术前长针头定位,穿刺针开口,透视,位置好上导针
![](https://img.haomeiwen.com/i4401613/dfa642fd01d570ab.jpg)
![](https://img.haomeiwen.com/i4401613/a13889cb0bdbaa27.jpg)
伤椎上下椎体的椎弓根钉角度一定要大,倾斜靠近伤椎一侧的终板,便于后期复位伤椎
![](https://img.haomeiwen.com/i4401613/cdf594cd37867444.jpg)
透视正侧位,自己观察导针的位置,角度(最右下角的导针靠外,没有发现,置钉时没进椎体)
![](https://img.haomeiwen.com/i4401613/52e2bf5c9a9161bf.jpg)
![](https://img.haomeiwen.com/i4401613/9fdeb2afd43e6b8f.jpg)
置钉,两侧钉子深浅,角度,位置要一直对称
![](https://img.haomeiwen.com/i4401613/399fcf84cb8bba4b.jpg)
![](https://img.haomeiwen.com/i4401613/c891e959da37d035.jpg)
![](https://img.haomeiwen.com/i4401613/fd0b4d5b3bb0235d.jpg)
![](https://img.haomeiwen.com/i4401613/7df615a0d20ca8ed.jpg)
经皮,上棒,预估棒的长度,预弯角度,利于复位,恢复腰骶角
![](https://img.haomeiwen.com/i4401613/2567d7e32514a499.jpg)
![](https://img.haomeiwen.com/i4401613/9ec02f1675c69dbd.jpg)
复位完毕,椎弓根钉和被压缩的腰2椎体,都得到了复位
![](https://img.haomeiwen.com/i4401613/ed5aa3341e2c29ef.jpg)
正侧位片透视
![](https://img.haomeiwen.com/i4401613/0775c1ebea3d2546.jpg)
![](https://img.haomeiwen.com/i4401613/c9fe881df4155c57.jpg)
腰5椎体成形
![](https://img.haomeiwen.com/i4401613/e6371ad747dbd153.jpg)
![](https://img.haomeiwen.com/i4401613/7341893ce5d1f511.jpg)
最终手术切口
![](https://img.haomeiwen.com/i4401613/28364a5ebd4d16a3.jpg)
术前长针头定位,穿刺针开口,透视,位置好上导针
伤椎上下椎体的椎弓根钉角度一定要大,倾斜靠近伤椎一侧的终板,便于后期复位伤椎
透视正侧位,自己观察导针的位置,角度(最右下角的导针靠外,没有发现,置钉时没进椎体)
置钉,两侧钉子深浅,角度,位置要一直对称
经皮,上棒,预估棒的长度,预弯角度,利于复位,恢复腰骶角
复位完毕,椎弓根钉和被压缩的腰2椎体,都得到了复位
正侧位片透视
腰5椎体成形
最终手术切口
本文标题:腰2椎体骨折闭合复位经皮置钉,腰5骨折PVP
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