前路椎间盘切除及植骨内固定技术.pptx

前路椎间盘切除及植骨内固定技术adoption?of?new?technology椎间盘切除（discectomy)减压技术椎椎体次全切除(corpectomy)间盘突外科出手骨移植（bone?grafing)稳定技术术内植物(cage?and??plate)人工椎间盘(artifical?disc?replacement)椎间盘切除手术（discectomy)麻醉?及监测??体位?消毒皮肤?切口?入路?定位?椎间盘切除?置入物?透视确认?缝合切口?软围领固定?3手术所需器械手术所需器械椎间盘切除手术（discectomy)椎间盘切除—减压彻底最关键植骨技术？稳定技术（immobilization???stabilization）植入骨内置物稳定技术（stabilization）植入骨（Bone?Grafts）Auto?graft??(iliac?crest)Cadaver?or?allograft?boneSynthetic?boneBiologics?or?proteins?(BMP)稳定技术（stabilization）? 内置物? PLATE? CAGE?? ZERO‐P? DISC稳定技术（stabilization）? 内置物? PLATE稳定技术（stabilization）? 内置物‐‐钛笼?钛板Gao?LL,??cervical?and?upper?limb?numbness?2?yrs.稳定技术（stabilization）? 内置物? CAGE稳定技术（stabilization）? 内置物‐CAGECUI?YG,???39ys,?worker,cervical?and?upper?limb?numbness?4months.?Leg?weakness?10days.稳定技术（stabilization）? 内置物? ZERO‐P稳定技术（stabilization）? 内置物‐ZERO‐PSU?DL,?cervical?disc?herniation,?limb?numbness,?weakness?2?months??稳定技术（stabilization）? 人工椎间盘置换?(artificial?disc?replacement)融合技术?向非融合技术的变革稳定技术（stabilization）人工椎间盘置换?（artificial?disc?replacement,?ADR?)PEN?YX,?F,?50ys.?Neck?pain?3?yr?and?limb?numbness?3?months.?稳定技术（stabilization）? FUSION?Vs?NO?FUSION?–我们的个案ZHOU?MG，M，91Y，neck?pain?and?paralysis??2?months.QUESTION? COMPLICATION? USE?OF?MICROSCOPEQUESTIONCOMPLICATION（并发症）?Reactions to the anesthesia?Bleeding?Injury to spinal cord or nerves?Spinal fluid leak?Voice change?Stroke?Difficulty breathing?Difficulty swalling?Non-healing of the body fusion?Failure to improve?Instrumentation breakage or failure?Infection and bone graft site pain?Pain and swelling in your leg veins?Urinary problemsQUESTION? USE?OF?MICROSCOPE（手术中使用显微镜）?Neurosurgery?Orthopaedic?Surgery