ʻO nā pā ʻāʻī o mua o ACPS
Nā hōʻailona
ʻO ka pā cervical kahi implant i hoʻolālā ʻia i ka lāʻau i hoʻohana ʻia i ka wā o ka spinal instrumentation a me nā kaʻina fusion e hāʻawi i ka paʻa o ka ʻāʻī.Hoʻonui nā papa ʻāʻī i ka wikiwiki o ka hui ʻana a, i kekahi mau hihia, hiki ke hōʻemi i ka pono no ka hoʻopaʻa ʻana o waho ma hope o ke ʻoki ʻana.
ʻO nā hōʻailona no ka ʻoki ʻana, ʻo ia ka ʻeha intractable, progressive neurologic deficits, a me ka palapala paʻi ʻana o nā aʻa aʻalolo a i ʻole ka spinal cord e alakaʻi i nā hōʻailona holomua.ʻAʻole i hōʻoia ʻia ke ʻoki ʻana e kōkua i ka ʻeha ʻāʻī a/a i ʻole ka ʻeha suboccipital.
Nā Pono Huahana
Pēpē Cervical mua
●Hoʻolālā ʻāwī hoʻopololei laina waena
●ʻO ka puka makani ʻāwīwī iwi nui no ka nānā maʻalahi ʻana i ke kālai iwi
●ʻO ka pā kila pre-curved, i ka laina me ka physiological curve o ka cervical spine
●Hoʻolālā lihi ʻoki haʻahaʻa, mānoanoa 2.2mm
ʻUku ʻĀkau o mua
●ʻO nā wili hoʻopaʻa ponoʻī e hōʻemi i ka hoʻohana ʻana i nā ʻili uea
●E hoʻokaʻawale i nā wili ma ke kala, e hoʻokaʻawale koke i ke anawaena a me ke ʻano
●Hoʻohana pū ʻia nā wili kihi paʻa a me nā ʻoki hiki ke hoʻololi ʻia no nā hōʻailona like ʻole
Nā Manaʻo Lapaʻau
ʻO ka hui ʻana o ka iwi kuamoʻo
ʻO ka vertebrae cervical a me ka iwi poʻo i ka hui occipital-cervical, me ka physiological lordosis, i māhele ʻia i luna o ka cervical vertebrae (C1, C2) a me ka vertebrae cervical lower (C3-C7)
moʻolelo hoʻomohala ACPS
I ka makahiki 1964, ua hōʻike ʻo Bohler i ka hihia mua o ka hoʻohana ʻana i ka ʻāʻī o mua o nā ʻili pā i ka mālama ʻana i nā haʻihaʻi o ka ʻāʻī o lalo.
I nā makahiki 70 o ke kenekulia 20, ua hoʻohana ʻo Orzco lāua ʻo Tapies i ka pā ʻano H-like ʻāpana pōkole AO i ka hoʻopaʻa ʻana o ka ʻōpū o mua.
I ka makahiki 1986, ua hoʻolālā mua ʻo Morsche a me nā haumāna AO ʻē aʻe i ka Cervical spine locking plate (CSLP).
Nā hōʻailona (C2-T1)
ʻO ka ʻeha, ka maʻi degenerative cervical, ka ʻōpū, ka deformity, ka hoʻokumu ʻana o ka hui hoʻopunipuni, ka hui ʻana o mua a me hope.
Mākaukau
ʻO ka hui kui paʻa paʻa: He kūpono ka ʻōnaehana hoʻopaʻa no ka hoʻoponopono ikaika ʻana i nā hihia trauma a me nā maʻi tumora.
Ka hui kui hiki ke hoʻololi ʻia: ʻōnaehana semi-restrictive, hiki iā ia ke kau i nā wili ma nā kihi he nui e like me ke anatomy intraoperative, a hiki ke kaʻana like ʻana ma waena o ka poloka graft iwi a me ke ʻano o ka pā kui;kūpono no ka hoʻoponopono postoperative o nā maʻi degenerative cervical.
Hui i hui pu ia me ke kila:
Hiki ke hoʻoholo ʻia ke ʻano o ka hale e like me ke anatomy a i ʻole nā hōʻailona i ka wā o ka hana.
E hoʻonui i ka maʻalahi o ka hana a me ka hoʻololi maikaʻi ʻana i nā pono ʻoki.