Titanium posterior spinal fixation system bakeng sa ts'ebetso ea occipitocervical, e ka holimo ea mokokotlo oa mokokotlo le mekhoa e tlaase ea ho tsitsisa mokokotlo oa mokokotlo.
Titanium
3.5mm molamu o tsitsitseng
Screw-rod posterior fixation
Sistimi e hlahisoa ka mekhoa e mengata ea ho lokisa occipital, moralo o tlase oa molamu oa 3.5mm, lisebelisoa tsa boikhethelo bakeng sa mekhoa e fapaneng ea kliniki, le sebopeho sa screw ea polyaxial bakeng sa phetoho e bonolo ea kaho.
Mekhoa e fapaneng ea ho lokisa occipital e ka khethoa ho latela khetho ea ngaka le litlhoko tsa linyeoe.
Sistimi e sebelisa molamu o tsitsitseng oa bophara ba 3.5mm ka moaho o ka morao oa boemo bo tlase.
Lisebelisoa tsa boikhethelo li teng ho ts'ehetsa mekhoa e fapaneng ea kliniki le likhetho tsa tšebetso ea ho buoa.
Moralo oa boemo bo tlase o thusa ho fokotsa ts'usumetso ea lisele tse bonolo tse potolohileng moaho.
Moralo oa khoele ea li-angle-negative o thusa ho thibela letsoho la screw ho hola.
Moralo o khethehileng oa sebopeho sa polyaxial screw o ts'ehetsa motsamao o phahameng oa unidirectional ho fihla ho 55 °.
Litaba tsa ts'ebetso li hlophisitsoe joalo ka likarete tse bonoang kahoo li baleha hantle inthaneteng ho feta phatlalatso ea pele ea PDF. Boloka tsebiso ea tšebeliso ea litsebi ka holimo ho karolo ena ha u hatisa.
Mokuli o behiloe sebakeng se tloaelehileng joaloka mokhoa o tloaelehileng oa midline posterior posterior cervical incision. Hlahisa lesapo la occipital, mokokotlo o ka morao oa atlas, le boima ba articular le arch ea karolo ea cervical e hlokang ho kopanngoa.
Ka mor'a ho fumana sebaka sa ho kena le sekhutlo sa ho kena, lesapo la cortical le phunyeletsoa ka ho phunya ho bulehileng 'me lesoba le atolosoa.
Sebaka sa ho kena sa screw se hlalosoa se le kahare ho ntlha e bohareng ea boima ba lehlakore le 2mm ho ea holimo. Lehlakore la ho kena le sekamisitsoe ka ntle ho 20 ° -25 ° 'me ho ea qetellong ea hlooho 30 ° -40 °, e bapileng le sebaka se haufi sa articular.
Ho beoa ka nepo ha li-screw tsa C3-C7 tse tlase ho thusa ho fokotsa kotsi ea methapo ea kutlo le kotsi ea methapo ha e ntse e fana ka bolelele bo boholo ba screw le fixation e nepahetseng.
C3-C7 ea cervical e ka tlase: ntlha ea ho kena ka screw ke 2-5mm ka hare ho moeli o ka ntle oa karolo e ka thōko le 2-3mm ka tlas'a motheo oa bokaholimo ba karolo e ka holimo. Sebaka sa ho kena ke 30 ° -45 ° ka har'a sefofane sa coronal, 'me sefofane sa sagittal se bapa le ntlha e ka holimo.
C1-C2 ea cervical e ka holimo: C1 lateral mass screw entry e hlalosoa ho pota 18-20mm ka thōko ho bohareng ba tubercle e ka morao ea atlas, ka botebo bo laoloang hoo e ka bang 28mm. C2 pedicle screw entry e hlalosoa bohareng ba mola o otlolohileng bohareng ba boima ba lateral, ka botebo ka kakaretso e ka bang 24-26mm.
Litlhaloso tsena tsa ho kena ka screw ke litaba tsa profeshenale tse tsoang ho IFU mme li ipapisitse le boemo bo ikhethileng ba ho buuoa.
Sebelisa boro le tataiso ho phunya le ho fumana botebo bo lokelang ho chekoa. Fetola tataiso ho sekala se tsamaisanang ho fokotsa botebo.
Laola lebelo le botebo ba ho cheka ka thata ho latela data e lekantsoeng. Emisa ho cheka hang hang ha u fihla botebong bo reriloeng esale pele ho qoba ho kenella ho fetelletseng ha vertebral cortex le tšenyo ea methapo ea kutlo kapa lisele tsa vascular.
Tlosa sekoti ka mor'a hore sekoti se phethoe 'me u hloekise lithōle tsa masapo ka har'a lesoba la sefofane.
Botebo ba tsela ea screw bo lekanngoa ka tekanyo ea botebo 'me ho khethoa likurufu tsa bolelele bo loketseng.
Haeba lesapo le le thata, ho tlanya ho ka sebelisoa.
Karolo ena e fetola maqephe a kentsoeng a kenngoeng hore e be sebopeho se hlakileng sa tepo se nang le likarete tse arohaneng tsa tsamaiso le litšoantšo tse amanang.
Sebelisa screwdriver ho kenya likurufu. Kenya hexagon ea screwdriver ka har'a screw ka ho feletseng, ebe u screw ka har'a sleeve e notlelang ho kenya screwdriver.
Sebelisa li-screw-hold forceps ho thusa ho kenya screw le ho beha boemo. Kenya likurufu tse setseng ka tatellano ho latela thempleite e ts'oanang ea ts'ebetso.
Khetha bolelele ba molamu o loketseng ho latela sebopeho sa anatomical sa mokuli. Molamu oa khaoloa 'me o koetsoe ho ea ka motsamao oa molamu ho amohela lekhalo la sagittal la mokokotlo.
Ho kobeha ho feteletseng le khafetsa ho lokela ho qojoa ho boloka botšepehi ba lintho tse bonahalang. Molamu o lokela ho hlahlojoa ka hloko pele o kenngoa.
Tšoara molamu o nang le li-forceps tse tšoarang molamu 'me u li behe ka har'a li-slots tse bōpehileng joaloka U tsa likurufu tse kentsoeng.
U sebelisa sekoahelo sa preload, kenya plug ea screw ka har'a sekotjana sa khoele sa U-shaped. Qalong tiisa sekoti se le seng ka sepane sa hexagonal ho tiisa molamu nakwana.
Ka mor'a hore molamu oa mokokotlo o lutse ka har'a likoti tsa 'U-shaped' tsa 'screw' tsa pedicle, ho ka etsoa mekhoa ea ho fokotsa le ho etsa contouring.
Khatello: beha li-compression forceps holim'a li-screw tse haufi 'me u sebelise matla a ka hare a koalang ho atamela li-vertebrae tse peli ka khokahanyo ea molamu.
Ho kheloha: kenya tšitiso lipakeng tsa li-screw tse peli tse haufi 'me u khelose ka molamu ho khutlisa bophahamo bo lahlehileng ba intervertebral le ho lokolla metso e hatelitsoeng ea methapo.
Rotation: tšoara molamu ka rod rotator 'me u potolose lesapo la mokokotlo ka hare ho screw U-slot ho lokisa sagittal curvature le ho hokahanya li-screw.
U sebelisa sekoahelo se thibelang ho potoloha, kenya polaka ea screw ka har'a sekoti se bōpehileng joaloka U 'me u se tiise nakoana ka sepane sa hexagonal.
Notlela likurufu tsohle tsa occipital le tsa molomo oa popelo ho tloha holimo ho ea tlase, 'me u kenye likhokahanyo tse tšekaletseng kamoo ho hlokahalang.
Ka mor'a ho netefatsa tekano e lakatsehang le boemo ba ho kenngoe, etsa tightening ea ho qetela ea li-screw tsohle tse setetsoeng u sebelisa wrench e hlalositsoeng ea torque-limiting.
Netefatsa hore likarolo tsohle li notletsoe ka mokhoa o sireletsehileng 'me mohaho o tsitsitse pele leqeba le koaloa.
Tlhokomeliso: wrench e fokotsang torque ke sesebelisoa sa boikhethelo 'me se rekisoa ka thoko.
Netefatsa tekano, boemo ba ho kenya, ho notlela karolo le ho aha botsitso pele ho koaloa.
Litafole tse ka tlase li fetolela tlhahisoleseling ea sehlahisoa sa PDF hore e be litafole tsa sebaka sa marang-rang bakeng sa ho bala habonolo le ho fana ka index.
| REF | Diameter | Bolelele |
|---|---|---|
| CPPS3512 | Φ3.5 | 12 limilimithara |
| CPPS3514 | Φ3.5 | 14 limilimithara |
| CPPS3516 | Φ3.5 | 16 limilimithara |
| CPPS3518 | Φ3.5 | 18mm |
| CPPS3520 | Φ3.5 | 20 limilimithara |
| CPPS3522 | Φ3.5 | 22 limilimithara |
| CPPS3524 | Φ3.5 | 24 limilimithara |
| CPPS3526 | Φ3.5 | 26 limilimithara |
| CPPS3528 | Φ3.5 | 28mm |
| CPPS3530 | Φ3.5 | 30 limilimithara |
| CPPS4010 | Φ4.0 | 10 limilimithara |
| CPPS4012 | Φ4.0 | 12 limilimithara |
| CPPS4014 | Φ4.0 | 14 limilimithara |
| CPPS4016 | Φ4.0 | 16 limilimithara |
| CPPS4018 | Φ4.0 | 18mm |
| CPPS4020 | Φ4.0 | 20 limilimithara |
| CPPS4022 | Φ4.0 | 22 limilimithara |
| CPPS4024 | Φ4.0 | 24 limilimithara |
| CPPS4026 | Φ4.0 | 26 limilimithara |
| CPPS4028 | Φ4.0 | 28mm |
| CPPS4030 | Φ4.0 | 30 limilimithara |
| REF | Tlhaloso ea |
|---|---|
| RJHHL35 | 35 limilimithara |
| RJHHL40 | 40 limilimithara |
| RJHHL45 | 45 limilimithara |
| REF | Bolelele |
|---|---|
| TB35100 | 100mm |
| TB35200 | 200mm |
| REF | Tlhaloso ea |
|---|---|
| RJHZG | / |
Tlhahisoleseding ea sete ea liletsa e hlophisitsoe ho tloha tafoleng ea pele ea PDF ho ea ho peakanyo e leka-lekaneng, e bonolo ea websaete.
Sesebelisoa se seng le se seng se thathamisitsoeng se fanoe ka bongata ba 1 ho latela tafole ea sete ea sesebelisoa sa mantlha.
