A patient-specific guide (1, 1 ') used in the spine surgery is a distal opening from the proximal opening (2a) to guide the surgery of the patient's vertebrae (100, 100'). It has two tubular guide members (2) extended to (2b). The two tubular guide members are integral with the support frame (3) so as to form a unique coupling configuration of the guide guide (1, 1 ′) depending on the patient of the patient's vertebra (100, 100 ′). At least five contact members (11, 15, 16) designed to fit a plurality of corresponding contact areas of the patient's vertebrae (100, 100 '). The contact member (11, 15, 16) is designed to be coupled with a main contact region corresponding to the spinous process (101) of the patient's vertebrae (100, 100 ') in a coupled configuration. And at least one pair designed to abut the sub-contact areas respectively corresponding to the lamina (102) and the superior articular surface (103) or transverse process (104) of the patient's vertebra (100) in a coupled configuration A first sub-contact member (15) and a second sub-contact member (16). The support frame (3) is connected to the two tubular guide members (2) and the non-linear bridge (8) and is guided to the two tubular guide members (2) in the vicinity of the close side opening (2a). It comprises a V-shaped bridge (5) which is further connected in the proximal part of the member (2) and comprises at least one top (8a) which constitutes the closest part of the guide (1). [Selection] Figure 1背骨の手術で用いられる患者に応じた誘導ガイド（１，１’）は、患者の椎骨（１００，１００’）の外科手術を案内するために近接側開口部（２ａ）から遠位側開口部（２ｂ）に延設される二つの管状案内部材（２）を有する。二つの管状案内部材は、支持フレーム（３）と一体的であり、患者の椎骨（１００，１００’）の患者に応じた誘導ガイド（１，１’）の固有の連結構成を形成するよう、患者の椎骨（１００，１００’）の複数の対応する接触領域に適合するよう設計される少なくとも五つの接触部材（１１，１５，１６）を備える。接触部材（１１，１５，１６）は、連結構成において患者の椎骨（１００，１００’）の棘状突起（１０１）に対応する主接触領域と連結されるように設計される主接触部材（１１）と、連結構成において患者の椎骨（１００）の椎弓板（１０２）および上関節面（１０３）または横突起（１０４）にそれぞれ対応する副接触領域と当接するよう設計される少なくとも一ペアの第一副接触部材（１５）および第二副接触部材（１６）と、を備える。支持フレーム（３）は、二つの管状案内部材（２）と非直線状ブリッジ（８）に接続されるとともに近接側開口部（２ａ）の近傍で二つ
