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一种创新的折断椎弓根螺钉取出器械。

An innovative broken pedicle screw retrieval instrument.

作者信息

Weng Xisheng, Qiu Guixing, Li Junwei, Li Shugang, Lee Chia-I, Yu Bin, Li Lianhua

机构信息

Department of Orthopedics, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China 100730.

出版信息

J Spinal Disord Tech. 2007 Feb;20(1):82-4. doi: 10.1097/01.bsd.0000211257.82755.f6.

DOI:10.1097/01.bsd.0000211257.82755.f6
PMID:17285058
Abstract

OBJECTIVE

To introduce a new broken pedicle screw fragment retrieval instrument, and evaluate its clinical viability and effectiveness.

METHODS

Following basic retrieval contrivance of broken pedicle screws described in literature, a new retrieval instrument was designed and developed; introducing its mechanism, technical components, and use. This innovative apparatus proved successful not only in saw bone and cadaver trials but in 10 clinical cases as well.

RESULTS

This particular unique instrument successfully retrieves broken pedicle screw fragments through original passage backing out the screw with preservation of pedicle integrity while maintaining pedicle biomechanics. No complications were observed.

CONCLUSIONS

With solid scientific theoretical planning and experimentation, the new retrieval instrument design proved clinical practicality and efficacy.

摘要

目的

介绍一种新型的折断椎弓根螺钉碎片取出器械,并评估其临床可行性和有效性。

方法

根据文献中描述的折断椎弓根螺钉的基本取出装置,设计并开发了一种新的取出器械;介绍其机制、技术组件和使用方法。这种创新器械不仅在锯骨和尸体试验中取得成功,在10例临床病例中也取得了成功。

结果

这种独特的器械通过原始通道成功取出折断的椎弓根螺钉碎片,在保持椎弓根完整性的同时退出螺钉,同时维持椎弓根生物力学。未观察到并发症。

结论

通过扎实的科学理论规划和实验,新的取出器械设计证明了其临床实用性和有效性。

相似文献

1
An innovative broken pedicle screw retrieval instrument.一种创新的折断椎弓根螺钉取出器械。
J Spinal Disord Tech. 2007 Feb;20(1):82-4. doi: 10.1097/01.bsd.0000211257.82755.f6.
2
Complications of thoracic pedicle screws in scoliosis treatment.脊柱侧弯治疗中胸椎椎弓根螺钉的并发症
Spine (Phila Pa 1976). 2007 Jul 1;32(15):1655-61. doi: 10.1097/BRS.0b013e318074d604.
3
Anatomic and technical considerations of pedicle screw fixation.椎弓根螺钉固定的解剖学及技术考量
Clin Orthop Relat Res. 1992 Nov(284):34-46.
4
The influence of pedicle screw placement on thoracic trabecular strain.椎弓根螺钉置入对胸椎小梁应变的影响。
Spinal Cord. 2006 Apr;44(4):249-53. doi: 10.1038/sj.sc.3101830.
5
Easy retrieval of polyaxial tulip-head pedicle screws by "U" rod technique.“U”棒技术可方便地取出多轴郁金香头椎弓根螺钉。
Eur Spine J. 2010 Jan;19(1):144-6. doi: 10.1007/s00586-009-1096-4. Epub 2009 Jul 18.
6
Cortical bone trajectory for lumbar pedicle screws.腰椎椎弓根螺钉的皮质骨轨迹
Spine J. 2009 May;9(5):366-73. doi: 10.1016/j.spinee.2008.07.008. Epub 2008 Sep 14.
7
[Complications associated with the technique of pedicle screw fixation].[椎弓根螺钉固定技术相关并发症]
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2002 Jun;24(3):294-7.
8
Using triggered electromyographic threshold in the intercostal muscles to evaluate the accuracy of upper thoracic pedicle screw placement (T3-T6).利用肋间肌触发式肌电图阈值评估上胸椎椎弓根螺钉置入(T3-T6)的准确性。
Spine (Phila Pa 1976). 2008 Apr 1;33(7):E194-7. doi: 10.1097/BRS.0b013e3181696094.
9
Biomechanical contribution of transverse connectors to segmental stability following long segment instrumentation with thoracic pedicle screws.胸椎椎弓根螺钉长节段内固定术后横向连接装置对节段稳定性的生物力学贡献
Spine (Phila Pa 1976). 2008 Jul 1;33(15):E482-7. doi: 10.1097/BRS.0b013e31817c64d5.
10
Posterior-only stabilization of 2-column and 3-column injuries at the cervicothoracic junction: a biomechanical study.颈胸交界处两柱和三柱损伤的单纯后路稳定:一项生物力学研究。
J Spinal Disord Tech. 2009 Jul;22(5):340-6. doi: 10.1097/BSD.0b013e31816f68d9.

引用本文的文献

1
A practical method for the retrieval of tulip-head polyaxial pedicle screw by reusing the rod in revision and implants removal surgery: introduction of technique and evaluation of clinical outcomes.经皮椎弓根钉复位内固定治疗胸腰椎骨折的临床疗效观察
BMC Surg. 2023 Jun 6;23(1):152. doi: 10.1186/s12893-023-02063-x.
2
Simple technique for removal of loose and buried pedicle screw using 'push and pull' technique.使用“推拉”技术取出松动和深埋椎弓根螺钉的简单方法。
Ann R Coll Surg Engl. 2021 Nov;103(10):775-776. doi: 10.1308/rcsann.2021.0138.
3
An innovative universal screw removal instrument.
一种创新的通用螺钉取出器械。
Korean J Spine. 2015 Mar;12(1):1-4. doi: 10.14245/kjs.2015.12.1.1. Epub 2015 Mar 31.
4
Simple technique for removing broken pedicular screw with plain and serviceable screwdriver.使用普通且可用的螺丝刀取出断裂椎弓根螺钉的简单技术。
Eur Spine J. 2008 Aug;17(8):1116-8. doi: 10.1007/s00586-008-0650-9. Epub 2008 Mar 15.