UBE Surgical Tools-UBE Osteotome Small Curved

Structural features and advantages
Size advantage
The 5MM diameter allows the osteotome to pass well in UBE surgery. In spinal surgery, the surgical channel is relatively narrow. This size allows the osteotome to enter the surgical area smoothly while reducing the pressure on the surrounding tissues. In surgical operations on the cervical, thoracic or lumbar spine, a smaller diameter can reach the target bone tissue without destroying too much normal tissue. For example, near the intervertebral foramen of the cervical spine or the interlaminar space of the lumbar spine, the 5MM osteotome can be operated flexibly.
Advantages of the small curve design
The small curve design enables the osteotome to better adapt to the physiological curve and complex anatomical structure of the spine. This curve can help the osteotome bypass important tissues such as nerves and blood vessels around the spine and accurately contact the bone tissue that needs to be treated. When dealing with bone lesions on the side or front of the spine, the small curve osteotome can follow the natural curvature of the spine and treat the bone at a suitable angle. For example, in anterior cervical spine surgery, the small curve osteotome can follow the lordosis of the cervical spine and accurately chisel the bone hyperplasia at the front edge of the vertebral body to avoid damaging the carotid artery and cervical nerve.
Application scenarios in UBE surgery
Applications in cervical spine surgery
Anterior cervical spine surgery: In anterior cervical disc herniation or cervical fracture surgery, when it is necessary to remove bone hyperplasia, osteophytes or part of the vertebral body at the front edge of the vertebral body for decompression or fusion, the 5MM small curved osteotome can play an important role. After entering the front of the cervical spine through the UBE surgical channel, the osteotome can use its small curved shape to fit the lordotic curve of the cervical spine and accurately remove the diseased bone. For example, when dealing with the situation where osteophytes at the front edge of the vertebral body compress the esophagus or blood vessels caused by cervical degeneration, the small curved osteotome can effectively remove osteophytes and improve the patient's dysphagia or vascular compression symptoms without damaging important structures.
Assistance in posterior cervical spine surgery: In posterior cervical spine surgery, osteotome can be used to deal with part of the bone of the lamina or facet joint. The small curve design allows the osteotome to be flexibly operated in the posterolateral area of ​​the cervical spine. For example, during cervical spinal canal decompression surgery, it is used to remove bone at the edge of the lamina or the facet joint, expand the space of the spinal canal and the intervertebral foramen, and reduce the compression of the spinal cord and nerve roots.
Lumbar Surgery Application
Lumbar disc surgery assistance: In UBE surgery for lumbar disc herniation, when it is necessary to deal with bone hyperplasia at the edge of the intervertebral disc or remove part of the bone to better expose the intervertebral disc space, the 5MM small curve osteotome is an effective tool. It can contact and remove the hyperplastic bone through the small curve part along the side or front of the lumbar spine, creating better conditions for the treatment of the intervertebral disc. For example, in lumbar segments such as L4-L5 or L5-S1, the osteotome can help remove bone that affects the surgical field of view, facilitating subsequent operations such as nucleus pulposus removal.
Lumbar spinal canal decompression and fusion surgery: In decompression surgery and lumbar fusion surgery for lumbar spinal stenosis, osteotome can be used to remove bone from the lateral wall of the spinal canal, lamina, and facet joints. The small curved osteotome can adapt to the physiological lordosis of the lumbar spine, accurately remove bone without damaging nerves and blood vessels, expand the volume of the spinal canal, and create a suitable space for nerve decompression or fusion device implantation.
Thoracic Surgery Application
Thoracic disc lesion treatment assistance: In the surgery of thoracic disc herniation or degeneration, the 5MM small curved osteotome can assist in the treatment of bone at the edge of the thoracic vertebral body to better expose the intervertebral disc space or remove bone hyperplasia that compresses the nerves. Because the thoracic spine is protected by ribs and thorax, the surgical space is relatively narrow. The shape of the small curved osteotome can help it operate accurately in a limited space and reduce damage to surrounding tissues.
Thoracic fracture surgery: In the surgical treatment of thoracic fractures, osteotome can be used to reposition fracture fragments or remove bone that affects fracture repositioning. The small curve design enables the osteotome to accurately process bone along the fracture line or the edge of the fracture fragment in the complex anatomical structure of the thoracic spine, creating conditions for the smooth reduction and fixation of the 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 so as to accurately judge the relationship between the osteotome and the surrounding tissues. During the insertion and operation of the osteotome, special attention should be paid to avoid damaging important tissues such as nerves and blood vessels. The nerves and blood vessels around the spine are densely distributed, especially in the spinal canal and intervertebral foramen, so caution must be exercised during operation. At the same time, according to the hardness and thickness of the bone, the percussion force of the osteotome should be reasonably controlled to avoid excessive force that causes bone fragmentation or osteotome damage.
Operation skills
Insertion skills: According to the anatomical path observed by the endoscope and the spinal structure characteristics of the surgical site, combined with the small curve shape of the osteotome, slowly insert the 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 or the established working channel to avoid forced insertion and damage to surrounding tissues. For example, in anterior lumbar spine surgery, when inserting a small curved osteotome, the curved part of the osteotome can be inserted along the lateral and anterior gap of the lumbar spine first, and then the direction can be adjusted to make it contact the target bone.
Bone chisel skills: When chiseling bones, place the cutting edge of the osteotome accurately on 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 a smaller 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, the position and operation of the osteotome should be flexibly adjusted in combination with real-time endoscopic observation to achieve the best surgical effect. For example, in posterior cervical spinal canal decompression surgery, when using a small curved osteotome to remove bone at the edge of the lamina, the knocking force and depth should be carefully controlled according to the distance between the bone and the nerve seen under the endoscope to prevent damage to the spinal cord and nerve roots.