Pedicle screws bɛ don cogo di?

pedicle vis bilali fɛɛrɛ .

1. Donni yɔrɔ : a kɔ, a disi ani a cɛmancɛ tɛ kelen ye;

2. Aw bɛ angle horizontal (TSA) ni sagittal plane angle (SSA) minɛ ka bɔ vis doncogo la: TSA angle bɛ se ka suman ka bɔ CT film la. SSA ni farikolo jɔyɔrɔ bɛ jɛɲɔgɔnya dɔ la, wa a bɛ se ka kunbɛn ni C-arm ye opereli senfɛ.

3. DUGUKAN : O kuru janya bɛ se 80% ma pedikili janya la walasa ka biomekaniki fanga sɔrɔ, wa a ka nɔgɔn ka don kɔri kolo la ani ka joli siraw tiɲɛ ni a janya ka bon kojugu.

4. Janya : Ka bɔ pikirijikɛlan donyɔrɔ la ka se 83% ma kolotuguda ɲɛfɛla janya bɛɛ lajɛlen na.

kɔkolo kɔnɔbara .

Cervical pedicle vis doncogo fɛɛrɛ .

A pikirijikɛlan doncogo .

Sisan, pikirijikɛlanw doncogo kunbabaw ye : Abumi fɛɛrɛ, anatomical landmark positioning method, ɔridinatɛri dɛmɛni ja lajɛcogo, a ɲɔgɔnnaw.

Kɔnɔbara basigilen don yɔrɔ .

• 5mm cɛtigɛyɔrɔ la, C2 jiribolo sanfɛla da la ani 7MM bɛ sɔrɔ kɔkolo cɛmancɛ da la.

• C3-C6 Sanfɛla cɛmancɛ 1/4 jɛgɛnsira ni cɛmancɛ 1/4 tilennen layini cɛtigɛyɔrɔ bɛ kɛrɛfɛ bloki kɔfɛ.

• C7 Lateral bloc cɛmancɛ jɔlen ni sanfɛla cɛmancɛ 1/4 tilennen cɛtigɛyɔrɔ bɛ sanfɛ.

  
  

Angle de vertebra cervical vertebra .

• C2 jiginni 20-25° jiginni 10-15° .

• C3-C6 incline 40-45°, plan horizontal bɛ bɛn sanfɛla ni duguma dakunw ma .

• C7 jiginni 30-40°, plan horizontal bɛ bɛn sanfɛla ni duguma dakunw ma .

  
  

Servical spine screw .

• C1～C5 bɛ juruw de wajibiya minnu cɛmancɛ ye 3,5mm ye ani u juguya ye 20mm ye .

Ni atlas kɔfɛla sanfɛla janya ma se 4mm ma, a bɛ Changé ka kɛ lateral masse screw ye.

Ni aksidan ka pedikili janya walima a bonya ma se 5mm ma, a ka ɲi ka fɛn caman Changer ka kɛ lateral masse screw fixation ye.

Cervical lateral mass vis bilali .

Magerl’s Method : Vis dondaw bɛ sɔrɔ 1-2mm sanfɛ cɛmancɛ kogo cɛmancɛ yɔrɔ la; Vis doncogo sira bɛ 25-30° kɛrɛfɛ, a kun bɛ kɔrɔta 30° (parallel ka taa sanfɛ joli sanfɛla la), ani contralateral cortex bɛ sɔgɔ DUGU SUMAN ƝƐNABƆ ANI SWƐRƐ 3,5MM KƆLƆSI kolokuruw.

Roy-Camille fɛɛrɛ : Vis dondaw bɛ sɔrɔ kɛrɛfɛla kɔkanna cɛmancɛ la; Vis doncogo sira ye 10° ye kɛrɛfɛ, kɔfɛla jɔlen bɛ sɔgɔ, ani kɔkili min bɛ kɛ ni kontralateral ye, o bɛ sɔgɔ; A mankan kɔfɛ, 3.5mm cortical bone screw bɛ siri.

Anderson ka fɛɛrɛ : Vis dondaw bɛ sɔrɔ 1mm kɛrɛfɛla masala cɛmancɛ kɔnɔ, buruburu doncogo bɛ 20° kɛrɛfɛ, a kun bɛ kɔrɔta 20° ka se 30° ma walasa ka dingɛ sɔgɔ, ani ka contralateral cortex sɔgɔ.

Expérience Summary .

(1) A ka kan ka jateminɛ kɛrɛnkɛrɛnnen kɛ ka ɲɛsin fɛnw doncogo lakanani ma. Operelikɛla ka kan ka fɛɛrɛ bɛnnen sugandi ka kɛɲɛ ni kɔnɔbara basigilen ni pedicle screw technique mastery ye.

(2) C3-C6 yɔrɔ la, a ka nɔgɔn ani a ka fisa ni pedicle screw fixation ye.

(3) Baarakɛminɛn tɛ se ka don pedikili kɛnɛma kogo la, n’o tɛ a bɛna nɛrɛw ni joli siraw tiɲɛ.

(4) Vis insertion angle ka kan ka ɲɔgɔn ta ni kɔkolo yɔrɔ ye.

(5) Kolotuguda kolo donli kɔkolo farikolo ɲɛfɛ, o ka kan ka bali.

(6) Opereli kɔnɔ fluoroskopi bɛ se ka kolotuguda farikolo ni kɔkolo ni kɔkolo cɛ yɔrɔ sɔrɔ ka ɲɛ, ani ka fɛnw don minnu bɛ don ka ɲɛ walasa ka kurukuruw bali ka don kɔkolo ni kɔkolo yɔrɔ la ani kɔkolo kanal kɔnɔ.

Thoracic .

A bɛ kɛ ni pikirijikɛlan ye:

1. Margel and Roy Camille took the intersection of the horizontal line of the midpoint of the transverse process and the vertical line of the outer edge of the superior articular process as the entry point.

2. Ebraheim y’a jira ko T1-T2 pedicle cɛmancɛ bɛ sɔrɔ 7-8 mm la sanfɛ joli-sira-funu-cogo la, ani 3-4 mm cɛmancɛ la transverse processus cɛmancɛ la. ~8mm.

3. Aw bɛ layini jɔlen dɔ ja 3 mm duguma joli cɛmancɛ yɔrɔ la, ka layini jɔlen dɔ ja ka bɔ tɛmɛsira basigilen basigilen sanfɛla 1/3 la, ani zana fila cɛtigɛyɔrɔ ye nɛgɛ dondaw ye.

4. ka ɲɛsin cɛmancɛ-yɔrɔ janya cɛmancɛ-yɔrɔ ma min bɛ wele ko inferior articular process ani horizontal line of the root of the root of the transverse process process, 1 mm for the facet

5. A ka gɛlɛn, a bɛ kɛ sugandili ye min tɛ mɔgɔ tɔɔrɔ ka lamina yɔrɔ dɔ bɔ ani ka fɛnw don a kɔnɔ minnu bɛ kɛ ka fɛnw don ɲɔgɔn na.

barajuru doncogo angle .

Sagittal plan : pedicle inclination dɔgɔyali ka bɔ T1 la ka se T12 ma. T1: 25°; T2: 20°; T3: 15°; T4-9: 10°; T10: 5°; T11-12: 0°.

barakun sanfɛla kolotugudaw ka pedikili kuruw ka kan ka kɛ ni 10-20° ye ni sagittal plane ye, ani barajuru cɛmancɛ ni a duguma dawolo sirilanw ka kan ka kɛ 0-10° ye ni sagittal plane ye. Ebraheim y’a jira ko T1 ni T2 pedicle screws ka kan ka kɛ 30-40° ye ni sagittal plan ye, T3-T11 ka kan ka kɛ 20-25° ye, ani T12 ka kan ka kɛ 10° ye.

plan horizontale : ka kan ka bɛn sanfɛla ni duguma dakunw ma.

barajuru tigɛlenw ka ɲɛ .

• T1～T5 Mako bɛ a la 3,5～4.0mm .

• T6～T10 mago bɛ 4.0—5.0mm .

• T11, T12 mako bɛ 5,5mm .

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Balikuw fɛ, barajuru pedikili kuru cɛmancɛ ka dɔgɔn ni milimɛtɛrɛ 5 ye, wa a bɛ se ka kɛ ko a bɛ se ka siri. A ka ca a la, kɔkolo cɛmancɛ la, kurukuru minnu ka bon ni milimɛtɛrɛ 5 ye, olu tɛ se ka bila, o bɛ se ka kɛ sababu ye ka pedikili tigɛ nɔgɔya la.

Dɔnnibaaw dɔw bɛ baara Kɛ ni pedicle (pedicle) yɔrɔ lateral (kɛrɛfɛ) ye, o min bɛ o gɛlɛya in ɲɛnabɔ kosɛbɛ. Aw bɛ transverse processus kuncɛ digi walasa ka don pin kɔnɔ, ani transverse process cɛmancɛ bɛ horizontal. Aw bɛ dingɛ fitini dɔ wuli fɔlɔ, ani AWL sira bɛ ɲɔgɔn cɛ ni kolotuguda ɲɛda fan dɔ ye. Angle min bɛ ni sagittal plane ye o ye degere 25-40 ye, wa a hakɛ bɛ bonya dɔɔnin dɔɔnin ka bɔ T12 sanfɛ.

O kuru min bɛ don a kɔnɔ, o bɛna tɛmɛ ni tɛmɛsira ye, a yɔrɔ dɔ ye costotransverse ye, costovertebral joint, ani kɔkolo farikolo kɛrɛfɛ kogo. Ikomi juru don sira bɛ sɔrɔ Facet Joli la, a tɛ se ka don kɔkolo kan, o min ka fisa. Ka fara o kan, jiginni yɔrɔ bonya bɛ kɛ sababu ye ka kurukuruw janya. , ka bonya, fixation fanga bɛ bonya, implantation angle range ka bon, vises bɛ se ka sɔrɔ line kɔnɔ, ani a lajɛlen ka nɔgɔn.

kɔkolo ɲɛgɛnɛsira .

Lumbar dondaw .

1. pikirijikɛlan doncogo min bɛ kɛ ni fɛnɲɛnamafagalan ye (accessoire processus ridge lajɛyɔrɔ min bɛ sɔrɔ sanfɛla kɔfɛla fan fɛ, o ye joli-sira-funu-kɔnɔ-minɛn sanfɛla ni isthmus ridge ye), o jɔyɔrɔ in ɲɔgɔnna ka dɔgɔ (a sɔrɔli hakɛ ye 98% ye, wa accessoire (dadon) bɛ kin ni jɔyɔrɔ ye.

2. Cɛsirilan fɛɛrɛ : Transverse (Transverse) taabolow cɛmancɛ-yɔrɔ cɛmancɛ-yɔrɔ ni janya-janya-yɔrɔ min bɛ ɲɛda-yɔrɔ-yɔrɔ kɔkan, walima articulaire (joli-sira-yɔrɔ) sanfɛla kɛnɛma da la,

3. A ka gɛlɛn, a bɛ kɛ sugandili ye min tɛ mɔgɔ tɔɔrɔ ka lamina yɔrɔ dɔ bɔ ani ka fɛnw don a kɔnɔ minnu bɛ kɛ ka fɛnw don ɲɔgɔn na.

lumbar vis angle .

• Sagittal plane angle : L1-L3 bɛ ni inversion degere 5-10 ye, L4-L5 bɛ ni inversion degɛrɛ 10-15 ye.

• Angle de plane horizontale : L1-4: A bɛ bɛn ni laban ye; L5: 10 degɛrɛ jigincogo (L5 kɔkolo farikolo kɔfɛ).

  
  

lumbar spine sélection vis .

• L1～L5 Mako bɛ a la 6.5mm, 40-45mml vis .

  
  

Opereli fɛɛrɛw .

1. Sani opereli ka kɛ, a ka kan ka kɛ ko ɲɛda ni kɔkolo bɛ ye ka ɲɛ. ɲɛfɛla filɛli bɛ sirilan jɔyɔrɔ jira sira tilennen na, ani kɛrɛfɛla filɛli bɛ se ka juru jɔyɔrɔ jira a jɔlen na.

2. Donda yɔrɔ ka kan ka kɛ tiɲɛ ye ani ka bonya cogo bɛnnen na, ani kɔri kolo min bɛ ankɔri yɔrɔ la, o bɛ se ka bɔ ni piramidi kɛrɛ saba walima rongeur dabɔli ye.

3. Aw ye sira bɛɛ lajɛlen dɔn, aw bɛ fanga bɛnnen kɛ ka ciriw da wuli ka ɲɛ. Blunt-tip probe man kan ka sɔrɔ rezisti jɛlen na pikirijikɛlan dontuma na. 'Failure' walima barikama kɛlɛli hakilina man kan ka sɔrɔ. Ni resistance ye ɲɔgɔn sɔrɔ 5~15mm fɔlɔ la, a ka kan ka kɛ waati bɛnnen na. Aw bɛ pikirijikɛlan doncogo yɔrɔ ni a kɛrɛ ladilan. Ni aw ye resistance barikama sɔrɔ, a ka fisa ka bɔ fɔlɔ ka segin ka don sira fɛ ka don. Aw bɛ aw jija ka tugu pedicle (pedicle) sira la. Pedicle kɔnɔna ye cancellous kolo ye ani kɛnɛma ye cortical kolo ye, min bɛ se ka ɲɛminɛ a yɛrɛma ka kɛɲɛ ni a yɛrɛ ye, ni don yɔrɔ bɛ tiɲɛ ani ka bonya ka ɲɛ Aw bɛ 10-15° wuli ka taa cɛmancɛ la, ka aw janto a la ni a bɛ bɛn kolotuguda sanfɛla da ma, ka santimɛtɛrɛ 3 ɲɔgɔn jugumanba minɛ. Dusukunnata nafa ka bon.

4. A nafa ka bon kosɛbɛ ka baara kɛ ni pedicle probe ye walasa ka kogo naani sɛgɛsɛgɛ, kɛrɛnkɛrɛnnenya la kogow kɔnɔna, duguma ani duguma kogow.

5. Ni danfara min bɛ barajuru duguma ni kɔkolo kolotugudaw cɛ, o ma jɛya, o tɛ fɛn ye min bɛ kɛ ka fɛnw kɛ ka ɲɛ ani ka a yɔrɔ dɔ kin, o kɔfɛ, aw bɛ a yɔrɔ dɔ kin ka bɔ joli sanfɛla la, ani ka pedicle kɔnɔna kogo lajɛ k’a ɲɛsin a kɔnɔna kogo ma.

6. A ka fisa ka bɔ kɛnɛma ka tɛmɛ kɔnɔna kan, ka wuli ka jigin; Yɛlɛma de ye fɛnba ye, wa ɲɛfɛ ye farankan ye; Ni aw bɛ taa ɲɛ ani ka sɛgɛsɛgɛli kɛ, aw bɛ a jɔ ni aw ye gɛlɛya ye, aw bɛ a ladilan waati kɔnɔ, aw bɛ bolokɔni fanga dɔrɔn kɛ, aw kana a wuli ni fanga ye.

7. Kurukuru cɛmancɛ man kan ka tɛmɛ 83% kan pedikili kɛnɛma ɲɛda cɛmancɛ la.

Orthopedic Implants ani Orthopedic Instruments (Fɛn minnu bɛ se ka kɛ ka ɲɛgɛnɛ kɛ) san cogo min na, o ye .

Kosɔn czmeditech , An bɛ ni kolotuguda opereli fɛnw ye minnu dafalen don kosɛbɛ ani minɛnw minnu bɛ bɛn o ma, o ye fɛn ye . Spine Implants ., Nails intramedullaires ., Plate de traume ., locking plate ., kunkolo-maxillo-facial ., Prothèse ., Seko ni dɔnko baarakɛminɛnw ., kɛnɛma fixateurs ., Arthroscopie ., Baganw ladonni n’u dɛmɛnanw.

Ka fara o kan, an b’an jija ka fɛn kuraw dilan tuma bɛɛ ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndan ye diɲɛ kɔnɔ kolotugudaw ni minɛnw dilanni bɛɛ la.

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