Clinical Background
Scoliosis yakajairika spinal deformity muvechiri kuyaruka uye kazhinji inoda kupindira kwekuvhiya kana kufambira mberi kwe curvature kunokanganisa musana wemuzongoza, kumira, kana hupenyu hurefu hwehupenyu. Mumatunhu ari kusimukira, kuwanikwa kweakavimbika spinal fixation masisitimu uye yakamisikidzwa yekuvhiya workflows inoita basa rakakosha mukuwana fungidziro yemhedzisiro yekiriniki.
Muchiitiko ichi, chirongwa chekugadzirisa scoliosis chakaitwa zvakabudirira pane imwe nzvimbo yechipatara yemapfupa muDhaka , Bangladesh , inosanganisira murwere wevakadzi ane makore gumi nemana akaonekwa kuti ane adolescent scoliosis. Chinangwa chekuvhiya chaive chekugadzirisa hurema hwemusana, kudzoreredza kurongeka, uye kuwana yakagadzikana kugadzirisa kwemukati uchishandisa 6.0mm pedicle screw-rod system..
Murwere Kuongorora uye Preoperative Evaluation
Murwere anoratidzwa nekliniki uye radiographic zvakawanikwa zvinoenderana ne scoliosis. Preoperative imaging bvunzo dzakaitwa kuti dziongorore maitiro emusana curvature uye kutsigira kuronga kwekuvhiya. Ongororo idzi dzakabatsira boka rekuvhiya kuona mazinga akakodzera ekugadzirisa uye zano rekugadzirisa.
Zvichipa zera remurwere uye hunhu hwekuremara, kuwana kudzorwa kururamiswa nekuchengetedza kugadzikana kwepashure kwaive kutarisisa kukuru. Chirongwa chekuvhiya chakanangana nekugadzirisa segmental uye zvishoma nezvishoma kugadzirisa kwekugadzirisa uchishandisa pedicle screw instrumentation.
Kuvhiya Strategy uye Fixation Concept
Kune iyi scoliosis kugadzirisa maitiro, 6.0mm pedicle screw system yakasarudzwa seyokutanga kugadzirisa mhinduro. Pedicle screw-rod constructs inoshandiswa zvakanyanya mukuvhiyiwa kwepinal deformity nekuda kwekugona kwavo kupa yakasimba vertebral anchorage uye kunyatso kudzora kwepinal alignment.
Iyo sisitimu inobvumira matatu-dimensional kururamisa nekugadzirisa coronal, sagittal, uye axial zvikamu zvepinal deformity. Kuburikidza nekugadzirisa segmental kune akawanda vertebral mazinga, masimba ekugadzirisa anogona kugoverwa zvakaenzana, achitsigira musana wemuzongoza uye kuderedza kushushikana kwemagetsi pane ega ega ekugadzirisa.
Implant Specifications Inoshandiswa Munyaya Iyi
Aya ma implants anotevera akashandiswa panguva yekuita:
6.0 Polyaxial Pedicle Screw
6.0 Crosslink-I (SW3.5)
![6.0mm spinal pedicle screw instrument set uye maimplants anoshandiswa scoliosis kugadzirisa-czmeditech1]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech1")
Izvi zvikamu zvakashanda pamwe chete nemaspinal rods kuti zvipe yakagadzikana posterior spinal fusion kuvaka kwakakodzera kune adolescent scoliosis kugadziriswa.
Chiridzwa Seta Muchidimbu
The Spinal Pedicle Screw Instrument Set inoshandiswa muDhaka Central International Medical College & Hospital inosanganisira:
Pedicle screw insert midziyo
Maturusi ekuyeresa, kukotama, nekupinza maturusi
Crosslink uye connector zviridzwa
Kugadzirira kwemapfupa uye midziyo yekuderedza
![6.0mm spinal pedicle screw instrument set uye maimplants anoshandiswa scoliosis kugadzirisa-czmeditech2]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech2")
Yayo ergonomic dhizaini inobatsira vanovhiya muBangladesh uye mamwe matunhu kuita yakaoma scoliosis kugadzirisa zvakanyanya uye zvakachengeteka, kuderedza operative nguva uye kutsigira kwakaringana screw kuiswa.
Postoperative Assessment uye Chigumisiro
Postoperative imaging yakaratidza kuvandudzwa kwemusana kuenzaniswa nemamiriro ekutanga. Kugadziriswa kwekugadzirisa kwakaratidzika kugadzikana, kutsigira kugadziriswa kwakarongwa. Maererano neboka rekuvhiya, murwere akaratidza kugutsikana kwemashure ekupora, pasina matambudziko ane chokuita nekugadzirisa pakarepo.
![postoperative spinal x-ray inoratidza kurongeka kwakagadziriswa mushure mekuvhiyiwa kwe scoliosis ne pedicle screws-czmeditech]( "postoperative spinal x-ray showing corrected alignment after scoliosis surgery with pedicle screws-czmeditech")
Kuvhiya Summary uye Clinical Kukosha
Iyi scoliosis kugadzirisa nyaya kubva kuDhaka, Bangladesh inoratidza kushandiswa kwekliniki ye 6.0mm pedicle screw system muvechiri kuyaruka spinal deformity kuvhiyiwa. Mhosva inosimbisa zvinhu zvakakosha zvinosanganisira segmental fixation, inodzorwa deformity kururamisa, uye yakagadzikana postoperative alignment.
Mhosva dzakadai dzinopa chirevo chakakosha kune vanachiremba vemapfupa uye vanogovera vanotsvaga yakavimbika spinal fixation mhinduro dzekuremara kururamiswa munzvimbo dzakasiyana dzekiriniki.
FAQ
1. Ndeupi rudzi rwehutano hwemusana hwakarapwa munyaya iyi?
Mhosva iyi yaisanganisira kurapwa kwekuvhiya kweadolescent scoliosis, kuremara kwemusana kunoratidzwa nekukombama kusingaite kwemusana.
2. Kuvhiyiwa kwe scoliosis kugadzirisa kwakaitwa kupi?
Kuvhiyiwa kwacho kwakaitwa pachipatara chemuno muDhaka, Bangladesh.
3. Sei 6.0mm pedicle screw system yakasarudzirwa nyaya iyi?
Iyo 6.0mm pedicle screw system yakasarudzwa kuti ipe yakagadzikana segmental fixation uye kutsigira matatu-dimensional kururamisa kwepelinha deformity.
4. Ndezvipi zvakanakira kushandisa polyaxial pedicle screws mukuvhiya scoliosis?
Polyaxial pedicle screws inobvumira nyore kubatanidza tsvimbo uye kurongeka kwekugadzirisa, izvo zvinobatsira mune yakaoma spinal deformity kugadzirisa maitiro.
5. Ibasa rei iro crosslink inobata mukugadzirwa kwemusana kunovaka?
A crosslink inogona kubatsira kusimudzira kuvaka kugadzikana nekuvandudza kuramba kune anotenderera masimba, zvichienderana nekugadzirisa zano uye mazinga ekuvhiya anobatanidzwa.
6. Kurongeka kwemusana kwakaongororwa sei vasati vavhiyiwa uye mushure mokuvhiyiwa?
Kugadziriswa kwemusana kwakaongororwa uchishandisa zvidzidzo zvekufungidzira musati wavhiyiwa uye postoperative radiographic assessments kusimbisa kururamisa uye kugadzirisa kugadzikana.
7. Chii chakaitika mushure mekuvhiyiwa chakashumwa munyaya iyi?
Postoperative imaging yakaratidza kugadziriswa kwemusana, uye murwere akaratidza kugutsikana kunogutsa nekugadzikana kwemukati kugadzirisa.
8. Iyi mhando ye pedicle screw system inowanzoshandiswa kune adolescent scoliosis?
Hongu, pedicle screw-rod masisitimu anoshandiswa zvakanyanya mukuvhiya kweadolescent scoliosis nekuda kwekugona kwavo kupa yakavimbika kugadzirisa uye inodzorwa kuremara kugadzirisa.
