Nigute imigozi ya pedifile yinjijwe?

Uburyo bwa PEDILES

1. Inyandiko yinjira: ijosi, igituza nubukorikori biratandukanye;

2. Fata inguni za horizontal (TSA) na SAGITL Indege (SSA) yinjira: Inguni ya TSA irashobora gupimwa na firime ya CT. SSA ifite umubano runaka numwanya wumubiri, kandi irashobora kugenzurwa na C-ARP mugihe cyo kubagwa.

3. Uburebure: Uburebure bwa screw bugera kuri 80% yuburebure bwa pedicle kugirango ubone imbaraga zimbuto zihagije, kandi biroroshye kwinjira mumagufwa ya cortique no kwangiza imiyoboro yamaraso niba ari ndende cyane.

4. Uburebure: Kuva mu kwinjiza inshinge zerekana 83% yuburebure bwuzuye bwa cortex yimbere yumubiri wa vertebral.

Uruti rw'umugongo

Inkondo ya pedicle yandika uburyo bwo kwinjizamo

Uburyo bwo kwinjiza inshinge

Kugeza ubu, uburyo nyamukuru bwo kwinjiza inshinge ni: Uburyo bwa Abumi, uburyo bwo gushyira ahagaragara ubusa, uburyo bwo gukora bwa mudasobwa ahanditse ibikoresho, nibindi.

Uruti rw'umugongo

• Ku masangano ya 5mm munsi yumurongo utambitse wumutwe wo hejuru wa lamina wa c2 axis na 7mm hanze yinkombe yumugongo.

• C3-C6 Intersection ya Hejuru ya mbere 1/4 umurongo utambitse kandi uri hejuru yo hagati 1/4 umurongo uhagaritse inyuma yinyuma.

• C7 Intersection ya vertical ihagaritse kuruhande rwagati hamwe no hagati yo hejuru 1/4 umurongo utambitse uri hejuru.

  
  

Intersebra certebra

• C2 Intara 20-25 ° Intanga 10-15 °

• C3-C6 Spline 40-45 °, indege itambitse irasa hejuru no hepfo

• C7 Impengamiro 30-40 °, indege itambitse irabangika hejuru no hepfo

  
  

Umugongo w'inkoni

• C1 ~ c5 bisaba imigozi ifite diameter ya 3.5mm nubujyakuzimu bwa 20mm

Niba uburebure bwinyuma yinyuma ya atlas iri munsi ya 4mm, hahindurwa imirongo itambuka.

Niba uburebure cyangwa ubugari bwa pedicle of the axis iri munsi ya 5mm, birasabwa guhinduka mugihe cya screw screw screw.

Intunga yo muri Screw

Uburyo bwa Majenel : Ingingo yinjira yinjira iherereye 1-2mm hejuru ya mbere yo hagati y'urukuta rw'inyuma rw'urukuta rw'inyuma; Icyerekezo cyinjira ni 25-30 ° kuruhande rwaka, kandi umutwe urimo kuvamo 30 ° (ugereranije hejuru yubuso bwo hejuru), hamwe na cortex yatunganijwe neza; Gupima ubujyakuzimu nyuma yo guswera muri 3.5mm Cortic Amagufwa.

Uburyo bwa Roy-Camille : Ingingo yinjira yinjira iherereye hagati yinyuma yinyuma; Icyerekezo cyinjira cyinjira ni 10 ° kuruhande, inyuma yinyuma ya cortex iracumbagira, kandi cortex itunganijwe neza; Nyuma yo kuvuza, a 3.5m cortical igufwa ryashizweho.

Uburyo bwa Anderson : Umwandiko winjira uherereye 1mm imbere hagati ya misa ya metero 20 ° kuruhande ni 20 ° kugeza kuri 30 ° Cortex yatunganijwe neza.

Inararibonye Incamake

(1) Kwitaho bidasanzwe bigomba kwishyurwa kumutekano wa sclantation. Umuganga ubaga agomba guhitamo uburyo bukwiye akurikije ubuhanga bwa anatomy yinkondo y'umura na pdicle the tekinike.

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(4) Inguni yo kwinjiza ibicuruzwa igomba gutandukana n'inguni ya arch.

(5) Kwinjira mumagufwa corcalical imbere yumubiri wimbaraga ugomba kwirindwa.

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Thoracic

Ingingo yinjira:

1. Margel na Roy Camille bafashe umurongo wa horizontal umurongo wa horizontal ya morizonal inzira yo guhinduranya hamwe numurongo uhagaze kuruhande rwinyuma rwibintu byihutirwa nkuko byinjiriro.

2. Ebraheim yasabye ko hagati ya pedicle ya T1-T2 iherereye mm 7-8 iri kumurongo wo hanze wibikorwa byinshi bitangaje, na mm 3-4 kumurongo wo hagati. ~ 8mm.

3. Shushanya umurongo uhagaze 3 mm hanze yingingo yo hepfo, hanyuma ushushanye umurongo utambitse uva mumwanya wa 1/3 wimirongo yo guhinduranya, kandi ihuriro ryimirongo ibiri nimwe mumwanya winjira.

4. Ku mirongo yumurongo wo hagati wa axituse yimikorere ya articular hamwe na horizontal umurongo wanyuma wumuzi wibikorwa byahinduwe, mm 1 munsi yigice;

5. Mu manza zigoye, ni amahitamo itekanye yo gukuraho igice cya lamina na stlant screen ya pedicle ya pedicle iyobowe niyerekwa ritaziguye.

Thoracic spine shyiramo inguni

Indege ya Sagittal : Kugabanuka muri pedicle impengamiro kuva T1 kugeza T12. T1: 25 °; T2: 20 °; T3: 15 °; T4-9: 10 °; T10: 5 °; T11: 0 °.

Imiyoboro ya pedicle ya vertebrae yo hejuru ya thoracic igomba kugira inguni ya 10-20 ° hamwe nindege ya sagittal, na pedikole sperebrae yo hagati kandi yo hepfo ya thortebrae ya 0-10 ° hamwe nindege ya Sagittal. Ebraheim yasabye ko imigozi ya T1 na T2 ya T2 igomba kuba 30-40 ° impengamiro hamwe nindege ya Sagittal, T3-T11 igomba kuba 20-25 °, kandi T12 igomba kuba 10 °.

Indege itambitse : igomba kuba ihwanye no hejuru no hepfo.

Thoracic spine guhitamo screw

• T1 ~ T5 Ukeneye Diameret Diameter 3.5 ~ 4.0mm

• T6 ~ t10 Ukeneye 4.0-5.0m

• T11, T12 Ukeneye 5.5mm

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Kubantu bakuru, diameter ya thorecle ya thoracic iri munsi ya 5mm, kandi hari ibyago byo gusenyuka. Mubihe byinshi byumugongo wa Thocsic, imitwe minini kurenza mm 5 muri diameter ntishobora gushyirwa, zishobora kuganisha kuri podicle rupture.

Intiti zimwe zikoresha ahantu wa pedicle, ikemura iki kibazo neza. Kanda ahanditse inzira yahinduwe kugirango winjire muri PIN, hanyuma umurongo wo hagati winzira ya transvers ni utambitse. Hindura umwobo muto, kandi icyerekezo cya awl ihuza hamwe nuruhande rwiburyo bwimikorere ya vertebra. Inguni hamwe nindege ya sagittal ni dogere 25-40, kandi impamyabumenyi yiyongera buhoro buhoro kuva T12 hejuru.

Umugozi washyizwemo uzanyura mubikorwa byacuragurika, igice cyibikorwa byigihe cyibihe, hamwe nigikorwa cyibihe, nurukuta rwuruhande rwurwego rwuzuye. Kubera ko inzira yo kwinjizamo iherereye hanze yimpande, ntibishoboka kwinjira mubufatanye bwumugongo, ufite umutekano. Byongeye kandi, kwiyongera kwubushake butuma umugozi muremure. .

Umugongo

Ibihembo

1. Uburyo bwo kwinjiza inshinge kuri apex ya herringbone

2. Uburyo bwo guhuza: Ihuriro ryumurongo wo guhinduranya inzira yahinduwe hamwe na axis ndende hanze yimpande, cyangwa inkombe yinyuma yuburyo bukuru,

3. Mu manza zigoye, ni amahitamo itekanye yo gukuraho igice cya lamina na stlant screst ya pedicle ya pedicle iyobowe na we iyerekwa ritaziguye.

Lumbar Screw Angle

• Indege ya SAGITTAL Indege : L1-L3 Gira dogere 5-10 yo kwigomeka, L4-L5 ifite dogere 10-15 yo guhinduka.

• Indege itambitse : L1-4: PEREALLELES KUGEZAHO; L5: dogere 10 yo kumanuka (umubiri wa L5 vertebral inyuma).

  
  

Lumbar Umugongo Guhitamo Screw

• L1 ~ l5 Ukeneye Diameret Diameter 6.5mm, 40-4ml Screw

  
  

Kubaga ingamba zo kubaga

1. Mbere yo kubaga, hagomba kubaho hagomba kubaho imbere kandi kuruhande rwa lubr. Ikitekerezo cyimbere cyerekana umwanya wa screw mu cyerekezo cya horizontal, kandi uburyo bwo kuruhande bushobora kwerekana umwanya wa screw mumwanya uhagaze.

2. Ingingo yinjira igomba kuba yukuri kandi muburyo bukomeye, hamwe namagufa ya Cortical kumwanya wa ANCHIR arashobora gukurwaho no gufungura piramide ya mpandeshatu cyangwa mu rugendo.

3. Nyuma yo kugena icyerekezo rusange, koresha imbaraga zikwiye kugirango ufungure neza. Iperereza ridahwitse ntirigomba guhura no kurwanya kugaragara mugihe cyo kwinjiza urushinge. Ntabwo hagomba kubaho imyumvire ya 'gutsindwa ' cyangwa kurwanya gutunguranye. Iyo imyigaragambyo ihuye na 5 ~ 15mm, igomba kuba igihe gikwiye. Hindura ingingo yinjira hamwe ningugu. Niba uhuye nuburwayi bukomeye, birasabwa gusohoka mbere no kongera guhitamo icyerekezo cyo kwinjira. Witondere gukurikiza icyerekezo cya pedicle. Imbere ya pedicle ni ugusebanya kandi hanze hari igufwa rya cortique, rishobora guhita riyobowe, mugihe ibyinjira ari ukuri kandi byagutse neza; SHAKA 10-15 ° hagati, witondere indege ibangikanye kuruhande rwumubiri wo hejuru wurwego rwuzuye, kandi usobanukirwe ni ubujyakuzimu bwa 3cm. Umva ari ngombwa.

4. Ni ngombwa cyane gukoresha ikipe ya pedicle kugirango isuzume inkuta enye, cyane cyane inkuta imbere, hepfo ninzira.

5. Iyo itandukaniro rya anatomike hagati ya vertebrae yo hepfo na Lumbar ntigisobanutse, kuruma inzira yibikoresho hamwe nuburyo bwo hejuru, hanyuma ukareba igice cyimbere cya podicle hamwe na pedicle.

6. Nibyiza kujya hanze kuruta imbere, uzamuke ntukamanuke; Kuzunguruka nikintu cyingenzi, kandi imbere ninyongera; Mugihe utera imbere no gushakisha, hagarara iyo ubonye bikomeye, uhindure mugihe, koresha imbaraga zintoki, ntugahindagurika ku gahato.

7. Diameter ya screw ntagomba kurenga 83% ya diameter ya cortex yo hanze ya pedicle.

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , Dufite Umurongo wuzuye wibicuruzwa byabasabwe kumagufwa Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

Byongeye kandi, twiyemeje guhora dukura ibicuruzwa bishya no kwagura imirongo yibicuruzwa, kugirango duhuze ibyifuzo byabaganga nabarwayi benshi, kandi binatuma sosiyete yacu irushanwa mubicurarango byose bya orttopedic.

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