腰椎椎弓根钉植入方法（Lumbar pedicle screw implantation）.docVIP

腰椎椎弓根钉植入方法（Lumbar pedicle screw implantation） Pedicle screw pedicle screw may be the most accurate method Department of orthopedics backward comrade in arms: Operation room in 1/ hospital must have C arm X ray machine, if not, dont do it! 2/ must be CT scan before Shiumi Nes operation. Purpose: 1-- routinely excluded Shiumi Ne congenital variation.2- measurements The width of the pedicle determines the diameter of the nail..3- measures the angle of the pedicle and the longitudinal axis of the vertebral body, e angles Before the 3/ surgery, the patients were placed in the C arm X ray machine and the surgical table was taken to record the lateral vertebrae of the patient, and the Zhui Gonggen was calculated The angle from the vertical line of the operating bed, that is, F angle 4/ placement of the needle: after exposing the bilateral articular processes, the operation clamps the articular process and takes the spinal instrumentation The position of the clamp is positioned at the needle point The 5/ pedicle stereotactic instrument, which we recently invented, measures pedicle insertion from two perpendicular planes Because, in three-dimensional space, the angles of the two planes perpendicular to each other can completely nail the space of any line Angle, think about it!!! In 6/, the direction of the pedicle probe or the three pyramid is accurately controlled by the f angle and e angle, which is read by the pedicle three-dimensional directional instrument The key to pedicle screw penetration is how to operate the f angle and e angle, if you can design a device You can make accurate comparisons, and you can also say, pedicle screws may be the most accurate way to do it!!!!! has been found Now, intraoperative navigation has emerged, its high-tech, but it wont spread very soon Assenlee comrade in arms: The placement of an accurate pedicle screw depends on a number of parameters: nail point, e angle, f angle, screw diameter, and nail depth. The latter 4 parameters can be m