Sisitemu ya titanium yinyuma ya sisitemu yo gukosora sisitemu ya ocipitocervical, hejuru yinkondo y'umura na nyababyeyi yo hepfo ya stabilisation.
Titanium
Inkoni 3,5mm
Gukosora inkoni inyuma
Sisitemu yerekanwe hamwe nuburyo bwinshi bwo gukosora ibintu, igishushanyo mbonera cya 3.5mm gishushanyo mbonera, ibikoresho bidahwitse kumico itandukanye yubuvuzi, hamwe nuburyo bwa polyaxial screw kugirango ihindurwe neza.
Uburyo butandukanye bwo gukosora bushobora gutoranywa ukurikije ibyifuzo byabaganga nibisabwa.
Sisitemu ikoresha inkoni ya 3.5mm ya diametre ikozwe hamwe nu mwirondoro wo hasi winyuma wubaka.
Ibikoresho bidahwitse birahari kugirango dushyigikire ingeso zitandukanye zamavuriro nibyifuzo byo kubaga akazi.
Igishushanyo-gito-gishushanyo gifasha kugabanya kubyutsa ibice byoroheje bikikije inyubako.
Igishushanyo mbonera-cyiza gifasha kurinda ukuboko kwagutse kwaguka.
Igishushanyo cyihariye cya polyaxial screw gishyigikira icyerekezo ntarengwa cyerekezo kigera kuri 55 °.
Ibikubiyemo byateguwe nkamakarita agaragara kuburyo isoma neza kumurongo kuruta PDF yambere yakwirakwijwe. Komeza kumenyesha-gukoresha umwuga hejuru yiki gice mugihe utangaza.
Umurwayi ashyirwa muburyo bworoshye nko kumurongo wo hagati winkondo y'umura. Shyira ahagaragara igufwa rya ocipital, inyuma yinyuma ya atlas, hamwe na misa ya arctular na arch ya igice cyinkondo y'umura igomba guhuzwa.
Nyuma yo kumenya aho binjirira no kwinjira, igufwa rya cortical ryacukuwe hamwe na myitozo ifunguye kandi umwobo wagutse.
Icyerekezo cyinjira cyasobanuwe nkimbere kugeza hagati hagati ya misa yuruhande na 2mm hejuru. Inguni yinjira ihengamye hanze 20 ° -25 ° no yerekeza kumutwe wa 30 ° -40 °, ugereranije nubuso bwa arctular.
Gushyira neza imigozi yo hepfo yinkondo y'umura C3-C7 ifasha kugabanya imiyoboro yumugongo hamwe nimpanuka zumutima mugihe utanga uburebure bwa screw nini kandi ikosorwa neza.
Inkondo y'umura yo hepfo C3-C7: aho winjirira ni 2-5mm imbere yuruhande rwinyuma rwumwanya wuruhande na 2-3mm munsi yumutwe wubuso bwa arctular yubuso bwo hejuru. Inguni yinjira ni 30 ° -45 ° imbere yindege ya coronale, hamwe nindege ya sagittal ihwanye nu mpera yo hejuru.
Inkondo y'umura yo hejuru C1-C2: C1 yinyuma yinyuma yinyuma isobanurwa hafi 18-20mm kuruhande rwagati rwigituntu cyinyuma cya atlas, hamwe nubujyakuzimu bugenzurwa na 28mm. C2 pedicle screw yinjira isobanurwa hagati yumurongo uhagaritse hagati ya misa yegeranye, hamwe nubujyakuzimu muri rusange hafi 24-26mm.
Ibisobanuro byinjira byinjira nibisobanuro byumwuga biva muri IFU kandi biterwa nuburyo bwihariye bwo kubaga.
Koresha bito hanyuma uyobore imyitozo hanyuma umenye ubujyakuzimu. Hindura umurongo ngenderwaho kugirango ugabanye ubujyakuzimu.
Kugenzura umuvuduko wo gucukura nubujyakuzimu ukurikije amakuru yapimwe. Hagarika gucukura ako kanya umaze kugera mubwimbitse bwateganijwe kugirango wirinde kwinjirira cyane muri cortex ya vertebral no kwangiza imitsi ya periferique cyangwa tissue de vasculaire.
Kuraho umwitozo bito nyuma yumwobo urangiye kandi usukure imyanda yamagufa imbere yumwobo.
Ubujyakuzimu bw'inzira ya screw bupimwa hamwe n'uburebure bwa metero hamwe n'imigozi y'uburebure bukwiye byatoranijwe.
Niba igufwa rikomeye, gukanda birashobora gukoreshwa.
Iki gice gihindura urupapuro rwinjizwamo muburyo busobanutse bwurubuga hamwe namakarita yatunganijwe hamwe namashusho bijyanye.
Koresha screwdriver kugirango ushiremo imigozi. Shyiramo hexagon ya screwdriver muri screw rwose, hanyuma winjire mumaboko yo gufunga kugirango ushiremo umugozi.
Koresha imbaraga zifata imigozi kugirango ufashe mugushyiramo screw no guhagarara. Shyiramo muburyo bukurikiranye imigozi isigaye ikurikira icyitegererezo kimwe.
Hitamo uburebure bukwiye ukurikije anatomical curvature yumurwayi. Inkoni yaciwe kandi iboneka ukurikije uko inkoni igenda kugirango ihuze umurongo wa sagittal wumugongo.
Kwunama gukabije kandi gusubiramo bigomba kwirindwa kugirango ubungabunge ibintu bifatika. Inkoni igomba kugenzurwa neza kugirango yangiritse mbere yo kuyitera.
Fata inkoni hamwe nimbaraga zifata inkoni hanyuma uzishyire mumwanya U-shusho ya shitingi yatewe.
Ukoresheje preload wrench, shyiramo icyuma cya screw mumurongo U-shusho. Mubanze komeza umugozi umwe washyizweho hamwe na mpande esheshatu kugirango urinde inkoni by'agateganyo.
Nyuma yuko inkoni yumugongo yicaye mumwanya U-shusho ya pedicle screw, kugabanya no kugenzura ibintu birashobora gukorwa.
Kwiyunvira: gushiraho imbaraga zo kwishyiriraho ibice byegeranye bya pedicle hanyuma ugashyiraho imbaraga zo gufunga imbere kugirango wegere vertebrae hafi ukoresheje inkoni.
Kurangara: shyiramo ibirangaza hagati yimigozi ibiri yegeranye kandi urangara ku nkoni kugirango ugarure uburebure bwimbere bwatakaye kandi urekure imizi yimitsi yangiritse.
Kuzunguruka: fata inkoni hamwe na rotateur inkoni hanyuma uzenguruke inkoni yumugongo imbere muri screw U-slot kugirango uhindure kugabanuka kwa sagittal no guhuza gufungura imigozi.
Ukoresheje amaboko arwanya kuzunguruka, shyiramo icyuma cyometse mumwanya U-shusho ya screw hanyuma uyihambire by'agateganyo hamwe n'umugozi wa mpande esheshatu.
Funga imiyoboro yose ya ocipital na cervical kuva hejuru kugeza hasi, hanyuma ushyireho transvers ihuza nkuko bisabwa.
Nyuma yo kwemeza ibyifuzo byifuzwa hamwe nu mwanya watewe, kora umurongo wanyuma wibice byose byashizweho ukoresheje icyerekezo cyagabanijwe.
Menya neza ko ibice byose bifunze neza kandi ibyubaka birahagaze mbere yo gufunga ibikomere.
Icyitonderwa: torque igabanya umurongo nigikoresho kidahinduka kandi igurishwa ukwayo.
Emeza guhuza, umwanya watewe, gufunga ibice no kubaka ituze mbere yo gufunga.
Imbonerahamwe ikurikira ihindura amakuru yibicuruzwa bya PDF mumeza yurubuga rusubiza kugirango byoroshye gushakisha no kwerekana.
| Uburebure | Diameter | bwa |
|---|---|---|
| CPPS3512 | Φ3.5 | 12mm |
| CPPS3514 | Φ3.5 | 14mm |
| CPPS3516 | Φ3.5 | 16mm |
| CPPS3518 | Φ3.5 | 18mm |
| CPPS3520 | Φ3.5 | 20mm |
| CPPS3522 | Φ3.5 | 22mm |
| CPPS3524 | Φ3.5 | 24mm |
| CPPS3526 | Φ3.5 | 26mm |
| CPPS3528 | Φ3.5 | 28mm |
| CPPS3530 | Φ3.5 | 30mm |
| CPPS4010 | Φ4.0 | 10mm |
| CPPS4012 | Φ4.0 | 12mm |
| CPPS4014 | Φ4.0 | 14mm |
| CPPS4016 | Φ4.0 | 16mm |
| CPPS4018 | Φ4.0 | 18mm |
| CPPS4020 | Φ4.0 | 20mm |
| CPPS4022 | Φ4.0 | 22mm |
| CPPS4024 | Φ4.0 | 24mm |
| CPPS4026 | Φ4.0 | 26mm |
| CPPS4028 | Φ4.0 | 28mm |
| CPPS4030 | Φ4.0 | 30mm |
| REF | Ibisobanuro bya |
|---|---|
| RJHHL35 | 35mm |
| RJHHL40 | 40mm |
| RJHHL45 | 45mm |
| Uburebure | |
|---|---|
| TB35100 | 100mm |
| TB35200 | 200mm |
| REF | Ibisobanuro bya |
|---|---|
| RJHZG | / |
Ibikoresho byashizweho byateguwe kuva kumeza yumwimerere ya PDF muburyo buringaniye, bushimishije kurubuga.
Buri gikoresho cyashyizwe ku rutonde gitangwa nubwinshi 1 ukurikije imbonerahamwe yumwimerere yashizweho.
