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Disctomie de la cervée anterior avec decompression et fusion implance (ACDF) .

Views: 0 Author: Site Editor Publish Waati: 2025-05-30 A bɔyɔrɔ: Yɔrɔ

Ja (1) . Kɔnɔbara basigilen ni decompression ni implant fusion (ACDF) ye opereli fɛɛrɛ ye min bɛ kɛ ka caya kɔkolo la ani kɔkolo kolotugudaw la, kɔnɔbara basigilen ani bana wɛrɛw, wa a nafa bɛ a la ko a bɛ sabati fɔlɔ, a ka ca ni a kɔkanna fiɲɛ hakɛ ye, ani ko a tɛ se ka wuli, ani ko a tɛ se ka fɔ ko a tɛ se ka kɛ. Gɛlɛya minnu bɛ sɔrɔ i n’a fɔ gɛlɛya minnu bɛ sɔrɔ a la, yɔrɔ minnu bɛ a kɛrɛfɛ, nɛrɛmuguma segin-ka-bɔ, kunsɛmɛ ji bɔli, jolilabanaw, ani kɔnɔbara ni kɔnɔnatumuw donli a ɲɔgɔnnaw opereli kɔfɛ gɛlɛyaw bɛ se ka kɛ 8% ɲɔgɔn ye.

Gɛlɛya minnu fɔra sanfɛ, olu jaabi la, kalanko jɛkulu bɛ baara kɛ tuma bɛɛ fɛɛrɛko ɲɛtaa kan, hakilinata yiriwaliw, ani ɲɛtaa siratigɛ la. Self-stabilising cervical spine fusion device (zero-trace), min bɛ ladon ka ɲɛ kɔkolo ni kɔkolo cɛ yɔrɔ la, wa a bɛ dɔ bɔ kosɛbɛ operasɔn kɔfɛ baarakɛbaliya ni a kɛrɛfɛyɔrɔ tiɲɛni farati la, o sɔnna kosɛbɛ.

Opereli kɔfɛ gɛlɛyaw minnu bɛ sɔrɔ prothèses la, olu bɛ kuma u kan jukɔrɔ ——

1.A bɛ sɔsɔli kɛ a kan ni a bɛ se ka kolotuguda jolisira minɛ walima ka a bɔ .

1_upscayl_2x_realesrgan-x4plus .

Jaa 1 Conotruncus, kɔkolo joli sira, ani kɔkolo ni nɛrɛmuguw jɔcogo ja sɛgɛsɛgɛlen.

kelen. Jɛɲɔgɔnya min bɛ concha ka joli-sira-funu ni kolotuguda joli-sira-funu cɛ.

B. Gafe kɔnɔ, joli-sira-funu-kɔnɔ-fɛnɲɛnɛma dakun bɛ Bɔ, wa a kɛrɛfɛ-yɔrɔ bɛ Lakana cogo bɛnnen na walasa kɔkolo-joli-sira-funu kana tiɲɛni Kɛ.

2_upscayl_2x_realesrgan-x4plus .

Jaa 2 Nerve root compression ani decompression ja schematique ni joli-sira-funu-kɔnɔ-fɛnw jɛnsɛnni ye.

kelen. Kolow falenni ni kɔkolow ka kirinni bɛ dɔ bɔ kolotugudaw ni ɲɔgɔn cɛ ɲɛfɛla la, o bɛ kɛ sababu ye ka nɛrɛmuguw degun.

B. Kɔnɔnatumuw ni ɲɔgɔn cɛ minɛn/implant bɛ se ka kolotugudaw ni ɲɔgɔn cɛ yɔrɔ da mɔgɔw ɲɛ na walasa ka kolotugudaw ni ɲɔgɔn cɛ foroko yɔrɔ bonya ani ka ɲɔgɔn sɔrɔ nɛrɛmuguma sɔgɔli la, ani o waati kelen na, ka kɔkolo sabatili labɛn kokura.

Wajibiya min bɛ sɔrɔ kɔnɔbara ɲɛfɛla opereli la walasa ka kolotuguda kolotuguda bɔ a la, o kɛra sɔsɔli kolo ye kabini a daminɛ na .

Kɔnɔbara ɲɛfɛla decompression ni implant fusion ni kɔnɔna jɔli ɲɛfɔli fɔlɔ kɛra Robinson ni Smith fɛ san 1955 min kɔnɔ a y’a jira ko o fɛɛrɛ in tɛ osteophyte leptokyphotique bɔli wajibiya. Cloward, n’o ye ACDF sigibaga wɛrɛ ye, o y’a sinsin a kan ko degun bɛɛ ka kan ka bɔ, wa ko leptokyphose hyperplastic (leptokyphose hyperplastique) bɔli siratigɛ la, o nafa ka bon kosɛbɛ decompression (decompression) la, k’a sɔrɔ Robinson y’a jaabi ko leptokyphose bɛ se ka kɛ ka kɔkolo sabatili sabati ani ko fanga min bɛ kɛ ni masin ye, o bɛ tunun, ani ko nin sebaliya in tun bɛ miiri ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ se ka kɛ ko a bɛ tali kɛ o la.

Reserviste view .

Lakanabagaw b’a fɔ ko joli-sira-funu bɛ 48% ka se 60% ma yɔrɔ kelen-kelen bɛɛ sabatili la, wa a bɛ sabatiliba di kɔkolo kɔfɛla fan fɛ, wa ko kɔnɔbara basigilen decompression decompression decompression decompression decompression de la boîte de la boîte et de la aspect de la dispel de la dispel, et in réalité de la far de la far Implant position bɛ dɔ bɔ fusion ka ɲɛtaa la.

Ni kɛnɛyaso kɔlɔlɔw bɛ se ka sɔrɔ ni kolotuguda kolotugudaw ma bɔ ɲɔgɔn na, kolotuguda kolotuguda lakanani bɛ se ka kɛ sababu ye ka sigida bɛnnenba di fusili hakɛ caman ma. Ka fara o kan, kolotuguda kolotuguda lakanani bɛ dɛmɛ ka kolotugudaw jiginni opereli kɔfɛ, wa a kɔlɔsira ko ni kolotuguda kolotuguda yɔrɔ bɛ tigɛ ka tɛmɛ 38% kan, farikolo ni ɲɔgɔn cɛ fusili hakɛ bɛna bonya kosɛbɛ.

3_upscayl_2x_realesrgan-x4plus .

A ka ɲɛfɔli .

Ka kɛɲɛ ni Resection School of Thought ye, farikolo-ɲɛnajɛ-yɔrɔ la, leptospondylar joint kɔfɛ kogo ye nɛrɛmugu da ɲɛfɛla kogo ye, ani kolotuguda tolen min bɛ bɔ leptospondylar joli la, o bɛ se ka kɛ sababu ye ka kɔkolo ni ɲɛda fanw cɛ.

Nin furakɛlicogo la sisan, decompression par excision de la leptokyphose bɛ lafasa hali bi banabagatɔw la minnu ka leptokyphotic joint hyperplasia degun ka bon, walasa ka nɛrɛ walima kɔkolo joli degun nɔgɔya joona.

Kuma bɛɛ la, sɔsɔli tun bɛ yen tuma bɛɛ, nka sugandili min bɛ kɛ ka a mara, ka a yɔrɔ dɔw mara, walima ka a bɔ pewu, o bɛ kɛ ka kɛɲɛ ni banabagatɔ ka bana ye, o kɛra bɛnkan ye kɛnɛyako taabolo suguya caman na. Nka, furakɛli fɛɛrɛ kelen-kelen bɛɛ bɛ ɲinini caman kɛ prothèse hakɛ kan.

4_upscayl_2x_realesrgan-x4plus .

Zero-cut traces commun minnu bɛ sugu la, olu dan ye ka siri ni kuru 4 ye locking kama, wa u bonya ka kan ka kɛ milimɛtɛrɛ 17,5 ye, o ye hakɛba ye jamana dɔw bolo, wa a ka c’a la, o bɛ kɛ sababu ye ka joli-sira-funu yɔrɔ dɔ datugu fusion (fusion) doncogo la kɔkolo ni ɲɔgɔn cɛ yɔrɔ la.

Sagi 2-Nail Locking Zero incision (Sagi 2-nail locking zero incision) dɔgɔyara ka se milimɛtɛrɛ 14,8 ma, ka jateminɛ kɛ Sinuwa jamanadenw ka farikolo-ɲɛnajɛ hakɛw la, wa a bɛ furakɛli kɛ baarakɛla ye min bɛ kɛ ni joli-sira-funu ye, o bɛ kɛ sababu ye ka joli-sira-funu furakɛli sugandi ka kɛɲɛ ni banabagatɔ ka cogoya yɛrɛ ye, ka sɔrɔ ka sabatili daminɛ ani ka a to a ka to sen na waati jan kɔnɔ.

Opereli kɔfɛ kɔkolo epidurali .

Kɔnɔbara basigilen (SEH) ye gɛlɛya ye min ka dɔgɔn kosɛbɛ ani min ka jugu kɔnɔbara ɲɛfɛla la, ni a bɛ kɛ 0,1% ɲɔgɔn na ka se 0,2% ma.SEH bɛ sɔrɔ ɲɛgɛnɛsiralabanaw ka jolisiraw la, o min bɛna kɛ sababu ye ka kɔkolo baarakɛcogo gɛlɛya jugumanba sɔrɔ ni jolilabanaw ma furakɛ waati la. Opereli kɔrɔtɔlen SEH sɛgɛsɛgɛli kɔfɛ, o bɛ se ka dɛmɛ don ka farikolo baara kɛnɛya.

Ja (2) .

Opereli kɔfɛ SEH Schematic of ACCF .

Kɔnɔbara basigilen jolilabanaw bɛ se ka sɔrɔ ACDF ni ACCF fila bɛɛ kɔfɛ, ACCF farati ka bon joli la ka a sababu kɛ joginda ka bon ani kolotugudaw bɛ kirin ka caya; Nka, ACDF kɛcogo bɛɛ lajɛlen hakɛ ka bon, SEH hakɛ ka ca.

SEH kunbɛnni kɔnɔbara basigilen kɔfɛ, o ka kan ka to sen na opereli kɔfɛ waati bɛɛ la:

A. Sɛgɛsɛgɛli ka kan ka kɛ ka kɔn opereli ɲɛ, ani ɲininkali caman ka kan ka kɛ walasa ka a dɔn ni bana dɔw bɛ yen minnu bɛ joli segin ka bɔ ɲɔgɔn na, ani ni sigarɛtimin kuntaalajan ni dɔlɔminbana bɛ a la; Ni mɔgɔ dɔw bɛ yen minnu bɛ joli segin furaw ta, u ka kan ka u tali dabila dɔgɔkun kelen kɔnɔ sani opereli ka kɛ;

B. Haemostasis intra operativement, haemostasis incomplete par électrocoagulation muru bɛ se ka kɛ sababu ye ka joli kura sɔrɔ, a ka ɲi ka baara kɛ ni bipolar electrocoagulation forceps ye; Kɔnɔbara basigilen farikolo la, koloci ka kan ka kɛ walasa joli bɔli ka bɔ kolo sanfɛ; Aw bɛ jolidɛsɛ furaw ta, i n’a fɔ asidi tranexamique pikiri, a ɲɔgɔnnaw, walasa ka joli bɔli dɔgɔya opereli kɔnɔ; A man kan ka kɛ ka segin kɔfɛ ligament longitudinale rezection dafalen ɲini, ani kɔfɛla janya dɔɔni tolen fan fila la, o bɛ se ka decompression nɔ fana sɔrɔ Prothèse (porotɛzi) bilali ka kan ka yɔrɔ caman to kinin fɛ ani numan fɛ. Ni aw bɛ prothèse bila, yɔrɔ caman ka kan ka to numan fɛ ani numan fɛ walasa epidurali joli ka se ka woyo kolotugudaw ɲɛfɛ ani ka bɔn ka tɛmɛ tansiyɔn jiginni sira fɛ

C. opereli kɔfɛ, aw bɛ taamasiɲɛ nafamaw kɔlɔsi kosɛbɛ; Aw bɛ jibolisiraw nɔgɔya; Aw bɛ joli segin furaw ta cogo bɛnnen na walasa ka aw tanga jolisira ma; Aw bɛ farikoloɲɛnajɛ kɛcogo kɔlɔsi kosɛbɛ; Ni fɛn dɔ bɛ yen min tɛ fɛn ye, aw bɛ a ɲɛnabɔ waati kɔnɔ.

A dabɔra ka jamana ka farikolo-ɲɛnajɛ-yɔrɔw dafa .

1. A bɛ furakɛlicogo dɔ di min bɛ kɛ ka mɔgɔ kelen-kelen bɛɛ ta, ka ɲɛsin kolotuguda jolilen furakɛli ma.

2. Aw bɛ dɔ bɔ kolotugudaw farikolo jiginni hakɛ la .

3. Aw bɛ kɔkolo jolilabanaw farati dɔgɔya .

Variable angle vis design ka baara nɔgɔya .

Kuru minnu bɛ ni koronawirisi ye, olu ye -1,5°11,5° ye ani cephalad swing angle ye 36°44° ye walasa ka opereli kɔnɔna na, ka u bila nɔgɔya la .

A ka dɔgɔ ka don .

Wajibi tɛ ka yɔrɔ wɛrɛ mara walasa ka juruw don, tigɛ hakɛ fitinin bɛ dɔgɔya ka bɔ santimɛtɛrɛ 2,5 na ka se santimɛtɛrɛ 2,0 ɲɔgɔn ma.
A bɛ se ka ladilan ka ɲɛ ni kɔkolo endoskopi baarakɛcogo hakilina ye, ka endo-acdf faamuya.

Czmeditech ko la .

Cervical peek cage(2 walima 4 locking screws) olu ye kolotugudaw ye minnu bɛ se ka kɛ ka ɲɛ, minnu labɛnna ka ɲɛ ni u ye . CzMedItech sinsinnen bɛ kɔnɔbara basigilen disikili dekɔmu ni a doncogo fusili kan ani min bɛ ɲɛminɛ diɲɛ yeli fɛ, min bilalen bɛ furakɛlicogo bɛɛ lajɛlen na, min ka ɲi, min ka nɔgɔn ani min musaka ka dɔgɔ banabagatɔw ye minnu ka kari gɛlɛnw bɛ diɲɛ fan bɛɛ.

主图0.

Cervical peek cage(2 walima 4 locking screws (2 walima 4 locking screws).

Disctomie de la cervée anterior avec decompression et fusion implance (ACDF) .

Opereli kɔfɛ gɛlɛyaw minnu bɛ sɔrɔ prothèses la, olu bɛ kuma u kan jukɔrɔ ——

1.A bɛ sɔsɔli kɛ a kan ni a bɛ se ka kolotuguda jolisira minɛ walima ka a bɔ .

1.A bɛ sɔsɔli kɛ a kan ni a bɛ se ka kolotuguda jolisira minɛ walima ka a bɔ .

Jaa 1 Conotruncus, kɔkolo joli sira, ani kɔkolo ni nɛrɛmuguw jɔcogo ja sɛgɛsɛgɛlen.

Jaa 2 Nerve root compression ani decompression ja schematique ni joli-sira-funu-kɔnɔ-fɛnw jɛnsɛnni ye.

Wajibiya min bɛ sɔrɔ kɔnɔbara ɲɛfɛla opereli la walasa ka kolotuguda kolotuguda bɔ a la, o kɛra sɔsɔli kolo ye kabini a daminɛ na .

Reserviste view .

Reserviste view .

A ka ɲɛfɔli .

A ka ɲɛfɔli .

Opereli kɔfɛ kɔkolo epidurali .

Opereli kɔfɛ kɔkolo epidurali .

SEH kunbɛnni kɔnɔbara basigilen kɔfɛ, o ka kan ka to sen na opereli kɔfɛ waati bɛɛ la:

SEH kunbɛnni kɔnɔbara basigilen kɔfɛ, o ka kan ka to sen na opereli kɔfɛ waati bɛɛ la:

A dabɔra ka jamana ka farikolo-ɲɛnajɛ-yɔrɔw dafa .

A ka dɔgɔ ka don .

Czmeditech ko la .

Cervical peek cage(2 walima 4 locking screws (2 walima 4 locking screws).

Blog min bɛ tali kɛ o la .

Aw bɛ aw ka CZMeditech kolotugudaw dɔnbagaw lajɛ .

Produits .

Cákɛda

Exibition:Medlab Asia 2025

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