Sacroiliac Joint Surgery: Back Clinic

Basa remajoini eSI ndere kubvumira torsional kana kumonyoroka mafambiro pakufambisa makumbo anoita semarevheti. Pasina majoini e sacroiliac uye pubic symphysis kumberi kwemboro, izvo zvinobvumira mafambiro chaiwo aya, pelvis inenge iri panjodzi huru yekutyoka. Majoini e sacroiliac anoendesa uremu hwemuviri uye masimba ese emuviri pasi kuburikidza nesacrum kusvika muhudyu nemakumbo. Vanhu, kunyanya vatambi vane marwadzo muzasi kumashure, hip, groin, kana gumbo, vanogona kunge vachinzwa SIJ/sacroiliac joint dysfunction. Chiremba kana chiremba anovhiya anogona kukurudzira sacroiliac joint operation ye kusagadzikana kwakanyanya kweSI kubatana uye kurwadziwa izvo zvisina kugadziriswa neanochengetedza kurapwa.

Sacroiliac Joint Surgery

Kune maviri sacroiliac majoini. Vanobatanidza mapfupa makuru eiriac anoumba mativi epelvis uye sacrum kana triangle-shaped vertebrae pakati pemabhonzo e iliac pazasi pemusana. Marwadzo munzvimbo ino anogona kubva ku sacroiliitis kana kuzvimba kwemubatanidzwa weSI, uye chinonzi kurwadziwa anogona kuvapo. Chiremba achafunga zvikonzero zvakadai se:

• Trauma
• Sports
• Biomechanical abnormalities
• Kupfeka uye kubvarura kubva kune uremu-inotakura kushushikana
• Kuberekwa
• Kusiyana kweurefu hwegumbo
• Hypermobility
• Systemic kuzvimba mamiriro
• Degenerative joint chirwere
• Scoliosis
• Utachiona, asi izvi hazviwanzo.

Sports

Iko kune pathology ye sacroiliac joint dysfunction muvatambi. Mitambo inoda kudzokorora uye/kana asymmetric kurodha inosanganisira:

• Kick
• Kuramba
• Kukanda
• Single-gumbo kumira

Chero mutambi anogona kugadzira sacroiliac joint dysfunction, asi mabasa epamusoro ekupararira anosanganisira:

• bhora remakumbo
• Football
• Basketball
• Gymnastics
• Kuita gorofu
• powerlifting
• Yambuka-skiing
• Nhanho aerobics
• Stair stepper michina
• Elliptical michina

Fusion Surgery

Kuvhiya hakusi kwevarwere vane mwedzi isingasviki mitanhatu yemarwadzo emunharaunda akasimbiswa kana kukanganiswa nezvimwe zvikonzero zvinorambidzwa. Kuvhiya ndiyo yekupedzisira sarudzo yeSI kurwadziwa kwemajoini kunze kwekunge iri emergency. Vanachiremba nevanovhiya vanozokurudzira nzira dzekurapa dzisiri-inopisa vasati vakurudzira kuvhiyiwa. Kurudziro yekuvhiya inouya kana marwadzo atadza kushiviririka, uye munhu haachagone kufamba kana kushanda.

• Sacroiliac joint fusion inzira iduku-duku inopindira inosanganisira diki incision isingasviki masendimita maviri kureba.
• Pasi pekutungamira kwemufananidzo, titanium implants inoiswa mukati meiyo sacroiliac joint kuti ipe kugadzikana.
• Makomba ari muhardware anobvumira kuwedzera bhonzo kana kuti bhonzo rikure zvakangoita kuyambuka kana kupinda munzvimbo kuti rirambe rakagadzikana.
• Kuvhiyiwa uku kunogona kuve kwekunze kana kwehusiku humwe, zvichienderana nezvinodiwa nachiremba uye rudzi rwerutsigiro rwuripo.

Kuvhiya Kudzorera Nguva

Kune vanhu vazhinji, nguva yekudzorera inenge mavhiki matatu pamadondoro.

• Kurapa marwadzo kunoenderana nekuti screws kana mabhaudhi anobatanidzwa; mabhaudhi anoita kunge asina kugadzikana.
• Kurwadziwa kwePost-op kunopera mumazuva mashoma kana mavhiki mashoma.
• Fusion pachayo inotora mwedzi mitanhatu kana kupfuura kuti ipedze.

Conservative Treatment Options

Conservative kurapa maitiro ekuderedza kuzvimba inogona kusanganisira:

• Chiropractic
• Physical therapy
• Nonsurgical spinal decompression
• Mishonga
• Injections

Zorora

• Kugara kure netsoka dzako kwemazuva mashoma kunogona kubatsira kuderedza kudzvanywa pamubatanidzwa weSI.
• Kushandisa ice kana kudziya padhi pazasi kumashure uye/kana matako.
• Kukwiza tsandanyama dzakapoteredza kunogona kubatsira kana chiri pachena chinokonzera kukuvara.
• Chiremba anogona kupa zano rokushandisa mudonzvo, chokufambisa, kana kuti madondoro achitarisirwa nachiremba.

Mishonga

• Mishonga inosanganisira anti-inflammatories senge ibuprofen, naproxen, kana mamwe mishonga yekurapa.
• Acetaminophen inobatsira nekurwadziwa asi kwete kuzvimba.

Corticosteroids

• Steroids ndiyo ine simba rinopesana nekuputika.
• Kurapa kwakajairika kusingavhiyiwi ndeye cortisol steroid, inobaiwa pasi pe X-ray nhungamiro.
• Majekiseni anoenda zvakananga kunobva.
• Oral steroids inopararira nemuviri wese asi inogona kukonzera zvisingadiwi mhedzisiro.

Chiropractic uye Physical Therapy

• Zvichienderana nekuoma kwemamiriro acho ezvinhu, chiropractic uye kurapa kwepanyama kunogona kukwanisa kusimbisa misumbu yakapoteredza nzvimbo uye kugadzirisa mubatanidzwa.
• A chiropractor anoyera pelvis kuburikidza ne sacroiliac manipulation uye kuunganidza.

Sacroiliac Support Belt

• Kupfeka a bhandi rekutsigira sacroiliac inogona kubatsira kubvisa kuomarara kwejoini uye kubvisa zviratidzo.
• Inoshanda nekuisa compression kutenderedza hudyu uye nepakati pejoinhi.

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Back, Hip, uye Radiating Pain

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References

Brolinson, P Gunnar, nevamwe. "Sacroiliac joint dysfunction muvatambi." Current sports medicine report vol. 2,1 (2003): 47-56. doi:10.1249/00149619-200302000-00009

Heil, Jessica. "Kuchinja-Induced Shanduko dzeInter-Limb Asymmetries muDynamic Postural Control mune Hutano Zvidzidzo." Frontiers in human neuroscience vol. 16 824730. 11 Mar. 2022, doi:10.3389/fnhum.2022.824730

International Journal yeSpine Surgery. (2020*) "International Society for the Advancement of Spine Surgery Policy 2020 Update-Minimally Invasive Surgical Sacroiliac Joint Fusion (yeChronic Sacroiliac joint Pain): Coverage Zviratidzo, Kugumira, uye Kudiwa Kwekurapa." doi.org/10.14444/7156

Peebles, Rebecca DO1; Jonas, Christopher E. DO, FAAFP2. Sacroiliac Joint Dysfunction muMutambi: Kuongorora uye Kutungamira. Mishumo Yezvino Mishonga Yemitambo: 9/10 2017 - Vhoriyamu 16 - Nyaya 5 - p 336-342
doi: 10.1249/JSR.0000000000000410