How to use C arm machine when bone cement is used (PKP surgery record)


Pastotraphytosophyllus (PKP for short) is a common orthopedic surgery that can quickly recover from patients with compressed fractures of the vertebral body. Because the operation is similar to “concrete grouting and reinforced the damaged parts”, it is vividly called “bone cement”.

When bone cement is used to use the C -arm machine, how can it be used? The following is based on a surgical case of the second affiliated hospital of Nanjing Medical University.

The patient’s condition was a compressed fracture of the lumbar spine. The principle is similar to the irrigation technology of the building. Under the perspective of the perspective of the perspective, a puncture needle is accurately paid into the middle of the vertebral body, and the bone cement is injected into the fracture vertebral body. After solidification, it can support and fix the effect, thereby restoring the fracture vertebrae, thereby reducing or disappearing the pain, and preventing the fracture vertebral body further collapsed.

How to use the C arm machine when playing bone cement

PKP surgery record:

(1) The patient is in a push -up position, and then uses the flexible characteristics of the Pu’ai large tablet C arm machine to quickly locate the position of the vertebral arched root to determine the inlet point.

(2) The incision during the operation is 5 mm. With the high -definition image of the large field of view of the PLX119C, the direction of the needle and the depth of the needle are determined. Put the vertebral root of the vertebral bow to the vertebral body, establish a channel, and insert the bone dilatator (balloon). The dilatation of the balloon restores the height of the vertebral body and forms an empty cavity in the vertebral body to determine the injecting dose of the bone cement and inject bone cement to observe its diffusion.

HD image of large tablet C arm machine

(3) The injection process requires the perspective of the C arm to view the distribution of the bone cement to prevent the exposure of the bone cement from entering the spinal canal and cause nerve damage. After the vertebral bone body’s osteoma is filled well, pull out the working sleeve to stop the bleeding, and continue the prone position for ten minutes to wait for the bone cement to harden, and the surgery will be successfully completed.


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