腰椎滑脱的手术治疗介绍.ppt

Initial Distract ion 2-8 Dilator (PLIF SG) Spreaders (PLIF SG) Nerve Root Retraction Disc RemovalCup Curettes(10o Up Angle) Straight Left Right Angled Straight w/ Teeth Disc RemovalRing Curettes Straight (10o Up Angle) Angled Disc RemovalDown Biting Curettes Straight Offset Disc RemovalChondrotomes Left Right Angled Disc RemovalRongeurs Straight (4 6mm) Angled (4 6mm) Endplate Preparation Straight Angled Osteotomes Bone GraftBone Tamps Straight Curved Offset Angled Trial and Implant Insertion VG2 VG2 手术探查发现神经根嵌压有几种因素 腰4神经根可被腰4椎体后下缘骨赘压迫 腰5神经根可被腰5椎体后上、下缘及其 上关节突