CN110060532A - Percutaneous vertbroplasty pedicle of vertebral arch locating guide device and its operating method - Google Patents
Percutaneous vertbroplasty pedicle of vertebral arch locating guide device and its operating method Download PDFInfo
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- CN110060532A CN110060532A CN201910324998.3A CN201910324998A CN110060532A CN 110060532 A CN110060532 A CN 110060532A CN 201910324998 A CN201910324998 A CN 201910324998A CN 110060532 A CN110060532 A CN 110060532A
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- 238000011017 operating method Methods 0.000 title claims abstract description 9
- 238000000034 method Methods 0.000 claims abstract description 82
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims abstract description 44
- 241000135309 Processus Species 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims 1
- 230000037431 insertion Effects 0.000 claims 1
- 238000004088 simulation Methods 0.000 abstract description 6
- 238000006073 displacement reaction Methods 0.000 abstract description 4
- 239000008280 blood Substances 0.000 abstract description 2
- 210000004369 blood Anatomy 0.000 abstract description 2
- 238000004904 shortening Methods 0.000 abstract description 2
- 238000010586 diagram Methods 0.000 description 12
- 238000000354 decomposition reaction Methods 0.000 description 3
- 206010002091 Anaesthesia Diseases 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 238000001949 anaesthesia Methods 0.000 description 2
- 230000036407 pain Effects 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- FFBHFFJDDLITSX-UHFFFAOYSA-N benzyl N-[2-hydroxy-4-(3-oxomorpholin-4-yl)phenyl]carbamate Chemical compound OC1=C(NC(=O)OCC2=CC=CC=C2)C=CC(=C1)N1CCOCC1=O FFBHFFJDDLITSX-UHFFFAOYSA-N 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
- G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B9/00—Simulators for teaching or training purposes
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Abstract
The invention discloses percutaneous vertbroplasty pedicle of vertebral arch locating guide devices, sleeve including being equipped with puncturing hole, it further include spinous process fixed link, spinous process fixed link is vertically connected with graduated scale, graduated scale sliding is equipped with sliding bar, sliding bar is respectively perpendicular to graduated scale and spinous process fixed link, and sliding bar rotation is equipped with pedestal, and the rotation axis of pedestal is respectively perpendicular to sliding bar and spinous process fixed link；Sleeve is connected in pedestal, and pedestal is installed with angle scale, and sleeve and angle scale are respectively perpendicular to the rotation axis of pedestal.Its operating method is also disclosed in this patent, by spinous process fixed link be fixed on spinous process highest point and with centrum axis oriented normal, adjust sliding bar and sleeve, sliding bar made to reach the displacement of L, the angle that sleeve rotates α is simultaneously directed at the first anchor point.Compared with prior art, accurate positioning of the present invention can be reduced X-ray machine perspective number, shorten operating time and intraoperative blood loss.The present apparatus is used for simulation teching, and learning curve when shortening vertebral plasty is more suitable for practical application.
Description
Technical field
The present invention relates to vertebras to simulate operation teaching field, positions especially for pedicle of vertebral arch, specifically percutaneous vertebra
Body plasty pedicle of vertebral arch locating guide device and its operating method.
Background technique
In recent years, with the rise and rapid development of Minimally invasive procedure technology, the way of escape is percutaneously placed in pedicle screw
Technique for fixing is at one of key technology of minimally invasive spine surgical.In traditional teaching, simulation actual surgery can be also set
Model, simulation teching are the modes of the low-risk of exercise skill.But current percutaneous puncture, merging pedicle screw surgery models
There are more limitation and drawbacks for teaching operation, such as: local anaesthesia downlink hand operation is completed, and when operation generally requires repeated multiple times
X-ray machine, which is had an X-rayed, determines that entry point, correction needle angle can just smoothly complete, and increases the x-ray exposed amount of patient and patient, and prolong
Operating time is grown, operation accuracy is also difficult to ensure；Furthermore patient is in local anaesthesia state, punctures repeatedly and causes pain etc. no
Suitable, especially elderly patient, heart lung and brain risk obviously increase.
Summary of the invention
The technical problem to be solved by the present invention is in view of the above-mentioned state of the art, and provide topology layout rationally,
Accurate positioning can be reduced X-ray machine perspective number and time, and the percutaneous vertbroplasty pedicle of vertebral arch positioning applied to simulation teching is led
To device and its operating method.
The technical scheme of the invention to solve the technical problem is: percutaneous vertbroplasty pedicle of vertebral arch positioning and guiding
Device, including sleeve, sleeve are equipped with the puncturing hole that is inserted into for puncture needle, further include be fixed on spinous process highest point and with the centrum longitudinal axis
Vertical spinous process fixed link, spinous process fixed link are vertically connected with graduated scale, and graduated scale sliding is equipped with sliding bar, and sliding bar is respectively perpendicular
In graduated scale and spinous process fixed link, sliding bar rotation is equipped with pedestal, and the rotation axis of pedestal is respectively perpendicular to sliding bar and spinous process is solid
Fixed pole；Sleeve is connected in pedestal, and pedestal is installed with angle scale, and sleeve and angle scale are respectively perpendicular to the rotation axis of pedestal.
To optimize above-mentioned technical proposal, the measure taken further include:
Above-mentioned sleeve is affixed on sliding bar, and the outer diameter of sleeve is equal to the thickness of spinous process fixed link.
Above-mentioned sliding bar is equipped with the sliding slot slided for pedestal along sliding bar length direction；Angle scale and sleeve are divided into cunning
The two sides of lever.
Above-mentioned pedestal includes the first sets of holes being nested in sleeve periphery.
Above-mentioned pedestal is axially arranged with the first threaded hole, and the first threaded hole is opened on angle scale, the side wall of the first threaded hole
Opposite direction is respectively equipped with side hole, the side wall on the face track length direction of side hole, is transversely provided with protruding side in the first threaded hole
The camber member of square hole, the first threaded hole screw thread have screwed the first knob, the back of a bow the first knob of direction of camber member.
Above-mentioned sliding bar is equipped with scale at the edge for being located at sliding slot.
Above-mentioned sliding bar includes the second sets of holes for being placed on graduated scale, and sliding bar is equipped with the second screw thread of connection graduated scale
Hole, the second threaded hole screw thread have screwed bolt.
The zero graduation line of above-mentioned graduated scale is set to the surface of spinous process fixed link, and the end of spinous process fixed link is equipped with for following closely
Enter the pilot pin of spinous process, the end of spinous process fixed link is additionally provided with the first sucker.
It is folded in the first above-mentioned sucker and is equipped with the second sucker, be equipped between the first sucker and the second sucker towards the negative of spinous process
Press chamber；Connector is connected between first sucker and the second sucker, connector includes round rubber piece, and is set to sheet rubber side
The spoke of edge, spoke are connected to the first sucker and the second sucker；Pilot pin is flexible to be set in spinous process fixed link, and sheet rubber is set to fixed
On the puncture direction of position needle, the diameter of pilot pin is greater than sheet rubber.
The operating method of percutaneous vertbroplasty pedicle of vertebral arch locating guide device,
The first step is obtained by preoperative CT cross-sectioning as the first anchor point of processus articular superior external lower margin, as pedicle of vertebral arch
Second anchor point at midpoint, the third anchor point as lateral margin intersection point in centrum rear and pedicle of vertebral arch；First anchor point and second
The line and sagittal axis included angle α of anchor point；Obtain line and the spinous process highest point of the first anchor point and the second anchor point
Vertical range L；
Spinous process fixed link is located on spinous process in art by second step under C arm machine perspective, and spinous process locating rod is auxiliarily fixed in sucker, sliding
Dynamic sliding bar, until the distance length of sliding bar lifting L；
Third step, rotational sleeve, until sleeve and spinous process fixed link are in α angle, and sleeve is directed at the first anchor point；
Puncture needle is pierced into the first anchor point by puncturing hole by the 4th step；
5th step is pierced to third anchor point as a result, checking whether by C arm fluoroscopic puncture, and corrected.
Compared with prior art, percutaneous vertbroplasty pedicle of vertebral arch locating guide device of the invention, including sleeve, sleeve
It further include being fixed on spinous process highest point and the spinous process fixed link with centrum axis oriented normal equipped with the puncturing hole being inserted into for puncture needle,
Spinous process fixed link is vertically connected with graduated scale, and graduated scale sliding is equipped with sliding bar, and sliding bar is respectively perpendicular to graduated scale and spinous process is solid
Fixed pole, sliding bar rotation are equipped with pedestal, and the rotation axis of pedestal is respectively perpendicular to sliding bar and spinous process fixed link；Sleeve is connected in base
Seat, pedestal are installed with angle scale, and sleeve and angle scale are respectively perpendicular to the rotation axis of pedestal.Its operation side is also disclosed in this patent
Method, including by spinous process fixed link be fixed on spinous process highest point and with centrum axis oriented normal, adjust sliding bar and sleeve, make sliding bar
Reach the displacement of L, sleeve rotates the angle of α and is directed at the first anchor point.Compared with prior art, structure of the invention layout is closed
Reason, accurate positioning can significantly reduce X-ray machine perspective number, and then shorten operating time and intraoperative blood loss, reduce patient's pain
Bitterly.In addition, the present apparatus is suitable for simulation teching, learning curve when shortening vertebral plasty.
Detailed description of the invention
Fig. 1 is schematic perspective view of the invention；
Fig. 2 is the decomposition diagram of Fig. 1；
Fig. 3 is use state diagram of the present invention；
Fig. 4 is the left view of Fig. 3；
Fig. 5 is structural schematic diagram of the pedestal in sliding slot in Fig. 1；
Fig. 6 is the decomposition diagram of Fig. 5；
Fig. 7 is the assembly structure diagram of spinous process fixed link and pilot pin in Fig. 1；
Fig. 8 is the decomposition diagram of Fig. 7；
Fig. 9 is the structural schematic diagram that pilot pin punctures the first sucker and the second sucker in Fig. 7 after stretching out；
Figure 10 is the section structure diagram of the first sucker and the second sucker in Fig. 7；
Figure 11 is the structural schematic diagram of connector in Fig. 8；
Figure 12 is the working state schematic representation that pilot pin punctures the first sucker and the second sucker in Figure 10；
Figure 13 is to retract the structural schematic diagram in spinous process fixed link after pilot pin in Figure 12.
Specific embodiment
The embodiment of the present invention is described in further detail below in conjunction with attached drawing.
Fig. 1 to Figure 13 is structural schematic diagram of the invention.
Appended drawing reference therein are as follows: spinous process fixed link 1, lateral rectangular opening 11, pin hole 12, graduated scale 2, sliding bar 3, sliding slot
31, the second sets of holes 32, the second threaded hole 33, bolt 34, sleeve 4, puncturing hole 41, angle scale 5, spinous process 61, processus articular superior 62,
One anchor point 631, the second anchor point 632, third anchor point 633, pedicle of vertebral arch 64, centrum 65, pilot pin 71, the first sucker 72,
Second knob 73, the second sucker 74, connector 75, sheet rubber 751, spoke 752, negative pressure cavity 76, pedestal 9, the first sets of holes 91,
One threaded hole 92, side hole 921, camber member 93, the first knob 94.
Fig. 1 to Figure 13 is structural schematic diagram of the invention, as shown, percutaneous vertbroplasty pedicle of vertebral arch of the invention is fixed
Position guiding device, including sleeve 4, sleeve 4 are equipped with the puncturing hole 41 being inserted into for puncture needle, further include being fixed on 61 highest point of spinous process
And the spinous process fixed link 1 with 65 axis oriented normal of centrum, spinous process fixed link 1 are vertically connected with graduated scale 2, the sliding of graduated scale 2, which is equipped with, to be slided
Lever 3, sliding bar 3 are respectively perpendicular to graduated scale 2 and spinous process fixed link 1, and the rotation of sliding bar 3 is equipped with pedestal 9, the rotation of pedestal 9
Axis is respectively perpendicular to sliding bar 3 and spinous process fixed link 1；Sleeve 4 is connected in pedestal 9, and pedestal 9 is installed with angle scale 5, sleeve 4 and angle
Scale 5 is respectively perpendicular to the rotation axis of pedestal 9.Spinous process fixed link 1 is fixed on 61 highest point of spinous process and is hung down with 65 longitudinal axis of centrum
Directly, sliding bar 3 and sleeve 4 are adjusted, sliding bar 3 is made to reach the displacement of L, sleeve 4 rotates the angle of α and is directed at the first anchor point
631.Compared with prior art, structure of the invention is rationally distributed, accurate positioning, can be reduced X-ray machine perspective number and time, is applicable in
In simulation teching.
In embodiment, sleeve 4 is affixed on sliding bar 3, and the outer diameter of sleeve 4 is equal to the thickness of spinous process fixed link 1, when sliding bar 3
When being down to spinous process 1 surface of fixed link, sleeve 4 is flushed with spinous process fixed link 1, when slide sliding bar 3 to L apart from when, puncturing hole
The distance synchronous of 41 to spinous process fixed link 1 is L.
In embodiment, as shown in Fig. 1,2,5 and Fig. 6, sliding bar 3 is equipped with and slides along 3 length direction of sliding bar for pedestal 9
Sliding slot 31；Angle scale 5 and sleeve 4 are divided into the two sides of sliding bar 3.Pedestal 9 can slide in sliding slot 31, facilitate adjustment sleeve 4
Position on sliding bar 3.
In embodiment, as shown in Figure 5 and Figure 6, pedestal 9 includes the first sets of holes 91 being nested in 4 periphery of sleeve.Sleeve 4
It can be moved axially in the first sets of holes 91, facilitate position of the adjustment sleeve 4 on pedestal 9.
In embodiment, as shown in Figure 5 and Figure 6, pedestal 9 is axially arranged with the first threaded hole 92, and the first threaded hole 92 is opened on
Angle scale 5, the side wall opposite direction of the first threaded hole 92 are respectively equipped with side hole 921, on 921 face sliding slot of side hole, 31 length direction
Side wall, the camber member 93 of protruding side square hole 921 is transversely provided in the first threaded hole 92,92 screw thread of the first threaded hole has screwed
One knob 94, the back of a bow the first knob 94 of direction of camber member 93.The first knob 94 is screwed, the first knob 94 is made gradually to oppress arch
Part 93, then camber member 93 extends, and final clamper is fixed on pedestal 9 in sliding slot 31 in sliding slot 31, prevents pedestal 9 from puncturing
Needle generates rotation during penetrating puncturing hole 41.
In embodiment, as depicted in figs. 1 and 2, sliding bar 3 is equipped with scale at the edge for being located at sliding slot 31, facilitates observation base
9 31 displacement slided along the chute of seat.
In embodiment, as shown in Fig. 2, sliding bar 3 includes the second sets of holes 32 for being placed on graduated scale 2, such as Fig. 1 and Fig. 2 institute
Show, sliding bar 3 is equipped with the second threaded hole 33 of connection graduated scale 2, and 33 screw thread of the second threaded hole has screwed bolt 34.By sliding bar
3 remove from graduated scale 2, cover the pedicle of vertebral arch 64 that the other side can be punctured on graduated scale 2 after the horizontal 180 degree of rotation again.Spiral shell
Sliding bar 3 can be temporarily fixed on graduated scale 2 by the cooperation of bolt 34 and the second threaded hole 33.
In embodiment, the zero graduation line of graduated scale 2 is set to the surface of spinous process fixed link 1, as Fig. 1,2,7,8,9,10,11,
With shown in Figure 12, the end of spinous process fixed link 1 is equipped with the pilot pin 71 for hammering into spinous process 61, and the end of spinous process fixed link 1 is also
Equipped with the first sucker 72.Pilot pin 71 is pierced into spinous process 61 and spinous process fixed link 1 can be temporarily fixed on spinous process 61, and the first sucker
72 can prevent spinous process fixed link 1 from rocking.
In embodiment, as shown in Fig. 1,2,7,8,9,10,11 and Figure 12, is folded in the first sucker 72 and is equipped with the second sucker 74,
The negative pressure cavity 76 towards spinous process 61 is equipped between first sucker 72 and the second sucker 74；Between first sucker 72 and the second sucker 74
It is connected with connector 75, connector 75 includes round rubber piece 751, and the spoke 752 set on 751 edge of sheet rubber, spoke
752 are connected to the first sucker 72 and the second sucker 74；Pilot pin 71 is flexible to be set in spinous process fixed link 1, and specially spinous process is fixed
Bar 1 is transversely provided with the second knob 73, and 71 screw thread of pilot pin is screwed in the second knob 73, specific structure are as follows: spinous process fixed link 1 is equipped with
Lateral rectangular opening 11, the second knob 73 are set in lateral rectangular opening 11, and spinous process fixed link 1 is equipped with the pin hole passed in and out for pilot pin 71
12.The second knob 73 is rotated, pilot pin 71 can be made along itself axial stretching.Sheet rubber 751 is set to the puncture of pilot pin 71
On direction, the diameter of pilot pin 71 is greater than sheet rubber 751.As shown in figure 12, when pilot pin 71 penetrates spinous process 61 from puncturing hole 41
Afterwards, pilot pin 71 can destroy sheet rubber 751, but spoke 752 can remain the connection of the first sucker 72 and the second sucker 74, by
It is rubber material in the first sucker 72 and the second sucker 74, can sufficiently wraps up puncture needle, to prevents extraneous air from penetrating into
Negative pressure cavity 76；As shown in figure 13, when puncture needle extract after, air can the gap between broken hole and spoke 752 enter negative pressure cavity
76, spinous process fixed link 1 falls off from spinous process 61.
The operating method of percutaneous vertbroplasty pedicle of vertebral arch locating guide device, as shown in Figure 3 and Figure 4,
The first step is obtained by CT cross-sectioning as the first anchor point 631 of 62 external lower margin of processus articular superior, as pedicle of vertebral arch
Second anchor point 632 at 64 midpoints, the third anchor point 633 as lateral margin intersection point in 65 rear of centrum and pedicle of vertebral arch 64；First
The line of anchor point 631 and the second anchor point 632 and sagittal axis included angle α；Obtain the first anchor point 631 and the second anchor point
632 line and the vertical range L of 61 highest point of spinous process；
Second step slides sliding bar 3 as shown in figure 4, spinous process fixed link 1 is located on spinous process 61, until sliding bar 3 is lifted L
Distance length；
Third step, as shown in figure 3, rotational sleeve 4, until sleeve 4 and spinous process fixed link 1 are in α angle, and the alignment of sleeve 4 the
One anchor point 631；
Puncture needle is pierced into the first anchor point 631 by puncturing hole 41 by the 4th step；
5th step is observed to puncture as a result, checking whether by CT and be pierced to third anchor point 633, and corrected.
Highly preferred embodiment of the present invention has illustrated, and the various change or remodeling made by those of ordinary skill in the art are not
It can depart from the scope of the present invention.
Claims (10)
1. percutaneous vertbroplasty pedicle of vertebral arch locating guide device, including sleeve (4), the sleeve (4) is equipped with for puncture needle
The puncturing hole (41) of insertion, it is characterized in that: further including being fixed on spinous process (61) highest point and the spine with centrum (65) axis oriented normal
Prominent fixed link (1), the spinous process fixed link (1) are vertically connected with graduated scale (2), and the graduated scale (2) sliding is equipped with sliding
Bar (3), the sliding bar (3) are respectively perpendicular to graduated scale (2) and spinous process fixed link (1), and the sliding bar (3) rotation is set
Have pedestal (9), the rotation axis of the pedestal (9) is respectively perpendicular to the sliding bar (3) and the spinous process fixed link
(1)；The sleeve (4) is connected in the pedestal (9), and the pedestal (9) is installed with angle scale (5), the sleeve (4)
The rotation axis of the pedestal (9) is respectively perpendicular to the angle scale (5).
2. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 1, it is characterized in that: the sleeve
(4) it is affixed on the sliding bar (3), the outer diameter of the sleeve (4) is equal to the thickness of the spinous process fixed link (1).
3. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 2 and its operating method, feature
Be: the sliding bar (3) is equipped with the sliding slot (31) slided for the pedestal (9) along sliding bar (3) length direction；Described
Angle scale (5) and the sleeve (4) are divided into the two sides of sliding bar (3).
4. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 3, it is characterized in that: the pedestal
It (9) include the first sets of holes (91) being nested in described sleeve (4) periphery.
5. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 4, it is characterized in that: the pedestal
(9) it is axially arranged with the first threaded hole (92), first threaded hole (92) is opened on the angle scale (5), and described the
The side wall opposite direction of one threaded hole (92) is respectively equipped with side hole (921), sliding slot (31) described in described side hole (921) face
Side wall on length direction, the interior camber member (93) for being transversely provided with protruding side square hole (921) of first threaded hole (92), institute
The first threaded hole (92) screw thread stated has screwed the first knob (94), and the back of a bow of the camber member (93) is towards described first
Knob (94).
6. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 5, it is characterized in that: the sliding
Bar (3) is equipped with scale at the edge for being located at the sliding slot (31).
7. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 6, it is characterized in that: the sliding
Bar (3) includes the second sets of holes (32) for being placed on the graduated scale (2), and the sliding bar (3) is equipped with the connection quarter
Second threaded hole (33) of ruler (2) is spent, described the second threaded hole (33) screw thread has screwed bolt (34).
8. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 7, it is characterized in that: the scale
The zero graduation line of ruler (2) is set to the surface of the spinous process fixed link (1), and the end of the spinous process fixed link (1), which is equipped with, to be used
In the pilot pin (71) for hammering into the spinous process (61), the end of the spinous process fixed link (1) is additionally provided with the first sucker (72).
9. percutaneous vertbroplasty pedicle of vertebral arch locating guide device according to claim 8, it is characterized in that: described first
It is folded in sucker (72) and is equipped with the second sucker (74), court is equipped between first sucker (72) and second sucker (74)
To the negative pressure cavity (76) of the spinous process (61)；It is connected between first sucker (72) and second sucker (74)
Connector (75), the connector (75) include round rubber piece (751), and are set to the spoke at sheet rubber (751) edge
(752), the spoke (752) is connected to the first sucker (72) and the second sucker (74)；The pilot pin (71) is flexible to be set
In the spinous process fixed link (1), the sheet rubber (751) is set on the puncture direction of the pilot pin (71), institute
The diameter for the pilot pin (71) stated is greater than the sheet rubber (751).
10. the operating method of percutaneous vertbroplasty pedicle of vertebral arch locating guide device, it is characterized in that:
The first step is obtained by CT cross-sectioning as first anchor point (631) of processus articular superior (62) external lower margin, as vertebra
Second anchor point (632) at nut (64) midpoint, it is fixed as the third of centrum (65) rear and pedicle of vertebral arch (64) interior lateral margin intersection point
Site (633)；The line of first anchor point (631) and the second anchor point (632) and sagittal axis included angle α；Described in obtaining
The vertical range L of the line of first anchor point (631) and the second anchor point (632) and described spinous process (61) highest point；
Spinous process fixed link (1) is located on spinous process (61) by second step, is slided sliding bar (3), until sliding bar (3) lifting L
Distance length；
Third step, rotational sleeve (4), until sleeve (4) and the spinous process fixed link (1) are in α angle, and the sleeve
(4) alignment first anchor point (631)；
Puncture needle is pierced into the first anchor point (631) by puncturing hole (41) by the 4th step；
5th step is observed to puncture as a result, checking whether by CT and be pierced to third anchor point (633), and corrected.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910324998.3A CN110060532A (en) | 2019-04-22 | 2019-04-22 | Percutaneous vertbroplasty pedicle of vertebral arch locating guide device and its operating method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910324998.3A CN110060532A (en) | 2019-04-22 | 2019-04-22 | Percutaneous vertbroplasty pedicle of vertebral arch locating guide device and its operating method |
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| CN110060532A true CN110060532A (en) | 2019-07-26 |
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| CN201910324998.3A Pending CN110060532A (en) | 2019-04-22 | 2019-04-22 | Percutaneous vertbroplasty pedicle of vertebral arch locating guide device and its operating method |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111035445A (en) * | 2020-01-08 | 2020-04-21 | 首都医科大学附属北京朝阳医院 | Navigation device for cortical bone screw in spinal minimally invasive surgery |
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