Anterior cervical discectomy with decompression and implant fusion (ACDF) is one of the most commonly used surgical methods for the treatment of spinal cord-type and nerve root-type cervical spondylosis, cervical spine trauma and other disorders, and it has the advantages of initial stabilisation, high fusion rate, restoration of normal anterior convexity, and the absence of external fixation, etc. The common postoperative complications such as difficulty in swallowing, degeneration of the adjacent segments, laryngeal reentrant nerve paralysis, cerebrospinal fluid leakage, haematoma, infection, and intervertebral implant subsidence etc. The overall incidence of postoperative complications is about 8%.
In responsione ad superius problems, in academicis communitas est semper opus in technica improvements, rationis breakthroughs et prosthesis optimization. Et sui stabilientem ceruicis spina eget fabrica (nullus-vestigium), quod est plene accommodata in intervertebral spatium et efficaciter reduces periculum postoperative dysphagia et efficaciter reduces periculum postoperative dysphagia et adjacent segmentum degeneratum, iam late accepit.
Et postoperative complications consociata cum prostheses sunt de quibus infra -
1.Controversy super utrum vel non resect in aduncum vertebralis iuncturam
Fig. I schematic diagram structuram de Conotuncus, vertebralis arteria, et medulla spinalis et nervi radices.
A. Necessitudinem inter artes eminentia de Concha et vertebrae arteria.
b. In libro, medialis ora de articulo eminentia removetur, et lateralis ore conservetur appropriately vitare damnum ad vertebralis arteria.
Fig. II schematic diagram nervi radix compressionem et decompression per expandit hyperplastic conical compagum.
A. Os augmentum et medulla degeneratum de conicis articulis reducere crucem-sectional area de intervertebralis foramina, ita comprimens nervi radices.
b. Intervertebral fusionem fabrica / implantare potest aperire usque ad intervertebral spatium ad enlarge in area de intervertebralis foramen et contactus nervi radix compressionem et simul, sedem et ad stabilitatem spina.
De necessitate anterioris ceruicis spina surgery ad removendum in hamo vertebral iuncturam fuit os ex contentione quia in inceptione technica
Primum descriptionem anterior ceruicis decompression et implantare fusionem cum internum solidamentum datum by Cicero et Smith in MCMLV in qua descripsit procedure quod non requirat remotionem de Leptokyphotic iuncturam Osteophyte. Cloward, another founder of the ACDF, emphasised that all compression should be removed, and that direct removal of the hyperplastic leptokyphosis was essential for decompression, while Robinson responded that the leptokyphosis could be resorbed as stability of the spine was established and as the abnormal mechanical forces disappeared, and that these instabilities were thought to be related to the formation of the leptokyphosis.
De conservationists arguitur quod in hamo iuncturam confert XLVIII% ad LX% de stabilitate cuiusque segmentum et praebet maximam stabilitatem in posterior ratio de ceruicis spina, et quod vexillum in hamo foraminotomy decompressio est in posteriori, et in re stabilis esto in iuncturam, et in re stabilis esto, quod est in stabili parte est, et quodammodo in stabili parte est, et quodammodo in stabilis esto, et quodammodo in rate, et quodammodo est in rate, et quodammodo est, et quodam Displacement implantare positio reducit victoria fusione.
Si equivalent orci eventus potest fieri sine resection de hamo vertebralis iuncturam, conservationem ad hamo vertebralis iuncturam possent speculandum providere maxime conveniens occasum pro altioribus fusione rates. In addition, in conservationem in hamo vertebrarum iuncturam iuvat ad redigendum casus postoperative vertebralis subluxation, et factum est attendendum quod cum area de hamo vertebralis iuncturam est resectum a magis quam XXXVIII%, in rate of interbima fusione est magis quam XXXVIII, in rate of interbima fusione est magis quam XXXVIII, et rate of interbima fusione est magis quam ad augendam significantly.
Secundum ad resectionem schola cogitationis, anatomically, posteriori murum leptospondylar iuncturam est anterior murum nervi radix Canalis, et Bony residue de leptospondylar iuncturam hyperplasia potest ad intervertebralis foraminalis foraminalis potest ducere ad intervertebralis foraminalis.
In current orci usu, decompression per excidere in Leptokyphosis adhuc advocatum in aegris cum gravibus compressione leptokyphotic iuncturam hyperplasia, ut ad refocillandam compressionem nervi vel vertebrae quam primum.
Altiore, controversia semper fuit, sed arbitrium conservandi, ex parte conservandam, aut omnino removere hamo spondylisthesis secundum patientes estote de conditione facta est consensus in variis orci exercitia. In individuando curatio belli, tamen loca princeps postulat super magnitudinem prosthesis.
In communi nulla-Conscidisti vestigia in foro sunt limited in opus ad stupra in IV Cochleas ad obfirmatis densis et width necessitates esse 17.5 mm, quod est magna mole in hamo iuncturam ad fusionem implantationem in intervertebral spatium.
Sagi II-clavus densis nulla incisum est reducitur ad 14.8 mm in latitudine, taking in rationem anatomicis dimensiones Seres population, et providet in iuncturam ad electi secundum patientes estote conditione, dum ensuring secundum stabilitatem et diu-terminus.
Postoperative medulla epidural hematoma
Medulla Epidural HAEMATOMA (seh) est relative rara et gravi DIFFICULTAS post anterior ceruicis accedunt, cum incidentiae de 0,1% ad 0.2 .seh occurs in awain plexus ad 0.2, quae ducunt ad gravi medullae in tempore, si non est tractata in tempore. Emergency surgery postquam diagnosis de seh potest adiuvare ad recuperatio de neurological munus.
Postoperative seh schematic of Accf
Medulla Epidural haematomas possunt post utrumque ACDF et AD, cum Accom habens altiorem periculo Haematomas ex maior trauma et plus lassus os superficiebus; Tamen, in altiore volumine de ACDF procedure est maius, cum altiorem numerum Sehs occurrentes.
Praeventionis Seh cum anteriori ceruicis accedente pertractat per Perioperative tempus:
A. preoperative examen perficitur et detailed inquirere ut si sint aliqua coagulatum morbos, utrum sit historia diu terminus fumigans et Vocatus consummatio; Si sunt homines taking anticoagulant medicinae, ut prohibere taking eas hebdomadam ante operationem;
B. penitus intraopative haemostasis, imperfecta haemostasis per electrocoagulation ferro ut ad novum sanguinem, commendatur ut bipolar electrocoagulation forceps; In processus vertebralis corpori subtotal resection, os cera debet applicari ad vitare nimium sanguinem SeePage ex osse superficiem; Application of Haemostatic medicinae, ut tranexamic acidum iniectio, etc., ut reducere intraopative sanguinem; Necesse est quaerere ad completum resection posterior longitudinalis ligamentum operatum segmentum et conservationem parvum posterior longitudinalis ligamentum ad duo latera potest consequi effectum decompression; Placement ex prosthesis relinquere satis spatium dextram et sinistrum. Ponebant prosthesis satis spatium sinistra dextram lateribus ut epidural sanguinem influere ad frontem vertebrarum et dimitti per negativum pressura INCILE fistulam;
C. Post operationem, propinqua signa vitalis; Custodi drainage lenis; Usus anticoagulant medicinae recte vitare thrombosis; propinqua monitor systematis nervosi; Si quis alius abnormalitas, agere cum tempore.
Designed in occursum National Anatomical Dimensiones
I. providet personalized orci solutio ad procuratio de aduncum vertebralis iuncturam.
II. Reducere forte vertebralis corpus Subsidence
III. Redigendum periculum medulla Epidural HAEMATOMA
Variabilis angulus screw consilium facilis operationem
Cochleas cum coronam adductius angle of -1.5 ° 11,5 ° et Cephalad adductius angle of XXXVI ° XLIV ° pro facilius intraoperative clavus placement
Non opus est subsidiis extra spatio ad stupra insertion, minimum incisum reducitur ex 2.5cm ad circiter 2.0cm.
Plures accommodatam ad conceptum de medulla endoscopic operationem, intellexit endo-ACDF.
Czmeditech
Cendrua Peek Cage (II vel IV densis Cochleas) sunt praecisione orthopaedicarum solutions diligenter developed a Czmeditech sitas in anterior ceruicis decompression et implantare fusione et repulsi a global visio, dicata providing efficiens, convenient et sumptus-efficax comprehensive curatio solutions ad aegris cum universa fracturae circum orbem.
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ئۇيغۇرچە
Anterior cervical discectomy with decompression and implant fusion (ACDF) is one of the most commonly used surgical methods for the treatment of spinal cord-type and nerve root-type cervical spondylosis, cervical spine trauma and other disorders, and it has the advantages of initial stabilisation, high fusion rate, restoration of normal anterior convexity, and the absence of external fixation, etc. The common postoperative complications such as difficulty in swallowing, degeneration of the adjacent segments, laryngeal reentrant nerve paralysis, cerebrospinal fluid leakage, haematoma, infection, and intervertebral implant subsidence etc. The overall incidence of postoperative complications is about 8%.
