微创通道减压经皮椎弓根固定治疗 腰椎退变性疾病.ppt

* OBJECTIVE: Feature M8 MAS as the system of choice for front back techniques and thoracic fixation. KEY USERS: Polly and Lowe are proponents of Thoracic screw fixation. Polly featured prominently at this year’s SRS in support of thoracic fixation. Whitecloud is working with Interbody on the TLIF technique, which features M8 MAS as the rod system. CURRENT STATUS: Positive feedback: “Easiest first case I’ve ever had” and “Fucking awesome!” Several comments on easier threading and good bite in the bone. Negative feedback: “It sucks. At least that’s what I’m telling everyone so I can get more.” A couple requests for a plug-starting tool to prevent cross-threading… being addressed in development. Education pieces on proper instrument usage (counter-torque) in process to address occasional concern about head splay. KEY MILESTONES: Initial focus is on key competitive users. Year-end and into the new year is on high-profile accounts. Full marketing/commercial launch will open the doors to upgrades, trade-outs, consignments, and heavy cannibalization of M10 MAS for a 5.5mm rod. 4.5 5.0 screws filing for 510(k) - expecting response in December - targeting January availability. 微创通道减压经皮椎弓根固定治疗 腰椎退变性疾病 常见腰椎退变性疾病 腰椎间盘突出症 腰椎管狭窄 腰椎滑脱症 盘源性腰痛等 传统开放手术缺点 手术切口大、出血多 术后腰背疼发生率高 恢复时间长 随着内窥镜技术及医疗器械改进、影像技术的发展，微创手术应用越来越广  手术方法 定位 置剥离套管、扩张 减压、取髓核 椎间植骨并植入融合器 经皮椎弓根固定 经皮椎弓根定位 导丝置入、放置套管 打入固定钉 经皮置入连接棒 通道直视下也可置入椎弓根钉 定位 打入椎弓根钉 上连接棒 缝 合 临床资料 2009.1-2013.5 28例 男13例 女15例 退变性椎管狭窄 12例 腰椎滑脱 8例 腰椎间盘突出 6例 盘源性腰痛 2例 结果 随访时间10-36个月 27例骨性融合 1例融合不完全 VAS(3.62±0.39评分及ODI评分（18.61±1.32) 较术前明显改善 典型病例 术前 术后 典型病例 术前 * OBJECTIVE: Feature M8 MAS as the system of choice for front back techniques and thoracic fixation. KEY USERS: Polly and Lowe are proponents of Thoracic screw fixation. Polly featured prominently at this year’s SRS in support of thoracic fixation. Whitecl