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Atlantoaxial pedicle screw guide and preparation method therefor

A technology of vertebral pedicles and guides, which is applied in the field of medical materials and preparations, can solve the problems of high cost of SLA systems, complex software system operations, and harsh working environment requirements, and achieve great scientific research value and clinical use significance, and overcome technical problems. Field bottlenecks, the effect of improving surgical accuracy

Inactive Publication Date: 2015-01-28
XIEHE HOSPITAL ATTACHED TO TONGJI MEDICAL COLLEGE HUAZHONG SCI & TECH UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

But there are the following disadvantages: ① At the patient level, shrinkage occurs during the curing process of the resin, which inevitably generates stress or causes deformation, so the precision of the manufactured guide is low
The atlantoaxial screw placement requires very high precision, and the screw placement error caused by the accuracy of the guide may cause vertebral artery injury, cervical spinal cord injury, paralysis or death in the patient; ②At the hospital level, the cost of the SLA system High, its use and maintenance costs are too high, and most domestic hospitals cannot obtain such high-priced industrial-grade manufacturing equipment. Even if the equipment is purchased, the human and economic costs of maintaining the equipment are quite high, so it cannot be promoted in domestic hospitals; At the doctor’s level, the SLA system is a precision device that operates on liquids. It has strict requirements on the working environment. The molded parts are mostly resin, with limited strength, stiffness, and heat resistance, which is not conducive to long-term storage. Therefore, in the preparation process of the guide The great challenge faced by TCM doctors
④ On the level of engineering technology, preprocessing software and driver software have a large amount of calculations, are too highly correlated with processing effects, and the operation of the software system is complicated. The preparation of the guider entity requires special personnel to operate and maintain it. Requires repeated design discussions with orthopedic surgeons, consuming a lot of time
The deficiencies of the above-mentioned levels determine that this technology cannot be widely applied clinically at present.

Method used

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  • Atlantoaxial pedicle screw guide and preparation method therefor
  • Atlantoaxial pedicle screw guide and preparation method therefor
  • Atlantoaxial pedicle screw guide and preparation method therefor

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Embodiment 1

[0026] Step 1: Obtain the (CT--Dicom) data of the patient with atlantoaxial fracture / dislocation and record it, first record the patient’s name, hospital number and admission time, and obtain the patient’s atlantoaxial data from the PACS system in the CT room of our hospital. Axis CT (0.5mm) thin-slice scan data, including TOP image data, will be recorded on a CD. After the data is imported into the DVO-3DP work platform, the metadata is confirmed first, and after the point cloud data is confirmed to meet the target requirements, the 3D work plane is set. Then use the threshold calculation tool to select the threshold, and select the "skeletal structure" that comes with the system to obtain the division of the skeletal structure. At this time, if the structure division is not clear, return to the threshold calculation tool to manually select the required threshold. If the target structure is clearly divided, enter skin generation to generate the original skin. After obtainin...

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Abstract

The invention provides an atlantoaxial pedicle screw guide and a preparation method therefor. The method is that a hospital PACS (picture archiving and communication system) system obtains atlantoaxial fracture data or CT (computed tomography) scan data of cervical dislocation of a patient; based on the data, and a 3D design and print work platform of digital visualized orthopedics is used for designing and preparing the atlantoaxial pedicle screw guide. The atlantoaxial pedicle screw guide and the preparation method therefor has the advantages of being high in accuracy, easy to operate and low in cost. Furthermore, the atlantoaxial pedicle screw guide and the preparation method therefor is capable of making complex and high-risk atlantoaxial fixation surgery accurate, safe and easy to operate under the accurate guide of the guide, surgery accuracy is greatly improved, and the risk of the surgery is reduced.

Description

technical field [0001] The invention belongs to medical materials and a preparation method, in particular to an atlantoaxial pedicle screw guide and a preparation method thereof. Background technique [0002] In recent years, with the rapid development of the modern construction industry and the transportation industry, the incidence of cervical spine injuries has also increased significantly. Atlantoaxial compound fractures account for 3% of all cervical spine acute injuries, 43% of all atlas fractures and 16% of axis fractures. Almost all patients had a clear history of trauma. Such as traffic accidents, sports, diving, injuries from falling from heights, heavy head impacts, falls, etc., neck pain and limited mobility after injury. Due to its anatomical characteristics, the upper cervical spine is extremely unstable after the injury and the patient is in a high-risk state. It is very easy to stretch and compress the medulla oblongata or cervical cord and endanger life. ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/90
CPCA61B17/88A61B17/90
Inventor 叶哲伟吴星火刘融彭义兵李忠怡安颖陆林杨述华邵增务
Owner XIEHE HOSPITAL ATTACHED TO TONGJI MEDICAL COLLEGE HUAZHONG SCI & TECH UNIV
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