![lem (1) 1.1.]( "image (1)")
Anterior cervical discectomy with decompression and implant fusion (ACDF) hi spinal cord-type leh nerve root-type cervical spondylosis, cervical spine trauma leh natna dang enkawlna atana surgical method hman tlanglawn ber pakhat a ni a, initial stabilisation, fusion rate sang, normal anterior convexity siamthat leh external awm lohna te a thatna a nei bawk fixation, etc. Operation hnua harsatna awm fo thin, ei leh in harsatna, a kianga segment te degeneration, laryngeal reentrant nerve paralysis, cerebrospinal fluid leakage, haematoma, infection, leh intervertebral implant subsidence etc. Operation hnua harsatna awm zawng zawng hi 8% vel a ni.
![按钮 tih a ni]( "按钮")
A chunga harsatna awmte chhanna atan hian zirna lama mithiamte chuan technical lama hmasawnna, conceptual breakthroughs, leh prosthesis optimisation te an thawk chhunzawm zel a ni. Self-stabilising cervical spine fusion device (zero-trace) hi intervertebral space-ah a awm kim vek a, postoperative dysphagia leh adjacent segment degeneration hlauhawmna a tiziaawm thei hle a, hei hi pawm a ni nasa hle.
Prosthesis nena inzawm postoperative complications te chu a hnuaia mi ang hian tarlan a ni ——
1.Hooked vertebral joint resect tur nge resect loh tur chungchangah inhnialna a awm
Fig. 1 Conotruncus, vertebral artery, leh spinal cord leh nerve roots te structure schematic diagram.
ani. Concha articular eminence leh vertebral artery inzawmna.
b. Lehkhabuah hian articular eminence medial edge chu lakchhuah a ni a, vertebral artery tihchhiat loh nan lateral edge chu a remchan dan anga vawnhim a ni.
![2_upscayl_2x_realesrgan-x4plus ah a awm a]( "2_upscayl_2x_realesrgan-x4plus")
Fig. 2 Hyperplastic conical joint te theh darh a nerve root compression leh decompression te schematic diagram.
ani. Conical joints-a ruh lian leh ruhro (spinal degeneration) hian intervertebral foramina cross-sectional area a ti tlem a, chu chuan nerve roots a ti compress a ni.
b. Intervertebral fusion device/implant hian intervertebral space a hawng thei a, intervertebral foramen area a tizau thei a, nerve root compression a tawk thei bawk a, chutih rual chuan spine stability chu a remodel thei bawk.
Hook vertebral joint lakchhuah nan anterior cervical spine surgery neih a ngai tih hi he technique hman tan tirh atang khan bone of contention a ni
Anterior cervical decompression leh implant fusion with internal fixation chungchang sawifiahna hmasa ber chu Robinson leh Smith te chuan kum 1955 khan an pe a, chutah chuan he procedure hi leptokyphotic joint osteophyte lakchhuah ngai lo niin a sawi. ACDF dintu dang Cloward chuan compression zawng zawng tihbo vek tur a nih thu a sawi uar hle a, decompression atan hyperplastic leptokyphosis direct removal chu a pawimawh thu a sawi a, Robinson chuan leptokyphosis chu spine stability a awm chuan leh abnormal mechanical forces a bo chuan resorbed theih a ni tih a chhang a, heng instabilities te hi the formation nen a inzawm nia ngaih a nih thu a sawi bawk leptokyphosis natna (leptokyphosis) a ni.
Preservationist-te chuan hook joint hian segment tinte stability 48% atanga 60% a thawhpui a, cervical spine hnunglam aspect-ah stability nasa ber a pe a, standard cervical foraminotomy decompression hian hook joint hnunglam leh neuraxial canal hmalam aspect a decompress a, a nihna takah chuan joint-a stable ber a ni, an ti removed, leh instability bakah implant position displacement hian fusion hlawhtlinna a ti tlem a ni.
Hook vertebral joint resection tel lovin clinical outcome tlukpui a awm theih chuan, hook vertebral joint humhalh hian theoretically chuan fusion rates sang zawk neih theihna tur setting dik ber a pe thei ang. Chu bakah, hook vertebral joint humhalh hian postoperative vertebral subluxation chance a tihtlem phah a, hook vertebral joint area chu 38% aia tam resect a nih chuan interbody fusion subluxation rate chu nasa takin a sang dawn tih hriat a ni bawk.
![3_upscayl_2x_realesrgan-x4plus hmanga tihchhuah a ni]( "3_upscayl_2x_realesrgan-x4plus")
Excisionist ngaihdan a ni
Resection school of thought ang chuan anatomically chuan leptospondylar joint hnunglam bang hi nerve root canal hmalam bang a ni a, leptospondylar joint hyperplasia atanga ruh awmte hian intervertebral foraminal stenosis a thlen thei a ni.
Tuna clinical practice-ah chuan leptokyphotic joint hyperplasia compression na tak nei damlote tan leptokyphosis excision hmanga decompression tih hi an la rawt a, hei hi nerve emaw vertebral artery emaw compression tihziaawmna tur a ni.
A pum puiin, inhnialna a awm fo a, mahse damlo dinhmun a zirin hook spondylolisthesis humhalh, a then humhalh emaw, a pum puia paih vek emaw duhthlanna chu clinical practice hrang hrangah chuan inremna a lo ni ta a ni. Mahse, individualized treatment strategy chuan prosthesis lian tham tak chu a phut nasa hle thung.
![4_upscayl_2x_realesrgan-x4plus hmanga tihchhuah a ni]( "4_upscayl_2x_realesrgan-x4plus")
Market-a zero-cut traces hman tlanglawn tak takte chu locking atan screw 4 screw in a ngai a, an zau zawng chu 17.5 mm a nih a ngai a, hei hi national thenkhat tan chuan a lian hle a, intervertebral space-a fusion implantation atan hook joint chu a then occlusion a ngai fo bawk.
![9]( "9")
SAGI 2-nail locking zero incision hi Chinese population anatomical dimensions ngaihtuah chungin a zau zawng 14.8 mm-ah tihhniam a ni a, operator hnenah hook joint chu intraoperative treatment personalized zawk a pe a, hei hian hook joint enkawlna chu damlo dinhmun tak tak a zirin thlan theih a ni a, chutih rualin initial stability leh long-term fusion a tichiang bawk.
Operation hnua spinal epidural hematoma a awm thin
Spinal epidural hematoma (SEH) hi anterior cervical approach hnua harsatna awm lo leh pawi tak a ni a, 0.1% atanga 0.2% vel a ni.SEH hi epidural rich venous plexus-ah a awm a, hei hian hematoma formation hi a hun taka enkawl a nih loh chuan spinal cord functional impairment nasa tak a thlen ang. SEH hmuhchhuah a nih hnua emergency surgery neih hian neurological function a siam that theih nan a pui thei a ni.
![lem (2) 1.1.]( "image (2)")
ACCF hmanga operation hnua SEH schematic hmanga siam a ni
ACDF leh ACCF pahnih hnuah hian spinal epidural haematomas hi a awm thei a, ACCF hian trauma nasa zawk leh ruh chunglam oozing tam zawk avangin haematomas vei theihna a sang zawk a mahse, ACDF procedure volume pumpui chu a tam zawk a, SEH tam zawk a awm thung.
Anterior cervical approach hnua SEH venna hi perioperative period chhung zawngin chhunzawm zel tur a ni:
A. Preoperative examination tihfel tur a ni a, coagulation natna a awm em tih te, hun rei tak meizuk leh zu in tawhna history a awm em tih te chipchiar taka zawhfiah tur a ni anticoagulant damdawi ei thin an awm chuan operation hma kar khat chhung chu an ei tawh loh tur a ni;
B. Intraoperative haemostasis uluk tak, electrocoagulation knife hmanga haemostasis kim lo chuan thisen chhuah thar a thlen thei a, bipolar electrocoagulation forceps hman a tha vertebral body subtotal resection kalpui danah chuan ruh chunglam atanga thisen chhuak tam lutuk lo turin bone wax hman tur a ni intraoperative bleeding tihtlem nan haemostatic drugs, tranexamic acid injection, etc. hman te; operated segment-a posterior longitudinal ligament resection kimchang zawng zawn a ngai lo va, a sir lehlamah posterior longitudinal ligament tlemte humhalh hian decompression effect a thlen thei bawk prosthesis dahna hian dinglam leh vei lamah hmun remchang a awm tur a ni. Prosthesis dah dawnin veilam leh dinglamah hmun remchang dah tur a ni a, chutiang chuan epidural bleeding chu vertebrae hma lamah a luang thei ang a, negative pressure drainage tube hmangin a chhuak thei ang
![10]( "10")
C. Operation zawhah vital signs te ngun takin en thin ang che; drainage chu a thianghlim taka vawn reng tur; thrombosis awm loh nan anticoagulant damdawi a remchan dan anga hman; nervous system hnathawh dan uluk taka enfiah; thil danglam a awm chuan a hun takah hmachhawn rawh.
![详情页8]( "详情页8")
Ram pum huap anatomical dimensions nena inmil tura duan a ni
1. Hooked vertebral joint enkawlna atan personalized clinical solution a pe.
2. Vertebral body subsidence chance tih tlem
3. Spinal epidural hematoma vei theihna tihziaawm
A hman awlsam nan Variable angle screw design a ni
![8]( "8")
Intraoperative nail dah awlsam zawk nan coronal swing angle -1.5°11.5° leh cephalad swing angle 36°44° nei screw te a awm bawk
Screw dahna tur hmun dang reserve a ngai lo va, incision tlem ber chu 2.5cm atanga 2.0cm vel ah tihhniam a ni.
Spinal endoscopic operation concept nena inmil zawk, Endo-ACDF tihhlawhtlin.
![7]( "7")
CZMEDITECH chungchang
Cervical Peek Cage(2 emaw 4 Locking Screws) hi precision orthopedic solution uluk taka siam a ni CZMEDITECH hian anterior cervical discectomy decompression leh implant fusion lam a ngaih pawimawh ber a, khawvel pum huap vision hmanga kalpui a ni a, khawvel hmun hrang hranga complex fracture nei damlote tan enkawlna solution tha tak, awlsam leh man tlawm zawka pek theihna tura inpe a ni.
Anterior cervical discectomy with decompression and implant fusion (ACDF) hi spinal cord-type leh nerve root-type cervical spondylosis, cervical spine trauma leh natna dang enkawlna atana surgical method hman tlanglawn ber pakhat a ni a, initial stabilisation, fusion rate sang, normal anterior convexity siamthat leh external awm lohna te a thatna a nei bawk fixation, etc. Operation hnua harsatna awm fo thin, ei leh in harsatna, a kianga segment te degeneration, laryngeal reentrant nerve paralysis, cerebrospinal fluid leakage, haematoma, infection, leh intervertebral implant subsidence etc. Operation hnua harsatna awm zawng zawng hi 8% vel a ni.
