单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,AnteriorCervicalDiscectomywithFusion:,前路椎间盘切除及植骨内固定技术,adoptionofnewtechnology,AnteriorCervicalDiscectomy,1,椎,间,盘,突,出,外,科,手,术,减压技术,椎间盘切除(,discectomy),椎体次全切除,(corpectomy),稳定技术,骨移植(,bonegrafing),内植物,(cageandplate),人工椎间盘,(artificaldiscreplacement),椎间盘突出外科手术减压技术椎间盘切除(discectomy),2,椎间盘切除手术,(,discectomy),麻醉及监测,体位,消毒皮肤,切口,入路,定位,椎间盘切除,置入物,透视确认,缝合切口,软围领固定,3,椎间盘切除手术(discectomy),3,手术所需器械,手术所需器械,4,手术所需器械,手术所需器械,5,前路椎间盘切除及植骨内固定技术课件,6,前路椎间盘切除及植骨内固定技术课件,7,椎间盘切除手术,(,discectomy),椎间盘切除,减压彻底最关键,椎间盘切除手术(discectomy)椎间盘切除减压彻底最,8,植骨技术?稳定技术,(,immobilization?stabilization,),植入骨,内置物,植骨技术?稳定技术(immobilization?sta,9,稳定技术(,stabilization,),植入骨(,BoneGrafts,),Autograft(iliaccrest),Cadaverorallograftbone,Syntheticbone,Biologicsorproteins(BMP),稳定技术(stabilization)植入骨(BoneGr,10,稳定技术(,stabilization,),内置物,PLATE,CAGE,ZEROP,DISC,稳定技术(stabilization)内置物 PLAT,11,稳定技术(,stabilization,),内置物,PLATE,稳定技术(stabilization)内置物 PLAT,12,稳定技术(,stabilization,),内置物,钛笼钛板,GaoLL,cervicalandupperlimbnumbness2yrs.,稳定技术(stabilization)内置物钛笼钛,13,稳定技术(,stabilization,),内置物,CAGE,稳定技术(stabilization)内置物 CAGE,14,稳定技术(,stabilization,),内置物,CAGE,CUIYG,39ys,worker,cervicalandupperlimbnumbness4months.Leg,weakness10days.,稳定技术(stabilization)内置物CAGEC,15,稳定技术(,stabilization,),内置物,ZEROP,稳定技术(stabilization)内置物 ZERO,16,稳定技术(,stabilization,),内置物,ZEROP,SUDL,cervicaldischerniation,limbnumbness,weakness2months,稳定技术(stabilization)内置物ZERO,17,稳定技术(,stabilization,),人工椎间盘置换,(artificialdiscreplacement),融合技术向非融合技术的变革,稳定技术(stabilization)人工椎间盘置换(,18,稳定技术(,stabilization,),人工椎间盘置换(,artificialdiscreplacement,ADR),PENYX,F,50ys.Neckpain3yrandlimbnumbness3months.,稳定技术(stabilization)人工椎间盘置换(ar,19,稳定技术(,stabilization,),FUSIONVsNOFUSION,我们的个案,ZHOUMG,,,M,,,91Y,,,neckpainandparalysis2months.,稳定技术(stabilization)FUSIONVs,20,QUESTION,COMPLICATION,USEOFMICROSCOPE,QUESTION COMPLICATION USEOF,21,QUESTION,COMPLICATION,(并发症),Reactions to the anesthesia,Bleeding,Injury to spinal cord or nerves,Spinal fluid leak,Voice change,Stroke,Difficulty breathing,Difficulty swalling,Non-healing of the body fusion,Failure to improve,Instrumentation breakage or failure,Infection and bone graft site pain,Pain and swelling in your leg veins,Urinary problems,QUESTIONCOMPLICATION(并发症),22,QUESTION,USEOFMICROSCOPE,(手术中使用显微镜),Neurosurgery,OrthopaedicSurgery,QUESTION USEOFMICROSCOPE(手术,23,