"Hangman fracture) Excessive flexion, or fractures that occur in the upper and lower joints caused by axial violence, are often accompanied by surrounding ligaments and intervertebral discus damage. The injury caused.Recently, Professor Ding Lixiang, a spine surgery in Beijing Century Hospital, accepted a case of Hangman fracture patients. With the assistance of orthopedic surgical robots, the team used only two 1cm incisions to solve the major problems of the patient.
Patients have symptoms of severe pain in the back of the neck due to excessive damage to the neck due to a traffic accident.After the consultation, Professor Ding Lixiang conducted a detailed examination and imaging evaluation of the patients.The test results showed that the patients fracture was fractured, and the cival vertebrae appeared slightly with the C3 vertebral body and the significant forward movement, which prompted the instability of the fracture.Professor Ding Lixiang pointed out: "C2/3 shifts for more than 3mm, and the corner is not obvious. It is the Levine-Edward Type II Hangman fracture. The front vertical ligament is complete. "" ".
Preoperative image A: C2 vertebrae is shifted by more than 3mm than C3 vertebral body; B, C: CT examination shows the fracture of the C2 vertebral gorge; D: The front longitudinal ligament is complete, and the spinal cord is not damaged.
The surgery is completed with the auxiliary of the Tianye Orthopedic surgical robot.After completing the nailing path planning, the two tensile screws were accurately placed in the C2 vertebral body through two small incisions of two 1cm.The overall surgery took 40 minutes, and the amount of bleeding was only 10ml.On the first day after the operation, the patient wore a Halo bracket to get out of bed.After one month after surgery, the screw position and cervical spine sequence are satisfactory, and the patient has resumed daily life.
Surgical planning and surgery process
Postoperative follow-up, the screw position is satisfactory, and the patient recovers it well. Under the leadership of Professor Ding Lixiang, the spine surgery of Beijing Century Hospital has now completed more than 1,200 robotic surgery including limbs and spine fractures, spine malformations, and spinal degeneration diseases. A lot of experience has accumulated.Recently, the spinal surgery of Beijing Century Hospital has completed the trading of the Surgical Robot Training Center, and successfully held the first orthopedic surgical robot training course in Beijing.In the future, the spinal surgery of Beijing Century Hospital will continue to adhere to the clinical and scientific research innovation, and it will continue to apply advanced medical concepts and technology to the clinic, give full play to the advantages of the department, and work hard to protect the peoples lives and health!
Diagnosis time of spine surgery
In the morning, well -known experts on Monday morning
Fang Xiu Tong well -known experts on Monday afternoon, Friday morning
Zhang Jihuan well -known experts on Monday afternoon, Tuesday morningChen Yingchun well -known experts on Tuesday afternoon, Thursday morning
Deputy Chief Physician Zhang Lin Monday afternoon, Wednesday morning
Deputy Chief Physician of Fu Shengliang on Tuesday afternoon, Thursday morning Deputy Chief Physician Hou Yu on Thursday afternoon, Friday morning Deputy Chief Physician of Qu Wei on Monday morning, Friday afternoonSource: Spinal Surgery
Author: Zhang Yan and Song JipengRecommended Draft: Ding Lixiang Zhen Jumei
Types: Li Chunhui
Responsible editor : Wang Zhanrong Fan Xiaoye Wei Wei
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