Ulapha: Ikhaya » Izindaba » I Umgogodla - Anterior Cervical Corpectomy and Fusion (ACCF): I-Comprehensive Surgical Insight kanye ne-Global Application

I-Anterior Cervical Corpectomy and Fusion (ACCF): I-Comprehensive Surgical Insight kanye ne-Global Application

Ukubuka: 0 Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2025-10-28 Umsuka: Isayithi

I-ACCF iyindlela ethuthukisiwe yomlomo wesibeletho yangaphambili yesifo esiyinkimbinkimbi yomgogodla wesibeletho, ukubuyisela ukuzinza kanye nomsebenzi wezinzwa ngokusebenzisa ukukhishwa komzimba we-vertebral, ukuchithwa, nokuhlanganiswa.

I-ACCF vs. ACDF: Izinkomba Nobubanzi

Kokubili i-ACDF ne-ACCF zisebenzisa indlela yomlomo wesibeletho yangaphambili kodwa zibhekana nama-pathologies ahlukene:

ACDF

Kuhle kakhulu ku-soft disc herniation kanye nokuminyanisa kwezinga elilodwa. I-disc enesifo iyasuswa futhi idivayisi yokuhlanganisa ifakwe, okuvumela ukuhlukumezeka okuncane nokululama ngokushesha.

I-ACCF

Kuncanyelwa ukuphuka kwe-vertebral enamazinga amaningi, i-OPLL, nama-osteophyte amakhulu angemuva. I-ACCF ihlinzeka ngokuwohloka okubanzi nokwakhiwa kabusha okuqinile kwangaphakathi.

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I-ACCF Surgical Technique

Ukuze unqobe ukucindezelwa kwe-posterior okungase kube khona ngemva kwe-ACDF, i-ACCF isusa iningi lomzimba we-vertebral ogulayo ngenkathi igcina imingcele yangasese futhi ikhipha ama-disc aseduze aphezulu naphansi. enosayizi ofanele Ikheji ye-titanium mesh egcwaliswe ngokuxhunyelelwa kwethambo iyafakwa futhi iqiniswe ngohlelo olungaphambili lwesikulufu somlomo wesibeletho ukuze kuzuzwe ukuhlangana okuqinile.

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Izinzuzo ze-ACCF

Ukuwohloka okubanzi kwe-OPLL nama-osteophyte amakhulu angemuva.
Ukwakhiwa kabusha okuqinile ngekheji elinezikhala + nokulungiswa kwepuleti-isikulufu ukuze kusekelwe ikholomu yangaphambili.
Isebenza ngempumelelo ezifweni ezinamazinga amaningi ngokuwohloka okuphelele nokulungiswa kokukhubazeka.

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Izingozi Nokulawula

Ngenxa yokuthi i-ACCF ibandakanya inkambu yokuhlinzwa ebanzi, izidingo zokuzinza ziphakeme. Izilinganiso zokunciphisa ezibikiwe ze-titanium mesh cage (TMC) zisukela ku -10%–40% kuwo wonke amaqoqo.

I-cage angle

ukuthambekela okuncane (okungcono okungu-0°) kukhulisa ukuthintana kwe-endplate futhi kunciphisa ukugxila kwengcindezi.

Indawo yokuxhumana

umkhondo omkhulu usabalalisa umthwalo futhi wehlise amathuba okuncipha.

CZMEDITECH ACCF System Solution

I-ARIES-III I-Ultra-Thin Anterior Cervical Plate

Iphrofayili yenotshi ephansi kakhulu yokunciphisa i-postoperative dysphagia.

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I-angulation enkulu yesikulufu ukuze unciphise isifo sengxenye eseduze.

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Isinyathelo esisodwa sokukhiya isikulufu esikabili sokusebenza kahle kwegumbi lokusebenza.

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Izikulufu zokuzibhoboza ze-Angle eguquguqukayo

Ithiphu yokuzimba wena/ukuthepha ukuze ufake okuphephile, okusebenzayo.
Intambo yekhorotiki engu-3 mm yokuthenga okuqinile ku-cortex yangaphambili.
Usayizi ogcwele ububanzi bokulingana kwe-anatomical.

I-PISCES Titanium Mesh Cage System

Osayizi bokusika ngaphambilini nabasikwa ngokwezifiso (Ø10–25 mm) bokulingana okunembile.
Indawo ephikisana nokushelela ehlanganisiwe ukuze izinze ngokushesha.
I-Mesh-tube architecture ekhuthaza ukukhula kwamathambo okungu-360°.
I-titanium TA2 ehlanzekile ye-biocompatibility ephezulu kanye nokumelana nokugqwala.

Izinketho Zokugcina

Ukuxhumana kwe-endplate okukhulisiwe ukuze kuncishiswe ingcuphe yokuncipha.
Ama-engeli amaningi (0°–10°) okuqondanisa kwesiguli esithile.

Ukucaciswa kanye Nemodeli

Igama Lomkhiqizo: I-Anterior Cervical Thin Plate

Ukucaciswa: Amasegimenti angu-1–5, 19–100 mm

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I-Angle Self-Drilling Screw eguquguqukayo

Ukucaciswa - Okuyinhloko:

φ3.5 × 11–17 mm

Ukucaciswa - Ukubuyekeza / Ukuhlenga:

φ4.0 × 11–17 mm

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I-Titanium Mesh

Uhlobo lokuzisika:

Ububanzi × Ubude: 10–25 × 100 mm

(Ububanzi butholakala ngo-2.5 mm increments)

Uhlobo Lokusika Ngaphambili:

Ububanzi × Ubude: 10–12.5 × 20–50 mm

(Ububanzi butholakala ngo-2.5 mm increments; ubude butholakala ngo-2 mm increments)

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End Cap

Umgogodla wesibeletho:

Ububanzi × Ubude × I-engeli: 10–12.5 mm × 1 mm × 0°–10°

(Ububanzi butholakala ngokunyuka okungu-2.5 mm; i-engeli itholakala ngokunyuka okungu-2.5°)

I-Thoracolumbar Spine:

Ububanzi × Ubude × I-engeli: 15–25 mm × 1 mm × 0°–7.5°

(Ububanzi butholakala ngo-2.5 mm increments)

Imiphumela Yomtholampilo kanye Nokutholwa Kwamazwe Ngamazwe

Nge -ARIES-III kanye ne -PISCES , i-ACCF ifinyelela ukuwohloka okubanzi, ukuzinza kwe-fusion okuqinile, kanye nezinkinga eziphansi ezihlobene nokufakelwa. Ukutholwa kulo lonke elaseLatin America, eNingizimu-mpumalanga ye-Asia, e-Europe, naseMpumalanga Ephakathi kukhombisa ukunemba okuthuthukisiwe kwe-decompression, isikhathi esifushane sokusebenza, kanye namaphrofayili okuthola kabusha avumayo, asekelwa ukuqeqeshwa kwesifunda kanye nensizakalo.

FAQ

Q1. Imuphi umehluko omkhulu phakathi kwe-ACCF ne-ACDF?

I-ACDF iqondise izinga elilodwa, ukucindezelwa kwezicubu ezithambile; I-ACCF ikhuluma ngamaleveli amaningi, ukucindezelwa kwamathambo noma ossified (isb, i-OPLL, ama-osteophyte amakhulu) ngokuwohloka okubanzi nokwakhiwa kabusha okuqinile.

Q2. Yiziphi izinto ezivelele zobuchwepheshe zesixazululo se-ACCF se-CZMEDITECH?

I -ARIES-III ultra-thin plate plus PISCES titanium mesh cage inika amandla ukuwohloka okunembayo, ukuzinza okuqinile, kanye ne-dysphagia ephansi kanye nobungozi bokuncipha.

Q3. Kungancishiswa kanjani ukuncishiswa kwe-titanium mesh?

Sebenzisa i-engeli yekheji encane kakhulu enokwenzeka (eduze ku-0°), wandise indawo yokuxhumana ye-endplate (usekelo lwe-end-cap), futhi uqinisekise usayizi wekheji ofanele kanye nokuqondanisa ukuze usabalalise umthwalo ngokulinganayo.

Q4. Ingabe izimila zigunyazwe emhlabeni jikelele?

Yebo. Izinhlelo ze-CZMEDITECH zokuhlanganiswa komlomo wesibeletho zihambisana nezindinganiso ze-CE ne -ISO 13485 . zekhwalithi

Q5. Ingabe amasistimu ayahambisana nezindinganiso zamazwe ngamazwe ezivamile?

Izithenjwa zedizayini zihambisana nemikhiqizo emikhulu yomhlaba (isb, i-Medtronic, i-DePuy Synthes, i-Acumed) ukusekela izimo ezibanzi zokuhlinzwa nokugeleza komsebenzi wezinsimbi.

Q6. Ingabe uyakunikeza ukwesekwa nokuqeqeshwa komtholampilo?

Yebo. Ozakwethu bomhlaba bathola ukuqeqeshwa kokuhlinzwa, isiqondiso sobuchwepheshe, nokusekelwa ngemva kokuthengisa ukuze kuthuthukiswe ukutholwa kanye nemiphumela.

Q7. Iyini inzuzo ye-PISCES ekuhlanganiseni kwamazinga amaningi?

Idizayini eyisiyingi emelene nokushelela enama-end-caps ahambisanayo igcina ubude nokuqondanisa phezu kwamaleveli amaningi, yenza kube lula ukungena kwamathambo kanye nokwenza kube mfushane isikhathi sokuhlanganisa.