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Anterior Cervical Corpectomy and Fusion (ACCF): Vutivi bya Vuhandzuri lebyi heleleke na Ku tirhisiwa ka Misava Hinkwayo

Ku langutiwa: 0 Mutsari: Muhleri wa Sayiti Nkarhi wo kandziyisa: 2025-10-28 Masungulo: Ndhawu

ACCF i endlelo ra le henhla ra khwiri ra le mahlweni eka vuvabyi bya nkolo wa khwiri lebyi rharhanganeke, ku vuyisela ku tshamiseka na ntirho wa misiha hi ku tsemiwa ka miri wa marhambu ya nhloko, ku susiwa ka ntshikelelo, na ku hlanganisiwa.

ACCF vs. ACDF: Swikombiso na Vukulu

Havumbirhi ACDF na ACCF ti tirhisa endlelo ra anterior cervical kambe ti langutana na mavabyi yo hambana:

ACDF

Swikahle eka soft disc herniation na compression ya xiyimo xin’we. Disiki leyi vabyaka ya susiwa kutani ku nghenisiwa xitirhisiwa xo hlanganisa, leswi endlaka leswaku ku va ni khombo leritsongo ni ku hola hi ku hatlisa.

ACCF

Yi tsakeriwa eka ku tshoveka ka vertebral ka swiyimo swo tala, OPLL, na ti osteophytes letikulu ta le ndzhaku. ACCF yi nyika decompression yo anama na ku pfuxetiwa ka le mahlweni loku tiyeke.

Thekiniki ya Vuhandzuri ya ACCF

Ku hlula ku tshikileriwa ka le ndzhaku loku nga vaka kona loku saleke endzhaku ka ACDF, ACCF yi susa vunyingi bya miri wa vertebral lowu vabyaka loko yi ri karhi yi hlayisa mindzilakano ya le tlhelo naswona yi tsema ti discs ta le henhla na ta le hansi leti nga ekusuhi. sayizi leyi faneleke Titanium mesh cage ya leyi taleke hi bone graft ya nghenisiwa no tiyisisiwa hi anterior cervical plate-screw system kuva yi fikelela solid fusion.

Ku tsemiwa ka swirho swa mbeleko swa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech3

Swipfuno swa ACCF

Decompression yo anama ya OPLL na ti osteophytes letikulu ta le ndzhaku.
Ku pfuxetiwa loku tiyeke hi mesh cage + plate-screw fixation eka nseketelo wa kholomo yale mahlweni.
Swi tirha kahle eka mavabyi ya swiyimo swo tala na decompression leyi heleleke na ku lulamisiwa ka deformity.

Ku tsemiwa ka swirho swa mbeleko swa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech4

Makhombo na Vulawuri

Hikuva ACCF yi katsa nsimu yo anama ya vuhandzuri, swilaveko swa ku tshamiseka swi le henhla. Tihakelo leti vikiweke ta titanium mesh cage (TMC) subsidence tisukela eka 10%–40% eka ti cohorts hinkwato.

Angle ya khege

inclination leyintsongo (hindlela leyinene 0°) yi kurisa endplate contact naswona yi hunguta stress concentration.

Ndhawu yo tihlanganisa na yona

footprint leyikulu yi hangalasa ndzhwalo naswona yi hunguta ku koteka ka ku khuluka ka mati.

CZMEDITECH ACCF Xitshunxo xa Sisiteme

ARIES-III Puleti ya Cervical ya le mahlweni ya Ultra-Thin

Ultra-low notch profile ku hunguta dysphagia ya le ndzhaku ka vuhandzuri.

Ku tsemiwa ka xirho xa mbeleko xa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech5

Large screw angulation ku hunguta vuvabyi bya xiphemu lexi nga ekusuhi.

Ku tsemiwa ka xirho xa mbeleko xa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech6

Ku pfala ka goza rin’we ka swikwirikiri swimbirhi ku endlela ku tirha kahle ka kamara ro endla vuhandzuri.

Ku tsemiwa ka swirho swa mbeleko swa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech7

Swikwirikiri swo Tibora swa Variable-Angle

Self-drilling/tapping tip kuva ku nghenisiwa loku sirhelelekeke, loku tirhaka kahle.
3 mm cortical thread kuva yi xava hiku tiya eka anterior cortex.
Full size range ya ku ringanela ka anatomical.

PISCES Sisiteme ya Xigwitsirisi xa Titanium Mesh

Tisayizi ta pre-cut na custom-trim (Ø10–25 mm) kuva ti ringanela kahle.
Serrated anti-slip surface kuva yitshamiseka hiku hatlisa.
Mesh-tube architecture leyi hlohlotelaka kukula ka marhambu endzeni ka 360°.
Pure titanium TA2 ya biocompatibility yale henhla xikan’we naku lwisana na corrosion.

Swihlawulekisi swa End-Cap

Ku kurisiwa ka endplate contact ku hunguta khombo ra subsidence.
Ti angles to tala (0°–10°) ta ku ringanisa loku kongomeke ka muvabyi.

Ku hlamuseriwa na Modelo

Vito ra Xiendliwa: Anterior Cervical Thin Plate

Ku hlamuseriwa: 1–5 Swiphemu, 19–100 mm

Ku tsemiwa ka swirho swa mbeleko swa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech9

Xikurufu xo Tibora xa Angle leyi Cinca-cincaka

Nhlamuselo – Ya le henhla: .

φ3.5 × 11–17 mm

Nhlamuselo – Ku pfuxetiwa / Ku ponisa: .

φ4.0 × 11–17 mm

Ku tsemiwa ka swirho swa mbeleko swa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech10

Xirhendzevutana xa Titanium

Muxaka wo Titsema: .

Diameter × Ku leha: 10–25 × 100 mm

(Diameter yi kumeka hi ku engeteleriwa ka 2.5 mm)

Muxaka wa Pre-Cut:

Diameter × Ku leha: 10–12.5 × 20–50 mm

(Diameter yi kumeka hi ku engeteleriwa ka 2.5 mm; ku leha ku kumeka hi ku engeteleriwa ka 2 mm)

Ku tsemiwa ka swirho swa mbeleko swa le mahlweni na ku hlanganisiwa (ACCF)-czmeditech11

End Cap

Nkolo wa khwiri: .

Diameter × Ku leha × Angle: 10–12.5 mm × 1 mm × 0°–10°

(Diameter yi kumeka hi 2.5 mm increments; angle yi kumeka hi 2.5° increments)

Nkolo wa Xifuva: .

Diameter × Ku leha × Angle: 15–25 mm × 1 mm × 0°–7.5°

(Diameter yi kumeka hi ku engeteleriwa ka 2.5 mm)

Mimbuyelo ya Tliliniki na ku Amukeriwa ka Matiko ya Misava

Hi ARIES-III na PISCES , ACCF yi fikelela decompression yo anama, ku tiya ka fusion loku tiyeke, na swiphiqo swa le hansi leswi fambelanaka na implant. Ku amukeriwa eLatin Amerika hinkwaro , Dzonga-vuxa bya Asia, Yuropa, na Middle East swi kombisa ku antswisiwa ka ku pakanisa ka decompression, nkarhi wo koma wa vuhandzuri, na tiphrofayili letinene to vuyisa, leti seketeriwaka hi ndzetelo wa xifundzha na vukorhokeri.

FAQ

Q1. Hi kwihi ku hambana lokukulu exikarhi ka ACCF na ACDF?

ACDF yi kongomisa eka ku tshikileriwa ka xiyimo xin’we, xa tinyama to olova; ACCF yi langutana na multi-level, bony kumbe ossified compression (xikombiso, OPLL, ti osteophytes letikulu) na decompression yo anama xikan’we na ku pfuxetiwa loku tiyeke.

Q2. Hi swihi swilo swa nkoka swa xithekiniki swa xitshunxo xa ACCF xa CZMEDITECH?

ARIES -III ultra-thin plate plus PISCES titanium mesh cage yi endla leswaku kuva na decompression leyi kongomeke, ku tiya loku tiyeke, xikan’we naku hunguta dysphagia na khombo ra subsidence.

Q3. Xana ku hunguteka ka titanium mesh ku nga hungutiwa njhani?

Tirhisa angle ya cage leyintsongo swinene leyi kotekaka (ekusuhi na 0°), kurisa ndzhawu ya endplate contact (end-cap support), naswona tiyisisa leswaku cage sizing leyi faneleke xikan’we naku ringanisiwa kuva yi hangalasa ndzhwalo hiku ringana.

Q4. Xana swilo leswi nghenisiweke swi tiyisisiwile emisaveni hinkwayo?

Ina. Tisisiteme ta CZMEDITECH ta cervical fusion ti landzelela swipimelo swa khwalithi swa CE na ISO 13485 .

Q5. Xana maendlelo ya fambisana ni mimpimanyeto leyi tolovelekeke ya matiko hinkwawo?

Swikombo swa dizayini swi fambisana na swikoweto leswikulu swa misava hinkwayo (xikombiso, Medtronic, DePuy Synthes, Acumed) ku seketela swiyimo swo anama swa vuhandzuri na maendlelo ya ntirho ya switirhisiwa.

Q6. Xana u nyika nseketelo wa tliliniki na ndzetelo?

Ina. Vatirhisani va misava hinkwayo va kuma ndzetelo wa vuhandzuri, nkongomiso wa xithekiniki, na nseketelo wa le ndzhaku ka ku xavisiwa ku ndlandlamuxa ku amukeriwa na mimbuyelo.

Q7. Xana PISCES yi pfuna yini eka ti multi-level fusions?

Dizayini ya serrated anti-slip leyingana ti end-caps leti fambelanaka yi hlayisa ku tlakuka na ku ringanana eka ti levele totala, leswi olovisaka kukula ka marhambu endzeni xikan’we naku hunguta nkarhi wa fusion.