Spinal fusion hehenana | Interbody cage ƒomeviwo kple nusiwo wotsɔ wɔe
Interbody cages nye mɔ̃ siwo woate ŋu ade akɔta ƒe ŋutilã siwo te ɖe wo nɔewo ŋu dome le aklã ƒe ƒoƒo ƒe ɖoɖo tiatia aɖewo me. Wotrɔ asi le wo ŋu be woalé disk ƒe teƒe si wodzra ɖo la me ɖe asi, woana xɔtuɖoɖo ƒe kpekpeɖeŋu eye woaxɔ ƒu-do-nu esime fusion le ŋgɔ yim. Wotiaa atɔ ƒe ƒomevi, lolome, nusi wotsɔ wɔe kple alesi woatsɔe ablae ƒe mɔnu na dɔnɔ aɖe koŋ, amekoko ƒe mɔnu kple mɔ̃ ƒe ɖoɖo si ŋu woɖe mɔ ɖo.
Nukae Nye Interbody Fusion Cage?
Interbody fusion cage nye aklã ƒe mɔ̃ si wotsɔ dea akɔta ƒe akpa si le akɔta dome ne amekolaa ɖe disk si gblẽ la katã alo eƒe akpa aɖe ɖa le fusion ƒe ɖoɖo si ŋu wowɔ ɖoɖo ɖo me vɔ. FDA ƒe gɔmesesea lɔ mɔ̃ siwo wotsɔ nusiwo le abe titanium kple polymers ene wɔ eye wotsɔ wo de vidzidɔ alo lumbosacral intervertebral space me ɖe eme.
Menye disk si wotsɔ ɖɔliae si woɖo be wòakpɔ ʋuʋu si sɔ tae atɔa nye o. Eƒe akpa si wòwɔna do ƒome kple fusion: edoa alɔ akpa si ŋu wowɔ atike ɖo esime ƒu yeye le tsitsim le akɔtaƒu siwo te ɖe wo nɔewo ŋu dome. Aɖaŋu geɖe siwo wowɔ dometɔ aɖewoe nye ʋuƒo ememetɔ alo xɔ si me wodoa ƒu ɖo na nusiwo wotsɔ do ƒu kple gotagomenu siwo woɖo be woawɔ dɔ kple akɔta ƒe nuwuƒewo.
XC Medico wɔa ɖoɖo ɖe eƒe aɖaŋu siwo li ŋu le eƒe... interbody cage ƒe nuwɔna ƒe hatsotsowo . Adzɔnuwo ƒe axawo ɖea vi na woƒe agbɔsɔsɔme gɔmesese, gake ele be woaɖo kpe dzesi siwo sɔ, nusiwo tsi tre ɖe eŋu, nusiwo wobia tso wo si be woatsɔ aɖo wo ŋu kple amekokomɔnu dzi tso mɔ̃a ƒe dzeside si li fifia me.
Alesi Spinal Cages Doa Alɔ Disc ƒe Kɔkɔme, Alignment Kple Fusion
Vovototo vevi aɖe: woɖea lãmeka aɖe ƒe tete ɖa to amekokoa dzi. Aɖaka ate ŋu akpe ɖe ame ŋu be disk alo aɖuɖɔtoe ƒe kɔkɔme nanɔ anyi le xɔtunu tiatia aɖewo me, gake mele be woaɖɔe be edaa lãmekawo ƒe tete le eɖokui si alo aka ɖe edzi be vevesesea dzi ɖe kpɔtɔ o.
Interbody Cages Ƒomeviwo To Amekoko ƒe Mɔnu Nu
Zi geɖe la, wodaa ametia dome atɔ ɖe hatsotsowo me le aklã ƒe nuto kple mɔnu si wozãna tsɔ ɖoa disk ƒe teƒea nu. Kpuieawo ɖɔ alesi wowɔa dɔae, ke menye alesi wotsɔa nusi wotsɔ dea lãme na ame ƒe nɔnɔme ko o. Mele be woabu atike si ŋu woɖe mɔ ɖo na mɔnu aɖe be esɔ na mɔnu bubu o.
Ne èdi nukpɔsusu si keke ta wu le alesi akafowo doa ka kple pedicle screws, cervical plates kple mɔnu tɔxɛwo ŋu la, to XC Medico tɔ me akɔta ƒe dɔwɔwɔ kple dɔwɔnuwo ƒe ɖoɖowo.
| Cage alo approach | Mɔ si dzi woato age ɖe eme le mɔ gbadza | nu Nusiwo ŋu wobuna le aɖaŋuwɔwɔ me zi geɖe | System elements to confirm |
|---|---|---|---|
| Vidzidɔ / ACDF ƒe atɔ | Vidzidɔ ƒe ŋgɔgbe mɔnu | Afɔti si le sue, vidzidɔ ƒe kɔkɔme kple dzogoewo, xɔ si me wodoe ɖo kple nɔnɔmetata ƒe dzesiwo. | Eɖanye ŋgɔgbekpa si woɖe ɖe vovo alo nusi wotsɔ blaa nu ɖekae hiã alo woɖe mɔ ɖe eŋu o. |
| TLIF ƒe atɔ | Transforaminal akɔta ƒe mɔnu | Insertion profile, afɔɖoƒe, mɔfiame mamlɛtɔ, inserter kadodo kple lordotic tiatia. | Dɔwɔnu siwo woʋu alo esiwo mewɔa nu boo aɖeke o kple megbedede kpeɖeŋutɔ. |
| PLIF ƒe atɔ | Megbe akɔta ƒe mɔnu | Megbe yiyi, atɔ ƒe xexlẽdzesi kple teƒe si ɖoɖo tɔxɛa gblɔe. | Dodokpɔwo, nusiwo wotsɔ dea eme, graft dɔwɔnuwo kple megbe fixation ƒe sɔsɔ. |
| ALIF ƒe atɔ | Anterior lumbar mɔnu | Afɔti gãwo, kɔkɔme kple lordosis ƒe didimewo, standalone alo kpeɖeŋutɔ fixation design. | Te ɖe dɔwɔnuwo ŋu, fixation screws alo plates kple adzɔnu tɔxɛ ƒe dzesidewo. |
| LLIF / OLIF ƒe atɔ | Axadzi alo oblique akɔta ƒe mɔnu | Afɔti gbadza, axadzi dede profile kple mɔnu-koŋ instrumentation. | Neuromonitoring, access system kple kpeɖeŋutɔ fixation ƒe nudidiwo abe alesi wòsɔ ene. |
Vidzidɔ ƒe Interbody Cages na ACDF
Wozãa vidzidɔ ƒe ŋutilã dome akafowo le ŋgɔgbe vidzidɔ ƒe discectomy kple fusion ƒe mɔnu tiatia aɖewo me. Woate ŋu azã aɖaŋuwo kple ŋgɔgbe vidzidɔ ƒe agbalẽvi si le vovo alo woate ŋu ade nusiwo woatsɔ atɔ te woe, le ɖoɖo si ŋu woɖe mɔ ɖo nu. Dzro XC Medico ƒe nyawo me ACDF vidzidɔ ƒe fusion solutions na atike-ɖoɖo ƒe wɔwɔfia.
TLIF kple PLIF Cages na Megbe Akɔta ƒe Fusion
TLIF kple PLIF siaa gena ɖe akɔta ƒe disk ƒe teƒea tso mɔ siwo wotu ɖe megbe dzi, gake dɔwɔwɔ ƒe mɔnu, atɔ ƒe nɔnɔme, mɔnu si wotsɔ dea eme kple atɔ ƒe ɖoɖo ateŋu ato vovo. Mesɔ be woagblɔ be ame ƒe ŋutilã dome dɔwɔwɔ ɖesiaɖe zãa akafo eve o. Ne èdi ɖoɖo si wowɔ ɖe ɖoɖo tɔxɛ aɖe nu ƒe kpɔɖeŋu la, kpɔ TLIF kple MIS-TLIF ƒe atɔ ƒe ɖoɖowo.
ALIF kple Lateral Lumbar Cages
Wotsɔa ALIF-kawo dea eme to ŋgɔgbe akɔta ƒe mɔnu dzi. Mɔnu siwo wozãna le axadzi kple esiwo le tsia dzi zãa mɔ vovovo siwo dzi woato age ɖe eme kple dɔwɔnu tɔxɛwo. Zi geɖe la, atɔƒome siawo naa afɔtoƒewo kple lordotic tiatia siwo ŋu wotrɔ asi le ƒo xlã woƒe mɔ si dzi woato age ɖe wo me. The stand-alone ALIF PEEK cage system ɖe cage-and-screw ƒe ɖoɖo si wowɔ ɖekae fia; mele be woatsɔ eƒe nɔnɔmewo asɔ kple ALIF mɔ̃ ɖesiaɖe o.
Static vs Expandable Interbody Cages
Woɖo atɔ siwo meʋãna o ƒe didime ɖi do ŋgɔ. Wodea atɔ siwo woate ŋu akeke ɖe enu la ɖe ɖoɖo si le sue me eye wotrɔa asi le wo ŋu le woƒe didime si ŋu woɖe mɔ ɖo me le wo ɖoɖo vɔ megbe. Kekeɖenudɔwɔwɔ mefia le eɖokui si be dɔdamɔnu me tsonu nyuiwo ado tso eme o. Ele be woabu mɔ̃a ƒe mɔ̃ɖaŋunuwo, kekeɖenudɔwɔwɔ ƒe seɖoƒewo, nuwuƒe ƒe kadodo, alignment goals, fixation kple kpeɖodzi siwo li la katã ŋu.
PEEK vs Titanium Interbody Cages
Wozãa PEEK kple titanium geɖe le mɔ̃ siwo wotsɔ ƒoa ƒu ɖekae me, gake wo dometɔ aɖeke mede ŋgɔ le xexeame katã o. Nu ƒe nɔnɔmewo wɔa dɔ kple atɔ ƒe nɔnɔme, anyigba ƒe wɔwɔme, nuwuƒe ƒe dzadzraɖo, dɔnɔ ƒe nuwɔna kple fixation construct bliboa. Mele be woatsɔ asitsatsa ŋuti nyawo aɖo kpeɖodzi siwo ku ɖe mɔ̃ aɖe koŋ ŋu teƒe o.
| Nusiwo wotsɔ wɔe alo aɖaŋuwɔwɔ | Nɔnɔmetatawo ƒe nɔnɔmewo | Mɔ̃ɖaŋu kple anyigbadzinuwo ŋu bubu | Nyabiase siwo ŋu wòle be woaɖo kpee |
|---|---|---|---|
| PEEK ƑE NUÐEÐEŊUTI | Radiolucent cage ƒe ŋutilã; zi geɖe la, wozãa dzesi siwo me keklẽŋusẽ mele o tsɔ ɖea teƒe si wole fiana. | Polymer ƒe nɔnɔmewo to vovo tso gawo gbɔ; geometry kple nuwɔwɔ ƒe ɖoɖo gakpɔtɔ le vevie. | Atikewɔwɔ-grade ƒe nɔnɔme, dzesidenu ƒe nɔnɔme, didime, anyigba, dodokpɔ kple dzeside. |
| Titanium sesẽ si wotsɔ ƒo ƒui | Radiopaque eye ate ŋu awɔ nɔnɔmetatawo ƒe asinudɔwɔwɔ le mɔ̃ kple mɔnu nu. | Ŋusẽ si de ŋgɔ; modulus kple anyigba ƒe nɔnɔme to vovo tso PEEK gbɔ. | Alloy ƒe nɔnɔme, nuwo wɔwɔ ƒe mɔ, anyigba ƒe nɔnɔme kple mɔ̃ɖaŋununya ƒe kpeɖodzi. |
| Titanium si me ʋuʋudedi le alo esi wotsɔ kpe ɖe eŋu | Radiopaque si mewɔa dɔ nyuie o; nukpɔkpɔ le susu me nɔ te ɖe geometry kple nɔnɔmetatawo ƒe nɔnɔmewo dzi. | Porous architecture to nuwo wɔwɔ, dzadzɛnyenye kple kpeɖodzinyawo ŋu bubu vɛ. | Porosity specification, process validation, dzadzɛnyenye kple dɔwɔwɔ ƒe kpeɖodzi siwo doa alɔe. |
| PEEK si wotsɔ titanium ƒoe | Eléa radiolucent polymer ŋutilã si me radiopaque ƒe anyigba ƒe akpa aɖe le la me ɖe asi. | Coating adhesion, coverage, particles kple interface nuwɔna hiã dziɖuɖu. | Nutsyɔtsyɔ ƒe ɖoɖo, kpeɖodzinana, ŋkuléle ɖe eŋu, dzadzɛnyenye kple kpeɖodzi siwo ku ɖe atike tɔxɛwo ŋu. |
Nusitae Cage Material Metsoa Emetsonuwo Ðeka O
XC Medico ƒuƒoƒo siwo li cervical kple lumbar polymer designs le eƒe PEEK vidzidɔ kple akɔta ƒe atɔ ƒe hatsotso . Ðo kpe nusiwo ƒe xexlẽme tututu, radiopaque marker, sterile alo non-sterile nɔnɔme kple asi ƒe mɔɖeɖe na model ɖesiaɖe dzi.
Mègaŋlɔ 'MRI dedie' tso nu ɖeɖeko me o: Ele be woakpɔ MR ƒe dedienɔnɔ alo eƒe ɖekawɔwɔ tso mɔ̃a ƒe ɖoɖo bliboa kple eƒe dzeside si li fifia me, ke menye tso nya aɖe si wogblɔ tso PEEK alo titanium ŋu le mɔ gbadza nu o.
Aleke Wozãa Interbody Cages Le Amekoko si Wowɔna Le Akɔta ƒe Fusion Me?
Nyatakakaawo to vovo ŋutɔ le vidzidɔ, megbe akɔta, transforaminal, ŋgɔgbe kple axadzi mɔnuwo dome. Nusiwo gbɔna nye hehenana ƒe ɖoɖo deŋgɔ tsɔ wu amekoko ŋuti nufiame.
Disc ɖeɖeɖa, Endplate Dzadzraɖo kple Cage Dede
Dɔnyala ƒe zazã ƒe nudidi: ŋutilãwo dome fusion bia amekoko le mɔ̃ɖaŋununya nu. FDA kafui be akɔtadɔdala bibi siwo xɔ hehe tɔxɛ le mɔ̃a ŋu koe ade mɔ̃ siawo ame me. Ele be dɔnɔwo nadzro viɖe siwo le dɔdamɔnu tɔxɛwo ŋu, mɔnu bubu siwo woate ŋu azã ɖe eteƒe kple afɔku siwo le eme la me kple woƒe amekola si le dɔ wɔm na wo.
Nɔnɔme Kawoe Woate Ŋu Ada To Interbody Fusion Me?
Woate ŋu abu ŋutilãwo dome fusion be enye atikewɔwɔ na aklã ƒe nɔnɔme tiatia aɖewo ne eŋutinunyala bibi aɖe si wona hehee kpɔe be fusion sɔ. Nusi woatsɔ afiae nɔ te ɖe aklã ƒe nuto, dzesiwo, nɔnɔmetatawo, malikenyenye, atikewɔwɔ si wowɔ va yi, dɔnɔa ƒe nuwɔna kple dzesidede mɔ̃ si wotia si ŋu woɖe mɔ ɖo dzi.
- degenerative disc disease le gɔmesese kple nɔnɔme siwo wogblɔ le mɔ̃a ƒe dzeside me nu;
- spondylolisthesis alo aklã ƒe malikenyenye ƒe nɔnɔme tiatia aɖewo;
- ɖɔɖɔɖo aɖewo siwo wotsɔ ɖɔa nu gbegblẽwo ɖo siwo bia be woagbugbɔ atu wo ahatsɔ wo aƒo ƒui;
- pseudoarthrosis alo amekoko si wogbugbɔ trɔa asi le le nɔnɔme tiatia aɖewo me;
- nɔnɔme bubu siwo ŋu amekolaa ƒe ɖoɖo kple mɔ̃a ƒe dzesiwo ku ɖo koŋ.
Interbody cage mesɔ na amesiame si ƒe akɔta alo kɔ le veve sem o. Woate ŋu abu atikewɔwɔ si menye amekoko o, decompression si me fusion mele o alo dɔ bubu wɔwɔ ŋu le dɔléle si wokpɔ le eŋu nu. Axa sia mate ŋu anya nenye be ehiã be woawɔ dɔ na dɔnɔ aɖe o.
Viɖe Siwo Ate Ŋu Akpɔ Kple Afɔku Siwo Le Amewo Dome Akpɔkplɔwo Me
Taɖodzinu siwo woɖo be woatsɔ awɔ interbody construct ate ŋu anye be woalé disk ƒe teƒe si wodzra ɖo la me ɖe asi, ado alɔ akpawo ƒe ɖoɖowɔwɔ, agba tsɔtsɔ kple nɔnɔme si me ƒuwo aƒo ƒu ɖo. Esiawo nye ɖoɖowɔwɔ kple ɖoɖowɔɖi ƒe taɖodzinuwo, ke menye dɔnɔwo ƒe emetsonu siwo ŋu kakaɖedzi le o.
Womate ŋu aƒo afɔku ƒe zi gbɔ zi geɖe nu ƒu kple xexeame katã ƒe alafa memamã ɖeka le akafowo kple dɔwɔwɔwo katã me o. Emetsonuwo toa vovo le mɔ̃, mɔnu, dzidzenuwo ƒe xexlẽme, fixation, graft, dɔnɔ ƒe lãmesẽ, nusɔsrɔ̃ ƒe ɖoɖowɔwɔ kple edziyiyi nu. Le susu sia ta la, mele be woagata ALIF, TLIF kple PLIF fusion-rate tsɔtsɔ sɔ kple wo nɔewo si womedo alɔe o tso nyati si do ŋgɔ me o.
Aleke Amekolawo Tiaa Amewo Dome Atɔ?
Tiatia nye mɔ̃ kple dɔnɔ koŋ tɔ. Nusiwo ate ŋu awɔe nye aklã ƒe kɔkɔme, mɔnu, disk-teƒe ƒe didime, nuwuƒe ƒe ŋutilã ƒe wɔwɔme, alesi wodi, ƒu ƒe nyonyome, atɔ ƒe afɔɖoƒe, kɔkɔme, lordotic angle, nusi wotsɔ wɔe, graft ƒe lolome, nɔnɔmetatawo ƒe dzesiwo, mɔnu si wotsɔ dea eme kple kpeɖeŋutɔ fixation.
Ele be atɔa nawɔ ɖeka kple eƒe dodokpɔwo, nusi wotsɔ dea eme, dɔwɔnu siwo wotsɔ dea lãme na ame kple nusiwo wotsɔ blaa nu alo esiwo wotsɔ kpe ɖe eŋu hã. Mele be woasusui be dɔwɔnu si ƒe dzedzeme sɔ kple esi tso ɖoɖo bubu me la sɔ o. Ele be kɔdziwo kple mamalawo nada nusiwo wotsɔ dea lãme na ame la akpɔ kpe ɖe dɔwɔnu siwo sɔ kple wo nɔewo kpakple mɔfiame siwo li fifia ku ɖe wo zazã ŋu.
Nya siwo ŋu agbanɔamedzi le: 'best interbody cage.'
Interbody Cage Systems na Kɔdziwo Kple Mamãlawo
Nuƒlela bibiwo hiã nu geɖe wu nusiwo woatsɔ awɔ atɔ ƒe ŋkɔwo ko. Da asɔ nenye be kɔkɔme, afɔɖoƒe kple lordosis matrix sɔ kple nutoa me ƒe ɖoɖowɔɖi ƒe didi; nenye be dodokpɔwo kple nusiwo wotsɔ dea eme la de blibo; kple nenye be mɔɖeɖe ɖe adzɔnuwo ŋu, woƒe ŋkɔ dede wo ŋu, wo yometiti, wo babla, woƒe dɔlékuiwutikewo zazã kple kpekpeɖeŋu le asitsatsa megbe li na dukɔ si me woayi.
The complete spine implant portfolio guide ɖe alesi akafowo sɔ kple vidzidɔ kple akɔta ƒe akɔtaɖonu ƒe ɖoɖowo me. Nuƒlela siwo le didim be yewoatsɔ adzɔnuwo wɔwɔ kple nudzralawo asɔ kple wo nɔewo si de to wu ate ŋu ayi edzi atso wo nɔewo gbɔ interbody fusion cage wɔwɔ ƒe mɔfiame.
Woɖoe koŋ ma mama sia: nyati si li fifia ɖo nyatakakabiabia si nye 'nukae nye ŋutilãwo dome atɔ?' ŋu esime mɔfiame si do ƒome kplii la ƒo nu tso adzɔnuwo ƒe ŋgɔyiyi, nuwo, nuwo wɔwɔ kple nudzralawo ƒe tiatia ŋu.
Nya Siwo Wobiaa Enuenu Tso Interbody Cages Ŋu
Nukae wozãa interbody cage na?
Wozãa ametia dome atɔ le aklã ƒe ƒoƒo ƒe ɖoɖo tiatia aɖewo me tsɔ doa alɔ teƒe si wodzra ɖo le akɔta ƒe ŋutilã siwo te ɖe wo nɔewo ŋu dome eye zi geɖe la, wotsɔa ƒu si wotsɔ doa ƒui la ɖoa eme esime ƒoƒo le edzi yim.
Ðe interbody cage nye disc si wowɔ?
Ao, zi geɖe la, woɖoa disk si wowɔ kple asi be wòakpɔ ʋuʋu ta. Wozãa ametia dome fusion cage abe ɖoɖo aɖe si woɖo be woatsɔ awɔ fusion le akɔtaƒu siwo te ɖe wo nɔewo ŋu dome ƒe akpa aɖe ene.
Nukae wotsɔ dea ametia dome atɔ me?
Teƒe le atɔ ƒe nɔnɔme geɖe me na nusiwo woatsɔ ado ƒu. Amekolaae ɖoa alesi woawɔe, dɔnɔa kple atikeawo ƒe dzeside si sɔ nu.
Vovototo kae le TLIF, PLIF kple ALIF ƒe akafowo dome?
Nyaawo sɔ kple akɔtadɔdada ƒe mɔnu vovovowo. Mɔnu ɖesiaɖe ateŋu abia be woawɔ atɔ ƒe afɔti, nusiwo wotsɔ de eme ƒe nɔnɔme, mɔfiame kple dɔwɔnu ƒe ɖoɖo vovovo. Adzɔnuwo ƒe ŋkɔwo ɖeɖe meɖoa asitɔtrɔ le wo nɔewo ŋu anyi o.
Ðe PEEK nyo wu titanium na aklã ƒe ʋuƒoa?
Nya eveawo dometɔ aɖeke menyo wu le xexeame katã o. PEEK kple titanium ƒe nɔnɔmetatawo, mɔ̃ɖaŋununya, anyigbadzi kple ewɔwɔ ƒe nɔnɔmewo to vovo. Ele be tiatia nabu mɔ̃a ƒe nɔnɔme bliboa, eŋudɔwɔwɔ si ŋu woɖe mɔ ɖo, kpeɖodzi siwo ɖo kpe edzi kple amekoko ƒe ɖoɖo ŋu.
Ðe woate ŋu azã interbody cage si me gaviwo alo atikplɔwo mele oa?
Nuɖoanyi aɖewo dea nusiwo wotsɔna léa nu ɖe te alo woɖe mɔ na wo be woawɔ dɔ tɔxɛ aɖewo le wo ɖokui si, gake bubuwo ya hiã na agbalẽviwo, gavi alo atikplɔ bubuwo. Wɔ ɖe dzesidede mɔ̃a kple amekokomɔnu si li fifia dzi na mɔ̃a tututu.
Afɔku vevi kawoe do ƒome kple ametia dome atɔ?
Afɔku siwo ate ŋu ado tso eme ate ŋu anye anyigba ƒe gogloƒe, ʋuʋu, fixation ƒe bu, akpa aɖewo ƒe kpododonu, pseudoarthrosis, dɔlékuiwo xɔxɔ kple ahɔhɔ̃mekawo, ʋukawo alo lãmenugbagbeviwo ƒe abixɔxɔ. Ele be woadzro afɔku siwo le dɔdamɔnua kple dɔnɔa koŋ me la me kple amekola si le dɔa wɔm.
Atikewɔwɔ Kple Sedede Ŋuti Nyatakakawo
- United States FDA: Klass II ƒe Mɔfiame Tɔxɛwo Ŋuti Mɔfiame na Dɔwɔnu Siwo Wotsɔna Ðea Akɔtaƒuwo Dome Ŋutilã ƒe Fusion
- Royal National Orthopedic Hospital: Dɔnɔwo ƒe Mɔfiame le Akɔta ƒe Fusion Amekoko Ŋu
- Dziehe Amerika ƒe Akɔta Habɔbɔ: Fusion Cage Design, Nusiwo Wozã Kple Nusiwo Wotsyɔ
