Vidzidɔ ƒe PEEK-ka nye radiolucent interbody fusion implant si wowɔ be woazã le ŋgɔgbe vidzidɔ ƒe discectomy kple fusion (ACDF) ƒe dɔwɔwɔwo me. Wodenɛ vidzidɔa ƒe akɔtaƒuwo dome le disk ɖeɖeɖa vɔ megbe be wòagade disk ƒe kɔkɔme, vidzidɔa nasɔ ɖe ɖoɖo nu, eye wòana nɔnɔme si li ke na ƒuwo ƒe ƒoƒo ɖekae.
Wotsɔ polyetheretherketone (PEEK) si wozãna le atikewɔwɔ me wɔe, eye wozãa atike sia geɖe le egbegbe vidzidɔ ƒe akɔta ƒe dɔwɔwɔ me le eƒe biomechanical ƒe ɖekawɔwɔ kple ƒu kple eƒe nɔnɔmetatawo ɖeɖe nyuie le dɔwɔwɔ vɔ megbe kplɔkplɔ ɖo ta.
Vidzidɔ ƒe PEEK Cage ƒe Dɔwɔwɔ Gɔmesese le Vidzidɔ ƒe Akɔta ƒe Amekoko me
Vidzidɔ ƒe PEEK-tɔ wɔa dɔ abe ŋutilã dome dometsotso si doa alɔ vidzidɔ ƒe akɔta ƒe ŋgɔgbekpa dzi le eƒe ʋuʋu vɔ megbe. To akɔta ƒe teƒe si le akɔta dome la léle ɖe asi me la, atɔa kpena ɖe ame ŋu be ahɔhɔ̃mekawo ƒe akɔta ƒe kɔkɔme nɔa anyi eye wòɖea afɔku si le lãmekawo ƒe tete le dɔwɔwɔ vɔ megbe dzi kpɔtɔna.
Le ACDF ƒe dɔwɔwɔwo me la, wotsɔa atɔa dea aƒea me ne woɖe disk si gblẽ alo esi me ʋuʋudedi le la ɖa vɔ. Woblaa nusiwo wotsɔ do ƒu ɖe atɔa me be wòana akɔtaƒu siwo te ɖe wo nɔewo ŋu nawɔ ɖeka, eye vivivi la, wozua ƒu ƒe tɔdzisasrã sesẽ aɖe le ɣeyiɣi aɖe megbe.
Ne wotsɔe sɔ kple ga siwo wotsɔ dea ame me la, PEEK-kawo nana amekolawo te ŋu daa fusion ƒe ŋgɔyiyi kpɔna nyuie wu, si wɔa akpa vevi aɖe le dɔwɔwɔ vɔ megbe nyametsotsowɔwɔ kple emetsonuwo me dzodzro ɣeyiɣi didi me.
Dɔdaƒe ƒe Dzesiwo Kple Wo Zazã Zi geɖe
Zi geɖe la, wofiaa vidzidɔ me PEEK-kawo na dɔnɔ siwo ŋu vidzidɔ ƒe ʋuka me ʋu ƒe sisi ƒe dɔléle, vidzidɔ ƒe ʋuka ƒe ʋuʋu, kple vidzidɔ ƒe ƒunukpeƒetetedɔ si hiã be woaɖe ŋgɔgbe ƒe ʋuʋu ɖa eye wòali ke. Zi geɖe la, nɔnɔme siawo hea kɔ ƒe vevesese, radiculopathy, alo myelopathy vɛ le lãmeka alo aklã ƒe tete ta.
Le nɔnɔme tiatia aɖewo me la, woate ŋu azã nusi wotsɔ dea vidzidɔa me hã le vidzidɔ ƒe nuveviwɔame si me disk ƒe mumu alo akpa aɖewo ƒe malikenyenye le, vevietɔ ne wotsɔe kpe ɖe ŋgɔgbe vidzidɔ ƒe agbalẽvi ƒe ɖoɖo ŋu be wòana ŋusẽ si woatsɔ alée ɖe te la nadzi ɖe edzi.
Zi geɖe la, wotsɔa nusi wotsɔ dea vidzidɔa me la dea vidzidɔa ƒe titina va ɖo anyime, zi geɖe la, tso C3 va ɖo C7, siwo tsi tre ɖi na akpa siwo woda dɔ na zi geɖe wu le ACDF dɔwɔwɔ me.
Nuwo ƒe Nɔnɔmewo Kple Viɖe siwo le PEEK ŋu le Vidzidɔ ƒe Fusion me
PEEK nye polymer si wɔa dɔ nyuie eye eƒe elastic modulus te ɖe cortical bone tɔ ŋu wu titanium. Nɔnɔme sia ɖea mɔ na ŋutilã ƒe agba mama geɖe wu le fusion ƒe akpaa katã me eye wòkpena ɖe ame ŋu be woaɖe nuteɖeamedzi ƒe ametakpɔnu dzi akpɔtɔ, si do ƒome kple fusion si tsi megbe alo esi mede blibo o.
Viɖe vevi bubu si le PEEK ŋue nye eƒe keklẽŋusẽ ƒe keklẽ. To vovo na gaxɔwo la, PEEK mewɔa nɔnɔmetatawo ƒe asinudɔwɔwɔwo o, si wɔnɛ be woate ŋu akpɔ ƒu ƒe tsitsi kple fusion ƒe ŋgɔyiyi nyuie le X-ray, CT, kple MRI fotowo me.
Be woate ŋu ado alɔ nusi wotsɔ de ame ƒe teƒe si sɔ pɛpɛpɛ la, wotsɔa dzesi siwo me keklẽŋusẽ mele o dea atɔa me, si wɔnɛ be amekolawo te ŋu ɖoa kpe edzi be wodae le amekokoa kple dɔwɔwɔ vɔ megbe nɔnɔmetatawo ɖeɖe me evɔ womegblẽa nɔnɔmetatawo ƒe eme kɔ nyuie o.
Xɔtuɖaŋu ƒe Aɖaŋuwɔwɔ kple Fusion-Oriented Geometry
Wotrɔ asi le Cervical PEEK Cage II ŋu kple ŋutilã ƒe nɔnɔme si sɔ kple vidzidɔ ƒe nuwuƒewo. Alesi wowɔe sia kpena ɖe ame ŋu be woama agbaa ɖe akɔta ƒe ŋutilãwo me sɔsɔe eye wòɖea afɔku si le akɔta ƒe ʋuʋu me dzi kpɔtɔna.
Fesre gã aɖe si le titina si wotsɔ doa ƒui la ɖea mɔ be woabla autograft, allograft, alo nusiwo wotsɔ ɖɔa ƒu ɖo la wòsɔ gbɔ. Dɔwɔnu sia si le ʋuʋu ɖi la doa ʋukawo ƒe ʋuʋu kple ƒu ƒe tsitsi ɖe eme ɖe ŋgɔ, siwo nye nu vevi siwo ana woakpɔ ŋutilãwo dome ƒoƒo ɖekae si ŋu kakaɖedzi le.
Wotsɔa aɖu siwo tsi tre ɖe ʋuʋu ŋu kple eƒe anyigba ƒe nɔnɔme dea atɔa me be wòana wòali ke le gɔmedzedzea me eye wòaɖe afɔku si le ʋuʋu me le dɔwɔwɔ vɔ megbe ƒe ʋuʋu kaba me dzi akpɔtɔ.
Kpekpeɖeŋunana le Vidzidɔ ƒe Ðekawɔwɔ Kple Biomechanical Stability me
To disk ƒe kɔkɔme gbugbɔgaɖoanyi me la, atɔa kpena ɖe vidzidɔa ƒe lordosis kple segmental alignment ƒe hayahaya ŋu. Nusiwo sɔ ɖe wo nɔewo nu nyuie le vevie ŋutɔ be woaɖe biomechanical stress si mesɔ o dzi akpɔtɔ le akpa siwo te ɖe wo nɔewo ŋu dzi eye woana dɔdamɔnu me tsonu siwo nɔa anyi didi nanyo ɖe edzi.
Atɔa wɔa dɔ aduadu kple ŋutilã ƒe wɔwɔme siwo ƒo xlãe eye ne ehiã la, ewɔa dɔ kple vidzidɔ ƒe ŋgɔgbekpawo be wòana mɔ̃ɖaŋunu nakpe ɖe eŋu enumake esime fusion le ŋgɔ yim vivivi le ɣeyiɣi aɖe megbe.
Nusiwo sɔ kple Anterior Cervical Fixation Systems
Wotrɔ asi le Cervical PEEK Cage II ŋu be wòawɔ ɖeka kple ACDF amekoko ƒe dɔwɔwɔ ƒe ɖoɖo siwo wozãna ɖaa nyuie. Woate ŋu azãe abe ŋutilã dome mɔ̃ si le eɖokui si ene le nɔnɔme tiatia aɖewo me alo woatsɔe akpe ɖe ŋgɔgbe vidzidɔ ƒe agbalẽvi kple gavi ƒe ɖoɖowo ŋu be wòana ŋusẽ si woatsɔ alée ɖe te la nadzi ɖe edzi.
Eƒe wɔwɔme sɔ kple vidzidɔ ƒe dɔwɔnu siwo wozãna zi geɖe, si wɔnɛ be amekolawo te ŋu xɔa nusi wotsɔ dea vidzidɔa me tɔtrɔ gã aɖeke manɔmee le woƒe amekokomɔnu ŋu.
Agbɔsɔsɔme Tiatia, Nɔnɔmewo, Kple Trɔtrɔ Ŋutetewo
Afɔtoƒe kple kɔkɔme vovovowo li be woatsɔ akpɔ dɔnɔwo ƒe ŋutilã ƒe wɔwɔme vovovowo kple disk ƒe teƒe si wohiã. Alesi woate ŋu atrɔ ɖe nɔnɔmewo ŋu alea nana amekolawo te ŋu nɔa te ɖe nɔnɔme nyuitɔ kekeake nu eye wowɔa nu ɖe ɖoɖo nu nyuie wu le amekokoa me.
Le mamalawo kple OEM hadɔwɔlawo gome la, tiatia siwo woate ŋu atrɔ asi le ate ŋu anye ame ŋutɔ ƒe ŋkɔ ŋɔŋlɔ, nubablɛwo ƒe ɖoɖowo, kple lolome vovovowo ƒe ɖoɖowɔwɔ be woakpɔ asi alo kɔdzi ƒe nuƒle ƒe hiahiã tɔxɛwo gbɔ.
Vidzidzi, Nubablɛ, Kple Eƒe Nyonyome ƒe Kakaɖedzi
Woate ŋu atsɔ atike si wotsɔ dea ame me la ana le agba siwo me dɔlékui mele o alo esiwo me dɔlékui mele o me le nutome ƒe sededewo kple kɔdzi ƒe didiwo nu. Wowɔa adzɔnuwo wɔwɔ ƒe ɖoɖowo katã le nyonyomedzikpɔkpɔ ƒe ɖoɖo siwo ŋu ISO da asi ɖo te be woakpɔ egbɔ be wowɔ ɖeka, woate ŋu akpɔ wo yome, eye woƒe adzɔnuwo le dedie.
Nuŋlɔɖi blibowo, siwo dome mɔ̃ɖaŋu ŋuti nuŋlɔɖiwo kple nyonyome ŋuti nuŋlɔɖiwo hã le, li be woatsɔ ado alɔ sededewo ƒe nyatakakawo ɖoɖoɖa kple asitsatsa ƒe ŋkɔ dede agbalẽ me le nuto vovovowo me.
Nusiwo Ŋu Woabu na Amemamãlawo, Amesiwo Wotsɔa Duta Va Dea Duta, Kple KɔdziƑlelawo
Le nuƒle ƒe nukpɔsusu nu la, nuzazã ƒe ŋutete si nɔa anyi ɖaa kple batch-to-batch ƒe didime ƒe nyateƒetoto nye nu veviwo ne wole vidzidɔ ƒe ŋutilã domedomenuwo dzrala tiam. Adzɔnuwo wɔwɔ ƒe ɖoɖo siwo li ke kpena ɖe ame ŋu be woakpɔ egbɔ be dɔdaƒea ƒe dɔwɔwɔ si woate ŋu agblɔ ɖi eye wòanɔ anyi ɣeyiɣi didi.
Tsɔ kpe ɖe adzɔnuwo ƒe nyonyome ŋu la, nuŋlɔɖiwo ƒe kpekpeɖeŋu kple kadodo si wɔa dɔ nyuie le vevie na mamala siwo le dɔ wɔm le atikewɔnuwo ƒe asi siwo ŋu wowɔ ɖoɖo ɖo me.
Nya Siwo Wobiaa Enuenu Tso Cervical PEEK Cages Ŋu
Ðe vidzidɔ ƒe PEEK-ka si wotsɔ wɔa dɔe sɔ na ACDF ƒe dɔwɔwɔwo katãa?
Wozãa vidzidɔ me PEEK-kawo geɖe le ACDF-dɔwɔwɔ me, gake tiatia mamlɛtɔ nɔ te ɖe dɔnɔa ƒe ŋutilã ƒe wɔwɔme, dɔléleŋutinunya, kple amekola ƒe didi dzi.
Viɖe kawoe le PEEK-kawo ŋu ne wotsɔe sɔ kple titanium-kawo?
PEEK-kawo naa keklẽŋusẽ ƒe keklẽ kple elastic modulus si te ɖe ƒu ŋu wu, si ate ŋu aɖe nuteɖeamedzi ƒe ametakpɔkpɔ dzi akpɔtɔ eye wòana woate ŋu akpɔ nɔnɔmetata siwo me kɔ wu le dɔwɔwɔ vɔ megbe.
Ðe woate ŋu azã atɔ sia vidzidɔ ƒe ŋgɔgbekpa manɔmeea?
Le nɔnɔme tiatia aɖewo me la, woate ŋu azãe le eɖokui si asɔ, gake zi geɖe la, wokafui be woatsɔ vidzidɔ ƒe agbalẽvi ablae kpee be wòana wòali ke nyuie wu.
Ƒumeŋuɖui kawoe woate ŋu azã kple ƒu sia si wotsɔ dea ame me?
Woate ŋu azã autograft, allograft, kple ƒu teƒe vovovowo le atikewɔƒe ƒe nudidiwo kple amekola ƒe didi nu.
Aleke woɖoa kpe afisi woatsɔe ade amea me dzi le amekoko vɔ megbe?
Dzesi siwo me keklẽŋusẽ mele o siwo wotsɔ de atɔa me ɖea mɔ be woazã nɔnɔmetataɖeɖemɔnu siwo wozãna ɖaa atsɔ ada nusi wotsɔ de eme la kpɔ nyuie.
Ðe atike sia li na OEM alo ame ŋutɔ ƒe ŋkɔ ƒe nuzazãwoa?
Ẽ, OEM kple ame ŋutɔ ƒe ŋkɔ ƒe tiatia li na mamala siwo dze, le nutome ƒe sededewo ƒe nudidiwo nu.
