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Anterior Cervical Corpectomy and Fusion (ACCF): Amekoko Ŋuti Numekɔkɔ Kple Xexeame Katã ƒe Dɔwɔwɔ

Views: 0 Author: Site Editor Ɣeyiɣi si Wotae: 2025-10-28 Dzɔtsoƒe: Teƒe

ACCF nye ŋgɔgbe vidzidɔ ƒe mɔnu deŋgɔ aɖe na vidzidɔ ƒe akɔtadɔ sesẽ, si gbugbɔa liƒo kple ahɔhɔ̃mekawo ƒe dɔwɔwɔ ɖoa anyi to akɔta ƒe ŋutilã ɖeɖeɖa, eƒe nutete ɖeɖeɖa, kple eƒe ƒoƒo ɖekae me.

ACCF vs. ACDF: Dzesiwo kple Afisi wòakeke ɖo

ACDF kple ACCF siaa zãa ŋgɔgbe ƒe vidzidɔ ƒe mɔnu gake wokpɔa dɔléle vovovowo gbɔ:

ACDF

Enyo wu na soft disc herniation kple single-level compression. Woɖea disk si ŋu dɔlélea le la ɖa eye wotsɔa fusion device dea eme, si wɔnɛ be nuveviwɔame suesuesuewo kple hayahaya kabakaba.

ACCF

Wolɔ̃e wu na akɔta ƒe gbagbã siwo le ɖoƒe vovovowo, OPLL, kple megbeƒu gãwo. ACCF naa decompression si keke ta wu eye wònaa ŋgɔgbe ƒe gbugbɔgatu sesẽ wu.

ACCF Amekokomɔnu

Be woaɖu megbe ƒe nutete susɔe si ate ŋu adzɔ le ACDF megbe dzi la, ACCF ɖea akɔta ƒe ŋutilã si ŋu dɔlélea le ƒe akpa gãtɔ ɖa esime wòléa axadzi liƒowo ta eye wòɖea disk siwo te ɖe wo nɔewo ŋu siwo le etame kple esiwo le ete la ɖa. Wodea si ƒe lolome sɔ titanium mesh cage si me wotsɔ ƒu si wodo ɖe lãme na ame me eye wotsɔa anterior cervical plate-screw system lénɛ ɖe te be woate ŋu awɔ solid fusion.

Vidzidɔ ƒe ŋgɔgbe ƒe lãkusi ɖeɖe kple eƒe fuɖeɖe (ACCF)-czmeditech3

Viɖe siwo le ACCF ŋu

Decompression si keke ta wu na OPLL kple megbeƒu gãwo.
Gbugbɔgatu sesẽ wu kple mesh cage + plate-screw fixation na ŋgɔgbe sɔti ƒe kpekpeɖeŋu.
Ewɔa dɔ nyuie le dɔléle si le ɖoƒe vovovowo me kple decompression kple deformity ɖɔɖɔɖo nyuie.

Vidzidɔ ƒe Ŋgɔgbe Ŋutilãɖeɖe Kple Eƒe Fusion (ACCF)-czmeditech4

Afɔkuwo Kple Wo Dzi Ðuɖu

Esi wònye be ACCF lɔ amekoko ƒe akpa si keke ta wu ɖe eme ta la, liƒo ƒe nudidiwo lolo wu. Titanium mesh cage (TMC) ƒe tsinyenye ƒe agbɔsɔsɔme si ŋu woka nya ta le la tso 10%–40% le hatsotsowo katã me.

Cage ƒe dzogoe

suetɔ (anyo wu 0°) ƒe ŋgɔgbedede nana nuwuƒea ƒe kadodo dzina ɖe edzi eye wòɖea nuteɖeamedzi ƒe susu dzi kpɔtɔna.

Afisi woate ŋu aƒo ka na amewo le

afɔti si lolo wu maa agba eye wòɖea alesi wòate ŋu adzɔe be wòaɖiɖi la dzi kpɔtɔna.

CZMEDITECH ACCF Dɔwɔɖoɖo ƒe Egbɔkpɔnu

ARIES-III Vidzidɔ ƒe ŋgɔgbekpa si le tsɛ ŋutɔ

Ultra-low notch profile be woaɖe dɔwɔwɔ vɔ megbe nuɖuɖumadzroame dzi akpɔtɔ.

Vidzidɔ ƒe Ŋgɔgbe ƒe Ŋutilãɖeɖe Kple Eƒe Fusion (ACCF)-czmeditech5

Gã screw angulation be woaɖe adjacent segment dɔléle dzi akpɔtɔ.

Vidzidɔ ƒe Ŋgɔgbe Ŋutilãɖeɖe Kple Eƒe Fusion (ACCF)-czmeditech6

Afɔɖeɖe ɖeka ƒe dual-screw locking hena amekokoxɔa ƒe dɔwɔwɔ nyuie.

Vidzidɔ ƒe Ŋgɔgbe Ŋutilãɖeɖe Kple Eƒe Fusion (ACCF)-czmeditech7

Variable-Angle Ðokuisi-ku-ku ƒe Kpluwo

Self-drilling/tapping tip na dedie, nyuie dede eme.
3 mm cortical thread hena nuƒle sesẽ wu le ŋgɔgbe cortex.
Blibo lolome ƒe hatsotso na ŋutilã ƒe wɔwɔme ƒe sɔsɔ.

PISCES Titanium Mesh ƒe Atɔ ƒe Ðoɖo

Do ŋgɔ na lãɖeɖe kple custom-trim lolome (Ø10–25 mm) be wòasɔ pɛpɛpɛ.
Serrated anti-slip surface be wòali ke enumake.
Mesh-tube xɔtuɖaŋu si doa ƒu ƒe tsitsi ɖe eme 360° ɖe ŋgɔ.
Titanium TA2 dzadzɛ na biocompatibility gã kple corrosion tsitretsitsi.

End-Cap ƒe Tiatiawɔblɔɖewo

Nuwuƒe ƒe kadodo si lolo ɖe edzi be woaɖe afɔku si le anyigba ƒe gogloƒe dzi akpɔtɔ.
Dzogoe geɖe (0°–10°) na dɔnɔ tɔxɛ ƒe ɖoɖowɔwɔ.

Nusiwo Woagblɔ Kple Kpɔɖeŋu

Adzɔnu ƒe Ŋkɔ: Anterior Cervical Thin Plate

Nusiwo woɖe fia: 1–5 Akpawo, 19–100 mm

Vidzidɔ ƒe Ŋgɔgbe Ŋutilãɖeɖe Kple Eƒe Fusion (ACCF)-czmeditech9

Dzogoe si trɔna Ðokuisikuku ƒe Kplu

Nusiwo woɖe fia – Gbãtɔ:

φ3.5 × 11–17 mm ƒe didime

Specification – Gbugbɔgaɖɔɖo / Xɔname:

φ4.0 × 11–17 mm ƒe didime

Vidzidɔ ƒe Ŋgɔgbe ƒe Ŋutilãɖeɖe Kple Eƒe Fusion (ACCF)-czmeditech10

Titanium Mesh ƒe lãgbalẽ

Ðokuisi Lãɖeɖe Ƒomevi:

Kekeme × Kɔkɔme: 10–25 × 100 mm

(Diameter li le 2.5 mm ƒe dzidziɖedzi me)

Do Ŋgɔ ƒe Lãɖeɖe Ƒomevi:

Kekeme × Kɔkɔme: 10–12.5 × 20–50 mm

(Diameter li le 2.5 mm ƒe dzidziɖedzi me; kɔkɔme li le 2 mm ƒe dzidziɖedzi me)

Vidzidɔ ƒe Ŋgɔgbe Ŋutilãɖeɖe Kple Eƒe Fusion (ACCF)-czmeditech11

Nuwuwu ƒe Cap

Vidzidɔ ƒe Akɔta:

Kekeme × Kɔkɔme × Dzogoe: 10–12.5 mm × 1 mm × 0°–10°

(Diameter li le 2.5 mm ƒe dzidziɖedzi me; dzogoe li le 2.5° ƒe dzidziɖedzi me)

Akɔta ƒe Akɔta:

Kekeme × Kɔkɔme × Dzogoe: 15–25 mm × 1 mm × 0°–7.5°

(Diameter li le 2.5 mm ƒe dzidziɖedzi me)

Dɔdaƒe ƒe Emetsonuwo Kple Dukɔwo Dome Vixɔxɔnyi

Le ARIES-III kple PISCES me la , ACCF kpɔa decompression si keke ta wu, fusion ƒe liƒo sesẽ wu, eye wòɖea kuxi siwo do ƒome kple implant dzi kpɔtɔna. Vixɔxɔnyi le Latin Amerika, Anyieheɣedzeƒe Asia, Europa, kple Titina Ɣedzeƒe katã ɖee fia be decompression ƒe nyateƒetoto nyo ɖe edzi, dɔwɔwɔ ƒe ɣeyiɣi kpui, kple hayahaya ƒe nɔnɔme nyuiwo, si nutome hehenana kple subɔsubɔdɔ kpe ɖo.

Nyabiasewo ƒe Nyabiasewo

Q1. Vovototo vevitɔ kae le ACCF kple ACDF dome?

ACDF tɔa ŋku lãmeka falɛfalɛwo ƒe nutete le dzidzenu ɖeka dzi; ACCF kpɔa nutete si le ɖoƒe vovovowo, ƒu alo ƒumeŋuɖui (le kpɔɖeŋu me, OPLL, ƒumeŋuɖui gãwo) gbɔ kple nutete si keke ta wu kple gbugbɔgatu sesẽ wu.

Q2. Nukae nye mɔ̃ɖaŋununya ƒe nu vevi siwo le CZMEDITECH ƒe ACCF egbɔkpɔnua me?

ARIES -III ultra-thin plate kpe ɖe PISCES titanium mesh cage ŋu wɔnɛ be woate ŋu aɖe decompression pɛpɛpɛ, li ke sesĩe, eye wòɖea nuɖuɖu ƒe kuxi kple tsinyenye ƒe afɔkua dzi kpɔtɔna.

Q3. Aleke woate ŋu aɖe titanium-mesh ƒe tsidzadza dzi akpɔtɔ?

Zã atɔ ƒe dzogoe suetɔ kekeake si woate ŋu awɔ (si gogo 0°), nàdzi nuwuƒea ƒe kadodo ƒe teƒe si sɔ gbɔ wu (nuwuƒe ƒe nutrenu ƒe kpekpeɖeŋu), eye nàkpɔ egbɔ be atɔ ƒe lolome kple eƒe ɖoɖo nyuitɔ be woama agbaa sɔsɔe.

Q4. Ðe woɖo kpe nusiwo wotsɔ dea ame me dzi le dukɔwo domea?

Ɛ̃. CZMEDITECH ƒe vidzidɔ ƒe fusion ɖoɖowo wɔ ɖeka kple CE kple ISO 13485 ƒe nyonyome ƒe dzidzenuwo.

Q5. Ðe ɖoɖoawo sɔ kple dukɔwo dome dzidzenu siwo bɔa?

Aɖaŋuwɔwɔ ŋuti nyatakakawo sɔ kple xexeame katã ƒe adzɔnu gãwo (le kpɔɖeŋu me, Medtronic, DePuy Synthes, Acumed) be woado alɔ amekoko ƒe nɔnɔme siwo keke ta kple dɔwɔnuwo ƒe dɔwɔwɔ.

Q6. Ðe nènaa kpekpeɖeŋu kple hehe le atikewɔƒea?

Ɛ̃. Xexeame katã ƒe hadɔwɔlawo xɔa amekoko ŋuti hehe, mɔ̃ɖaŋu ŋuti mɔfiame, kple kpekpeɖeŋu le nudzadzra megbe be woatsɔ ana vixɔxɔ kple emetsonuwo nanyo ɖe edzi.

Q7. Viɖe kae le PISCES ŋu le multi-level fusions me?

Serrated anti-slip design kple nuwuwu-caps siwo sɔ la léa kɔkɔme kple ɖekawɔwɔ me ɖe asi le dzidzenu geɖe dzi, si wɔnɛ be ƒu ƒe tsitsi ɖe eme nɔa bɔbɔe eye wòɖea fusion ɣeyiɣi dzi kpɔtɔna.