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

Mawonedwe: 0 Wolemba: Site Editor Nthawi Yosindikiza: 2025-10-28 Origin: Tsamba

ACCF ndi njira yapamwamba yapakhomo ya khomo lachiberekero la matenda ovuta a msana wa khomo lachiberekero, kubwezeretsa bata ndi minyewa yogwira ntchito pogwiritsa ntchito vertebral body resection, decompression, and fusion.

ACCF vs. ACDF: Zizindikiro ndi Kuchuluka

ACDF ndi ACCF onse amagwiritsa ntchito njira ya khomo pachibelekero koma amalimbana ndi matenda osiyanasiyana:

ACDF

Zabwino kwambiri pazofewa za disc herniation komanso kupsinjika kwa mulingo umodzi. Chimbale cha matenda chimachotsedwa ndipo chipangizo chophatikizira chimayikidwa, kupangitsa kuvulala kochepa komanso kuchira msanga.

ACCF

Zokondedwa chifukwa cha ma vertebral fractures amitundu yambiri, OPLL, ndi ma osteophytes akulu ambuyo. ACCF imapereka kuponderezana kwakukulu komanso kumangidwanso kwamphamvu kwamkati.

Njira Yopangira Opaleshoni ya ACCF

Pofuna kuthana ndi kuponderezedwa kwapambuyo kwapambuyo pambuyo pa ACDF, ACCF imachotsa mbali zambiri za vertebral yomwe ili ndi matenda ndikusunga malire ozungulira ndikuchotsa ma disc oyandikana nawo apamwamba ndi otsika. Khola loyenera la titaniyamu la mesh lodzazidwa ndi fupa la fupa limabzalidwa ndikukhazikika ndi kachipangizo kakang'ono ka khomo lachiberekero kuti mugwirizane bwino.

Anterior Cervical Corpectomy ndi Fusion (ACCF) -czmeditech3

Ubwino wa ACCF

Kuchepetsa kwakukulu kwa OPLL ndi ma osteophyte akulu akumbuyo.
Kumanganso kolimba ndi khola la mauna + kukhazikika kwa mbale-screw kuti zithandizire ndizambiri.
Kuchita bwino mu matenda amitundu yambiri ndikuwongolera bwino komanso kuwongolera kopunduka.

Anterior Cervical Corpectomy ndi Fusion (ACCF) -czmeditech4

Zowopsa ndi Kuwongolera

Chifukwa ACCF imakhudza gawo lalikulu la opaleshoni, zofunikira zokhazikika ndizokwera. Zomwe zanenedwa kuti titanium mesh cage (TMC) zimachokera ku 10% -40% m'magulu onse.

Ngongole ya khola

kakang'ono kakang'ono (koyenera 0 °) kumakulitsa kukhudzana ndi endplate ndikuchepetsa kupsinjika.

Malo olumikizirana nawo

chopondapo chachikulu chimagawira katundu ndikuchepetsa mwayi wochepa.

CZMEDITECH ACCF System Solution

ARIES-III Ultra-Thin Anterior Cervical Plate

Mbiri yotsika kwambiri kuti muchepetse postoperative dysphagia.

Anterior Cervical Corpectomy ndi Fusion (ACCF) -czmeditech5

Angulation yayikulu yowononga kuti muchepetse matenda oyandikana nawo.

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Kutseka kwapawiri kwapawiri-zikuluzikulu kumodzi kuti zipinda zogwirira ntchito zitheke.

Anterior Cervical Corpectomy ndi Fusion (ACCF) -czmeditech7

Zosintha Zodzipangira Zodzipangira Zosintha Zosintha

Kudzibowolera / kugogoda nsonga kuti mulowetse motetezeka, moyenera.
3 mm cortical ulusi kuti mugule mwamphamvu pa anterior cortex.
Saizi yathunthu yolingana ndi anatomical.

PISCES Titanium Mesh Cage System

Makulidwe oduliratu ndi ocheka mwamakonda (Ø10-25 mm) kuti agwirizane bwino.
Serrated anti-slip surface kuti mukhale bata pompopompo.
Kamangidwe ka machubu olimbikitsa kukula kwa mafupa a 360°.
Titaniyamu yoyera TA2 yokhala ndi biocompatibility yayikulu komanso kukana kwa dzimbiri.

Zosankha Zomaliza

Kulumikizana ndi endplate yokulitsa kuti muchepetse chiwopsezo chocheperako.
Makona angapo (0 ° -10 °) potengera wodwala.

Kufotokozera ndi Model

Dzina lazogulitsa: Anterior Cervical Thin Plate

Kufotokozera: 1-5 Segments, 19-100 mm

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Zosintha Angle Self-Drilling Screw

Kufotokozera - Choyambirira:

φ3.5 × 11-17 mm

Kufotokozera - Kukonzanso / Kupulumutsa:

φ4.0 × 11-17 mm

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Titaniyamu Mesh

Mtundu Wodzicheka:

Diameter × Kutalika: 10-25 × 100 mm

(Diameter ikupezeka mu increments 2.5 mm)

Mtundu Woduliratu:

Diameter × Kutalika: 10-12.5 × 20-50 mm

(Diameter ikupezeka mu 2.5 mm increments; kutalika kumapezeka mu 2 mm increments)

Anterior Cervical Corpectomy ndi Fusion (ACCF) -czmeditech11

End Cap

Cervical Spine:

Diameter × Utali × ngodya: 10–12.5 mm × 1 mm × 0°–10°

(Diameter ikupezeka mu increments 2.5 mm; ngodya ikupezeka mu 2.5° increments)

Msana wa Thoracolumbar:

Diameter × Utali × ngodya: 15–25 mm × 1 mm × 0°–7.5°

(Diameter ikupezeka mu increments 2.5 mm)

Zotsatira Zachipatala ndi Kulera Padziko Lonse

Ndi ARIES-III ndi PISCES , ACCF imakwaniritsa kuchepetsedwa kwakukulu, kukhazikika kwaphatikizidwe kolimba, komanso kutsika kwa zovuta zokhudzana ndi implant. Kulera ku Latin America, Southeast Asia, Europe, ndi Middle East kukuwonetsa kulondola kwa decompression, nthawi yaifupi yogwirira ntchito, komanso mbiri yabwino yochira, mothandizidwa ndi maphunziro amchigawo ndi ntchito.

FAQ

Q1. Kodi pali kusiyana kotani pakati pa ACCF ndi ACDF?

ACDF imayang'ana mulingo umodzi, kupsinjika kwa minofu yofewa; ACCF imayang'anira kupsinjika kwamitundu yambiri, mafupa kapena ossified (mwachitsanzo, OPLL, ma osteophytes akulu) okhala ndi kuponderezedwa kwakukulu komanso kumangidwanso mwamphamvu.

Q2. Kodi ukadaulo wapamwamba kwambiri wa CZMEDITECH's ACCF solution ndi uti?

The ARIES-III ultra-thin plate plus PISCES titanium mesh cage imathandizira kutsika kolondola, kukhazikika kwamphamvu, komanso kuchepa kwa dysphagia ndi chiwopsezo cha subsidence.

Q3. Kodi kuchepetsedwa kwa titaniyamu mesh kungachepe bwanji?

Gwiritsani ntchito ngodya yaying'ono kwambiri yotheka (kufupi ndi 0 °), onjezani malo olumikizirana ndi endplate (chithandizo chokhala ndi kapu yomaliza), ndikuwonetsetsa kukula kwa khola ndi kuyanika koyenera kuti mugawire katundu mofanana.

Q4. Kodi ma implants ndi ovomerezeka padziko lonse lapansi?

Inde. Machitidwe a CZMEDITECH ophatikiza khomo lachiberekero amatsatira miyezo yapamwamba ya CE ndi ISO 13485 .

Q5. Kodi machitidwewa ndi ogwirizana ndi miyezo yapadziko lonse lapansi?

Maupangiri apangidwe amagwirizana ndi mitundu yayikulu yapadziko lonse lapansi (mwachitsanzo, Medtronic, DePuy Synthes, Acumed) kuthandizira maopaleshoni ambiri ndikuyenda kwa zida.

Q6. Kodi mumapereka chithandizo chamankhwala ndi maphunziro?

Inde. Othandizana nawo padziko lonse lapansi amalandila maphunziro opangira opaleshoni, malangizo aukadaulo, komanso chithandizo chapambuyo pogulitsa kuti apititse patsogolo kulera ndi zotsatira zake.

Q7. Ubwino wa PISCES ndi chiyani pama fusions amitundu yambiri?

Mapangidwe a anti-slip okhala ndi zipewa zofananira amasunga kutalika ndi kuyanika pamilingo ingapo, kumathandizira kufalikira kwa mafupa ndikufupikitsa nthawi yophatikizika.