Clinical Background
Scoliosis yog ib qho kev hloov pauv ntawm tus txha caj qaum hauv cov tub ntxhais hluas thiab feem ntau yuav tsum tau muaj kev phais mob thaum muaj qhov curvature tshwm sim cuam tshuam rau tus txha nraub qaum, lub cev, lossis lub neej ntev. Hauv cov cheeb tsam tsim kho, kev nkag mus rau cov txheej txheem kho tus txha caj qaum txhim khu kev qha thiab cov txheej txheem phais kev ua haujlwm ua lub luag haujlwm tseem ceeb hauv kev ua tiav cov txiaj ntsig kev kho mob uas xav tau.
Hauv qhov no, cov txheej txheem kho tus mob scoliosis tau ua tiav ntawm lub tsev kho mob orthopedic hauv nroog Dhaka, Bangladesh , suav nrog tus poj niam hnub nyoog 14 xyoos uas tau kuaj pom muaj tus neeg hluas scoliosis. Lub hom phiaj ntawm kev phais yog los kho tus txha caj qaum deformity, rov ua kom zoo dua qub, thiab ua tiav kev txhim kho hauv kev ruaj ntseg siv 6.0mm pedicle ntsia hlau-rod system..
Tus neeg mob Profile thiab Preoperative Evaluation
Tus neeg mob tau nthuav tawm cov kev kuaj mob thiab cov duab hluav taws xob pom zoo ib yam nrog scoliosis. Kev kuaj xyuas ua ntej tau ua los ntsuas cov yam ntxwv ntawm tus txha nqaj qaum thiab txhawb kev npaj phais. Cov kev ntsuam xyuas no tau pab pawg kws phais neeg txiav txim siab qhov tsim nyog kho thiab kho lub tswv yim.
Muab rau tus neeg mob lub hnub nyoog thiab cov yam ntxwv deformity, ua tiav kev tswj kev kho thaum tswj kev ua haujlwm tom qab ua haujlwm yog qhov tseem ceeb. Txoj kev npaj phais mob tau tsom mus rau segmental fixation thiab gradual alignment kho siv pedicle screw instrumentation.
Surgical Strategy thiab Fixation Concept
Rau cov txheej txheem kho scoliosis no, 6.0mm pedicle ntsia hlau tau raug xaiv los ua cov kev daws teeb meem tseem ceeb. Pedicle screw-rod constructs yog dav siv nyob rau hauv kev phais tus txha caj qaum vim lawv muaj peev xwm muab lub cev muaj zog vertebral anchorage thiab meej tswj ntawm tus txha caj qaum.
Lub kaw lus tso cai rau kev kho peb-dimensional los ntawm kev hais txog coronal, sagittal, thiab axial Cheebtsam ntawm tus txha caj qaum deformity. Los ntawm segmental fixation nyob rau ntau theem vertebral, kho rog tuaj yeem muab faib sib npaug, txhawb nqa tus txha caj qaum thiab txo cov neeg kho tshuab kev ntxhov siab ntawm tus kheej cov ntsiab lus kho.
Implant Specifications siv nyob rau hauv rooj plaub no
Cov implants hauv qab no tau siv thaum lub sijhawm ua haujlwm:
6.0 Polyaxial Pedicle Ntsia Hlau
6.0 Crosslink-I (SW3.5)
![6.0mm spinal pedicle ntsia hlau ntsuas teeb thiab cog siv rau scoliosis kho-czmeditech1]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech1")
Cov Cheebtsam no tau ua haujlwm ua ke nrog tus txha caj qaum kom muaj kev ruaj khov tom qab tus txha caj qaum fusion tsim tsim nyog rau kev kho tus hluas scoliosis.
Instrument Set Overview
Cov Spinal Pedicle Screw Instrument Teeb siv hauv Dhaka Central International Medical College & Tsev Kho Mob suav nrog:
Pedicle ntsia hlau inserting instruments
Qws ntsuas, khoov, thiab ntxig cov cuab yeej
Crosslink thiab connector instruments
Cov pob txha npaj thiab txo cov cuab yeej
![6.0mm spinal pedicle ntsia hlau ntsuas teeb thiab cog siv rau scoliosis kho-czmeditech2]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech2")
Nws cov qauv tsim ergonomic pab cov kws phais hauv Bangladesh thiab lwm thaj chaw ua haujlwm kho tus kab mob scoliosis kom zoo dua thiab nyab xeeb, txo lub sijhawm ua haujlwm thiab txhawb nqa cov ntsia hlau kom raug.
Kev soj ntsuam tom qab kev phais thiab qhov tshwm sim
Postoperative imaging qhia tau hais tias zoo dua spinal alignment piv rau preoperative xwm txheej. Lub fixation tsim nyob ruaj khov, txhawb kev kho kom haum. Raws li pab pawg kws phais, tus neeg mob tau pom tias muaj txiaj ntsig zoo tom qab kev phais, tsis muaj teeb meem cuam tshuam txog kev kho tam sim ntawd.
![postoperative spinal x-ray qhia kho qhov kev sib raug zoo tom qab kev phais scoliosis nrog pedicle screws-czmeditech]( "postoperative spinal x-ray showing corrected alignment after scoliosis surgery with pedicle screws-czmeditech")
Surgical Summary thiab Clinical Significance
Qhov kev kho tus kab mob scoliosis no los ntawm Dhaka, Bangladesh qhia txog kev kho mob daim ntawv thov ntawm 6.0mm pedicle ntsia hlau system nyob rau hauv cov tub ntxhais hluas spinal deformity phais. Cov ntaub ntawv hais txog cov ntsiab lus tseem ceeb suav nrog segmental fixation, tswj kev kho deformity, thiab ruaj khov tom qab kev sib raug zoo.
Cov xwm txheej zoo li no muab cov ntaub ntawv muaj txiaj ntsig zoo rau cov kws phais mob orthopedic thiab cov neeg muag khoom nrhiav kev txhim kho tus txha nraub qaum rau kev kho deformity hauv ntau qhov chaw kho mob.
FAQ
1. Hom kab mob dab tsi tau kho nyob rau hauv rooj plaub no?
Cov ntaub ntawv no koom nrog kev kho mob ntawm cov tub ntxhais hluas scoliosis, tus txha caj qaum deformity uas txawv txav ntawm tus txha nraub qaum.
2. Qhov kev phais kho scoliosis tau ua qhov twg?
Qhov kev phais tau ua nyob rau hauv lub tsev kho mob orthopedic hauv nroog Dhaka, Bangladesh.
3. Vim li cas lub 6.0mm pedicle ntsia hlau tau xaiv rau rooj plaub no?
Lub 6.0mm pedicle ntsia hlau system tau xaiv los muab kev ruaj khov segmental fixation thiab txhawb peb-dimensional kho ntawm tus txha caj qaum deformity.
4. Dab tsi yog qhov zoo ntawm kev siv polyaxial pedicle screws hauv kev phais scoliosis?
Polyaxial pedicle screws tso cai rau cov pas nrig txuas yooj yim dua thiab kho kom haum, uas muaj txiaj ntsig zoo hauv cov txheej txheem kho tus txha nqaj qaum.
5. Dab tsi yog lub luag haujlwm ntawm crosslink ua si hauv kev txhim kho tus txha caj qaum?
Lub crosslink tuaj yeem pab txhim kho kev ruaj ntseg los ntawm kev txhim kho kev tiv thaiv rau kev sib hloov, nyob ntawm seb lub tswv yim kho thiab cov qib phais cuam tshuam.
6. Kev soj ntsuam ntawm tus txha caj qaum ua ntej thiab tom qab phais li cas?
Spinal alignment tau raug soj ntsuam los ntawm kev siv cov duab kos duab ua ntej kev phais thiab kev soj ntsuam tom qab radiographic kom paub meej tias kev kho thiab kho kom ruaj khov.
7. Cov txiaj ntsig tom qab phais tau tshaj tawm li cas hauv qhov xwm txheej no?
Postoperative imaging pom tau tias kev txhim kho ntawm tus txha caj qaum, thiab tus neeg mob tau pom tias muaj kev zoo siab rov qab los nrog kev txhim kho sab hauv.
8. Hom pedicle ntsia hlau no puas siv rau cov tub ntxhais hluas scoliosis?
Yog lawm, pedicle ntsia hlau-rod tshuab yog dav siv nyob rau hauv cov tub ntxhais hluas scoliosis phais vim lawv muaj peev xwm muab txhim khu kev qha fixation thiab tswj deformity kho.
