Laxer E
Division of Orthopaedic Surgery, McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada.
Eur Spine J. 1994;3(6):347-52. doi: 10.1007/BF02200149.
The purpose of this paper is to describe the concepts and use of a new, versatile instrumentation system, the universal spine system (USS), that has been designed to have wide application for pathology of the thoracolumbar spine. Many instrumentation systems for thoracolumbar spinal surgery now exist that were each originally designed to address specific areas of spinal pathology. For example, the recent systems designed to treat scoliosis deformities do not provide the instrumentation and implant support to adequately address other spinal disorders, such as fractures. In addition, most posterior implant systems were not designed for use anteriorly, and vice versa. As a result, surgeons have been required to become familiar with several different instrumentation systems in order to meet the varied needs of a spinal surgery practice. The objective of designing a new system was to simplify the surgical treatment of the commonly encountered spinal disorders by providing the surgeon with a single set of instruments and implants that could be used to treat tumors, trauma, deformities, and degenerative conditions affecting the thoracolumbar spine, via either an anterior or a posterior approach. This paper describes the development of the concepts, instruments, and implants of the USS and provides examples of its application in several case illustrations.
本文的目的是描述一种新型通用器械系统——通用脊柱系统（USS）的概念和用途，该系统设计用于胸腰椎疾病，具有广泛的应用。目前存在许多用于胸腰椎脊柱手术的器械系统，每个系统最初都是为解决特定的脊柱病理领域而设计的。例如，最近设计用于治疗脊柱侧弯畸形的系统并不能提供足够的器械和植入物支持来处理其他脊柱疾病，如骨折。此外，大多数后路植入系统并非设计用于前路，反之亦然。因此，外科医生需要熟悉几种不同的器械系统，以满足脊柱手术实践的各种需求。设计新系统的目的是通过为外科医生提供一套可用于治疗影响胸腰椎的肿瘤、创伤、畸形和退行性疾病的单一器械和植入物，简化常见脊柱疾病的手术治疗，可通过前路或后路进行。本文描述了通用脊柱系统的概念、器械和植入物的发展，并在几个病例说明中提供了其应用实例。
