Umbono owodwa ovelele wezihlinza zogesi (ngokuvamile) -ngakhathaliseki ukuthi i-neurosurgeons, odokotela bamazinyo noma abanye-ukuthi uma uhanjelwe ukuqokwa ngokukodwa, ngokuzenzakalelayo kusho ukuthi uzoba nokuhlinzwa emuva.
Nakuba ngokuqinisekile lokhu akulona iqiniso ngaso sonke isikhathi, (futhi sicela uhlale ukhumbule ukuthi unelungelo lokufuna imibono evela kudokotela abangaphezu kweyodwa), kungase kube usizo kuwe ocwaningweni lwakho ukuphawula ukuthi izifundo eziningana ezibheke izinga lokusebenzisa ukuhlinzeka ngokuhlinzwa komgogodla , inqubo eyenziwa yilabo bobabili odokotela bamazinyo kanye nama-neurosurgeons, zikhomba kule ndlela.
Isibonelo, uCowan, Dimick, Wainess, Upchurch, Chandler, La Marca bathola ekutadisheni kwabo ngo-2006, "Izinguquko ekusetshenzisweni kwe-spinal fusion e-United States," ukuthi ukuxolisa kwezifunda ezintathu eziyinhloko zomgogodla kwanda phakathi kuka-1993 no-2003 , Bathi, banda ngamaphesenti angama-89%, kanti ama-fusions e-thoracolumbar (maphakathi nendawo ephansi emuva) aphakama ngo-31%. Futhi ama- fusions omgogodla we-lumbar enyuke ngo-134%!
Abacwaningi baphinde bathola ukuthi izidakamizwa zomlomo wesibeletho kanye ne-lumbar zandisa kakhulu iziguli ezaphakathi kweminyaka engama-40 no-59. Inani lamabizo anikezwe iziguli ezineminyaka engama-60 nangaphezulu liye lavuka.
Futhi ekugcineni, uCowan, et. al. wathola ukuthi njengendlela yokwelashwa, ukugoma komgogodla kwakuvame kakhulu ngo-2003 kune-1997; Ngo-1997, kwakuyinkambiso ejwayelekile kunazo zonke; ngo-2003, nge-19.
Yini Eyadlula Ku-Spinal Fusions?
Omunye angase acabange ngezizathu eziningana zokuvuna.
Kodwa ekufundeni kwabo, "Amathrendi e-United States ekuhlinzekeni kwe-lumbar fusion yezimo eziguqukayo," uDeyo, et. al. ubuyekeze amarekhodi ezinxushunxushu zomgogodla ezinikezwe phakathi kuka-1998 no-2001. (Zasebenzisa i-Project Health Survey and Use Project Project lonke lesi sifo kanye ne-US Census Idatha yokukwenza.)
Abalobi balolu cwaningo bathi ukunyuka kwezinqubo zokufusa, "okukhulu kakhulu okwenyuka kwezinye izinqubo ezinkulu zamathambo," kubonakala kuhambisana nokugunyazwa kuka FDA kwezimpande ezintsha zokuhlinzwa.
Deyo, et. al. uphinde uphawule ukuthi phakathi nalesi sikhathi, ukwanda okusheshayo kokuhlinzwa kokugaya umgogodla kwenzeke esixukwini esingaphezu kuka-60; ngamanye amazwi, abadala nabadala.
U-Deyo kanye neqembu lakhe badinga idatha engcono ngokuzungeze ukuthi ukugoma komgogodla okuphumelelayo kungokweziguli, ngokuphawula ukuthi "lezi zanda azihlanganisiwe nemibiko yezinkomba ezicacisiwe noma ukusebenza okuthuthukisiwe."
Imithombo:
Cowan J., Dimick J., Wainess R., Upchurch G., uChandler W., La Marca F. Izinguquko ekusetshenzisweni kwe-spinal fusion e-United States. I-Neurosurgery. Julayi 2006.
Izimo Nezokwelapha. Iwebhusayithi ye-AANS, Ikhasi Lolwazi Lweziguli.
UDeyo R., uGrey D., uKreuter W., uMirza S., uMartin B. United States amathrendi ekuhlinzekeni kwe-fusion okwemvelo yezimo eziyekezelayo. Isiphetho. Juni 2005.
UGologorsky Y., Knightly J., Chi J., Groff M. Isigcawu se-Sample National Surpathient Sample asibonisi ngokunembile izinkomba zokuhlinzekela ukuhlanganiswa. J Neurosurg Spine. Dec 2014.