腰椎骨折切开复位内固定术 - 副本

腰椎骨折复位内固定术流程英文回答：The procedure for reduction and internal fixation of lumbar spine fractures typically involves several steps. Here is a general outline of the process:1. Preoperative preparation: The patient is prepared for surgery by conducting a thorough preoperative evaluation, which includes medical history assessment, physical examination, and radiographic imaging. Any necessary blood tests and other investigations are also performed.2. Anesthesia: The patient is administered general anesthesia or spinal anesthesia to ensure they are comfortable and pain-free during the procedure.3. Patient positioning: The patient is positioned on the operating table in a prone (face-down) position. Thesurgical team ensures proper padding and positioning to prevent pressure sores and optimize access to the operative site.4. Incision: A midline incision is made over the affected lumbar vertebrae. The length of the incision may vary depending on the specific fracture and the surgeon's preference.5. Exposure: The soft tissues, including the muscles and fascia, are carefully dissected to expose the fractured vertebrae. Retractors may be used to maintain optimal exposure throughout the procedure.6. Fracture reduction: The fractured vertebrae are realigned or reduced using specialized instruments. The surgeon may employ manual manipulation or the assistance of fluoroscopy or navigation systems to guide the reduction process.7. Internal fixation: Once the fracture is reduced, internal fixation devices such as screws, rods, or platesare used to stabilize the fractured vertebrae. The choice of fixation method depends on the nature and location of the fracture.8. Wound closure: After the internal fixation is in place, the surgical incision is closed in layers using absorbable sutures or staples. Sterile dressings are applied to the wound.9. Postoperative care: The patient is transferred to the recovery room, where vital signs are monitored closely. Pain management, wound care, and early mobilization protocols are initiated as per the surgeon's instructions.10. Rehabilitation: Following the initial recovery period, the patient may undergo physical therapy and rehabilitation to regain strength, mobility, and function. The duration and intensity of rehabilitation depend on the individual patient's condition and progress.中文回答：腰椎骨折复位内固定术的流程通常包括以下几个步骤：1. 术前准备，对患者进行全面的术前评估，包括病史调查、体格检查和放射影像学检查。

腰椎骨折复位内固定术流程英文回答：The procedure for reduction and internal fixation of a lumbar spine fracture involves several steps. I will walk you through the process.First, the patient is positioned on the operating table and anesthesia is administered. This can be general anesthesia or regional anesthesia, depending on thepatient's condition and the surgeon's preference.Next, the surgeon makes an incision over the affected area of the spine. The size and location of the incision may vary depending on the specific fracture and the surgeon's preference. The incision allows the surgeon to access the fractured vertebrae.Once the fracture site is exposed, the surgeoncarefully reduces or realigns the broken bones. This can bedone manually or with the assistance of specialized instruments. The goal is to restore the normal alignmentand stability of the spine.After the reduction, the surgeon proceeds with the internal fixation. This involves placing screws, rods, or plates to hold the fractured bones in place. The choice of implants depends on the type and location of the fracture. The implants provide stability and support to the spine during the healing process.Once the internal fixation is complete, the surgeon confirms the correct positioning of the implants using fluoroscopy or X-ray imaging. This ensures that the hardware is properly placed and the fracture is adequately stabilized.Finally, the incision is closed with sutures or staples, and a sterile dressing is applied. The patient is then transferred to the recovery room for monitoring.It is important to note that the specific details ofthe procedure may vary depending on the individual case and the surgeon's expertise. Complications such as infection, nerve damage, or implant failure are possible, but they can be minimized with proper surgical technique and post-operative care.中文回答：腰椎骨折复位内固定手术的流程包括几个步骤。

新民中心卫生院手术记录
姓名：张克勇性别：男年龄：43岁时间：2021年7月26日
诊断：术前腰4椎体爆裂性骨折术后腰4椎体爆裂性骨折
手术：拟行腰4椎体爆裂性骨折切开复位椎弓根螺钉内固定术
已行腰4椎体爆裂性骨折切开复位椎弓根螺钉内固定术
术者：赵宝雄助手：胡伟史云峰杜军
麻醉方式：气管插管全麻麻醉医师：张思军
手术步骤：1、麻醉平稳后,患者俯卧位,常规消毒铺单。

2、以腰4棘突为中心,取腰正中长约11厘米纵行切口,切开皮肤、浅筋膜、腰背筋膜，紧贴腰3-腰54棘突两侧向前向外切断剥离骶棘肌，别离显露腰3-腰5双侧椎板、关节突、横突。

3、C型臂透视确认定位后，选择腰3两侧横突中点连线与上关节突外侧缘切线交点为进针点，打入克氏针2枚，并注意保持其与矢状面成角约15度，与横断面平行，再同理于腰
4、5两侧各打入克氏针2枚，与矢状面成角约15度，C型臂透视进针位置方向满意。

4、拔出克氏针，依次经开口、扩孔、触探孔壁后，分别按原方向拧入椎弓根螺钉6枚，C型臂透视确认进钉位置深度满意。

5、安装连杆，并行撑开复位、分别拧紧锁固螺母。

6、用大量生理盐水反复冲洗切口，放置引流管一根。

清点器械纱块无误后逐层缝合切口。

手术历时2小时，术后安返病房。