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Anterior cervical discectomy a ɛwɔ decompression ne implant fusion (ACDF) .

Views: 0 Ɔkyerɛwfo: Site Editor Publish Time: 2025-05-30 Mfiase: Beaeɛ

Mfonini (1) . Anterior cervical disccectomy with decompression and implant fusion (ACDF) yɛ oprehyɛn akwan a wɔtaa fa so sa akyi berɛmo no su ne ntini mu ntini-su awotwaa mu akyi berɛmo mu akisikuru, akyi berɛmo mu akisikuru ne ɔhaw afoforo, na ɛwɔ mfaso horow a ɛne sɛ wɔbɛma nneɛma a ɛwɔ abɔnten so no ayɛ kɛse, na wɔde wɔn ho ahyɛ mu, na wɔde nsu a wɔde yɛ adwuma no dodow a wɔde yɛ adwuma no gu hɔ. Oprehyɛn akyi haw ahorow a ɛtaa ba te sɛ ɔhaw a ɛba wɔ afã horow a ɛbɛn no a wɔmene, ntini a ɛsan ba a ɛma obi ho yɛ no hyew, nsu a ɛtwetwe amemene no mu, mogya a ɛkɔ nipadua no mu, ɔyare mmoawa, ne akyi berɛmo ntam a wɔde hyɛ nipadua no mu a ɛkɔ fam ne nea ɛkeka ho no mu.

Wɔ ɔhaw ahorow a ɛwɔ atifi hɔ no ho mmuaema mu no, adesua kuw no reyɛ adwuma bere nyinaa wɔ mfiridwuma mu nkɔso, adwene mu nkɔso, ne prosthesis optimisation ho. Wɔagye afiri a ɛma obi ho yɛ den a ɛma ne ho yɛ den (zero-trace) a ɛma ne ho tɔ no koraa wɔ akyi berɛmo ntam no so na ɛtew asiane a ɛwɔ oprehyɛn no akyi a ɛyɛ basaa ne ɔfã a ɛbɛn no a ɛyɛ mmerɛw no so yiye no agye atom kɛse.

Wɔaka oprehyɛn akyi nsɛnnennen a ɛbata prostheses ho no ho asɛm wɔ ase hɔ —— .

1.Akyinnyegye a ɛfa sɛ ebia ɛbɛsan ayɛ akyi berɛmo a ɛwɔ akyi no ho anaasɛ ɛnte saa .

1_USPCAYL_2X_REALESRGAN-X4Plus .

Mfonini 1 Mfonini a ɛkyerɛ sɛnea conotruncus, vertebral artery, ne akyi berɛmo ne ntini ntini no te.

bi. Abusuabɔ a ɛda articular eminence a ɛwɔ concha no mu ne vertebral artery ntam.

b. Wɔ nhoma no mu no, woyi articular eminence no mfinimfini fã no fi hɔ, na wɔkora akyi fã no so sɛnea ɛfata na amma akyi berɛmo no ansɛe.

2_USPCAYL_2X_NHYEHYƐEƐ-X4Plus

Mfonini 2 Ntini ntini a ɛyɛ den ne decompression ho mfonini denam hyperplastic conical joints a wɔtrɛw mu no so.

bi. Nnompe nyin ne akyi berɛmo mu ntini a ɛyɛ kɔntɔnkrɔn no ma ntini a ɛwɔ akyi no ntam kwan no cross-sectional area no so tew, na ɛnam so mia ntini no ntini.

b. Intervertebral fusion device/implant betumi abue intervertebral space no ama intervertebral foramen no fã no ayɛ kɛse na ɛne ntini no ntini no ayɛ den, na bere koro no ara mu no, ɛbɛsan asiesie akyi berɛmo no a ɛyɛ den no.

hia a ɛho hia sɛ wɔyɛ akyi berɛmo mu akyi berɛmo mu oprehyɛn de yi akyi berɛmo no nkwaa no ayɛ akyide dompe fi bere a wofii ase yɛɛ saa no .

Robinson ne Smith de nkyerɛkyerɛmu a edi kan a ɛfa anim a ɛwɔ awotwaa no anim a ɛma ɛyɛ mmerɛw ne nea wɔde hyɛ nipadua no mu a wɔde hyɛ mu no mae wɔ 1955 mu a ɔkaa ɔkwan a wɔfa so yɛ no ho asɛm sɛ ɛho nhia sɛ woyi leptokyphotic nkwaa osteophyte no fi hɔ. Cloward, ɔfoforo a ɔhyehyɛɛ ACDF no sii so dua sɛ ɛsɛ sɛ woyi nhyɛso nyinaa fi hɔ, na sɛ woyi hyperplastic leptokyphosis no fi hɔ tẽẽ a, ɛho hia ma decompression, bere a Robinson buae sɛ wobetumi asan de leptokyphosis no asi hɔ bere a wɔde akyi berɛmo no gyina pintinn no si hɔ na bere a mfiri a ɛnyɛ papa no yerae no, ne sɛ saa nneɛma a wɔde gyina so no yɛ nea wɔde wɔn ho hyɛɛ mu no.

Reservist hwɛ .

Wɔn a wɔkora so no kyerɛ sɛ hook nkwaa no ma ɔfã biara gyina 48% kosi 60% na ɛma ɛyɛ pintinn kɛse wɔ akyi berɛmo no akyi fã no mu, na sɛ akyi berɛmo no mu ntini a ɛwɔ akyi no gyae a, ɛma akyi fã a ɛwɔ hook nkwaa no fã a ɛwɔ akyi no yɛ kɛse ne ne ho no fã a ɛyɛ ne ho sɛ neuraxial canal canal canal canal, inonexial Canal Displacement of the implant position brɛ fusion no nkonimdi ase.

Sɛ wobetumi anya ayaresa mu nsunsuanso a ɛne no sɛ a wɔrentwa hook vertebral joint no a, hook vertebral joint no a wɔbɛkora so no betumi ama wɔayɛ nhyehyɛe a ɛfata sen biara ama fusion rates a ɛkorɔn. Bio nso, hook vertebral joint no a wɔkora so no boa ma hokwan a ɛwɔ hɔ sɛ wɔbɛyɛ oprehyɛn akyi vertebral subluxation no so tew, na wɔahyɛ no nsow sɛ sɛ wɔtwa hook vertebral joint no fã a ɛboro 38% no a, rate of interbody fusion subluxation no bɛkɔ soro kɛse.

3_USPCAYL_2X_REALESRGAN-X4Plus .

Excisionist adwene no .

Sɛnea Resection School of Thought kyerɛ no, wɔ nipadua mu no, leptospondylar nkwaa no akyi ɔfasu no yɛ ntini no ntini no anim ɔfasu, na nnompe nkae a efi leptospondylar nkwaa a ɛyɛ den no mu no betumi ama ntini no ntam ntini a ɛwɔ akyi no ayɛ mmerɛw.

Wɔ mprempren ayaresabea adwumayɛ mu no, wɔda so ara kamfo leptokyphosis a woyi fi hɔ denam leptokyphosis a woyi fi hɔ no so wɔ ayarefo a wɔn ntini mu ntini a ɛyɛ den no nhyɛso a emu yɛ den no mu, sɛnea ɛbɛyɛ a wɔbɛma ntini anaa akyi berɛmo mu ntini a ɛyɛ den no ayɛ mmerɛw ntɛm ara sɛnea wobetumi.

Sɛ yɛka ne nyinaa bom a, akyinnyegye wɔ hɔ bere nyinaa, nanso paw a wɔpaw sɛ wɔbɛkora so, wɔbɛkora so fã bi, anaasɛ wobeyi hook spondylolisthesis no afi hɔ koraa sɛnea ɔyarefo no tebea te no abɛyɛ adwene koro wɔ ayaresabea nneyɛe ahorow mu. Nanso, ayaresa ho nhyehyɛe a wɔayɛ no ankorankoro no de nneɛma a wɔde yɛ nipadua no kɛse no kɛse di dwuma.

4_USPCAYL_2X_REALESRGAN-X4Plus .

Nneɛma a wɔtaa de yɛ zero-cut traces a ɛwɔ gua so no anohyeto ne hia a ehia sɛ wɔde screw wɔ 4 screws mu ma locking, na wɔn tɛtrɛtɛ hia sɛ 17.5 mm, a ɛyɛ kɛse ma ɔman no mu binom, na mpɛn pii no ɛhwehwɛ sɛ wɔde afã bi siw hook joint no ano ma fusion implantation wɔ intervertebral space no mu.

Wɔatew SAGI 2-nail locking zero incision no so akɔ mm 14.8 wɔ ne tɛtrɛtɛ mu, a wosusuw Chinafo dodow no ara nipadua mu nsusuwii ho, na ɛma nea ɔde di dwuma no nya hook joint no oprehyɛn a ɔyɛe wɔ oprehyɛn no mu kɛse, na ɛma wotumi paw aduru a wɔde sa ntini no sɛnea ɔyarefo no tebea te ankasa, bere a ɛhwɛ ma mfiase no gyina pintinn na wɔde bere tenten frafra no.

Oprehyɛn akyi akyi berɛmo mu epidural hematoma .

Spinal epidural hematoma (SEH) yɛ ɔhaw a ɛntaa nsi na ɛyɛ hu wɔ akyi berɛmo kwan akyi, a ɛyɛ bɛyɛ 0.1% kosi 0.2%.seh ba wɔ venous plexus a ɛyɛ fɛ a ɛwɔ epidural no mu, a ɛbɛma spinal cord no ayɛ adwuma yiye sɛ wɔsa mogya a ɛba no a, ɛnyɛ bere a wɔde sa mogya no. Oprehyɛn a wɔyɛ no ntɛm bere a wɔahu SEH akyi no betumi aboa ma ntini mu yare no ho atɔ no.

Mfonini (2) .

Oprehyɛn akyi SEH Schematic a ɛwɔ ACCF .

ACDF ne ACCF nyinaa betumi aba akyi, na ACCF wɔ asiane kɛse sɛ wobenya mogya a ɛkɔ akyi no mu ntini a ɛwɔ akyi no mu ntini a ɛwɔ nipadua no mu no nyinaa esiane ahoyeraw kɛse ne nnompe a ɛreworo so kɛse nti; Nanso, ACDF nhyehyɛe no nyinaa dodow yɛ kɛse, na SEH dodow a ɛkɔ soro no ba.

Ɛsɛ sɛ SEH a wobesiw ano wɔ akyi berɛmo mu kwan a wɔfa so no kɔ so wɔ bere a wɔreyɛ oprehyɛn no nyinaa mu:

A. Ɛsɛ sɛ wɔyɛ nhwehwɛmu a wɔyɛ ansa na wɔayɛ oprehyɛn no wie, na ɛsɛ sɛ wobisabisa nsɛm kɔ akyiri sɛ ebia nyarewa bi wɔ hɔ a ɛma mogya tu, ne sɛ ebia abakɔsɛm bi wɔ hɔ a ɛkyerɛ sɛ sigaretnom ne nsa a wɔnom bere tenten wɔ hɔ anaa; Sɛ nnipa bi wɔ hɔ a wɔnom nnuru a ekum mogya a, ɛsɛ sɛ wogyae nom dapɛn biako ansa na wɔayɛ oprehyɛn no;

B. Oprehyɛn mu haemostasis a edi mũ, mogya a enni mũ a ɛnam electrocoagulation sekan so no betumi ama mogya atɔ bio, wɔkamfo kyerɛ sɛ wɔmfa bipolar electrocoagulation forceps nni dwuma; Wɔ vertebral body subtotal resection no mu no, ɛsɛ sɛ wɔde nnompe mu aduru gu so na ama wɔakwati mogya pii a ɛbɛtwe afi nnompe no ani; Nnuru a wɔde di dwuma wɔ haemostatic mu, te sɛ tranexamic acid injection, ne nea ɛkeka ho, sɛnea ɛbɛyɛ a mogya a ɛba oprehyɛn no mu no so bɛtew; Ɛho nhia sɛ wɔhwehwɛ sɛ wɔbɛtwa akyi tenten a ɛwɔ ɔfã a wɔayɛ no oprehyɛn no akyi koraa, na akyi ntini kakraa bi a wɔbɛkora so wɔ afã abien no nso betumi anya decompression no nkɛntɛnso; Ɛsɛ sɛ prosthesis a wɔde si hɔ no gyaw baabi a ɛfata wɔ nifa ne benkum so. Sɛ wɔde aduru a wɔde yɛ nipadua no si hɔ a, ɛsɛ sɛ wogyaw baabi a ɛfata wɔ benkum ne nifa so ma mogya a ɛretu no betumi asen akɔ akyi berɛmo no anim na akɔfa nsu a ɛtwetwe nsu no mu nsu a ɛtwetwe nsu no mu;

C. Oprehyɛn no akyi no, hwɛ nsɛnkyerɛnne a ɛho hia no yiye; ma nsu a ɛkɔ mu no nyɛ mmerɛw; Fa nnuru a ekum mogya a ɛtwetwe mogya no di dwuma wɔ ɔkwan a ntease wom so na ama woakwati mogya a ɛtwetwe no; Hwɛ sɛnea ntini a ɛma ntini no yɛ adwuma no yɛ adwuma yiye; Sɛ biribi a ɛnyɛ ne kwan so wɔ hɔ a, di ho dwuma wɔ bere ano.

Wɔayɛ no sɛnea ɛbɛyɛ a ebetumi adi ɔman no nipadua mu nsusuwii ahorow ho dwuma .

1. Ɛma wonya ayaresa ano aduru a wɔayɛ ama obiara a ɔde bedi akyi berɛmo no nkwaa a ɛyɛ hooked no ho dwuma.

2. Tew hokwan a ɛwɔ hɔ sɛ vertebral nipadua no bɛbrɛ ase no so .

3. Tew asiane a ɛwɔ akyi berɛmo mu no so .

Variable angle screw design ma ɛyɛ mmerɛw sɛ ɛbɛyɛ adwuma .

Nkyene a ɛwɔ coronal swing angle a ɛyɛ -1.5°11.5° ne cephalad swing angle a ɛyɛ 36°44° ma ɛyɛ mmerɛw sɛ wɔde nnadewa bɛhyɛ mu wɔ oprehyɛn no mu .

Nneɛma a ɛnyɛ den pii .

Ɛho nhia sɛ wode baabi foforo besie ma skru a wɔde hyɛ mu no, wɔtew ntwitwiridii a ɛba fam koraa no so fi 2.5cm kosi bɛyɛ 2.0cm.
Ɛyɛ nea wotumi sesa no kɛse ma ɛne adwene a ɛne sɛ akyi berɛmo no yɛ adwuma no, na ɛma endo-ACDF ba.

Czmeditech ho asɛm .

Cervical peek cage (2 anaa 4 locking screws) yɛ nnompe mu ano aduru a ɛyɛ pɛpɛɛpɛ a wɔde ahwɛyiye ayɛ . Czmeditech gyinaa anim a ɛwɔ awotwaa no anim a ɛma ɛyɛ mmerɛw ne nea wɔde hyɛ nipadua no mu a wɔde hyɛ nipadua mu no so na wiase nyinaa anisoadehu na ɛkanyan no, a wɔde wɔn ho ama sɛ wɔde ayaresa ano aduru a ɛyɛ adwuma yiye, ɛyɛ mmerɛw na ɛho ka sua bɛma ayarefo a wɔn mu apaapae a ɛyɛ den wɔ wiase nyinaa.

主图0.

Cervical peek cage (2 anaa 4 a wɔde to mu no mu nkɔnsɔnkɔnsɔn) .

Anterior cervical discectomy a ɛwɔ decompression ne implant fusion (ACDF) .

Wɔaka oprehyɛn akyi nsɛnnennen a ɛbata prostheses ho no ho asɛm wɔ ase hɔ —— .

1.Akyinnyegye a ɛfa sɛ ebia ɛbɛsan ayɛ akyi berɛmo a ɛwɔ akyi no ho anaasɛ ɛnte saa .

1.Akyinnyegye a ɛfa sɛ ebia ɛbɛsan ayɛ akyi berɛmo a ɛwɔ akyi no ho anaasɛ ɛnte saa .

Mfonini 1 Mfonini a ɛkyerɛ sɛnea conotruncus, vertebral artery, ne akyi berɛmo ne ntini ntini no te.

Mfonini 2 Ntini ntini a ɛyɛ den ne decompression ho mfonini denam hyperplastic conical joints a wɔtrɛw mu no so.

hia a ɛho hia sɛ wɔyɛ akyi berɛmo mu akyi berɛmo mu oprehyɛn de yi akyi berɛmo no nkwaa no ayɛ akyide dompe fi bere a wofii ase yɛɛ saa no .

Reservist hwɛ .

Reservist hwɛ .

Excisionist adwene no .

Excisionist adwene no .

Oprehyɛn akyi akyi berɛmo mu epidural hematoma .

Oprehyɛn akyi akyi berɛmo mu epidural hematoma .

Ɛsɛ sɛ SEH a wobesiw ano wɔ akyi berɛmo mu kwan a wɔfa so no kɔ so wɔ bere a wɔreyɛ oprehyɛn no nyinaa mu:

Ɛsɛ sɛ SEH a wobesiw ano wɔ akyi berɛmo mu kwan a wɔfa so no kɔ so wɔ bere a wɔreyɛ oprehyɛn no nyinaa mu:

Wɔayɛ no sɛnea ɛbɛyɛ a ebetumi adi ɔman no nipadua mu nsusuwii ahorow ho dwuma .

Nneɛma a ɛnyɛ den pii .

Czmeditech ho asɛm .

Cervical peek cage (2 anaa 4 a wɔde to mu no mu nkɔnsɔnkɔnsɔn) .

Blog a ɛfa ho .

Hwɛ wo Czmeditech nnompe ho abenfo .

Nneɛma a wɔyɛ .

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