ee la buufin karo.
Vertebroplasty kyphoplastywaa habraac sibidh gaar ah lagu muday laf dhabarta jaban iyada oo ujeedadu tahay in la yareeyo xanuunkaaga laf dhabarta iyo soo celinta dhaqdhaqaaqa.
Dejinta Vertebroplasty PVP waa la door bidayaa
1. Cadaadiska vertebral yar, xuubka vertebral iyo darbiga dhabarka ayaa sax ah
2.Dadka, jirkooda oo liita iyo bukaanada oo aan u dulqaadan karin qaliinka dheer
3.Bukaannada da'da ah ee duritaannada kala duwan ee lafdhabarta
4.Xaaladaha dhaqaalaha oo liita
Qalabka kyphoplasty PKP La door bidayaa
1. Soo celinta dhererka laf dhabarta iyo hagaajinta kyphosis ayaa loo baahan yahay
2.Jajabka jabka vertebral ee naxdinta leh
La kulan baahiyaha bukaan-socodka ee laf dhabarta iyo lumbar labadaba
200psi margin ammaanka iyo 300psi xadka ugu badan
Dammaanad soo celinta dhererka laf dhabarta iyo xoogga
Goobo kasta 0.5ml, saxsanaanta sare ee kicinta wareegyada
Qufulka dibadda ayaa ka dhigaya qalliinka mid fudud.
Burburinta xanuunka dhabarka ee xanuunka jaban waxay jabisaa daaweynta muxaafidka ah ee marxaladda hoose ee jabka jabka lafaha laf-dhabarka (horumarka muuqata ee xanuunka VCF kyphosis ee wajiga hoose, xagasha Cobb>20 °
Chronic (> 3 bilood) VCF xanuun leh oo aan midow ahayn
Burada vertebral (buro vertebral xanuun leh oo aan lahayn cilad kortikal dambe), hemangioma, burada metastatic, myeloma, iwm.
Laf-dhabarta laf dhabarta oo aan xasiloonayn oo aan jug lahayn, daawaynta adjuvant ee habka isku xidhka fiiqan ee dambe si loo daweeyo jabka laf dhabarta, kuwa kale
● Xanuunnada xinjirowga
● Jabka deggan ee asymptomatic
● Calaamadaha cadaadiska laf dhabarta
● Infekshan daran oo vertebral ah
● Xasaasiyadda sibidhka lafaha iyo walxaha horumariya
● Bukaannada qaba dulqaad la'aan xagga shaqada ah oo ay ugu wacan tahay da'da weyn ee leh cilladda xubnaha kale
● Bukaannada VCF ee leh kala go'a wadajirka ah ama saxanka intervertebral oo soo baxay
● Marka la eego horumarka farsamada qalliinka iyo aaladaha, baaxadda iska-hor-imaadyada qaraabada ah ayaa sidoo kale sii yaraanaya.