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Seite 1 © 2011 Schön Klinik Hybrid Dynamic Stabilization System
Seite 2 © 2011 Schön Klinik 5 Sizes [24-40mm] 4 Sizes [20-43mm]
Seite 3 © 2011 Schön Klinik Consider the pedicle is roughly a cylindric structure. The medial wall should not be perforated/passed by the trocar Pedicle Preparation with cannulated Trocar Minimal skin incision (C-arm fluoroscopic-control) Placement of screws in Seldinger -Technique Cannulated Trocar
Seite 4 © 2011 Schön Klinik THREE- Mini-Incision- Technic
Seite 5 © 2011 Schön Klinik N=75, (36 m- 39 fem.) Mean age 51,3 a Range 26 –75 a
Seite 6 © 2011 Schön Klinik follow up n=62/75 Patients (82%), at timepoints from 3, 6, 12 and 24 months postoperativ assed by using a pain score based on VAS (range 1-10) functional outcome assed by using the ODI-Score and additionally a personal satisfaction score (school-grade 1-6) The resulting flexibility of the dynamic treated parts of the spine (ROM L2-S1) with new X Rays p.a., side and Re/Inclination
Seite 7 © 2011 Schön Klinik 59 patients/ n=70 after 3 months, 48 patients after 6 months, 21 patients after 12 months, 9 patients after 24 months and 4 patients after 36 months Up to now: Follow up (MW 10,11 months, range 3-36 months)
Seite 8 © 2011 Schön Klinik
Seite 9 © 2011 Schön Klinik
Seite 10 © 2011 Schön Klinik Very satisfied Somewhat unsatisfied Satisfied personal index (range 1-6 school grade ) middle value 2
Seite 11 © 2011 Schön Klinik
Seite 12 © 2011 Schön Klinik In two cases we had a broken dynamic coupler due to a individual measuring mistake which leaded to a overload of the system One hybrid-case with considerable screw loosening and whipping effect ( revision-pedicle plastic- dynamic enlargement adjacent level) In one case we had a misplacement of a screw, which tend to be revised Two subcutaneus seroma, through the temporary choosen modified subfascial intramuscular approach
2011年上半年 我院团学工作活动图片展播 2011年8月28日.
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