Mid ka mid ah garashada dhabta ah ee dhakhaatiirta laf dhabarta (guud ahaan) -waxaa lagu yaqaanaa 'neurosurgeons', dhakhaatiirta qaliinka ama kuwa kale - haddii laguu soo diray ballan mid ah, si toos ah ayaa macnaheedu yahay inaad ku noqonayso qalliin.
In kastoo hubaal tani mar walba run tahay, (oo fadlan maskaxda ku hay in aad xaq u leedahay in aad raadsato fikrado ka badan hal takhtar), waxaa laga yaabaa in ay kaa caawiso cilmi-baaristaada si aad u ogaato in dhowr daraasadood oo eegaya heerka isticmaalka qalliinka laf-dhabarka , habka ay sameeyeen dhakhaatiirta takhaatiirta iyo kuwa dhexe ee neerfaha, labadaba tilmaamaan jihadaas.
Tusaale ahaan, Cowan, Dimick, Wainess, Upchurch, Upchurch, Chandler, La Marca oo laga helay daraasadkoodii 2006, "Isbeddelka isticmaalka laf-dhabarka ee Maraykanka," fusions ee saddexda gobol ee muhiimka ah ee lafdhabarta intii u dhexaysay 1993 iyo 2003 Cudurka qashinka ah , waxay yiraahdaan, korodhka 89%, halka fuushanka ku jira shabagolumbar (dhexdhexaad ilaa hoose) oo kordhay 31%. Xumada lumbar ee lumbar ayaa kordhay 134%!
Cilmi baadhayaashu waxay sidoo kale ogaadeen in fiyarada ilma-galeenka iyo lumbar-kicinta ay kordhiyeen inta badan bukaanada da'doodu u dhaxayso 40 iyo 59. Tirada foosaska la siiyay bukaanka 60 sano iyo ka weyn ayaa sidoo kale kor u kacay.
Ugu dambeyn, Cowan, et. al. waxay ogaatay in habka bukaan jiifka ah, fiyuuska lafa-beelku uu aad uga badan yahay 2003 marka loo eego 1997; Sannadkii 1997, waxay ahayd habka 41-aad ee ugu badan; 2003, 19-kii.
Maxaa ka danbeeya kacaawinada foosha?
Mid ayaa laga yaabaa inay ku dhaliso dhowr sababood oo macquul ah dardargelinta.
Laakiin daraasaddooda, "Maraykanku waxa uu ku socdaa qalliin lumbar ah oo loogu talagalay xaaladaha ba'an," Deyo, et. al. dib u eegay diiwaanka lafdhabarka lafdhabarta ee la siiyey intii u dhaxaysay 1998 iyo 2001. (Waxay adeegsadeen Qiimaynta Kharashka iyo Isticmaalka Mashruuca Qaranka ee Bukaan-jiifka iyo macluumaadka Tirakoobka Mareykanka si loo sameeyo.)
Qorayaashii daraasaddan waxay ka faalloodeen in kororka nidaamka fiyuuska, oo ahaa "aad u weyn oo kordhiya nidaamyada kale ee orthopedic," waxay u muuqataa in ay ku habboon tahay FDA ogolaanshaha qalitaanka cusub ee qalliinka.
Deyo, et. al. sidoo kale faallo ka bixineyso inta lagu jiro muddadan, xawaaraha degdega ah ee qalliinka laf-dhabarka ayaa ka dhacay 60 qof oo ka badan; si kale haddii loo dhigo, waayeelka iyo waayeelka.
Deyo iyo kooxdiisuna waxay ku baaqayaan xog fiican oo ku saabsan sida firfircoonida laf-dhabarka ee loogu talagalay bukaannada, iyaga oo sheegaya in "kororkaasi aan la xidhiidhin warbixinno caddayn cad oo la taaban karo ama waxtarka kor u kacay."
Ilaha:
Cowan J., Dimick J., Wainess R., Upchurch G., Chandler W., La Marca F. Isbedelka isticmaalka laf-dhabarka ee Maraykanka. Neurosurgery. July 2006.
Xaaladaha iyo Daaweynta. Bogga AANS, Warbixinta Bukaanka.
Deyo R., Gray D., Kreuter W., Mirza S., Martin B. Maraykanku waxay ku socotaa qalliin fijishin ah oo loogu talagalay xaaladaha ba'an. Spine. Juun 2005.
Gologorsky Y., Knightly J., Chi J., Groff M. Nidaamka Bukaan-jiifka Qaranka ee Nationwide maaha mid sax ah oo muujinaya tilmaamaha qalliinka ee fiyuuska. J Neurosurg Spine. Dec 2014