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New treatment methods for spinal surgery

BY Iris Wheatley 2020-08-03

   There are often some elderly people in the clinic. Due to osteoporosis, fractures can occur due to small external forces. Especially osteoporotic spine compression fractures, this disease is a chronic disease that seriously affects the elderly''s mobility and quality of life. The traditional treatment methods are long-term bed rest, brace fixation, and drug therapy, but it is often difficult to alleviate stubborn back pain and cannot restore the height of the vertebral body. The decrease in the amount of activity further leads to loss of bone mass and bone strength, resulting in repeated fractures. Thereby falling into a vicious circle.

   Ideal for this kind of geriatric disease The treatment is not only to solve the pain caused by the fracture, but also to correct the spinal deformity caused by the fracture. After the continuous development of materials science and biotechnology, there is a new method of minimally invasive spine surgery that can completely treat vertebral compression fractures caused by osteoporosis. This is percutaneous kyphoplasty. This operation is a new minimally invasive surgical treatment technique developed in recent years. Through a 5 mm incision in the skin, a small sleeve is inserted into the vertebral body, and then a special vertebral body reduction device is used along the sleeve. The barrel enters the fracture site, propagate and reduce the fracture site, and inject the strengthening agent into the vertebral body, so as to achieve the effect of strengthening the strength of the vertebral body. Generally, this operation only takes about half an hour, and local anesthesia is enough. The operation itself has little effect on the elderly. The waist pain disappears immediately after the operation, and the patient can move out of bed after 3 days.

   The key to this treatment technique is to choose a suitable vertebral body reduction device. There are two commonly used in clinical practice at present —— Balloon dilatation reducer and inflatable vertebral dilation system. These two resetters have been proved to be safe and effective by clinical research. However, when the former expands, the vertebral body is evenly stressed, and you can choose unilateral puncture, while the latter has a greater expansion force, which is suitable for older vertebral fractures with painful symptoms.

  Like other invasive treatments, percutaneous kyphoplasty also has some surgical complications, such as: leakage of fortifying agents to compress nerves and pulmonary embolism. The key to preventing complications lies in the proficiency of the operator and the three-dimensional perception of the local anatomy. Therefore, this technique can only be implemented by medical personnel trained by specialists in order to ensure a good therapeutic effect.

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