Kev phais mob thiab lub vev xaib yuam kev muaj mob hnyav thiab tiv thaiv tau. Raws li kev sib koom tes ntawm kev lees paub txog cov koom haum kho mob, cov kev yuam kev xws li yuav ua tau txog li ntawm 41% ntawm Orthopedic Kev phais mob / PediaTic. Rau tus txha nqaj qaum, phais qhov chaw phais yuam kev tshwm sim thaum lub pas dej vertebral lossis ligalization tsis raug. Ntxiv rau qhov tsis ua kom poob rau tus neeg mob cov tsos mob thiab patressal ua tsis tau rau cov teeb meem kho mob tshiab xws li nrawm nrawm lossis cov ntu ib txwm muaj.
There are also legal issues associated with segmental errors in spine surgery, and the public, government agencies, hospitals, and societies of surgeons have zero tolerance for such errors. Ntau tus txhauv Ntseg, xws li ua kev lom zem, fusion, Lamineplasty, thiab kyphineclasty, thiab txoj haujlwm zoo yog qhov tseem ceeb. Txawm hais tias tam sim no kev yees duab thev naus laus zis, segenal yuam kev tseem tshwm sim, nrog qhov xwm txheej sib xws los ntawm 0.032% mus rau 15% qhia hauv cov ntawv nyeem. Tsis muaj qhov xaus raws li txoj kev ntawm ib cheeb tsam yog qhov tseeb tshaj plaws.
Cov kws tshawb fawb los ntawm kev phais mob Orthopedic ntawm Mount Sinikas cov lus qhia tsis zoo, Tebchaws Asmeskas tau ua haujlwm rau kev phais mob Spine. Txoj kev tshawb no tau ua siv txuas txuas rau cov lus nug uas xa mus rau cov tswv cuab ntawm North American Spine Porch (suav nrog orthopedic surgerons thiab neurosurgeons). Cov lus nug tau xa ib zaug, raws li pom zoo los ntawm North American Spine Society. Tag nrho ntawm 2338 tus kws kho mob tau txais nws, 532 qhib qhov txuas, thiab 173 (7.4% teb tus nqi) ua tiav cov lus nug. Xya Caum-ob feem pua ntawm cov neeg ua tiav yog Orhopedic cov surgerons, 28% yog neurosurgeons, thiab 73% yog cov kws kho mob spine.
Cov lus nug uas muaj tag nrho ntawm 8 cov lus nug (Daim duab 1) teev cov kev siv hauv zos (ob lub koom haum ntawm kev phais cov kab ke, thiab kev ua haujlwm ntawm txoj kev ntawm cov chaw hauv zos thiab segaintal yuam kev. Cov lus nug tsis yog tsav kuaj lossis siv tau. Cov lus nug tso cai rau ntau txoj kev teb xaiv.
Daim duab 1 Yim lus nug los ntawm cov lus nug. Cov txiaj ntsig tau pom tias fluaoperative fluoroscopy yog qhov feem ntau siv txoj kev phais mob sab nrauv thoracic thiab 86%, ua raws li los ntawm cov ntawv sau npe (54% thiab 58%, ntsig txog). 76 cov kws kho mob xaiv los siv cov txheej txheem sib txuas ntawm ob txoj hauv kev hauv zos. Cov txheej txheem speevous thiab cov pedication yog cov kev phais mob anatomic feem ntau (67% thiab 59%), ua raws li los ntawm cov txheej txheem kev muag khoom (49% thiab 52%) (Daim duab 2). 68% ntawm cov kws kho mob tau lees tias lawv tau ua cov kev ua haujlwm tsis muaj tsev kawm ntawv yuam kev hauv lawv cov kev coj ua, qee qhov tau kho tau Erasterivivively (Daim duab 3).
Daim duab 2 qhov kev ntsuas thiab anatomical landmark cov hau kev hauv zos siv.
Daim duab 3 tus kws kho mob thiab kev kho mob hauv kev kho ntawm kev phais ntu ntu tsis raug.
Txog qhov tsis raug catalization, 56% ntawm cov kws kho mob no siv cov kws sau npe ua kom zoo nkauj fluoroscopy. Cov xwm txheej ib txwm rau kev ua haujlwm tsis ua haujlwm tsis yog qhov kev paub txog variare lossis 13 lub pob txha caj dab (leb Cov ua rau muaj kev sib txuas lus tsis zoo nrog cov fluoroscopist, tsis ua haujlwm ntawm qhov chaw (Lumbar 3/4 los ntawm tus tav (Lumbar 3/4).
Daim duab 4 lub laj thawj rau kev nplua nuj thiab intraoperative zos tsis raug.
Cov txiaj ntsig saum toj no qhia tau tias tseem muaj ntau txoj hauv kev ntawm cov qauv hauv zos, feem ntau ntawm cov kws phais neeg tsuas yog siv qee yam ntawm lawv. Txawm hais tias kev phais mob segaintal yuam kev tsis tshua muaj, zoo kawg nkaus lawv tsis tuaj. Tsis muaj txoj hauv kev los ntawm kev tshem tawm cov kev ua yuam kev no; Txawm li cas los xij, siv sijhawm los ua qhov chaw thiab txheeb xyuas cov laj thawj ib txwm muaj tuaj yeem pab txo cov teeb meem ntawm kev phais cov kab mob thoracolumbar.
Lub Sijhawm Post: Jul-24-2024
