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Anterior Cervical Corpectomy and Fusion (ACCF): Comprehensive Surgical Insight and Global Application

Nānā: 0 Mea kākau: Luna Hoʻoponopono Pūnaewele Manawa Hoʻopuka: 2025-10-28 Kumu: Paena

ʻO ka ACCF kahi ala e hele ai i mua no ka maʻi spine cervical paʻakikī, hoʻihoʻi i ke kūpaʻa a me ka hana neurological ma o ka wehe ʻana o ke kino vertebral, decompression, a me ka hui.

ACCF vs. ACDF: Nā hōʻailona a me ka laulā

Hoʻohana ʻo ACDF a me ACCF i ke ala o ka cervical anterior akā e hoʻoponopono i nā pathologies like ʻole:

ACDF

ʻOi aku ka maikaʻi no ka herniation disc palupalu a me ka hoʻoemi pae hoʻokahi. Wehe ʻia ka diski maʻi a hoʻokomo ʻia kahi mea hoʻohui, e hiki ai i ka trauma liʻiliʻi a me ka wikiwiki o ka hoʻōla.

ACCF

Makemake ʻia no nā haʻihaʻi vertebral multi-level, OPLL, a me nā osteophytes hope nui. Hāʻawi ʻo ACCF i ka decompression ākea a me ke kūkulu hou ʻana i mua.

ʻO ka ʻenehana ʻokiʻoki ACCF

No ka lanakila 'ana i ke koena hope ma hope o ka ACDF, ho'opau 'o ACCF i ka hapa nui o ke kino vertebral ma'i i ka wā e mālama ana i nā palena 'ao'ao a ho'oku'u i nā diski ki'eki'e a ha'aha'a. paʻa . Hoʻokomo ʻia a hoʻopaʻa ʻia me kahi ʻōnaehana pale-screw cervical mua e hoʻokō i ka hui

Anterior Cervical Corpectomy and Fusion (ACCF) -czmeditech3

Nā pōmaikaʻi o ACCF

ʻO ka decompression ākea no ka OPLL a me nā osteophytes hope nui.
ʻOi aku ka ikaika o ka hana hou ʻana me ka hīnaʻi mesh + ka hoʻopaʻa ʻana i ka pā-screw no ke kākoʻo kolamu mua.
Pono i ka maʻi multi-level me ka decompression piha a me ka hoʻoponopono deformity.

Anterior Cervical Corpectomy and Fusion (ACCF) -czmeditech4

Nā pilikia a me ka hoʻomalu

No ka mea e pili ana ka ACCF i kahi kahua ʻoki ākea, ʻoi aku ka kiʻekiʻe o nā koi kūpaʻa. Hōʻike ʻia ka nui o ka hoʻohaʻahaʻa ʻana o ka titanium mesh cage (TMC) mai 10%–40% ma waena o nā cohorts.

ʻO ke kihi hale

ʻoi aku ka liʻiliʻi (ʻoi aku ka maikaʻi o 0 °) e hoʻonui i ka pilina o ka papa hope a hoʻemi i ka ʻike kaumaha.

Wahi pili

ʻO ke kapuaʻi kapuaʻi nui e puʻunaue i ka ukana a hoʻohaʻahaʻa i ka hiki ke hāʻule.

CZMEDITECH ACCF System Solution

ARIES-III ʻO ka pā ʻāʻī o ka ʻāʻī hope loa

ʻO ka ʻike notch haʻahaʻa haʻahaʻa e hōʻemi i ka dysphagia postoperative.

Anterior Cervical Corpectomy and Fusion (ACCF) -czmeditech5

ʻO ka angulation screw nui e hoʻēmi i ka maʻi ʻāpana pili.

Anterior Cervical Corpectomy and Fusion (ACCF) -czmeditech6

Hoʻokahi ʻanuʻu paʻa lua-screw no ka pono o ka lumi hana.

Anterior Cervical Corpectomy and Fusion (ACCF) -czmeditech7

ʻO nā ʻōuli hoʻololi ʻokoʻa

ʻO ka ʻaoʻao hoʻoheheʻe ponoʻī / paʻi ʻana no ka hoʻokomo paʻa ʻana.
ʻO ke kaula cortical 3 mm no ke kūʻai ikaika aku ma ka cortex mua.
Ka laulā piha no ke kūpono anatomical.

PISCES Titanium Mesh Cage System

ʻOki ʻoki mua ʻia a ʻokiʻoki maʻamau (Ø10–25 mm) no ke kūpono pololei.
Serrated anti-slip surface no ka paʻa koke.
ʻO ka hoʻolālā mesh-tube e hāpai ana i ka ulu ʻana o ka iwi 360°.
ʻO ka titanium TA2 maʻemaʻe no ka biocompatibility kiʻekiʻe a me ka pale ʻana i ka corrosion.

Nā Koho Hoʻopau

Hoʻonui ʻia ka hoʻopili ʻana i ka endplate e hōʻemi i ka pōʻino.
Nui nā kihi (0°–10°) no ka hoʻopololei ʻana i nā mea maʻi.

Hōʻike a me ke ʻano hoʻohālike

Inoa Huahana: Pēpē mānoanoa mua

Hōʻike: 1-5 ʻāpana, 19-100 mm

Anterior Cervical Corpectomy and Fusion (ACCF) -czmeditech9

ʻO ka ʻōkole hoʻoheheʻe ponoʻī ʻana i nā kihi ʻokoʻa

Mea kikoʻī - Primary:

φ3.5 × 11–17 mm

Hōʻike - Hoʻoponopono / Hoʻopakele:

φ4.0 × 11–17 mm

Anterior Cervical Corpectomy and Fusion (ACCF) -czmeditech10

Mesh Titanium

ʻAno ʻoki ʻoki ponoʻī:

Anawaena × Kiʻekiʻe: 10–25 × 100 mm

(Loaʻa ke anawaena ma nā hoʻonui 2.5 mm)

ʻAno ʻoki mua:

Anawaena × Kiʻekiʻe: 10–12.5 × 20–50 mm

(Loaʻa ke anawaena ma nā hoʻonui 2.5 mm; loaʻa ke kiʻekiʻe ma nā hoʻonui 2 mm)

ʻO Anterior Cervical Corpectomy a me Fusion (ACCF) -czmeditech11

Hoʻopau Kāpena

Ka iwi kuamoʻo:

Anawaena × Kiʻekiʻe × Angle: 10–12.5 mm × 1 mm × 0°–10°

(Loaʻa ke anawaena ma nā hoʻonui 2.5 mm; loaʻa ke kihi ma nā hoʻonui 2.5°)

Thoracolumbar iwi kuamoʻo:

Anawaena × Kiʻekiʻe × Angle: 15–25 mm × 1 mm × 0°–7.5°

(Loaʻa ke anawaena ma nā hoʻonui 2.5 mm)

Nā hopena lapaʻau a me ka hoʻokomo honua

Me ARIES-III a me PISCES , loaʻa ka ACCF i ka decompression ākea, ʻoi aku ka ikaika o ka hui ʻana, a me nā pilikia pili i ka implant. ʻO ka hoʻopaʻa ʻana ma waena o Latin America, Hikina Hema, ʻEulopa, a me ka Middle East e hōʻike ana i ka hoʻomaikaʻi ʻana i ka decompression pololei, ka manawa hana pōkole, a me nā kiʻi hoʻihoʻi maikaʻi, kākoʻo ʻia e ka hoʻomaʻamaʻa ʻana a me ka lawelawe.

FAQ

Q1. He aha ka ʻokoʻa nui ma waena o ACCF a me ACDF?

Hoʻopili ʻo ACDF i ka pae hoʻokahi, ka hoʻopili ʻana i ka ʻili palupalu; Hoʻopuka ʻo ACCF i ka nui-level, bony a i ʻole ossified compression (e laʻa, OPLL, osteophytes nui) me ka decompression ākea a me ke kūkulu hou ʻana.

Q2. He aha nā mea koʻikoʻi o ka CZMEDITECH's ACCF solution?

ʻO ka ARIES-III ultra-thin plate a me PISCES titanium mesh cage e hiki ai i ka decompression pololei, ka paʻa paʻa, a me ka dysphagia haʻahaʻa a me ka pilikia subsidence.

Q3. Pehea e hōʻemi ʻia ai ka emi ʻana o ka mesh titanium?

E hoʻohana i ka liʻiliʻi liʻiliʻi liʻiliʻi liʻiliʻi liʻiliʻi liʻiliʻi (kokoke i ka 0°), e hoʻonui i ka wahi hoʻopili endplate (kākoʻo end-cap), a e hōʻoia i ka nui a me ka hoʻonohonoho pono ʻana o ka hale e puʻunaue like i ka ukana.

Q4. Ua hōʻoia ʻia nā implants ma ka honua?

ʻAe. Hoʻopili nā ʻōnaehana cervical fusion CZMEDITECH me nā kūlana maikaʻi o CE a me ISO 13485 .

Q5. Ua kūpono anei nā ʻōnaehana me nā kūlana maʻamau o ka honua?

Kūlike nā ʻōlelo hoʻolālā me nā hōʻailona honua nui (e laʻa, Medtronic, DePuy Synthes, Acumed) e kākoʻo i nā hiʻohiʻona ākea ākea a me nā kahe hana mea kani.

Q6. Hāʻawi ʻoe i ke kākoʻo lapaʻau a me ke aʻo ʻana?

ʻAe. Loaʻa i nā hoa pili honua ka hoʻomaʻamaʻa ʻana i ka ʻokiʻoki, alakaʻi ʻenehana, a me ke kākoʻo ma hope o ke kūʻai aku e hoʻomaikaʻi i ka hoʻohana ʻana a me nā hopena.

Q7. He aha ka pōmaikaʻi o PISCES i nā fusions multi-level?

ʻO ka hoʻolālā anti-slip serrated me nā pāpale hope kūpono e mālama i ke kiʻekiʻe a me ke kaulike ma luna o nā pae he nui, e hoʻomaʻamaʻa i ka ulu ʻana o ka iwi a me ka pōkole o ka manawa hui.