Kwiyubarwa kw'umurwayi no kwisiga urubuga birakomeye kandi birashobora kwirindwa. Nk'uko Komisiyo ihuriweho ku byerekeye amashyirahamwe y'ubuzima, amakosa nkaya arashobora gukorwa kugeza kuri 41% bya orthopedicique / kubaga abaganga. Kubaga umugongo, ikosa ryurubuga rwo kubaga ribaho mugihe igice cya vertebral cyangwa ikiruhuko ntabwo aribyo. Usibye kunanirwa gukemura ibimenyetso byumurwayi hamwe na pathologiya, amakosa akurikira arashobora kuganisha kubibazo bishya byubuvuzi nko kwangirika kwihuse cyangwa guhagarika umutekano mubindi bitangaje cyangwa ibice bisanzwe.
Hariho kandi ibibazo by'amategeko bifitanye isano n'amakosa akurikira yo kubaga abashyitsi, ndetse n'abaturage, leta, ibihugu, na societe y'abaganga bafite kwihanganira zeru kubera ayo makosa. Kubaga byinshi byumugongo, nko gutandukanya, guswera, kwandikwa ibishushanyo, na kyphoplasty, bikozwe hakoreshejwe ubwinshi, kandi umwanya ukwiye ni ngombwa. Nubwo hari tekinoroji yikoranabuhanga, amakosa akurikira aracyariho, hamwe nigipimo cyateganijwe kuva kuri 0.032% kugeza 15% byavuzwe mubitabo. Nta mwanzuro uhari uburyo bwo guhagarika ari ukuri.
Amerika yo kubaga amagufwa ku ishuri ry'imiti ya Mone Sinayi, muri Amerika, ubushakashatsi bwakozwe kuri interineti bwerekana ko umubare munini w'abasirikare bakoresha amakosa yo guhagarika, kandi ibyo bisobanuro by'ibitera amakosa yo kubaga, kandi ibyo bisobanuro by'impamvu zisanzwe zo guhagarika, kandi ibyo bisobanuro by'ibitera ikosa risanzwe, kandi ibyo bisobanuro by'impamvu isanzwe ikoresha mu gihe cy'urugomo, kandi ibyo bisobanuro by'impamvu zisanzwe zo guhagarika Ubushakashatsi bwakozwe hakoreshejwe ihuza rya imeri ku bibazo byoherejwe kubagize umuryango w'abagongo w'Amerika mu majyaruguru (harimo no kubaga amagufwa na neurosurgeons). Ikibazo cyoherejwe rimwe gusa, nkuko byasabwe na societe y'Abanyamerika y'Amajyaruguru. Abaganga 2338 bahawe, 532 bafunguye umurongo, na 173 (7.4% igipimo cyo gusubiza) barangije ikibazo. Mirongo irindwi na babiri ku ijana barangije bari abaganga ba orthopedic, 28% bari Neurosurgeons, naho 73% bari abaganga bamugaye mu mahugurwa.
Ikibazo cyari gigizwe nibibazo 8 byose (FIG. 1) Gupfundikanya uburyo bukunze gukoreshwa muri foresation (Ibimenyetso bya Anatomike hamwe na Amakosa yo kubaga, kandi ishyirahamwe riri hagati yuburyo bwo guhagarika no gukurikira. Ikibazo nticyari cyo cyageragejwe cyangwa cyemewe. Ikibazo cemerera guhitamo byinshi.
Igishushanyo 1 Ibibazo umunani Mubibazo. Ibisubizo byerekanaga ko flueroscopi idasanzwe yari uburyo bukunze gukoreshwa bwo guhagarika paster thosic kandi lubr na 86%, bikurikirwa na radiyo (58%,). Abaganga 76 bahisemo gukoresha guhuza uburyo bworoshye bwo guhagarika. Ibikorwa bya sponic hamwe na pedicles bihuye nibimenyetso bya anatomic kubijyanye no kubaga amakuru na Lumbar na 59%), bikurikirwa nibikorwa bya sponice (49% na 52%) (Ishusho ya 2). 68% by'abaganga bemeye ko bakora amakosa yo kwitwara neza mu bikorwa byabo, bimwe muri byo byakosowe inzitizi (Ishusho 3).
Igishushanyo cya 2 Gutekereza nuburyo budasanzwe bwa anatomark bukoreshwa.
Igishushanyo cya 3 Muganga no Gukosora Amakosa yo kubaga.
Ku makosa yo guhagarika, 56% by'abaganga bakoresheje radiografiya ya buri gihe na 44% bakoresheje bldoroscopi. Impamvu zisanzwe zo gushyira ahagaragara amakosa yananiwe kwiyumvisha ingingo zizwi (urugero, gutandukana kwa Anatora. Impamvu zisanzwe zikora amakosa yo guhamya harimo itumanaho ridahagije hamwe na fluoscopiste, kunanirwa kwiyongera nyuma yo kumwanya (kugenda kwurushinge nyuma ya flushroscopy), hamwe nibibabi 3/4 bivuye ku rubavu hasi) (Ishusho 4).
Ishusho
Ibisubizo byavuzwe haruguru byerekana ko nubwo hari uburyo bwinshi bwo kwishyira hamwe, umubare munini wubucuruzi ukoresha bike muri byo. Nubwo amakosa yo kubaga abaganga bakurikiranye bidasanzwe, nibyiza ko badahari. Nta buryo busanzwe bwo gukuraho aya makosa; Ariko, gufata umwanya wo gukora umwanya no kumenya impamvu zisanzwe zitera amakosa yo gushyira ahagaragara birashobora gufasha kugabanya ibintu byamakosa yo kubaga abaganga bakurikiranye muri stors ya thoracolumbar.
Igihe cyo kohereza: Jul-24-2024
