Structural features and advantages
Uniqueness of the right-bend design
The 5MM right-bend osteotome is bent toward the right side, which enables it to accurately operate on the bone structure on the right side of the spine. In spinal surgery, this right-bend shape is designed to fit the anatomical characteristics of the right side of the spine, effectively avoid the normal tissue on the left side, and directly act on the diseased bone on the right side. For example, when dealing with stenosis of the intervertebral foramen on the right side of the thoracic spine, the right-bend osteotome can move along the contour of the right side of the spine, smoothly reach the area around the intervertebral foramen, and deal with the bone hyperplasia that causes stenosis without interfering with important structures such as nerve roots and blood vessels on the left side.
Advantages of precise operation
The right-bend osteotome provides more precise operation possibilities in the limited space on the right side of the spine. In the cervical, thoracic and lumbar regions, the surgical space on the right side varies due to the physiological structure of the spine and the distribution of surrounding tissues. The right-bend osteotome can cleverly utilize the space on the right side, bypass the nerves and blood vessels on the right side, and concentrate the force on the bone that needs to be treated. Compared with the straight osteotome, it has more advantages in dealing with the bone at a specific angle and position on the right side of the spine. For example, in the right lumbar laminae decompression surgery, it can better conform to the physiological curve of the right side of the lumbar spine and accurately remove bone.
Application scenarios in UBE surgery
Application of cervical spine surgery
Right cervical decompression surgery: In the surgery of right cervical spinal canal stenosis or nerve root compression, the right curved osteotome can be used to remove the bone around the right cervical lamina and intervertebral foramen. After entering the right side of the cervical spine through the UBE surgical channel, the right curved part of the osteotome can accurately fit the contour of the right side of the cervical spine and remove the bone hyperplasia that compresses the nerve root along the edge of the intervertebral foramen. For example, when the symptoms of nerve root compression appear on the right side of the C3-C4 or C6-C7 cervical segment, the right curved osteotome can effectively expand the intervertebral foramen space, reduce the compression of the right nerve root, and relieve the patient's pain, numbness and other symptoms on the right side of the upper limb.
Assistance in cervical fusion surgery (right side): In the preparation stage of cervical fusion surgery, when it is necessary to deal with the bone of the right cervical vertebral endplate or facet joint, the right-curved osteotome can play an advantage. It can trim the right endplate of the vertebral body along the lordotic curve of the right side of the cervical spine, or remove part of the bone of the right facet joint, creating suitable conditions for the implantation of the fusion device. For example, during anterior cervical fusion surgery, for intervertebral fusion on the right side of the cervical spine, the right-curved osteotome can help clean the cartilage tissue on the surface of the right vertebral endplate, so that the fusion device can better fit the endplate.
Lumbar Surgery Application
Assistance in right lumbar disc surgery: In UBE surgery for lumbar disc herniation, if the protruding nucleus pulposus is located on the right side or there is bone hyperplasia on the edge of the right intervertebral disc that affects the surgical operation, the 5MM right-curved osteotome can be used for treatment. It can contact and chisel the hyperplastic bone along the side or front of the right side of the lumbar spine using the right-curved shape to create better conditions for the treatment of the intervertebral disc. For example, on the right side of the L3-L4 or L5-S1 lumbar segment, the osteotome can help remove the bone that affects the right surgical field, and facilitate subsequent right nucleus pulposus removal and other operations.
Lumbar right canal decompression and fusion surgery: In decompression surgery and lumbar fusion surgery for lumbar spinal stenosis, the right-curved osteotome is a good tool for bone treatment of the right spinal canal and intervertebral foramen of the lumbar spine. It can adapt to the physiological lordosis of the right side of the lumbar spine, accurately remove the bone of the right spinal canal side wall, lamina and facet joint without damaging the right nerves and blood vessels, expand the right spinal canal volume, and create a suitable space for right nerve decompression or implantation of the right fusion device.
Thoracic Surgery Application
Thoracic right intervertebral disc lesion treatment assistance: In the case of thoracic disc herniation or degeneration, the right-curved osteotome can assist in the treatment of the bone on the right edge of the thoracic vertebral body to better expose the right intervertebral disc space or remove the bone hyperplasia that compresses the right nerve. Since the thoracic spine is protected by ribs and thorax, the surgical space is relatively narrow. The shape of the right-curved osteotome can help it operate accurately in a limited space and reduce damage to surrounding tissues.
Surgery for right-side thoracic fracture: In the surgical treatment of right-side thoracic fracture, the osteotome can be used to reduce the right fracture fragment or remove the bone that affects the reduction of the right fracture. The right-curved design enables the osteotome to accurately process the bone along the right fracture line or the edge of the fracture fragment in the complex anatomical structure of the right side of the thoracic spine, creating conditions for the smooth reduction and fixation of the right fracture.
Operation precautions and skills
Operation precautions
Since the UBE operation is performed under endoscopic visualization, it is necessary to ensure that the endoscopic field of view is clear before the operation, and accurately judge the relationship between the right-curved osteotome and the surrounding tissues. Special attention should be paid to the position of important tissues such as nerves and blood vessels on the right side to avoid damaging them during the operation. During the insertion and operation of the osteotome, the insertion angle and percussion force of the osteotome should be reasonably controlled according to the anatomical characteristics of the right side of the spine. At the same time, attention should be paid to the cleaning and disinfection of the osteotome to avoid surgical infection due to instrument contamination.
Operation skills
Insertion skills: According to the anatomical path observed by the endoscope and the structural characteristics of the right side of the spine at the surgical site, slowly insert the right curved osteotome at an appropriate angle and direction. During the insertion process, use its 5MM diameter to carefully enter the surgical area along the natural anatomical gap on the right side of the spine or the established working channel to avoid forced insertion and damage to surrounding tissues. For example, in the right anterior lumbar spine surgery, when inserting the right curved osteotome, the curved part of the osteotome can be inserted along the lateral anterior gap on the right side of the lumbar spine, and then the direction can be adjusted to make it contact the target bone.
Bone chiseling skills: When chiseling bones, accurately place the cutting edge of the osteotome on the right side of the bone to be processed, and use appropriate knocking force according to the hardness and thickness of the bone. For harder bones, you can use less force to knock multiple times; for softer bones, you should also pay attention to controlling the force to avoid excessive bone crushing. During the entire operation, it is necessary to combine the real-time observation of the endoscope to flexibly adjust the position and operation method of the right curved osteotome to achieve the best surgical effect. For example, during right-side posterior spinal decompression surgery, when using a right-curved osteotome to remove bone from the edge of the right cervical vertebral lamina, the force and depth of the tapping should be carefully controlled based on the distance between the bone and the right nerve seen under the endoscope to prevent damage to the spinal cord and right nerve roots.