Introduce a method of screwing in a pedicle screw
Before and after treatment, the difference of 8 minutes and 5 points before and after medication was 1 week 2 weeks 4 weeks 8 weeks 1 compared with the first 6 items, 5, Chinese Medical Association Psychiatric Association, Chinese mental illness classification program and diagnostic criteria to 1 foot. Version 2. Editor-in-Chief of Zhang Mingyuan, Nanjing Southeast University. Handbook of Psychiatric Ratings, 1. Changsha Hunan Science and Technology Press, 1993.95, 103. Yu Xin, Hou Yezhi, Shu Liang, et al. The open clinical trial of risperidone in the treatment of schizophrenia. Chinese Journal of Psychiatry, 1997, 3079, 82. Introduce the method of screwing human pedicle screw Guo Chunding, Loufan County People's Hospital, Shanxi, 030300, severe spinal fractures in clinical practice, in recent years, a variety of internal fixation methods, such as 560 rods, 04 feet, etc., are used The solid connection of the arches effectively controls the column of the spine from six angles of the dimensional space, especially after decompression of the lamina and facet joints. However, how to accurately screw the pedicle screw, especially in the lack of the primary hospital of the arm, is a more troublesome question. The film is made by the bedside father light machine alone. The procedure is complicated and takes too much time. The blind needle is inserted into the nail. After the film is taken, the position of the nail is not ideal, resulting in a second re-entry and prolonging the operation time. The method of screwing into the pedicle screw is introduced, which is relatively simple and easy, and the accuracy is relatively high. It is especially suitable for primary hospitals without arm and machine filming and complicated operation procedures for your reference. Methods Prone position, local anesthesia, with the injured vertebra as the center, the posterior median incision was about 1015, the bilateral sacral spine muscles were dissected, and the spine and the articular process of the injured vertebrae and the upper and lower normal vertebral bodies were exposed. On the upper part of the vertebral body, the intersection of the edge and the transverse process 12 horizontal line, under the direct vision, the vertebral arch is slowly penetrated into the vertebral arch with a sharp hand cone, and the axis of the long axis of the pedicle of the pedicle is noted. The angle with the center line is 012. 0. Mountain 25., 10., 510, 15. While holding the sagittal angle and drilling deep into the depth of 3, it is necessary to use a hole detector to confirm that the wall of the hole is the bone wall. The diameter of 3 hand drills deepens the borehole, usually 40, 4.5, and then probes with the hole detector, whether the wall of the hole is the bone wall, and measures the depth, and the corresponding pedicle screw is used to screw in, if the hole wall has soft tissue feeling Need to change direction, re-drilling until satisfactory, and finally reset the film by pressure reduction and fix it in the steel plate. The advantages of applying this method of nailing are high; the number of filming is small, which not only reduces the cost of filming, but also avoids the danger of line; the operation time is short, saving energy for patients and surgeons; it is suitable for basic hospitals with simple equipment.
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