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

Maikutlo: 0 Mongoli: Nako ea Phatlalatso ea Mohlophisi oa Sebaka: 2025-10-28 Tšimoloho: Sebaka

ACCF ke mokhoa o tsoetseng pele oa mokokotlo oa mokokotlo bakeng sa lefu le rarahaneng la mokokotlo oa mokokotlo, ho tsosolosa botsitso le ts'ebetso ea methapo ea kutlo ka ho tsosolosa 'mele oa mokokotlo, ho senyeha le ho kopanya.

ACCF vs. ACDF: Lipontšo le Bophara

Ka bobeli ACDF le ACCF li sebelisa mokhoa o ka pele oa popelo empa li sebetsana le mafu a fapaneng:

ACDF

Molemo ka ho fetisisa bakeng sa soft disc herniation le compression ea boemo bo le bong. Diski e kulang e tlosoa 'me sesebelisoa sa fusion se kenngoa, se nolofalletsang ho sithabela ho fokolang le ho hlaphoheloa ka potlako.

ACCF

E ratoa bakeng sa ho robeha ha lesapo la mokokotlo, OPLL, le li-osteophyte tse kholo tsa morao. ACCF e fana ka khatello e pharalletseng le kaho e matla ea ka pele.

Mokhoa oa ho Buoa oa ACCF

E le ho hlōla khatello e ka 'nang ea e-ba teng ka morao ka mor'a ACDF, ACCF e tlosa boholo ba' mele oa mokokotlo o kulang ha e ntse e boloka meeli ea mahlakoreng 'me e ntša li-discs tse haufi le tse tlaase. le boholo bo loketseng Lesaka la titanium mesh le tlatsitsoeng ka lesapo le kenngoeng le ho tsitsisoa ka 'cervical plate-screw system' ho fihlela motsoako o tiileng.

Anterior Cervical Corpectomy le Fusion (ACCF) -czmeditech3

Melemo ea ACCF

Decompression e batsi bakeng sa OPLL le li-osteophyte tse kholo tsa morao.
Kaho e matla e nang le mesh cage + plate-screw fixation bakeng sa tšehetso ea kholomo e ka pele.
Ho atleha ho mafu a mefuta-futa a nang le ho senyeha ka ho feletseng le ho lokisoa ha bokooa.

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Likotsi le Taolo

Hobane ACCF e kenyelletsa sebaka se pharaletseng sa ho buoa, litlhoko tsa botsitso li phahame. Litefiso tse tlalehiloeng tsa titanium mesh cage (TMC) li tloha ho 10% -40% ho pholletsa le lihlopha.

Cage angle

tšekamelo e nyane (e loketseng 0 °) e holisa ho kopana ha endplate mme e fokotsa khatello ea maikutlo.

Sebaka sa ho ikopanya

sebaka se seholo sa maoto se abela mojaro le ho theola monyetla oa ho kokobela.

CZMEDITECH ACCF System Tharollo

ARIES-III Ultra-Thin Anterior Cervical Plate

Boemo bo tlase haholo ho fokotsa dysphagia ea postoperative.

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Angulation e kholo ea screw ho fokotsa lefu la karolo e haufi.

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Mohato o le mong oa ho notlela li-screw bakeng sa katleho ea kamore ea ho sebetsa.

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Li-Screws tsa ho itlhatsoa tse feto-fetohang

Keletso ea ho cheka / ho tlanya bakeng sa ho kenya ka mokhoa o sireletsehileng, o sebetsang hantle.
3 mm cortical thread bakeng sa theko e matla ho cortex e ka pele.
Boholo bo felletseng bakeng sa ho lekana ha anatomical.

PISCES Titanium Mesh Cage System

Lisaese tse sehiloeng esale pele le tse tloahelehileng (Ø10–25 mm) bakeng sa ho lekana hantle.
Serrated anti-slip surface bakeng sa botsitso hanghang.
Mehaho ea mesh-tube e khothalletsang ho kenngoa ha masapo a 360°.
Titanium TA2 e hloekileng bakeng sa biocompatibility e phahameng le ho hanyetsa kutu.

Likhetho tsa End-Cap

Khokahano e atolositsoeng ea li-endplate ho fokotsa kotsi ea ho fokotseha.
Li-angles tse ngata (0°–10°) bakeng sa ho tsamaisana le mokuli.

Tlhaloso le Mohlala

Lebitso la Sehlahisoa: Anterior Cervical Thin Plate

Tlhaloso: 1-5 Segments, 19-100 mm

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Angle Self-Drilling Screw

Tlhaloso - Ea mantlha:

φ3.5 × 11-17 limilimithara

Tlhaloso - Phetoho / Pholoso:

φ4.0 × 11-17 limilimithara

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Titanium Mesh

Mofuta oa ho itšeha:

Diameter × Bophahamo: 10-25 × 100 mm

(Bophara bo fumaneha ka 2.5 mm increments)

Mofuta oa ho Seha Pele:

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

(Bophara bo fumaneha ka 2.5 mm increments; bophahamo bo fumaneha ka 2 mm increments)

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Qetellong Cap

Cervical Spine:

Diameter × Bophahamo × Lekhutlo: 10–12.5 mm × 1 mm × 0°–10°

(Bophara bo fumaneha ka 2.5 mm increments; angle e fumaneha ka 2.5° increments)

Thoracolumbar Spine:

Diameter × Bophahamo × Lekhutlo: 15–25 mm × 1 mm × 0°–7.5°

(Bophara bo fumaneha ka 2.5 mm increments)

Liphello tsa Tleliniki le Kamohelo ea Machabeng

Ka ARIES-III le PISCES , ACCF e fihlella ho senyeha ho hoholo, botsitso bo matla ba fusion, le mathata a tlase a amanang le implant. Ho nkeloa ka lapeng ho pholletsa le Latin America, Asia Boroa-bochabela, Europe le Middle East ho bonts'a ho nepahala ho ntlafalitsoeng ha decompression, nako e khuts'oane ea ts'ebetso, le litlaleho tse ntle tsa ho hlaphoheloa, tse tšehetsoeng ke koetliso le litšebeletso tsa tikoloho.

LBH

Q1. Phapano e kholo lipakeng tsa ACCF le ACDF ke efe?

ACDF e shebana le khatello e le 'ngoe, ea mesifa e bonolo; ACCF e sebetsana le khatello ea maemo a mangata, ea masapo kapa a ossified (mohlala, OPLL, li-osteophyte tse kholo) tse nang le khatello e pharaletseng le kaho e matla.

Q2. Lintlha-khōlō tsa tekheniki tsa tharollo ea CZMEDITECH ea ACCF ke life?

The ARIES-III ultra-thin plate plus PISCES titanium mesh cage e thusa ho decompression e nepahetseng, botsitso bo matla, le dysphagia e tlase le kotsi ea ho fokotseha.

Q3. Ho fokotseha ha titanium mesh ho ka fokotsoa joang?

Sebelisa sekhutlo se senyenyane ka ho fetesisa sa cage (haufi le 0°), eketsa sebaka sa ho kopana sa endplate (end-cap support), 'me u netefatse hore boholo bo nepahetseng ba cage le ho tsamaellana ho tsamaisa mojaro ka ho lekana.

Q4. Na li-implant li netefalitsoe ke machabeng?

Ee. Litsamaiso tsa CZMEDITECH tsa cervical fusion li lumellana le litekanyetso tsa boleng ba CE le ISO 13485 .

Q5. Na litsamaiso li lumellana le maemo a tloaelehileng a machaba?

Lits'oants'o tsa moralo li hokahana le lihlahisoa tse kholo tsa lefats'e (mohlala, Medtronic, DePuy Synthes, Acumed) ho ts'ehetsa maemo a pharalletseng a ho buoa le tšebetso ea lisebelisoa.

Q6. A na u fana ka thuso ea bongaka le koetliso?

Ee. Balekane ba lefats'e ba fumana lithupelo tsa ho buoa, tataiso ea tekheniki, le ts'ehetso ea morao-rao ea thekiso ho ntlafatsa ho amoheloa le liphetho.

Q7. Monyetla oa PISCES ke ofe ka har'a fusion ea maemo a mangata?

Moralo oa serrated o thibelang ho thella o nang le li-end-caps tse tsamaellanang o boloka bophahamo le ho lopama ho feta maemo a mangata, o thusa ho kenella ha masapo le ho khutsufatsa nako ea ho kopanya.