CN111803198B - Correcting device in scoliosis operation - Google Patents
Correcting device in scoliosis operation Download PDFInfo
- Publication number
- CN111803198B CN111803198B CN202010790946.8A CN202010790946A CN111803198B CN 111803198 B CN111803198 B CN 111803198B CN 202010790946 A CN202010790946 A CN 202010790946A CN 111803198 B CN111803198 B CN 111803198B
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- Prior art keywords
- connecting rod
- longitudinal connecting
- spine
- rod
- vertical rods
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- 206010039722 scoliosis Diseases 0.000 title claims abstract description 17
- 230000000399 orthopedic effect Effects 0.000 claims description 13
- 210000003692 ilium Anatomy 0.000 claims description 8
- 239000003550 marker Substances 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 abstract description 14
- 230000000694 effects Effects 0.000 abstract description 5
- 238000000034 method Methods 0.000 description 6
- 238000005259 measurement Methods 0.000 description 4
- 206010058907 Spinal deformity Diseases 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 230000002146 bilateral effect Effects 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 210000002659 acromion Anatomy 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
- A61B90/13—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers
Abstract
The utility model relates to a correcting device in scoliosis operation, which comprises two cross bars which are arranged at two ends and are parallel to each other and a longitudinal connecting rod with adjustable length, wherein the longitudinal connecting rod is positioned above the cross bars, and the cross bars are perpendicular to the longitudinal connecting rod. When the surgical correction is implemented, the current position of the spine can be accurately determined, the purpose of correction is achieved when the linear light spots coincide with the position of the spine, and then the effects of balancing the sagittal position of the spine are achieved when the heights of the shoulders are equal after the surgery.
Description
Technical Field
The utility model relates to the field of surgical instruments, in particular to a correcting device in scoliosis operation.
Background
The spine is the axial skeleton of human body, is the pillar of the body, has functions such as loading, shock attenuation, protection and motion. The normal human spine is straight from either the back or front. If the spine is offset to the left or right from this central axis, the spine is bent laterally into a "C" or "S" shape, known as scoliosis. Scoliosis is one of the most common diseases of spinal deformity, the incidence rate is as high as 0.5% -3%, and the estimated number of patients worldwide is 1200 ten thousand, at least 300 ten thousand in China.
The posterior orthopedic surgery is a classical mode for treating scoliosis, and is characterized in that the key of the posterior orthopedic surgery is to recover the balance of the coronal plane and the sagittal plane of the trunk of a patient while correcting the spinal deformity of the patient, and in the course of the posterior orthopedic surgery, an operator cannot fully observe the body position of the patient by means of the existing technology such as perspective in the operation due to the limitation of the operation environment, and has no quantitative reference on the degree of correction, and the serious condition of the unbalanced trunk of the patient with the spinal deformity is always caused by the experience of the operator, so that the curative effect of the operation is affected.
In view of the above situation, chinese patent No. CN203828903U discloses a coronal plane balance measuring instrument in spinal column orthopedics, which is structured such that a vertical measuring rod is vertically connected to a horizontal measuring groove, a left iliac nail handle and a right iliac nail handle are slidably connected in the horizontal measuring groove, and the left iliac nail handle and the right iliac nail handle are respectively connected with the left iliac nail and the left iliac nail, which overcomes the defect that in the past, when postoperative coronal plane decompensation is prevented, the degree of restoration of the coronal plane can only be evaluated by visual observation or postoperative repeated perspective, but in practice, the following problems still exist:
1. in the operation, the measuring instrument is required to be placed above the spine for measurement, the operation is stopped, the measuring instrument is removed after the measurement is finished, if a problem occurs, the operation adjustment is required to be carried out again, and the operation is particularly inconvenient due to the limitation of the operation environment;
2. the angle measuring device is required to be used in the measuring process, the accuracy is poor, and most importantly, the orthopedic angle of the orthopedic operation cannot be measured in real time, so that the operation risk of repeated measurement and adjustment is increased;
3. because the length of the measuring rod needs to be long enough to be capable of measuring the whole spine at one time, the measuring rod is inevitably deformed in the measuring process, the measuring precision is affected, and then the operation effect is affected.
Disclosure of Invention
The utility model aims to provide a correcting device in scoliosis operation, which aims to solve the defects in the prior art.
The technical scheme for solving the technical problems is as follows:
the correcting device in scoliosis operation comprises two cross bars which are arranged at two ends and are parallel to each other, and a longitudinal connecting rod with adjustable length which is positioned above the cross bars, wherein the cross bars are perpendicular to the longitudinal connecting rod;
further, two vertical rods perpendicular to the cross rod are vertically arranged at the center of the cross rod, and the upper ends of the two vertical rods are connected with a longitudinal row connecting rod;
further, sliding rails are arranged on the inner sides of the two vertical rods, and grooves are formed in the two ends of the longitudinal connecting rods and are in matched sliding connection with the sliding rails;
furthermore, the two vertical rods are telescopic rods with adjustable lengths, and scale marks and locking switches are arranged on the vertical rods;
further, a laser indicator lamp capable of forming linear light spots is arranged on the longitudinal connecting rod; a light sensor for receiving a laser indicator lamp is arranged on the inner side of the joint of the vertical rod and the cross rod; the light sensor is connected with a controller positioned at one side of the laser indicating lamp, and a warning lamp is arranged at the other side of the laser indicating lamp opposite to the controller;
the beneficial effects of the utility model are as follows: when the surgical correction is implemented, the current position of the spine can be accurately determined, the purpose of correction is achieved when the linear light spots coincide with the position of the spine, and then the effects of balancing the sagittal position of the spine are achieved when the heights of the shoulders are equal after the surgery.
Drawings
FIG. 1 is a schematic side cross-sectional view of a structure of the present utility model;
FIG. 2 is a schematic top view of the present utility model;
Detailed Description
The principles and features of the present utility model are described below with reference to the drawings, the examples are illustrated for the purpose of illustrating the utility model and are not to be construed as limiting the scope of the utility model.
As shown in fig. 1-2, the correcting device in scoliosis surgery comprises two cross bars 1 which are arranged at two ends and are parallel to each other, and a longitudinal connecting rod 2 with adjustable length which is positioned above the cross bars, wherein the cross bars 1 are vertical to the longitudinal connecting rod 2;
when the scoliosis is corrected, the patient is prone to lie down, the transverse rod at one end of the device is arranged on the upper spine connecting line behind the ilium on the two sides, the length of the longitudinal connecting rod is adjusted, the transverse rod at the other end is at the same height as the shoulder on the two sides, and the position of the longitudinal connecting rod is the target position of the spine correction.
The device can accurately observe the unbalanced condition of the spine in operation, and truly correct the balance recovery condition of the trunk and the degree at any time; simultaneously, carry out double positioning through the horizontal pole that is located both ends, further prevent the deformation of the connecting rod of wale in the measurement process, improve the intraoperative accuracy of observing.
In practice, the device needs to be positioned right above the spine in the operation process, so that the operation sight is easily blocked, the operation space is reduced, and inconvenience is brought to the operation;
in a specific embodiment, the improvement on the scheme is as follows:
two vertical rods 3 perpendicular to the cross rod are vertically arranged at the center of the cross rod, and the upper ends of the two vertical rods 3 are connected with a longitudinal connecting rod 2;
more specifically, the inner sides of the two vertical rods are respectively provided with a sliding rail 31, and both ends of the longitudinal connecting rod are provided with grooves which are matched and slidingly connected with the sliding rails 31;
through the arrangement, an operator can adjust the height of the wale connecting rod at any time according to the conditions of patients and the operator in the operation, the use is flexible and convenient, and the application range of the device is further widened;
it has further been found in practice that although the height of the wale connecting rod can be adjusted to provide space for surgical operations, due to the anatomical features, the positions of the two cross bars cannot be in a horizontal position, thereby causing the inconsistent heights of the two ends of the wale connecting rod to form a visual error and further affecting the accuracy of observation during the surgery.
In another embodiment, the above scheme is modified as follows:
more specifically, the two vertical rods are telescopic rods with adjustable lengths, and scale marks and locking switches are arranged on the vertical rods;
the scale marks arranged on the vertical rods also facilitate the flexible adjustment of the heights of the vertical rods at the two ends, so that the problem that the heights of the cross rods at the two sides of the traditional device are inconsistent due to the limitation of the human body structure is solved, and further, the visual errors caused by the difference of the heights at the two ends of the longitudinal connecting rods are further improved, and the intraoperative observation accuracy is further improved;
in practice, further finding that because the scoliosis operation is complex, the energy and physical strength of an operator are greatly lost in the long-time operation process, and deviation of the observation of the unbalanced spine is unavoidable; the continuity of the operation and even the accuracy of the operation can be influenced by constantly switching the operation view angles and observing the unbalanced spinal view angles;
in another embodiment, the improvement of the above technical solution is as follows:
the longitudinal connecting rod is provided with a laser indicator lamp 4 capable of forming linear light spots; a light sensor 5 for receiving a laser indicator lamp is arranged on the inner side of the joint of the vertical rod and the cross rod; the light sensor is connected with a controller 7 positioned at one side of the laser indicating lamp, and a warning lamp 6 is arranged at the other side of the laser indicating lamp opposite to the controller;
during specific implementation, the upper spine connecting line behind the bilateral ilium is arranged on the cross rod at one end of the device, the length of the longitudinal connecting rod is adjusted, the cross rod at the other end is enabled to be the same as the bilateral acromion, the laser indicating lamp is turned on through the controller, the light sensor receives the linear light spot, and the position of the linear light spot is the target position of the orthopedic operation at the moment.
In addition, once the situation that deviation occurs to the longitudinal connecting rod occurs, the light sensor positioned at the inner side of the vertical rod cannot receive the linear light spots, and the controller judges that the device has a problem, so that the warning lamp is controlled to flash, and an operator is reminded to correct the device;
the method is characterized in that a patient with scoliosis orthopedic surgery is subjected to preoperative sterilization by marking upper spine and shoulder peaks after two side ilium by hard objects, so that the anatomical structure position is clear after the surgical procedure is performed, after a spine segment needing surgery orthopedic surgery is exposed in the surgical procedure, one end of a transverse rod of the device is arranged on the upper spine markers after two side ilium, two ends of a longitudinal connecting rod are positioned on the midpoint of a connecting line of the upper spine after two side ilium and the midpoint of the shoulder peaks after two side ilium, the current position of a linear facula is the spine orthopedic target position, when surgery orthopedic is implemented, the current position of a spine can be accurately determined, the orthopedic purpose is achieved when the linear facula coincides with the spine position, the heights of two shoulders after surgery are further realized, and the spine sagittal position obtains the balanced effect.
The foregoing description of the preferred embodiments of the utility model is not intended to limit the utility model to the precise form disclosed, and any such modifications, equivalents, and alternatives falling within the spirit and scope of the utility model are intended to be included within the scope of the utility model.
Claims (4)
1. An intraoperative correcting device for scoliosis, characterized in that: the device comprises two cross bars which are arranged at two ends and are parallel to each other, and a longitudinal connecting rod which is arranged above the cross bars and has adjustable length, wherein the cross bars are perpendicular to the longitudinal connecting rod, and a laser indicating lamp which can form linear light spots is arranged on the longitudinal connecting rod; a light sensor for receiving a laser indicator lamp is arranged on the inner side of the joint of the vertical rod and the cross rod; the light sensor is connected with a controller positioned at one side of the laser indicator lamp, the other side of the laser indicator lamp opposite to the controller is provided with a warning lamp, and when the device is used, a cross bar at one end is arranged on the upper spine marker behind the ilium at the two sides, so that two ends of the longitudinal connecting rod are positioned on the midpoint of the upper spine connecting line behind the ilium at the two sides and the midpoint of the shoulders at the two sides, and the current linear light spot is the spine orthopedic target position.
2. An intraoperative scoliosis correction device as defined in claim 1, wherein: the central position of the cross rod is vertically provided with two vertical rods perpendicular to the cross rod, and the upper ends of the two vertical rods are connected with the longitudinal connecting rod.
3. An intraoperative scoliosis correction device as defined in claim 2, wherein: the inner sides of the two vertical rods are respectively provided with a sliding rail, and the two ends of the longitudinal connecting rods are provided with grooves which are in matched sliding connection with the sliding rails.
4. An intraoperative scoliosis correction device as defined in claim 2, wherein: the two vertical rods are telescopic rods with adjustable lengths, and scale marks and locking switches are arranged on the vertical rods.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010790946.8A CN111803198B (en) | 2020-08-07 | 2020-08-07 | Correcting device in scoliosis operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010790946.8A CN111803198B (en) | 2020-08-07 | 2020-08-07 | Correcting device in scoliosis operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN111803198A CN111803198A (en) | 2020-10-23 |
| CN111803198B true CN111803198B (en) | 2024-01-12 |
Family
ID=72863550
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202010790946.8A Active CN111803198B (en) | 2020-08-07 | 2020-08-07 | Correcting device in scoliosis operation |
Country Status (1)
| Country | Link |
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| CN (1) | CN111803198B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113139962B (en) * | 2021-05-26 | 2021-11-30 | 北京欧应信息技术有限公司 | System and method for scoliosis probability assessment |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0140681A2 (en) * | 1983-10-28 | 1985-05-08 | Toru Yoshizawa | Examination for rachioscoliosis |
| CN203828903U (en) * | 2014-05-23 | 2014-09-17 | 南京大学医学院附属鼓楼医院 | Coronal plane balance measurer for spinal deformity correction surgery |
| CN107468253A (en) * | 2017-09-18 | 2017-12-15 | 刘建 | Scoliosis dance training measures diagnostic equipment |
| CN207384260U (en) * | 2017-03-03 | 2018-05-22 | 吴继功 | A kind of measuring device for being used for backbone back body surface and X-ray film backbone angle of inclination |
| CN110290740A (en) * | 2016-10-05 | 2019-09-27 | 阿瓦隆脊椎关爱有限公司 | System and method for assessing scoliosis and humpback |
| US10555690B1 (en) * | 2019-06-03 | 2020-02-11 | Fatma Al-Askar | Standing posture measuring device |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP6132354B2 (en) * | 2011-11-29 | 2017-05-24 | 学校法人 東洋大学 | Evaluation system for scoliosis and evaluation instrument applied to the system |
-
2020
- 2020-08-07 CN CN202010790946.8A patent/CN111803198B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0140681A2 (en) * | 1983-10-28 | 1985-05-08 | Toru Yoshizawa | Examination for rachioscoliosis |
| CN203828903U (en) * | 2014-05-23 | 2014-09-17 | 南京大学医学院附属鼓楼医院 | Coronal plane balance measurer for spinal deformity correction surgery |
| CN110290740A (en) * | 2016-10-05 | 2019-09-27 | 阿瓦隆脊椎关爱有限公司 | System and method for assessing scoliosis and humpback |
| CN207384260U (en) * | 2017-03-03 | 2018-05-22 | 吴继功 | A kind of measuring device for being used for backbone back body surface and X-ray film backbone angle of inclination |
| CN107468253A (en) * | 2017-09-18 | 2017-12-15 | 刘建 | Scoliosis dance training measures diagnostic equipment |
| US10555690B1 (en) * | 2019-06-03 | 2020-02-11 | Fatma Al-Askar | Standing posture measuring device |
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| CN111803198A (en) | 2020-10-23 |
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