interspinous fusion

Interspinous fusion is used for the treatment of spinal fractures and dislocations. Treatment of diseases: cervical spine fracture and dislocation Indication Interspinous fusion is applicable to: 1. Cervical fracture and dislocation with obvious widening of the spinous process, or small joint interlocking is difficult to reset by non-surgical methods. 2, anterior interbody fusion between bone grafts failed. 3, single plane localized laminectomy and decompression. 4, due to rheumatoid or other inflammatory diseases caused by multi-planar subluxation, accompanied by symptoms of nerve compression. Surgical procedure 1. The posterior median incision, from a spinous process on the fusion plane, cuts to a spinous process under the fusion plane. When the fusion plane is difficult to determine, the spinous process clips a cloth towel clamp to locate the lateral slice. After the midline incision of the ligament, the spinous process and the lamina on both sides are removed under the bone coat, and the small joints on both sides are fully exposed. The automatic retractor is placed, and the soft tissue attached to the lamina and spinous process is completely removed with a curette, including the spine. Interligament ligament and supraspinous ligament. 2. The base of the spinous process is drilled, guided through the steel wire with a hollow needle, tightened the steel wire to achieve a firm fixation, prepare the bone graft bed, and remove the lamina and spinous process cortical bone with a small rongeur to form a cancellous bone surface with surface bleeding. . 3. The free bone mass is cut from the posterior superior iliac spine, cut into thin strips and planted on the lamina and spinous processes. The full-thick patella can also be folded into two lobes and fixed on both sides of the spinous process with steel wire. 4. In clinical application, it is found that the double-side twisting wire method is superior to the one-sided method. When operating, the steel wires on both sides can be tightened first, and then thin strips or large bone grafts are used. The block bones need to be tied with steel wires. 5, when the lamina or spinous process fracture, and laminar decompression, it is difficult to perform the operation of the spinous process at the base of the spine, the upper vertebral body can be drilled through the wire, bypassing the lower vertebral spinous process, Tangle and fix. Then bone grafting is performed. Postoperative diet 1. Eat more fresh fruits and vegetables to provide the vitamins needed by the body. 2. Eat more high-protein such as chicken and fish to provide the nutrients needed for recovery. 3, eat spicy spicy food.

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