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CN111803198A - Correction device in scoliosis operation - Google Patents

Correction device in scoliosis operation Download PDF

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Publication number
CN111803198A
CN111803198A CN202010790946.8A CN202010790946A CN111803198A CN 111803198 A CN111803198 A CN 111803198A CN 202010790946 A CN202010790946 A CN 202010790946A CN 111803198 A CN111803198 A CN 111803198A
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connecting rod
scoliosis
longitudinal connecting
spine
rod
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CN202010790946.8A
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CN111803198B (en
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沈建雄
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A61B17/7064Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A61B90/13Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention relates to a scoliosis intraoperative correction device which comprises two cross rods arranged at two ends and parallel to each other and a longitudinal connecting rod with adjustable length positioned above the cross rods, wherein the cross rods are vertical to the longitudinal connecting rod. When the surgery correction is carried out, the current position of the spine can be accurately determined, the correction purpose can be achieved when the linear light spots are overlapped with the position of the spine, and then the effects that the heights of shoulders are equal and the spine vector positions are balanced after surgery are achieved.

Description

Correction device in scoliosis operation
Technical Field
The invention relates to the field of surgical instruments, in particular to a scoliosis intraoperative correction device.
Background
The spine is the middle shaft skeleton of the human body, is the pillar of the human body, and has the functions of loading, shock absorption, protection, movement and the like. The normal human spine is straight when viewed from the back or front. If the spine deviates from the central axis to the left or right, the spine bends sideways into a "C" or "S" shape, which is called scoliosis. Scoliosis is one of the most common diseases of spinal deformity, the incidence rate is as high as 0.5% -3%, 1200 million people are estimated in global patients, and at least more than 300 million people are estimated in China.
Posterior orthopedic surgery is the classic mode of treatment scoliosis, and posterior orthopedic surgery's key is when correcting patient's backbone deformity, and it is balanced to resume patient's trunk coronal plane and sagittal plane, and in the way of going back orthopedic surgery, because the operation environment restriction, the art person relies on technique such as perspective in the current art can't fully observe patient's position, does not have the reference of quantization to what kind of degree orthopedic, relies on the experience of art person entirely, and the serious trunk unbalance's condition appears in the backbone deformity patient postoperative often can appear, influences the operation curative effect.
To above-mentioned situation, chinese utility model patent CN203828903U discloses a coronal plane balance measuring instrument in spinal column orthopedics, the structure is perpendicular connection level measurement groove of perpendicular measuring stick, left ilium fixation nail handle, right ilium fixation nail handle sliding connection is in the level measurement groove, left ilium fixation nail handle, right ilium fixation nail handle is connected left ilium fixation nail respectively, left ilium fixation nail, it has overcome the defect that the degree of recovery of coronal plane can only be appraised through naked eye observation or the repeated perspective of postoperative when preventing postoperative coronal plane decompensation to exist in the past, nevertheless still has the following problem in the practice:
1. in the operation, the measuring instrument needs to be placed above the spine for measurement, the operation is stopped, the measuring instrument is removed after the measurement is finished, if a problem occurs, the operation adjustment needs to be carried out again, and the operation is particularly inconvenient due to the limitation of the operation environment;
2. the protractor is needed in the measuring process, the precision is poor, most importantly, the orthopedic angle of the orthopedic operation cannot be measured in real time, and the operation risk of repeatedly measuring and adjusting is increased;
3. because the length of measuring rod needs long enough to can once only measure the backbone whole, it can inevitably take place deformation in the measurement process, influences measurement accuracy, and then influences the operation effect.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a scoliosis intraoperative correction device to solve the defects in the prior art.
The technical scheme for solving the technical problems is as follows:
a scoliosis intraoperative correction device comprises two cross rods which are arranged at two ends and are parallel to each other and a longitudinal connecting rod which is positioned above the cross rods and has adjustable length, wherein the cross rods are vertical to the longitudinal connecting rod;
furthermore, two vertical rods perpendicular to the cross rod are vertically arranged at the center of the cross rod, and the upper ends of the two vertical rods are connected with the longitudinal connecting rods;
furthermore, slide rails are arranged on the inner sides of the two vertical rods, and grooves are formed in the two ends of the longitudinal connecting rod and are in sliding connection with the slide rails in a matched mode;
furthermore, the two vertical rods are telescopic rods with adjustable lengths, and the vertical rods are provided with scale marks and locking switches;
furthermore, a laser indicator light capable of forming linear light spots is arranged on the longitudinal connecting rod; a light sensor for receiving a laser indicator lamp is arranged on the inner side of the joint of the vertical rod and the cross rod; the light sensor is connected with the controller positioned on one side of the laser indicator light, and the other side of the laser indicator light, which is opposite to the controller, is provided with a warning light;
the invention has the beneficial effects that: when the surgery correction is carried out, the current position of the spine can be accurately determined, the correction purpose can be achieved when the linear light spots are overlapped with the position of the spine, and then the effects that the heights of shoulders are equal and the spine vector positions are balanced after surgery are achieved.
Drawings
FIG. 1 is a schematic side sectional view of the structure of the present invention;
FIG. 2 is a schematic top view of the present invention;
Detailed Description
The principles and features of this invention are described below in conjunction with the following drawings, which are set forth by way of illustration only and are not intended to limit the scope of the invention.
As shown in fig. 1-2, an intraoperative correction device for scoliosis comprises two cross rods 1 arranged at two ends and parallel to each other and a longitudinally-arranged connecting rod 2 with adjustable length positioned above the cross rods, wherein the cross rods 1 are perpendicular to the longitudinally-arranged connecting rod 2;
when the scoliosis is corrected, a patient lies on the stomach, a cross rod at one end of the device is placed on a connecting line of posterior superior iliac spines at two sides, the length of a longitudinal connecting rod is adjusted, the cross rod at the other end is as high as shoulders at two sides, and the position of the longitudinal connecting rod is the spine correction target position.
The device can be used for accurately observing the spinal unbalance condition in the operation and really correcting the degree and the trunk balance recovery condition at any time; simultaneously, carry out two location through the horizontal pole that is located both ends, further prevent the deformation of the in-process longitudinal connecting rod of measurement, improve the observation accuracy in the art.
In practice, the device needs to be positioned right above the spine during the operation process, so that the sight of the operation is easily shielded, the operation space is reduced, and the inconvenience is brought to the operation;
in one embodiment, the above scheme is modified as follows:
two vertical rods 3 perpendicular to the cross rod are vertically arranged at the center of the cross rod, and the upper ends of the two vertical rods 3 are connected with the longitudinal connecting rod 2;
more specifically, the inner sides of the two vertical rods are both provided with a slide rail 31, and two ends of the longitudinal connecting rod are provided with grooves which are matched with the slide rails 31 for sliding connection;
through the arrangement, an operator can adjust the height of the longitudinal connecting rod at any time according to the conditions of patients and the self condition in the operation, the use is flexible and convenient, and the application range of the device is further enlarged;
in practice, it is further found that the height of the longitudinal connecting rod can be adjusted by the structure to provide a space for surgical operation, but due to the structural characteristics of a human body, the positions of the two cross rods cannot be in the horizontal position, so that visual errors are formed due to inconsistent heights of the two ends of the longitudinal connecting rod, and the observation precision is further influenced during the surgical operation.
In another embodiment, the above scheme is modified as follows:
more specifically, the two vertical rods are telescopic rods with adjustable lengths, and the vertical rods are provided with scale marks and locking switches;
the scale marks arranged on the vertical rods also facilitate the flexible adjustment of the heights of the vertical rods at the two ends, so that the visual error caused by the fact that the heights of the cross rods at the two sides are different due to the limitation of the human body structure of the conventional device are overcome, and the observation accuracy in the operation is further improved;
in practice, it is further found that, due to the complexity of scoliosis surgery, the loss of energy and physical strength of an operator is large in the long-time surgery process, and the observation of spinal unbalance is difficult to avoid; the continuity of the operation and even the accuracy of the operation can be influenced by continuously switching the operation visual angle and observing the unbalanced visual angle of the spine;
in another embodiment, the above technical solution is improved as follows:
the longitudinal connecting rod is provided with a laser indicator lamp 4 capable of forming linear light spots; a light sensor 5 for receiving a laser indicator lamp is arranged on the inner side of the joint of the vertical rod and the cross rod; the light sensor is connected with a controller 7 positioned on one side of the laser indicator light, and a warning light 6 is arranged on the other side of the laser indicator light opposite to the controller;
during specific implementation, the cross rod at one end of the device is placed on the connecting line of the posterior superior iliac spines at two sides, the length of the longitudinal connecting rod is adjusted, the cross rod at the other end is as high as the shoulders at two sides, the laser indicator lamp is turned on through the controller, the linear light spot is received by the light sensor, the position of the linear light spot is the target position of orthopedic surgery, and the operator does not need to frequently switch the surgery visual angle and observe the spinal unbalance visual angle due to the fact that the linear light spot indicates on the spinal column, so that the accuracy and the surgery efficiency of the.
In addition, once the situation that the longitudinal connecting rod deviates occurs, the light ray sensor positioned on the inner side of the vertical rod cannot receive the linear light spot, the controller judges that the device has a problem, and then the controller controls the warning lamp to flash to remind an operator to correct the device;
a scoliosis orthopedic surgery patient uses hard objects to mark the posterior superior iliac spines and the acromion at two sides before preoperative disinfection, so that the anatomical structure position can be conveniently determined after the single laying in the surgery, after a spine section needing the orthopedic surgery is exposed in the surgery, a cross bar at one end of the device is arranged on the markers of the posterior superior iliac spines at two sides, two ends of a longitudinal connecting rod are positioned at the connecting line midpoint of the posterior superior iliac spines at two sides and the midpoint of the shoulder at two sides, the position of a current linear light spot is the orthopedic spine target position, when the orthopedic surgery is carried out, the current position of the spine can be accurately determined, the orthopedic purpose can be achieved when the linear light spot is superposed with the spine position, and then the effects of height of the.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (5)

1. A scoliosis intraoperative correction device, characterized by: including setting up in both ends and two horizontal poles that are parallel to each other and the waling connecting rod that is located the adjustable length of horizontal pole top, the horizontal pole is perpendicular with the waling connecting rod.
2. The device of claim 1, wherein: two vertical rods perpendicular to the cross rod are vertically arranged at the center of the cross rod, and the upper ends of the two vertical rods are connected with the longitudinal connecting rods.
3. The device of claim 2, wherein: two the inboard of montant all is provided with the slide rail, the both ends of indulging the connecting rod have the recess with slide rail cooperation sliding connection.
4. The device of claim 2, wherein: two the montant is length adjustable's telescopic link, have scale mark and locking switch on the montant.
5. The device for correction in scoliosis according to claim 3 or 4, wherein: the longitudinal connecting rod is provided with a laser indicator light capable of forming linear light spots; a light sensor for receiving a laser indicator lamp is arranged on the inner side of the joint of the vertical rod and the cross rod; the light sensor is connected with a controller positioned on one side of the laser indicator light, and a warning light is arranged on the other side, opposite to the controller, of the laser indicator light.
CN202010790946.8A 2020-08-07 2020-08-07 Correcting device in scoliosis operation Active CN111803198B (en)

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CN202010790946.8A CN111803198B (en) 2020-08-07 2020-08-07 Correcting device in scoliosis operation

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Application Number Priority Date Filing Date Title
CN202010790946.8A CN111803198B (en) 2020-08-07 2020-08-07 Correcting device in scoliosis operation

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CN111803198B CN111803198B (en) 2024-01-12

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113139962A (en) * 2021-05-26 2021-07-20 北京欧应信息技术有限公司 System and method for scoliosis probability assessment

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0140681A2 (en) * 1983-10-28 1985-05-08 Toru Yoshizawa Examination for rachioscoliosis
CN203828903U (en) * 2014-05-23 2014-09-17 南京大学医学院附属鼓楼医院 Coronal plane balance measurer for spinal deformity correction surgery
US20140303522A1 (en) * 2011-11-29 2014-10-09 Toyo University Scoliosis evaluation system and evaluation apparatus applied to the same system
CN107468253A (en) * 2017-09-18 2017-12-15 刘建 Scoliosis dance training measures diagnostic equipment
CN207384260U (en) * 2017-03-03 2018-05-22 吴继功 A kind of measuring device for being used for backbone back body surface and X-ray film backbone angle of inclination
CN110290740A (en) * 2016-10-05 2019-09-27 阿瓦隆脊椎关爱有限公司 System and method for assessing scoliosis and kyphosis
US10555690B1 (en) * 2019-06-03 2020-02-11 Fatma Al-Askar Standing posture measuring device

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0140681A2 (en) * 1983-10-28 1985-05-08 Toru Yoshizawa Examination for rachioscoliosis
US20140303522A1 (en) * 2011-11-29 2014-10-09 Toyo University Scoliosis evaluation system and evaluation apparatus applied to the same system
CN203828903U (en) * 2014-05-23 2014-09-17 南京大学医学院附属鼓楼医院 Coronal plane balance measurer for spinal deformity correction surgery
CN110290740A (en) * 2016-10-05 2019-09-27 阿瓦隆脊椎关爱有限公司 System and method for assessing scoliosis and kyphosis
CN207384260U (en) * 2017-03-03 2018-05-22 吴继功 A kind of measuring device for being used for backbone back body surface and X-ray film backbone angle of inclination
CN107468253A (en) * 2017-09-18 2017-12-15 刘建 Scoliosis dance training measures diagnostic equipment
US10555690B1 (en) * 2019-06-03 2020-02-11 Fatma Al-Askar Standing posture measuring device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113139962A (en) * 2021-05-26 2021-07-20 北京欧应信息技术有限公司 System and method for scoliosis probability assessment
CN113139962B (en) * 2021-05-26 2021-11-30 北京欧应信息技术有限公司 System and method for scoliosis probability assessment

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