Te hītori o te pūnaha Vertebroplasty
I te tau 1987, i tuatahitia te pūrongo a Galibert mō te whakamahinga o te tikanga PVP ārahi-ahua hei rongoā i tētahi tūroro he hemangioma vertebral C2. I werohia te sima PMMA ki roto i ngā vertebrae, ā, i puta he hua pai.
I te tau 1988, i whakamahia tuatahitia e Duquesnal te tikanga PVP hei rongoā i te whati wheua wheua osteoporosis. I te tau 1989 ka whakamahia e Kaemmerlen te tikanga PVP ki ngā tūroro he pukupuku tuaiwi kua horapa, ā, i puta he hua pai.
I te tau 1998 i whakaaetia e te US FDA te tikanga PKP i runga i te PVP, e taea ai te whakahoki katoa, te wāhanga rānei o te teitei o te tuaiwi mā te whakamahi i tētahi catheter poihau pupuhi.
Te Whakatōtō Whetu WhetuHe tikanga werohanga tēnei e werohia ai he sima motuhake ki roto i te tuaiwi whati, hei whakamamae i te mamae o te tuaiwi me te whakaora i te nekenekehanga o te tinana.
Huinga PVP Vertebroplasty e Pai Ana
1. He pēhanga iti o te tuaiwi, kei te ora tonu te pereti pito tuaiwi me te pakitara o muri
2. Ngā kaumātua, te āhua kino o te tinana me ngā tūroro kāore e aro ki te pokanga roa
3. Ngā tūroro kaumātua o te werohanga maha-tuarā
4. He kino ngā āhuatanga ōhanga
Kete PKP Kyphoplasty e hiahiatia ana
1.Me whakahoki te teitei o te tuaiwi me te whakatika i te kyphosis
2. Te whati pakaru o te tuaiwi whara
Te whakatutuki i ngā hiahia haumanu mō ngā tuaiwi thoracic me lumbar
200psi te tawhē haumaru me te 300psi te rohe mōrahi
Whakamanahia te whakahokinga mai o te teitei me te kaha o te tuaiwi
Ia porowhita 0.5ml, he tino tika te nekeneke porowhita
Mā te raka whakaweto me te raka whakaweto ka māmā ake te mahi.
Ko ngā hauātanga o ngā whati pēhanga tuaiwi mamae, te maimoatanga ā-pūmau i te wāhanga iti o te whati pēhanga tuaiwi osteoporosis (Te ahunga whakamua o te VCF kyphosis mamae i te wāhanga iti, te koki Cobb>20°
VCF mamae mau tonu (>3 marama) me te kore-uniana
Te pukupuku tuaiwi (te pukupuku tuaiwi mamae kāore he koha o muri o te cortical), hemangioma, te pukupuku metastatic, myeloma, me ētahi atu.
Te whati tuaiwi kore-mamae, te maimoatanga tāpiri o te pūnaha tīwiri waewae o muri hei rongoā i ngā whati tuaiwi, ētahi atu
● Ngā mate toto totoka
● Ngā whati pumau, kāore he tohu
● Ngā tohu o te pēhanga o te taurakira
● Mate urutā/mate mau tonu o te tuaiwi
● Mate pāwera ki te sima wheua me te matū whakawhanake
● Ngā tūroro e kore e taea te whakahaere i ngā mahi nā te kaumātuatanga me te kore mahi a ētahi atu okana
● Ngā tūroro VCF me te nekehanga o te hononga taha, te heke rānei o te kōpae intervertebral
● I te whanaketanga o ngā tikanga me ngā taputapu pokanga, kei te whakawhāiti haere hoki te whānuitanga o ngā ārai whaitake.