Uri hano: Murugo » Amakuru » Umugongo » Imbere ya Cervical Corpectomy na Fusion (ACCF): Ubushishozi bwuzuye bwo kubaga no gusaba isi yose

Imbere ya Cervical Corpectomy na Fusion (ACCF): Ubushishozi Bwuzuye bwo Kubaga no Gukoresha Isi

Reba: 0 Umwanditsi: Muhinduzi wurubuga Gutangaza Igihe: 2025-10-28 Inkomoko: Urubuga

ACCF ni uburyo bwambere bwimbere yinkondo y'umura yindwara yinkondo y'umura igoye, igarura ituze hamwe nimikorere ya neurologiya binyuze mumyanya yumubiri, kwangirika, no guhuza.

ACCF na ACDF: Ibyerekana na Scope

ACDF na ACCF zombi zikoresha inzira yinkondo y'umura ariko ikemura ibibazo bitandukanye:

ACDF

Ibyiza kuri disiki yoroshye hamwe no kwikuramo urwego rumwe. Disiki irwaye ikurwaho hanyuma igashyirwaho igikoresho cyo guhuza, bigatuma ihahamuka rito no gukira vuba.

ACCF

Bikunzwe kuvunika urwego-rwinshi rwavunitse, OPLL, na osteophète nini yinyuma. ACCF itanga decompression yagutse kandi ikomeye yo kwiyubaka imbere.

Ubuhanga bwo kubaga ACCF

Kugira ngo utsinde ibisigisigi byinyuma bisigaye nyuma ya ACDF, ACCF ikuraho igice kinini cyumubiri urwaye mugihe urinda imipaka kuruhande kandi igatera disiki yegeranye kandi isumba iyindi. yuzuye Ikariso nini ya titanium mesh yuzuyemo amagufwa yatewe kandi igahagarikwa hamwe na sisitemu y'imbere ya plaque-screw sisitemu kugirango igere hamwe.

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech3

Ibyiza bya ACCF

Kwiyongera kwinshi kuri OPLL na osteophytes nini yinyuma.
Kwiyubaka gukomeye hamwe na mesh cage + plaque-screw gukosora inkingi yimbere.
Ikora neza mubyiciro byinshi hamwe na decompression neza no gukosora ubumuga.

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech4

Ingaruka no kugenzura

Kuberako ACCF ikubiyemo umurima mugari wo kubaga, ibisabwa birahamye. Raporo ya titanium mesh cage (TMC) igipimo cyo kugabanuka kiri hagati ya 10% –40% murwego rumwe.

Inguni

ntoya (nibyiza 0 °) impengamiro igabanya impera yanyuma kandi igabanya guhangayika.

Ahantu ho kuvugana

ibirenge binini bikwirakwiza umutwaro kandi bigabanya amahirwe yo kugabanuka.

CZMEDITECH ACCF Igisubizo

ARIES-III Ultra-Inini Yimbere Yumubyimba

Ultra-low notch profile kugirango igabanye dysphagia nyuma yibikorwa.

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech5

Impanuka nini yo kugabanya kugabanya indwara zegeranye.

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech6

Intambwe imwe-ebyiri zifunga kugirango icyumba gikore gikore neza.

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech7

Impinduka-Inguni Kwikorera-Imiyoboro

Kwikorera wenyine / gukanda inama kubwumutekano, kwinjiza neza.
3 mm cortical thread yo kugura gukomeye kuri cortex y'imbere.
Ingano yuzuye ya anatomical ikwiye.

PISCES Titanium Mesh Cage Sisitemu

Imbere yo gukata no kugereranya-trim ingano (Ø10-25 mm) kugirango ihuze neza.
Gukoresha anti-kunyerera hejuru kugirango uhite uhagarara.
Mesh-tube yubatswe iteza imbere 360 ° amagufwa.
Titanium yera TA2 kugirango ibinyabuzima bihuze cyane kandi birwanya ruswa.

Amahitamo ya nyuma

Kwagura amaherezo ya enterplate kugirango ugabanye ibyago byo kugabanuka.
Inguni nyinshi (0 ° –10 °) kugirango zihuze abarwayi.

Ibisobanuro na Model

Izina ryibicuruzwa: Isahani yimbere yimbere

Ibisobanuro: Ibice 1-5, mm 19–100

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech9

Impinduka zinguni Kwikorera

Ibisobanuro - Ibanze:

φ3.5 × 11–17 mm

Ibisobanuro - Gusubiramo / Gutabara:

φ4.0 × 11–17 mm

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech10

Titanium Mesh

Ubwoko bwo Kwikebagura:

Diameter × Uburebure: 10-25 × 100 mm

(Diameter iboneka muri mm 2,5 ziyongera)

Ubwoko Mbere yo Gukata:

Diameter × Uburebure: 10–12.5 × 20-50 mm

(Diameter iboneka muri mm 2,5 ziyongera; uburebure buraboneka muri mm 2 ziyongera)

Imbere ya Cervical Corpectomy na Fusion (ACCF) -czmeditech11

Impera yanyuma

Uruti rw'umugongo:

Diameter × Uburebure × Inguni: 10–12,5 mm × 1 mm × 0 ° –10 °

(Diameter iboneka muri mm 2,5 mm; inguni iboneka muri 2,5 ° kwiyongera)

Umugongo wa Thoracolumbar:

Diameter × Uburebure × Inguni: 15-25 mm × 1 mm × 0 ° –7.5 °

(Diameter iboneka muri mm 2,5 ziyongera)

Ibisubizo bya Clinical hamwe no kwakirwa mpuzamahanga

Hamwe na ARIES-III na PISCES , ACCF igera kuri decompression yagutse, gukomera gukomeye, hamwe ningaruka ziterwa no guterwa. Kwemererwa muri Amerika y'Epfo, Aziya y'Amajyepfo y'Uburasirazuba, Uburayi, n'Uburasirazuba bwo Hagati byerekana neza ko decompression ikora neza, igihe gito cyo gukora, hamwe n'imyirondoro myiza yo gukira, ishyigikiwe n'amahugurwa na serivisi mu karere.

Ibibazo

Q1. Ni irihe tandukaniro nyamukuru riri hagati ya ACCF na ACDF?

ACDF yibasiye urwego rumwe, yoroshye-tissue compression; ACCF ikemura ibyiciro byinshi, amagufwa cyangwa ossifike yo kwikuramo (urugero, OPLL, osteophète nini) hamwe na decompression yagutse no kwiyubaka gukomeye.

Q2. Nibihe bintu bya tekinike byaranze CZMEDITECH igisubizo cya ACCF?

ya ARIES-III yongeyeho isahani Isahani ya PISCES titanium mesh cage ituma decompression itomora neza, itajegajega, hamwe na dysphagia yo hepfo hamwe ningaruka zo kugabanuka.

Q3. Nigute kugabanuka kwa titanium mesh kugabanuka?

Koresha inguni ntoya ishoboka (hafi ya 0 °), ugabanye aho uhurira (infashanyo ya nyuma), kandi urebe neza ko ingero zingana zingana no guhuza kugirango ugabanye umutwaro uringaniye.

Q4. Ese abaterankunga bemewe ku rwego mpuzamahanga?

Yego. CZMEDITECH sisitemu yo guhuza inkondo y'umura yubahiriza CE na ISO 13485 .

Q5. Sisitemu zirahuye nibisanzwe mpuzamahanga?

Igishushanyo mbonera gihuza n'ibirango bikomeye ku isi (urugero, Medtronic, DePuy Synthes, Acumed) kugirango dushyigikire ibintu byinshi byo kubaga hamwe n'ibikoresho bikora.

Q6. Utanga ubufasha bwamavuriro namahugurwa?

Yego. Abafatanyabikorwa ku isi bahabwa amahugurwa yo kubaga, ubuyobozi bwa tekiniki, hamwe n’inkunga nyuma yo kugurisha kugirango bongere ibyakiriwe n’ibisubizo.

Q7. Ni izihe nyungu za PISCES murwego rwinshi?

Igishushanyo cya anti-slip igishushanyo hamwe na end-caps ihuje ikomeza uburebure no guhuza urwego rwinshi, byorohereza amagufwa no kugabanya igihe cyo guhuza.