Yuav ua li cas yog pedicle screws tso?

Pedicle Ntsia Hlau Ntaus Hom

1. Lub caj dab nkag: caj dab, lub hauv siab thiab lub duav yog txawv;

2. Ntsoov Kab rov tav lub dav hlau lub kaum (TSA) thiab SAGITTAL lub dav hlau kaum (SSA) ntawm cov ntsia hlau nkag mus nkag: Qta) ntawm cov ntsia hlau nkag mus nkag tau los ntawm CT zaj duab xis. Lub SSA muaj qee qhov kev sib raug zoo nrog txoj haujlwm ntawm lub cev, thiab tuaj yeem tswj hwm nrog C-caj npab thaum lub sijhawm ua haujlwm.

3. Qhov tob: Qhov ntev ntawm lub hau ntswj mus txog 80% ntawm qhov ntev ntawm cov pedicle axis kom tau yooj yim biomical zog, thiab nws yog qhov yooj yim rau nkag mus rau cov pob txha cortical thiab ua kom cov hlab ntshav puas yog tias nws ntev dhau lawm.

4. Ntev: Los ntawm rab koob ntxig rau lub sijhawm txog 83% ntawm tag nrho ntev ntawm lub anterior cortex ntawm lub cev vertebal.

Lub kaby plaub hau

Cervical pedicate ntawm cov hlau luam yeeb

Koob teeb ntxig

Tam sim no, cov ntsiab lus tseem ceeb ntawm cov koob ntxig yog: abumi txoj kev, anatomical landmark txoj kev ua, khoos phis tawj txoj kev ntsuas cov qauv, thiab lwm yam.

Cervical Spine Nkag Qhov Taw Qhia

• Ntawm qhov kev sib tshuam ntawm 5 hli hauv qab ntawm kab rov tav ntawm lub Lamina ntawm C2 Axis thiab 7 hli sab nraud ntawm tus txha caj qaum.

• C3-C6 Cov kev sib tshuam ntawm cov kab rov tav toj 1/4 kab rov tav thiab nruab nrab sab nraud 1/4 ntsug kab nyob sab nraum qab ntawm thaiv.

• C7 qhov kev sib tshuam ntawm cov kab nruab nrab ntawm cov kab ntawv tom qab thiab nruab nrab sab saud yog saum toj no.

  
  

Cervical Vertebra Screwing Lub

• C2 Incline 20-25 ° Hlaws 10-15 °

• C3-C6 Accline 40-45 °, lub dav hlau kab rov tav yog sib txuas rau sab sauv thiab qis endplates

• C7 inclination 30-40 °, lub dav hlau kab rov tav yog sib zog mus rau sab sauv thiab qis endplates

  
  

Cervical spine ntsia hlau

• C1 ~ C5 xav kom cov screws nrog txoj kab uas hla ntawm 3.5 hli thiab tob ntawm 20mm

Yog tias qhov siab ntawm lub posterior koov ntawm Atlas yog tsawg dua 4mm, nws tau hloov pauv mus rau ib qho kev ntsia hlau ib sab.

Yog tias qhov siab lossis dav ntawm cov pedicle ntawm lub axis yog tsawg dua 5mm, nws raug nquahu kom hloov mus rau tom qab loj ntsia hlau tshuab.

Cervical untal massic ntsia hlau tso

Magerl txoj kev : Ntsia thawv nkag mus rau 1-2mm saum toj no nruab nrab ntawm phab ntsa sab tom qab; Ntsia thawv nkag yog 25-30 ° yav dhau los inclined, thiab lub taub hau yog tilted 30 ° (prallel rau sab saud), thiab contralateral cortex yog drilled; Kev ntsuas qhov tob tom qab screwing hauv 3.5mm cortical pob txha screws.

Roy-Camille Txoj Kev : Cov ntsia hlau nkag mus rau qhov chaw nyob hauv nruab nrab ntawm sab nraum qab ntawm lub tsev ib sab; Cov ntsia hlau nkag yog 10 ° yav dhau los, cov kab tom qab ntsug cortex yog drilled, thiab conteralateral cortex yog drilled; Tom qab lub suab, ib qho chaw muag khoom siv hluav taws xob 3.5mm cortical pob txha ntsia hlau yog ntsia hlau rau hauv.

Anderson txoj hau kev : Tus ntsia hlau nkag mus yog nyob rau 1 hli sab hauv plawv, thiab lub taub hau nkag mus rau hauv lub qhov, thiab ceralatateral cortex yog drilled.

Kev paub dhau los

(1) kev tshwj xeeb yog yuav tsum tau them rau kev nyab xeeb ntawm ntsia hlau cog. Tus kws phais yuav tsum xaiv txoj kev tsim nyog raws li kev paub ntawm ncauj tsev menyuam thiab pediclekasters.

(2) Cov ntsia hlau loj ntsia hlau txhim kho hauv C3-C6 ntu yog qhov yooj yim dua thiab muaj kev nyab xeeb dua li pedicigation.

(3) Lub cuab yeej tsis tuaj yeem nkag mus rau sab nraud phab ntsa ntawm cov pedic ntawm cov pedicle, txwv tsis pub nws yuav ua rau cov leeg ntshav uas nyob ib sab uas nyob ib sab ntawm cov leeg ntshav thiab cov hlab ntshav sab ib sab.

(4) Lub kaum sab xis ntawm cov ntsia hlau nkag yuav tsum sib txawv nrog lub kaum sab xis ntawm cov vertebal koov.

(5) Kev nkag mus rau cov pob txha cortical pem hauv ntej ntawm lub cev vertebral yuav tsum zam.

(6) Kev mob fluoroscopy tuaj yeem nrhiav qhov chaw vertebral, thiab qhov tseeb cog cov screading rau hauv qhov chaw sib tshuam rau hauv qhov chaw sib tshuam thiab tus txha caj qaum.

Thoracic

Koob nkag taw taw tes:

1. Margel thiab Roy Camille tau noj kev sib tshuam ntawm kab rov tav ntawm cov txheej txheem transv neeg ntawm cov txheej txheem sab nraud ntawm cov txheej txheem sab nraud ua tiav.

2. Ebraheim tau thov tias lub chaw nruab nrab ntawm cov pedicle ntawm T1 -8 mm nyob rau hauv lub sab nraud ntawm cov txheej txheem qub zoo dua, thiab 3-4 mm ntawm nruab nrab ntawm cov txheej txheem transverse ntawm transverse kev hloov pauv. ~ 8mm.

3. Kos duab kab ntsug 3 hli sab nraum nruab nrab ntawm cov txheej txheem qis dua, thiab kos kab rov tav ntawm ob kab yog tus ntsia thawv nkag taw.

4. Nyob rau kev sib tshuam ntawm nruab nrab ntawm longitudinal Axis ntawm cov txheej txheem qis dua thiab kab rov tav ntawm cov txheej txheem transv neeg, 1 hli hauv qab no;

5. Hauv cov xwm txheej nyuaj, nws yog kev xaiv nyab xeeb kom tshem tawm ib feem ntawm Lamina thiab cog pom pedicle scre raws nraim.

Thoracic spine ntxig lub

SAGittal Dav Hlau : Txo hauv pedicle inclination los ntawm T1 txog T12. T1: 25 °; T2: 20 °; T3: 15 °; T4-9: 10 °; T10: 5 °; T11-12: 0 °.

Tus pedicity screws ntawm sab sho sab sho caj qaum yuav tsum muaj ib lub dav hlau ntawm lub dav hlau thiab qis dua ntawm cov tawv nqaij hauv qab ntawm 0-10 ° nrog rau Sagittal dav hlau. Ebraheim thov tias T1 thiab T2 pedicle screws yuav tsum tau 30-40 ° Inclination nrog Sagittal dav hlau, T3-T11 yuav tsum yog 20-25 °, thiab T12 yuav tsum yog 10 °.

Kab rov tav dav hlau : Yuav tsum tau ua kom tig mus rau sab sauv thiab qis dua.

Thoracic txha txha xaiv cov ntsia hlau

• T1 ~ T5 Yuav Tsum Ntsia Hlau Orech 3.5 ~ 4.0mm

• T6 ~ T10 xav tau 4.0-5.0 hli

• T11, T12 xav tau 5.5mm

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Rau cov laus, txoj kab uas hla ntawm thoracic pediclek yog tsawg dua 5 hli, thiab muaj kev pheej hmoo ntawm ntsia hlau tawg. Nyob rau hauv ntau kis ntawm lub nruab nrab-thoracic txha nraub qaum, cov ntsia hlau loj dua 5 hli hauv cov cheeb tsam tsis tuaj yeem tso, uas tej zaum yuav ua rau pedicle pedupture.

Qee cov kws tshawb fawb siv cov rooj sab laj ib sab ntawm cov pedicle, uas daws cov teeb meem no zoo heev. Nyem qhov ntxeev ntawm transverse txheej txheem kom nkag mus rau tus lej PIN, thiab nruab nrab ntawm cov txheej txheem transverse yog kab rov tav. Tig lub qhov me me ua ntej ua ntej, thiab cov kev coj ntawm AWL kev sib tshuam nrog ntug ib sab ntawm lub ntsej muag sib koom tes ntawm cov vertebra. Lub kaum sab xis nrog Sagittal lub dav hlau yog 25-40 degrees, thiab qib maj mam nce los ntawm T12 upward.

Cov ntsia hlau tso tawm yuav dhau mus los ntawm kev hloov pauv, ib feem ntawm cov txheej txheem costotsroranverse, kev sib koom tes kim tshaj plaws, thiab phab ntsa tom qab ntawm lub cev vertebal. Vim tias cov ntsia hlau ntxig rau txoj kev nyob sab nraum lub ntsej muag sib koom tes, nws yog tsis yooj yim sua kom nkag mus rau tus txha caj qaum, uas muaj kev nyab xeeb dua. Tsis tas li ntawd, kev nce ntawm txoj kev xav ua lub ntsej muag ua rau cov ntsia hlau ntev dua. , thicker, lub zog kho tau nce ntxiv, cov tshuab moj sab yog qhov chaw loj, cov screws tuaj yeem nyob hauv ib kab, thiab cov rooj sib tham yooj yim dua.

Lumbar nqaj qaum

Lumbar nkag point

1. Koob tau nqus cov txheej txheem ntawm lub apronbone caj dab (lub rooj sib tham ntawm cov txheej txheem nkag mus ntawm cov txheej txheem txuas ntxiv), qhov muaj txiaj ntsig ntawm cov txheej txheem nkag mus yog 98%), thiab cov txheej txheem txuas ntxiv tau raug xa los ntawm kev muab.

2. Kev sib tshuam txoj kev: kev sib tshuam ntawm kab nruab nrab ntawm cov txheej txheem transverse ntawm cov txheej txheem transverse thiab sab nraud ntawm cov txheej txheem sab nraud,

3. Hauv cov xwm txheej nyuaj, nws yog kev xaiv nyab xeeb kom tshem tawm ib feem ntawm Lamina thiab cog pom pedicle scre raws nraim.

Lumbar ntsia hlau kaum

• Sagittal Dav Hlau Lub kaum sab : L1-L3 muaj 5-10 degrees ntawm inversion, l4-l5 muaj 10-15 degrees ntawm inversion.

• Kab rov tav Dav Hlau Dav : L1-4: PARALLEL rau OVPIDIIE; L5: 10 degrees ntawm downward inclination (l5 lub cev vertebal rov qab).

  
  

Lumbar Ciav Hlau Xaiv Ntsia Hlau

• L1 ~ L5 Xav Tau Ntsia Hlau I.5mm, 40-45mmL Ntsia Hlau

  
  

Kev Tawm Tsam Kev Tshawb Fawb

1. Ua ntej kev phais mob, yuav tsum muaj qhov tseeb pem hauv ntej thiab ib sab saib ntawm tus txha nqaj caj dab. Lub anterior saib qhia tau txoj hauj lwm ntawm cov ntsia hlau hauv kab rov tav, thiab ib sab ncej saib tuaj yeem qhia tau txoj haujlwm ntawm cov ntsia hlau hauv txoj hauj lwm ntsug.

2. Lub ntsiab lus nkag yuav tsum yog qhov tseeb thiab tsim nyog ua kom pom tseeb, thiab cov pob txha cortical ntawm lub thauj tog rau nkoj taw tes tuaj yeem raug tshem tawm los ntawm lub voos xwm txheej ntawm lub voos lossis lub raj.

3. Tom qab txiav txim siab qhov kev taw qhia dav dav, siv lub zog tsim nyog los qhib Circuit Court kom zoo. Blunt-Tip Kev sojntsuam yuav tsum tsis pom pom tseeb thaum lub sij hawm koob. Yuav tsum tsis muaj kev nkag siab 'tsis ua tiav ' lossis tam sim ntawd kev tawm tsam. Thaum tsis kam ntsib nyob rau hauv thawj 5 ~ 15 hli, nws yuav tsum tau raws sijhawm. Kho lub koob nkag mus taw tes thiab lub kaum sab xis. Yog tias koj ntsib kev tiv thaiv muaj zog, nws pom zoo kom tawm ua ntej thiab rov xaiv cov kev taw qhia nkag mus. Nco ntsoov ua raws cov kev taw qhia ntawm tus pedicle. Sab hauv ntawm cov pedicle yog pob txha cancellous thiab sab nraud yog cortical pob txha, uas tuaj yeem ua kom tau yooj yim, muab hais tias kev nkag mus rau qhov tseeb thiab loj; Incline 10-15 ° rau nruab nrab, them sai sai rau lub dav hlau mus rau sab qaum ntug ntawm lub cev vertebral ntawm 3cm. Xav tias tseem ceeb heev.

4. Nws yog ib qho tseem ceeb heev uas yuav siv pedicic sojntsuam los sojntsuam plaub phab ntsa, tshwj xeeb tshaj yog sab hauv, qis thiab hauv qab phab ntsa.

5. Thaum lub anatomical sib txawv ntawm qis thoracic thiab lumbar vertebra thiab tom qab ntawd ib feem ntawm cov txheej txheem sab saud, thiab saib ncaj qha ntawm phab ntsa sab hauv thiab lub nkag ntawm cov pedicle.

6. Nws yog qhov zoo dua rau sab nraud dua sab hauv, mus thiab tsis txhob nqis; Kev sib hloov yog qhov tseem ceeb, thiab tom ntej yog qhov ntxiv; Thaum mus nrhiav chaw, nres thaum koj pom nyuaj, hloov kho nyob rau lub sijhawm, tsuas yog siv tus ntiv tes yuam, tsis muaj zog ntswj.

7. Lub cheeb ntawm cov ntsia hlau yuav tsum tsis pub tshaj 83% ntawm txoj kab uas hla ntawm Cortex ntawm cov pedicle.

Yuav ua li cas yuav orthopedic kev cog lus thiab orthopedic seev?

Rau Czmeditech , peb muaj cov khoom lag luam tawm heev ntawm kev phais mob orthopedic phais kev cog thiab cov twj paj nruag sib txuas, cov khoom suav nrog Spine immants, intramed ntsis ntsia hlau, Kev Nyab Xeeb Phaj, Xauv phaj, cranial-maxillofacial, yug, Cov Cuab Yeej Hluav Taws Xob, Sab nraud Txhim Kho, arthroscopy, Kev saib tsiaj kho tsiaj thiab lawv cov twj paj nruag txhawb nqa.

Ib qho ntxiv, peb tau cog lus tsis tu ncua tsim cov khoom lag luam tshiab thiab nthuav tawm cov khoom lag luam thiab cov neeg sib tw, thiab tseem muaj kev sib tw ntau dua nyob rau hauv tag nrho cov kev sib tw lossis cov khoom siv cov khoom siv.

Peb export thoob ntiaj teb, yog li koj tuaj yeem Tiv tauj peb ntawm email chaw nyob@orthopedic-china.com rau cov lus pub dawb, lossis xa cov lus ntawm WhatsApp rau cov lus teb ceev + 86- 18112515727 .

Yog xav paub cov ntaub ntawv ntxiv, nyem Czmedatech kom pom cov ntsiab lus ntxiv.