脊柱：Implants Azur GB幻灯片.ppt

介绍 AZUR 后路 - 产品种类 - 手术操作 颈枕融合 和胸枕融合 - 产品种类 - 手术操作 AZUR 前路 - 产品种类 - 手术操作 工具 文献 Introduction 框架结构原理 三部分：钉/钩、纵向的钛棒、横连接 从枕骨至骶骨 AZUR Posterior Implants AZUR Anterior Technique Exposure - Incise the pre-vertebral pleura and stop the intercoastal vessels. - Use a flexible blade to recline the pleura and the vessels. AZUR Anterior Technique Discectomy Discectomy at each stage AZUR Anterior Technique Refresh the plates at each stage AZUR Anterior Technique Installation of the plate On the lateral face of the vertebral body. AZUR Anterior Technique Screwing of the posterior screw Introduce the first screw in the frontal plane of the vertebra. AZUR Anterior Technique Screwing of the anterior screw Insert the second screw slanted backward towards the controlateral pedicle. AZUR Posterior 钉的用法 5. 加压 – 撑开 – 消旋 – 原位弯棒 Technique Place the compression or distraction forceps. The jaws of the forceps must bear on the rod and on the intermediate heads. 加压 撑开 AZUR Posterior 钉的用法 5. 加压 – 撑开 – 消旋 – 原位弯棒 Technique 消旋 原位弯棒 AZUR Posterior 钉的用法 6. 最终锁定 Technique AZUR Posterior 钉的用法 7. 骶骨固定 : 多选择 Technique 骶骨棒 棒压入椎弓根钉钉槽. 安装锁定螺母，暂不锁紧。 棒任可滑动 – 在 S1置钉. S2置钉. 拧紧骶骨钉 – 装锁定螺母. 逐一拧紧所有的锁定螺母. 骶骨固定只用骶骨钉. 骶骨钉的长度指头部以下的全长 AZUR Posterior 钉的用法 7. 骶骨固定 : 多选择 Technique 骶骨块固定 Install the sacral fixation block with two sacral screws. The head must remain mobile. Bend the rod then clip it inside the pedicular heads. Clip the rod into the sacral fixation block. Install the locking screws. The rod remains mobile. The assembly remains mobile and can be moved before locking. The fixation in the sacrum is made with sacral screws only. The length of the sacral screws is equal to the length under the head. AZUR Posterior 钉的用法 7. 骶骨固定 : 多选择 Technique 骶髂固定 （带锁髂骨块和髂骨钉） 按生理曲线弯棒. 腰椎椎弓根钉上棒. 棒外旋 使其紧贴髂骨。 延棒上两个髂骨块。 打髂骨钉 锁紧髂骨块 闭口钩植入器 闭口钩 植入器 开口钩植入器 椎弓根探子 椎板探子 横突探子 探子 开口钩植入器 Assemble inst