Tsarin gyaran kashin baya na titanium don occipitocervical, babba na mahaifa da aikace-aikacen daidaitawar mahaifa.
Titanium
3.5mm kafaffen sanda
Screw-rod na baya gyarawa
An gabatar da tsarin tare da hanyoyin gyaran gyare-gyaren occipital da yawa, ƙirar sandar ƙirar 3.5mm mai ƙarancin ƙima, kayan zaɓin zaɓi don halaye daban-daban na asibiti, da tsarin dunƙule polyaxial don daidaitawar ginin sassauƙa.
Za'a iya zaɓar hanyoyin gyara occipital daban-daban bisa ga zaɓin likitan fiɗa da buƙatun yanayin.
Tsarin yana amfani da ƙayyadaddun sanda na diamita na 3.5mm tare da ƙaƙƙarfan ginin ƙira na baya.
Akwai kayan aikin zaɓi don tallafawa halaye daban-daban na asibiti da zaɓin aikin aikin tiyata.
Ƙirƙirar ƙananan ƙira yana taimakawa rage haɓakar nama mai laushi da ke kewaye da ginin.
Ƙirar zaren kusurwa mara kyau yana taimakawa hana hannun dunƙule daga faɗaɗa.
Tsarin dunƙule polyaxial-tsari na musamman yana goyan bayan matsakaicin motsi na unidirectional har zuwa 55°.
An tsara abun cikin tsarin azaman katunan gani don haka yana karanta mafi kyawun kan layi fiye da ainihin yada PDF. Ajiye sanarwar amfani da ƙwararru sama da wannan sashe lokacin bugawa.
An sanya majiyyaci a cikin matsayi mai sauƙi kamar madaidaicin layin tsakiya na baya na mahaifa. Fitar da kashi occipital, baka na atlas na baya, da taro na articular da baka na sashin mahaifa wanda ke buƙatar haɗawa.
Bayan ƙayyade wurin shigarwa da kusurwar shigarwa, an zubar da kashi na cortical tare da buɗaɗɗen buɗaɗɗen ramin kuma an kara girman ramin.
An siffanta wurin shigar dunƙule a matsayin ciki zuwa tsakiyar wurin taro na gefe da 2mm zuwa sama. An karkatar da kusurwar shigarwa zuwa waje 20°-25° kuma zuwa ƙarshen kai 30°-40°, a layi daya da saman da ke kusa.
Matsayin da ya dace na ƙananan igiyoyin C3-C7 na mahaifa yana taimakawa rage girman jijiyar vertebral da haɗarin jijiya yayin samar da matsakaicin tsayin dunƙulewa da ingantaccen gyarawa.
Ƙananan C3-C7 na mahaifa: maɓallin shigarwar dunƙule shine 2-5mm a cikin gefen waje na shingen gefe da 2-3mm a ƙasa da tushe na fuskar bangon bango na saman fuska. Matsakaicin shigarwa shine 30 ° -45 ° a cikin jirgin sama na coronal, tare da sagittal jirgin sama a layi daya zuwa saman ƙarshen ƙarshen.
Upper cervical C1-C2: C1 na gefe taro dunƙule shigarwa an bayyana a kusa da 18-20mm kusa da tsakiyar tsakiyar tubercle na atlas, tare da zurfin sarrafawa a game da 28mm. C2 pedicle dunƙule shigarwa an bayyana shi a tsakiyar tsakiyar layi na tsaye a tsakiyar taro na gefe, tare da zurfin kusan 24-26mm.
Waɗannan kwalayen shigarwar dunƙule ƙwararrun abubuwan tunani ne daga IFU kuma sun dogara da takamaiman yanayin tiyata.
Yi amfani da ɗigon rawar soja da jagora don haƙowa da ƙayyade zurfin da za a haƙa. Daidaita jagorar zuwa ma'auni mai dacewa don iyakance zurfin.
Sarrafa saurin hakowa da zurfin zurfi gwargwadon bayanan da aka auna. Dakatar da hakowa nan da nan da zarar an kai zurfin da aka kayyade don gujewa wuce gona da iri na cortex na vertebral da lalacewa ga jijiyar gefe ko nama.
Cire ramin rawar jiki bayan an gama ramin kuma a tsaftace tarkacen kashi a cikin ramin matukin.
Ana auna zurfin hanyar ƙullewa tare da ma'auni mai zurfi kuma an zaɓi screws na tsawon da ya dace.
Idan kashi yana da wuya, ana iya amfani da tapping.
Wannan sashe yana jujjuya shafukan shigar da shuka zuwa madaidaicin shimfidar gidan yanar gizo tare da raba katunan tsari da hotuna masu alaƙa.
Yi amfani da screwdriver don dasa sukurori. Saka hexagon na screwdriver a cikin dunƙule gaba ɗaya, sannan a dunƙule cikin hannun rigar kulle don dasa dunƙule.
Yi amfani da ƙarfi-riƙe don taimakawa wajen saka dunƙule da sakawa. Saka sauran sukurori bi tsarin tsari iri ɗaya.
Zaɓi tsayin sandan da ya dace bisa ga curvature na majiyyaci. An yanke sandar kuma an riga an yi shi bisa ga motsin sanda don ɗaukar madaidaicin sagittal na kashin baya.
Yakamata a guji yawan lanƙwasawa da maimaitawa don kiyaye mutuncin abin duniya. Ya kamata a duba sandar a hankali don lalacewa kafin a dasa.
Riƙe sandar tare da ƙwanƙolin riƙon sanda kuma sanya shi cikin ramukan U-dimbin yawa na sukurori da aka dasa.
Yin amfani da maƙallan da aka riga aka yi lodi, saka filogi mai dunƙulewa cikin ramin zaren U-dimbin yawa. Da farko saitin dunƙule saiti ɗaya tare da maƙarƙashiyar hexagonal don tabbatar da sandar na ɗan lokaci.
Bayan an zaunar da sandar kashin baya a cikin ramukan U-dimbin yawa na screws, za a iya yin raguwa da motsin motsi.
Matsawa: Haɗa ƙarfin matsawa akan screws kusa da pedicle kuma yi amfani da ƙarfin rufewa na ciki don zana kashin baya biyu kusa ta hanyar haɗin sanda.
Ragewa: shigar da mai karkatar da hankali tsakanin sukurori biyu masu kusa da kuma karkatar da hankali tare da sanda don dawo da tsayin intervertebral da ya ɓace da sakin tushen jijiya da aka matsa.
Juyawa: Rike sandar tare da masu jujjuya sanduna kuma juya sandar kashin baya a cikin dunƙule U-slot don daidaita sagittal curvature da daidaita buɗewar dunƙule.
Yin amfani da hannun rigar jujjuyawa, saka filogin dunƙule a cikin ramin mai siffa U na dunƙule sannan a danne shi na ɗan lokaci tare da maƙarƙashiyar hexagonal.
Kulle duk abin da ke kusa da ido da na mahaifa daga sama zuwa kasa, kuma dasa masu haɗin kai kamar yadda ake buƙata.
Bayan tabbatar da daidaitawar da ake so da wurin dasa, yi ƙarar ƙarar duk saitin sukurori ta amfani da ƙayyadadden maƙarƙashiya mai iyakance karfin juyi.
Tabbatar cewa duk abubuwan da aka gyara suna kulle amintacce kuma ginin ya tsaya tsayin daka kafin rufewar rauni.
Lura: maƙarƙashiyar ƙayyadaddun juzu'i kayan haɗi ne na zaɓi kuma ana siyar dashi daban.
Tabbatar da jeri, matsayi na sakawa, kulle sassa da gina kwanciyar hankali kafin rufewa.
Teburan da ke ƙasa suna juyar da bayanin samfurin PDF zuwa teburin gidan yanar gizo masu amsawa don sauƙin bincike da ƙididdigewa.
| REF | Diamita | Tsawon |
|---|---|---|
| Saukewa: CPPS3512 | Φ3.5 | 12mm ku |
| Saukewa: CPPS3514 | Φ3.5 | 14mm ku |
| Saukewa: CPPS3516 | Φ3.5 | 16mm ku |
| Saukewa: CPPS3518 | Φ3.5 | 18mm ku |
| Saukewa: CPPS3520 | Φ3.5 | 20mm ku |
| Saukewa: CPPS3522 | Φ3.5 | 22mm ku |
| Saukewa: CPPS3524 | Φ3.5 | 24mm ku |
| Saukewa: CPPS3526 | Φ3.5 | 26mm ku |
| Saukewa: CPPS3528 | Φ3.5 | 28mm ku |
| Saukewa: CPPS3530 | Φ3.5 | 30mm ku |
| Saukewa: CPPS4010 | Φ4.0 | 10 mm |
| Saukewa: CPPS4012 | Φ4.0 | 12mm ku |
| Saukewa: CPPS4014 | Φ4.0 | 14mm ku |
| Saukewa: CPPS4016 | Φ4.0 | 16mm ku |
| Saukewa: CPPS4018 | Φ4.0 | 18mm ku |
| Saukewa: CPPS4020 | Φ4.0 | 20mm ku |
| Saukewa: CPPS4022 | Φ4.0 | 22mm ku |
| Saukewa: CPPS4024 | Φ4.0 | 24mm ku |
| Saukewa: CPPS4026 | Φ4.0 | 26mm ku |
| Saukewa: CPPS4028 | Φ4.0 | 28mm ku |
| Saukewa: CPPS4030 | Φ4.0 | 30mm ku |
| REF | Bayanin |
|---|---|
| RJHHL35 | 35mm ku |
| RJHHL40 | 40mm ku |
| RJHHL45 | 45mm ku |
| REF | Tsawon |
|---|---|
| Saukewa: TB35100 | 100mm |
| TB35200 | 200mm |
| REF | Bayanin |
|---|---|
| RJHZG | / |
An tsara bayanan saitin kayan aiki daga tebur na asali na PDF zuwa madaidaitan, shimfidar tsari na abokantaka na yanar gizo.
Ana ba da kowane kayan aikin da aka jera tare da adadi 1 bisa ga tebur na asali na kayan aikin.
