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Anterior Cervical Corpectomy and Fusion (ACCF): Okutegeera okulongoosa okujjuvu n’okukozesebwa mu nsi yonna

Views: 0 Omuwandiisi: Site Editor Obudde bw'okufulumya: 2025-10-28 Ensibuko: Ekibanja

ACCF nkola ya mulembe ey’omumwa gwa nnabaana ogw’omu maaso eri obulwadde bw’omugongo obw’omumwa gwa nnabaana obuzibu, okuzzaawo obutebenkevu n’enkola y’obusimu okuyita mu kusalako omubiri gw’omugongo, okukendeeza ku kunyigirizibwa, n’okugatta.

ACCF vs. ACDF: Ebiraga n’obunene

ACDF ne ACCF zombi zikozesa enkola ya anterior cervical naye zikola ku ndwadde ez’enjawulo:

ACDF

Ekisinga obulungi ku soft disc herniation n’okunyigirizibwa okw’omutendera gumu. Disiki endwadde eggyibwawo ne bateekebwamu ekyuma ekigatta, ekisobozesa obuvune obutonotono n’okuwona amangu.

ACCF

Kirungi nnyo ku kumenya kw’omugongo okw’emitendera mingi, OPLL, n’amagumba amanene ag’emabega. ACCF egaba decompression egazi n’okuzimba mu maaso okw’amaanyi.

Enkola y’okulongoosa ACCF

Okuvvuunuka okunyigirizibwa okw’emabega okusigaddewo oluvannyuma lwa ACDF, ACCF eggyawo omubiri gw’omugongo ogusinga obungi ogulwadde ate ng’ekuuma ensalosalo ez’ebbali era n’esalako disiki ez’okungulu n’eza wansi eziriraanye. ekituufu Ekiyumba kya titanium mesh ekijjudde amagumba ekisimbibwa kiteekebwamu era ne kitebenkeza n’enkola ya anterior cervical plate-screw system okutuuka ku solid fusion.

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech3

Ebirungi ebiri mu ACCF

Okukendeeza okunyigirizibwa okugazi ku OPLL n’amagumba amanene ag’emabega.
Okuddamu okuzimba okw’amaanyi nga kuliko ekiyumba ky’akatimba + okunyweza pulati-sikuluku okusobola okuwanirira empagi ey’omu maaso.
Ekola bulungi mu bulwadde obw’emitendera mingi nga erina decompression mu bujjuvu n’okutereeza obulema.

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech4

Obulabe n’okufuga

Olw’okuba ACCF erimu ekitundu ekigazi eky’okulongoosa, ebyetaago by’okutebenkera biba waggulu. Emiwendo egyaloopebwa egy’okukka kw’amazzi mu kiyumba kya titanium mesh cage (TMC) giva ku 10%–40% mu bibinja byonna.

Enkoona y’ekiyumba

okuserengeta okutono (okusinga 0°) kusinga okukwatagana kw’enkomerero era kukendeeza ku kusengejja situleesi.

Ekitundu ky’okutuukirira

ekigere ekinene kigabanya omugugu era kikendeeza ku mikisa gy’okukka.

CZMEDITECH ACCF Enkola Ekigonjoola

ARIES-III Ekipande ky’omumwa gwa nnabaana eky’omu maaso ekigonvu ennyo

Ultra-low notch profile okukendeeza ku buzibu bw’okulya oluvannyuma lw’okulongoosebwa.

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech5

Large screw angulation okukendeeza ku bulwadde bw’ekitundu ekiriraanyewo.

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech6

Okusiba kwa sikulaapu bbiri okw’omutendera gumu okusobola okukola obulungi mu kisenge omulongoosebwa.

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech7

Sikulufu Ezeesima (Vriable-Angle) Ezeesima

Self-drilling/tapping tip okusobola okuyingiza obulungi, okulungi.
3 mm cortical thread okugula amaanyi ku cortex ey’omu maaso.
Full size range okusobola okutuuka ku anatomical fit.

PISCES Enkola ya Titanium Mesh Cage Enkola

Sayizi ezisaliddwa nga tezinnabaawo n’eza custom-trim (Ø10–25 mm) okusobola okutuuka obulungi.
Serrated anti-slip surface okusobola okutebenkera amangu.
Enzimba ya mesh-tube okutumbula okukula kw’amagumba mu 360°.
Titanium TA2 omulongoofu okusobola okukwatagana n’ebiramu n’okugumira okukulukuta.

Enkola za End-Cap

Enlarged endplate contact okukendeeza ku bulabe bw’okukka.
Enkoona eziwera (0°–10°) okusobola okukwatagana n’omulwadde.

Ebikwata ku nsonga n’ekyokulabirako

Erinnya ly’ekintu: Anterior Cervical Thin Plate

Ebikwata ku: Ebitundu 1–5, mm 19–100

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech9

Sikulufu eyeesima ey’enkoona ekyukakyuka

Ebikwata ku nsonga eno – Ekisookerwako:

φ3.5 × mm 11–17

Ebikwata ku – Okuddamu okutunula / Okununula:

φ4.0 × mm 11–17

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech10

Akatimba ka Titanium

Ekika ky’Okwesala:

Obuwanvu × Obugulumivu: mm 10–25 × mm 100

(Diameter esangibwa mu nnyongera za mm 2.5)

Ekika ky’okusala nga tekunnabaawo:

Obuwanvu × Obugulumivu: mm 10–12.5 × 20–50

(Diameter esangibwa mu nnyongera za mm 2.5; obugulumivu buliwo mu mm 2 increments)

Okusala omumwa gwa nnabaana ogw’omu maaso n’okugatta (ACCF)-czmeditech11

End Cap

Omugongo gw’omumwa gwa nnabaana:

Obuwanvu × Obugulumivu × Enkoona: mm 10–12.5 × mm 1 × 0°–10°

(Diameter esangibwa mu 2.5 mm increments; angle esangibwa mu 2.5° increments)

Omugongo gw’ekifuba:

Obuwanvu × Obugulumivu × Enkoona: mm 15–25 × mm 1 × 0°–7.5°

(Diameter esangibwa mu nnyongera za mm 2.5)

Ebiva mu Bujjanjabi n’Okuzaala mu Nsi Yonna

Nga tulina ARIES-III ne PISCES , ACCF etuuka ku decompression egazi, okunyweza okuyungibwa okw’amaanyi, n’obuzibu obutono obukwatagana n’okuteekebwamu. Okuzaala mu Latin America, Southeast Asia, Bulaaya, ne Middle East kulaga okulongoosa mu butuufu bw’okukendeeza ku buzito, obudde obutono obw’okulongoosa, n’engeri ennungi ey’okudda engulu, nga bawagirwa okutendekebwa n’obuweereza mu kitundu.

Ebibuuzo ebibuuzibwa

Q1. Njawulo ki enkulu wakati wa ACCF ne ACDF?

ACDF etunuulira okunyigirizibwa okw’omutendera gumu, okw’ebitundu ebigonvu; ACCF ekwata ku kunyigirizibwa okw’emitendera mingi, okw’amagumba oba okw’amagumba (okugeza, OPLL, osteophytes ennene) n’okukendeera okugazi n’okuddamu okuzimba okw’amaanyi.

Q2. Biki ebikulu mu by’ekikugu mu nkola ya CZMEDITECH eya ACCF solution?

ARIES -III ultra-thin plate plus PISCES titanium mesh cage esobozesa okukendeeza ku puleesa okutuufu, okutebenkera okunywevu, n’okukendeeza ku buzibu bw’okulya n’obulabe bw’okukka.

Q3. Okukka kw’akatimba ka titanium kuyinza kutya okukendeezebwa?

Kozesa enkoona y’ekiyumba esinga obutono esoboka (okumpi ne 0°), ssinga ekifo ekikwatagana n’enkomerero (obuwagizi bw’enkomerero), era okakasa obunene bw’ekiyumba obutuufu n’okukwatagana okusobola okugabanya omugugu kyenkanyi.

Q4. Ebintu ebiteekebwa mu mubiri bikakasiddwa mu nsi yonna?

Yee. Enkola za CZMEDITECH ez’okugatta omumwa gwa nnabaana zigoberera CE ne ISO 13485 . omutindo gwa

Q5. Enkola zino zikwatagana n’omutindo gw’ensi yonna ogw’awamu?

Ebiwandiiko ebikwata ku dizayini bikwatagana n’ebika ebikulu eby’ensi yonna (okugeza, Medtronic, DePuy Synthes, Acumed) okuwagira embeera z’okulongoosa empanvu n’enkola y’emirimu gy’ebikozesebwa.

Q6. Owa obuyambi mu bujjanjabi n‟okutendekebwa?

Yee. Abakolagana mu nsi yonna bafuna okutendekebwa mu kulongoosa, okulungamizibwa mu by’ekikugu, n’obuyambi oluvannyuma lw’okutunda okutumbula okuzaala n’ebivaamu.

Q7. Enkizo ki eya PISCES mu fusions ez’emitendera mingi?

Dizayini ya serrated anti-slip nga erina end-caps ezikwatagana ekuuma obuwanvu n’okukwatagana ku mitendera mingi, okwanguyiza amagumba okukula munda n’okukendeeza ku budde bw’okuyungibwa.