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Instrument for anterior approach operation of thoracolumbar

A technique of thoracolumbar spine and anterior approach is applied in the field of instruments for anterior thoracolumbar spine surgery, which can solve the problems of restricted wide application, difficult exposure of diseased vertebrae, long operation time, etc. Effect

Inactive Publication Date: 2009-01-07
ZHEJIANG UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0005] Although the anterior approach has the above advantages, the traditional anterior approach also has some obvious defects, such as: large surgical trauma, difficulty in exposing the diseased vertebra, excessive bleeding during the operation, long operation time, and difficult revision, etc. These technical bottlenecks are serious It restricts its wide clinical application, especially in some grass-roots hospitals, often regards posterior surgery as the final treatment plan for all thoracolumbar fractures

Method used

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  • Instrument for anterior approach operation of thoracolumbar
  • Instrument for anterior approach operation of thoracolumbar
  • Instrument for anterior approach operation of thoracolumbar

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0033] A set of instruments provided by the present invention is composed of a long-handled retractor I, a long-handled periosteal stripper II, a long-handled osteotome III, a long-handled curette IV and a long-handled endplate curette V. The long-handled retractor I consists of a retractor tip 1, The head 2, the body 3 and the round hole 4 at the tail end; the long-handled periosteal stripper II is composed of the head 5, the body 6 and the handle 7; the long-handled osteotome III is composed of a flat cutting head 8, a body 9 and tail 10; the long-handled curette IV is composed of a blunt curette head 11 with a curved hook, a body 12 and a tapered handle 13; the long-handled endplate curette V is composed of a hollow oval curette It consists of a head 14, a body 15 and a handle 16 with a corrugated surface design.

[0034] The hook tip 1 of the long-handle drag hook 1 is used to fix the upper and lower vertebral bodies of the diseased vertebra. The head 2 is wider and has a ...

Embodiment 2

[0039] The using method of embodiment 2 in fresh frozen corpse specimen

[0040] 1. Fresh frozen cadaver specimens are taken in lateral position. Renal support is placed on both sides of the pelvis and upper chest, and the operating bed restraint belt is used to keep the trunk in the positive lateral position, which is very important for the direction of screw entry during spinal canal decompression and fixation. During the key steps of the operation, such as decompression of the spinal canal and screw fixation, it is best to ensure that the specimen is in the lateral decubitus position, so as to prevent the bone knife and screw from entering the spinal canal or damaging the paravertebral blood vessels.

[0041] 2. The surgical incision starts from the posterior axillary line, obliquely forward and downward to near the anterior axillary line, about 13-18cm. for the waist 1 Surgical specimens, select chest 12 Costal approach, incision of the left diaphragmatic crus, peeling ...

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PUM

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Abstract

The invention provides a set of instruments for anterior thoracic and lumbar vertebra surgery, comprising a long-handle drag hook I, a long-handle periosteum detacher II, a long-handle osteotome III, a long-handle curet IV and a long-handle endplate curet V; the long-handle drag hook I comprises a drag hook point 1, a head section 2, a body section 3, a back end circular hole 4; the long-handle periosteum detacher II comprises an obtuse head section 5, a body section 6 and a handle 7; the long-handle osteotome comprises a flat osteotome head 8, a body section 9 and a back end 10; the long-handle curet IV comprises an obtuse curet head 11 with hook, a body 12 and a conical handle 13; the long-handle endplate curet V comprises a hollow curet head 14 with elliptic structure, a body section 15 and a handle 16. The invention has advantages of reasonable design, easy manufacture process, and low cost. By using the instruments of the invention, smaller surgical incision, improved surgery range of vision, optimized operative procedure, reduced surgery difficulty, reduced hemorrhage in surgery and shortened surgery time can be obtained.

Description

technical field [0001] The invention belongs to surgical instruments, and relates to surgical instruments for spine surgery, and mainly relates to a set of instruments for thoracolumbar anterior surgery. Background technique [0002] Accidents such as traffic, work injury, and falling from heights are likely to cause spinal fractures, 90% of which are thoracolumbar fractures. For such fractures, especially severe blowout fractures, conservative treatment is ineffective and surgical treatment is often required. [0003] Currently, surgical treatment includes anterior surgery and posterior surgery. Due to the advantages of simple approach, few complications, and significant short-term curative effect, the posterior approach has become the most commonly used surgical method for the treatment of thoracolumbar fractures. It achieves reduction and decompression of vertebral fractures by opening the intervertebral space and tightening the anterior and posterior ligament complexes...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/56A61B17/02A61B17/32A61B17/3211A61B17/22A61B17/138
Inventor 范顺武方向前赵兴赵凤东
Owner ZHEJIANG UNIV
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