Zifakwe njani isikrelemnqa?

Indlela ye-pedicle indawo yokubekwa

1. Inqaku lokungena: intamo, isifuba kunye nesinqe sahlukile;

2. Qikelela i-Angle ye-Angle ethe tyaba (i-TSA) kunye ne-Angle ye-Sagittal ye-Angle (SSA) ye-Screw yokungena: I-Angle ye-TSA ingalinganiswa kwifilimu ye-CT. I-SSA inolwalamano oluthile kunye nesikhundla somzimba, kwaye sinokulawulwa ngengalo ye-C-ngexesha lokusebenza.

I-3. Ubunzulu: Ubude besikhafu bufikelela kwi-80% yobude be-pedicle i-axis yokufumana amandla olwenziwe ngebhayoloji, kwaye kulula ukungena kwithambo legazi kwaye lonakalise imithambo yegazi ukuba inde kakhulu.

I-4.

Isitya somlilo

Indlela yokufakelwa kwe-vervical

Indlela yokufakwa kwenaliti

Okwangoku, iindlela eziphambili zokufakwa kwenaliti zezi: Indlela ye-ABUMI, indlela yokubeka umhlaba we-Anatomical, indlela yokucinga yekhompyuter, njl. Njl.

Indawo yokungena ye-furvical spine

• Kwindlela yokuhlangana ye-5mm engezantsi komgca othe tye womda ophezulu we-lamina ye-C2 Axis kunye ne-7mm ngaphandle komda we-Pinal Canakal.

• C3-C6 I-Intersection yendawo ephezulu ye-1/4 i-timineant kunye ne-1/4 i-1/4 i-1/4 i-1/4 emgceni ngasemva kwibhloko esecaleni.

• C7 I-C8 INDAWO YEMIHLA YOKUZIPHATHA KWEMPAHLA YAMABALI YAMABALI NOPHUTO LE-1/4 Umgca omileyo ungaphezulu.

  
  

I-ridebra ye-vertebra i-angle

• I-C2 Ectline 20-25 ° I-10-15 °

• I-C3-C6 I-Instone 40-45 °, inqwelomoya ethe tyaba ihambelana neeplaplates ezingaphezulu nezisezantsi

• I-C7 I-C8 Quity 30-40 °, iplanethi ethe tye ihambelana neeplaplates eziphezulu nezisezantsi

  
  

Isikhuseli somqolo wesibeleko

• I-C1 ~ c5 ifuna isikrelem kunye ne-diameter ye-3.5mm kunye nobunzulu be-20mm

Ukuba ukuphakama kwepostarior Arder ye-Atlas kungaphantsi kwe-4mm, itshintshelwe kwisikrini esisemva kwexesha.

Ukuba ukuphakama okanye ububanzi be-pedicle ye-axis kungaphantsi kwe-5mm, kuyacetyiswa ukuba kutshintshe ukulungiswa kobunzima be-Lateral.

Indawo yokubekwa kwesibeleko

Indlela yeMagerl : Indawo yokungena yesikere ibekwe kwi-1-2mm ngaphezulu kwendawo yodonga oluthile lwendawo engasemva kwesininzi; Isikhokelo sokungena kwesikere singama-25-30 ° Atpilerely Atpiler, kwaye intloko ithethwe nge-30 ° Ukulinganisa okunzulu emva kokukroba kwi-3.5mm cortical corws.

Indlela yeRoy-Camille : Indawo yokungena yesikere ibekwe embindini we-masting ye-masture; Isikhokelo sokungena kwesikere siyi-10 ° 24: I-porttex yendawo ethe nkqo iyakhutshiwe, kwaye i-cortex ye-cortex iyadilizwa; Emva kokuvakala, i-3.5mm yethambo lethambo lethambo le-screen lingene.

Indlela ye-Anderson : Indawo yokungena yesikali ikwi-1mm ngaphakathi embindini we-Masture, isikhokelo sokungena kwesikere sikwi-20 ° ukuya kwi-30 ° ukuya kwi-30 ° ukuya kwi-30 ° ukuya kwi-cortex ye-challales.

Isishwankathelo seSishwankathelo

(1) Ingqwalaselo eyodwa kufuneka ihlawulwe kukhuseleko lweendawo zokubekwa kwindawo. Ugqirha utyando kufuneka akhethe indlela efanelekileyo ngokwemicimbi ye-anatomy ye-cervical kunye ne-pericle screw ubuchule.

.

.

(4) I-angle yokufakwa kwesibhakabhaka kufuneka ihlukane ne-angle ye-vertebral arch.

(5) Ukungena kwethambo lethambo phambi komzimba we-vertebral kufuneka kuthintelwe.

.

I-thoracic

Indawo yokungena yenaliti:

I-1. UMargel noRoy Capille bathatha indawo yokuhlangana komgca othe tyaba wenkqubo edlulayo kunye nomgca othe nkqo womda wangaphandle wenkqubo yokungena.

2. I-Ebraheim icebe ukuba iziko le-pedicle le-T1-T2 libekwe kwi-7-8 mm ngaphakathi komda wenkqubo engaphezulu ye-articular, kunye ne-3 ukuya kwi-3 ukuya kwi-3 ukuya kwi-3 ukuya kwi-3 ukuya kwi-3 ukuya kwi-4 ukuya kwi-MM kwiNkqubo yenkqubo ethe kratya. ~ 8mm.

3. Zoba umgca othe nkqo 3 mm ngaphandle kwendawo edibeneyo, kwaye uzobe umgca othe tyaba ukusuka kwi-1/3 yesiseko senkqubo ethe tyaba, kwaye ukuhlangana kwemigca emibini yindawo yokungena yendlela.

I-4. Kwindlela yokuhlangana ye-Axis ye-Secedinal yenkqubo engaphantsi kwenkqubo ye-ofisi kunye nomgca othe tyaba wenkqubo yenkqubo yokudlula, i-1 mm ngaphantsi kwenkalo;

5. Kwiimeko ezintsokothileyo, lukhetho olukhuselekileyo lokususa inxenye ye-lamina kunye ne-pient gesicle isikroba phantsi kombono othe ngqo.

I-Thoracic Spine Rine Engle

Inqwelomoya ye-sagittal : ukuncipha kuxinzelelo lwe-pedicle ukusuka kwi-T1 ukuya kwi-T12. I-T1: 25 °; T2: 20 °; T3: I-15 °; I-T4-9: 10 °; I-T10: 5 °; T11-12: 0 °.

I-pedicle i-vertebrae ephezulu ye-Thoracic kufuneka ibe ne-angle ye-10 ukuya kwe-20 ° ngenqwelomoya ye-sagittal, kunye ne-pedicle inqwelomoya, kwaye i-vericle i-vertebrae ye-vertebrae ye-0-10 ° ngenqwelomoya ye-sagittal. I-Ebraheim icebe ukuba i-T1 kunye ne-T2 i-T2 i-widews kufuneka ibe yi-30-40 ° fatlline ngenqwelomoya, i-T3-T3-T3-T11 ifanele ibe yi-20-25 ° 23 ° kwaye i-T12 ifanele ibe yi-10 °.

Inqwelomoya ethe tyaba : kufuneka ihambelane neeplappite ephezulu nangaphantsi.

Isikhafu se-thoratic spine sokukhetha

• I-T1 ~ t5 ifuna ububanzi be-screw 3.5 ~ 4.0mm

• I-T6 ~ t10 ifuna i-4.0-5.0mm

• I-T11, i-T12 idinga i-5.5mmm

• 
  

Kwabantu abadala, ububanzi be-hidicle ye-hidicle i-windicle ingaphantsi kwe-5mm, kwaye kukho umngcipheko wesahlulo sesikhuseli. Kwiimeko ezininzi ze-spine ye-tineckic, isikhafu esikhulu kune-5 mm ubukhulu asinakubekwa, esinokukhokelela ngokulula kwi-pedicture.

Abanye abaphengululi basebenzisa ukubekwa kwe-pedicle, esombulula le ngxaki kakuhle. Cofa inqaku lenkqubo edlulayo ukuze ufake iPIN, kwaye i-midline yenkqubo ethe tyaba ithe tyaba. Jika umngxunya omncinci kuqala, kwaye indlela ye-AWL inxibelelana ne-Lateral Matter ye-Vertebra. I-engile ngenqwelomoya ye-sagittal yi-25-40 degrees, kwaye isidanga sinyuka sivela kwi-T12 ukuya phezulu.

Isikreji esifakiweyo siya kudlula kwinkqubo edlulayo, inxalenye yenkqubo ye-costotransen, i-costoverebleblebleble ye-costoverteral, kunye nodonga olulandelayo lomzimba we-vertebral. Kuba indlela yokufaka isikrikhi ifumaneka ngaphandle kwe-genert ye-Wint, akunakwenzeka ukuba ungene kwi-Spinal Cawal, ekhuselekileyo. Ukongeza, ukwanda kwe-angle yotyekelo kwenza isikrolo ixesha elide. , Ukhiya, amandla okulungisa kuyanda, uluhlu lwe-Angle ye-Angle inkulu, izikrikhi zinokuba kufutshane nomgca, kwaye ibandla lilula ngakumbi.

I-Lumbar Spine

Indawo yokungena ye-Lumbar

I-1. Indlela yokufakelwa kwenaliti kwi-apex yomculo weHerringBone (indawo yentlanganiso yenkqubo yenkqubo ye-Posterollal kunye ne-Isthmus Ridge), umahluko we-Isthmus incinci (kwaye inkqubo yokungena ilunywa yindawo.

2. Indlela yokuPhezulu: Ukuhlangana kwe-Midline ye-Axis eguqukayo yenkqubo ethe kratya kunye ne-axis ye-chediyol engaphandle kwendawo edibeneyo ye-PART,

I-3. Kwiimeko ezinzima, lukhetho olukhuselekileyo lokususa inxenye ye-lamina kunye ne-pienta i-pedicle screws phantsi kombono othe ngqo.

I-Lumbar Screen Angle

• I-Sagittal ye-Angle : I-L1-L3 inee-5 ukuya kwezi-5 ukuya kwezi-5 ukuya kwezi-12 ukuya kwe-L4-L5 inee-10-15 degrees.

• I-Angle ethe tye ye-them : I-L1-4: Ukufana ukuya kwi-EPEPEPE; I-L5: I-10 Degrees yehlaselo lasezantsi (i-L5 vertebral ibuyela umva).

  
  

I-Lumbar Spine Ukhetho lokuKhetha

• I-L1 ~ l5 ifuna ububanzi be-6.5mm, i-40sml screwl screw

  
  

Amanyathelo okhuseleko lonyango

1. Ngaphambi kotyando, kufuneka kubekho umbono ocacileyo we-lumbar spine. Imboniselo yangaphandle ibonisa imeko ye-screw kwindawo ethe tyaba, kwaye umbono olandelayo unokubonisa isikhundla sescrew kwisikhundla esithe nkqo.

I-2. Indawo yokungena kufuneka ichaneke kwaye ikhuliswe ngokufanelekileyo, kwaye ithambo lesiqendu kwinqaku le-anchor linokususwa kukuvulwa kwepiramid yonxantathu okanye iRongeur.

3. Emva kokumisela ulwalathiso oluthile, sebenzisa amandla afanelekileyo ukuvula isekethe ngenyameko. I-prop-tip probe ayifanele ihlangane ngokuchaseneyo ngexesha lokufakwa kwenaliti. Akufuneki kubekho imvakalelo 'ukungaphumeleli' okanye ukumelana ngequbuliso. Xa ukuxhathisa kuyadibana kwi-5 ~ ye-15 ~mm, kufanele ukuba ibe lixesha. Lungisa indawo yokungena yenaliti kunye ne-engile. Ukuba uhlangabezana nokunganyangeki okuqatha, kuyacetyiswa ukuphuma kuqala kwaye ukhethe kwakhona indlela oza kuyifaka. Qiniseka ukuba ulandela ukhokelo lwe-pedicle. Ingaphakathi le-pedicle ithambo elinqamlezayo kwaye ngaphandle lithambo le-cortical, elinokukhokelwa ngokuzenzekelayo, ngokuxhomekeka ekubeni indawo yokungena ichanekile kwaye yandiswa ngokufanelekileyo; Vumela i-10-15 ° kwi-midline, fumana ingqalelo kwindiza ehambelana nomda ophezulu womzimba we-vertebral, kwaye uqonde ubunzulu bama-3cm. Ukuziva kubalulekile.

4. Kubaluleke kakhulu ukusebenzisa i-pedicle Probe yokufumana iindonga ezine, ngakumbi iindonga zangaphakathi, ezisezantsi nezisezantsi.

5. Xa umahluko we-anatomive phakathi kwe-vertebrae esezantsi kwaye i-Lumbar Vertebrae ayicacanga, ayilume inkqubo esezantsi yenkqubo, kwaye emva koko ilume ngokuthe ngqo kudonga lwangaphakathi lwe-pedicle kunye nokungena kwe-pedicle.

6. Kungcono ukuba ungaphandle kunaphakathi, nyuka uye ezantsi; Ukujikeleza kweyona nto iphambili, kwaye phambili kukungongezwa; Ngelixa uqhubela phambili kwaye ucinge, yiyeke xa ubona ubunzima, lungisa ngexesha, sebenzisa amandla omnwe, musa ukujija ngamandla.

I-7. Ububanzi besikere akufuneki budlule kwi-83% yobubanzi be-cortex yangaphandle ye-pedicle.

Ungayithenga njani i-orphopents kunye nezixhobo ze-orthopedic?

Kuba I-CZMEDICK , sinomgca opheleleyo wemveliso epheleleyo ye-Orthopery yokufakwa kwe-Orthopery kunye nezixhobo ezihambelanayo, iimveliso kubandakanya i-spine ifakinti, izipikili ze-intramellary, Iplate ye-Mouma, Ukutshixa iplate, I-cranial-maxillofacial, I-Prosthesis, izixhobo zombane, Abalungisi bangaphandle, I-Arthroscopy, Inkathalo yonyango lwezilwanyana kunye neeseti zesixhobo zazo.

Ukongeza, sizimisele ukuqhubeka nokuphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze kuhlangatyezwane neemfuno zonyango noogqirha kunye nezigulana, kwaye zenze ukuba inkampani yethu ikhuphisane kwishishini le-Orthopenic yeHlabathi yeHlabathi.

Sithumela ilizwe liphela, ukuze unako Nxibelelana nathi kwi-imeyile ye-imeyile Ingoma Ingoma Ingoma ye-imeyile I-Ngcebiso yasimahla, okanye uthumele umyalezo kwi-whatsapp yokuphendula ngokukhawuleza + 86- 18112515727 .

Ukuba ufuna ukwazi ngakumbi ulwazi, cofa I-Czemedch ukufumana iinkcukacha ezininzi.