Vertebroplasty auxiliary equipment is used in percutaneous kyphoplasty/percutaneous vertebroplasty to establish working channels, fill bone cement, and restore the anatomical structure of the vertebral body.
Instructions
Surgical methods:
Possible surgical methods include transpedicle and posterolateral transforaminal, the specific operation is selected by the clinician according to the actual situation.
instruct:
1. Under the C-arm machine, choose a suitable surgical approach, and puncture the collapsed vertebral body with a locking puncture needle or a rotating puncture needle;
2. Take out the puncture needle core and leave the cannula inside the needle; if a biopsy is required, use a hollow vertebral drill to take the sample;
3. Mix the bone cement and use a bone cement syringe to inject the bone cement into the compressed vertebral body under X-ray monitoring. The injection volume of bone cement is generally controlled at 3~6ml;
4. If performing balloon dilatation kyphoplasty, remove the needle core after the puncture is completed, take out the guide needle from the puncture needle sleeve, and take out the puncture needle sleeve;
5. Under the guidance of the guide needle, insert the expansion tube, which can be rotated to reduce resistance;
6. Take out the guide needle and the expansion tube, leaving the working sleeve as a working channel;
7. The solid vertebral body drill enters the bone passage through the working sleeve to remove bone, and the drill bit can be repeatedly moved in and out to remove bone debris; if a biopsy is required, a hollow vertebral body drill is used to take the sample.