Desafios clínicos da cirurgia de descompressão da coluna vertebral
A cirurgia de descompressão da coluna vertebral busca aliviar os sintomas relacionados à compressão de nervos nas zonas afetadas da coluna. Para compressões de nervos na zona cervical, a cirurgia de discectomia cervical anterior e de fusão (ACDF) surgiu como o padrão para tratar hérnias de disco. Essa técnica envolve remover os discos afetados e os esporões ósseos para aliviar a pressão na medula espinhal ou nas raízes dos nervos.1
Um dos maiores desafios dessa cirurgia é a identificação correta dos tecidos circundantes. Fatores como a visibilidade e a profundidade do campo cirúrgico podem dificultar a identificação clara da medula espinhal e das estruturas adjacentes delicadas,2 aumentado o risco de lesões na medula espinhal ou danos na raiz dos nervos.3
Depth+ para melhor profundidade de campo
As informações visuais instantâneas sobre diferentes camadas anatômicas são fundamentais para um procedimento eficaz e seguro. Com o novo modo Depth+ do ZEISS PENTERO 800 S, você pode aumentar ainda mais a profundidade de campo para uma resolução mais alta na área externa do seu atual ponto focal.
Ele permite ver nitidamente tudo no seu campo de visão com apenas um clique, sempre que precisar.
Melhor resolução
Veja claramente toda a região de interesse com uma profundidade de campo aumentada.
Precisão cirúrgica
Explore com confiança canais anatômicos profundos enquanto usa uma maior ampliação
Maior eficiência
Reduza o tempo passado na focagem e nos ajustes de ampliação, alternando rapidamente entre o modo Standard e Depth+.
Comparação dos modos Standard e Depth+
Exemplo de caso do Depth+
Cirurgia de descompressão cervical anterior
Compare as imagens do modo Standard e do modo Depth+ em uma cirurgia de descompressão (cirurgia da coluna cervical anterior C3-C4) e veja a diferença na profundidade de campo. Graças ao novo modo Depth+, o foco fica tanto no espaço do disco como na parede anterior.
Quando estava trabalhando nos casos, percebi uma coisa: estava tão acostumado a querer mais percepção de profundidade que estava usando menos ampliação. Normalmente, uso menos ampliação para ter mais percepção de profundidade. Mas com o modo Depth+, posso ampliar mais sem perder essa profundidade.
Experiências em primeira mão com o Depth+
Conteúdo de terceiros bloqueado
O reprodutor de vídeo está bloqueado devido às suas preferências de cookies. Para mudar as configurações e reproduzir o vídeo, clique no botão abaixo e consinta com a utilização das tecnologias de rastreamento "Funcionais".
Neste webinar gravado, o Prof. Claudius Thomé fala sobre as experiências dele com o novo ZEISS PENTERO 800 S e o Depth+. Na sua palestra, apresenta as primeiras aprendizagens que teve com o dispositivo e casos de uso.
Baixar o infográfico Depth+
Basta preencher o formulário abaixo para receber o infográfico.
Saiba como o modo Depth+ integrado no PENTERO 800 S da ZEISS vai ajudar suas cirurgias na coluna vertebral.
Sistemas de Visualização Avançada da ZEISS
ZEISS PENTERO 800 S
Concebido para se adaptar às suas complexas demandas em cirurgia da coluna, neurocirurgia e cirurgia plástica e reconstrutiva. Proporciona uma certeza visual com mais recursos ópticos, um desempenho sem falhas com interações repensadas e uma conectividade integrada com soluções digitais líderes do setor.
ZEISS KINEVO 900 S
O KINEVO® 900 S da ZEISS é a plataforma de microscópio neurocirúrgico líder no setor. Ele aproveita as capacidades avançadas de movimento e posicionamento assistidos por robótica para melhorar a visualização digital.
Durante as intervenções cirúrgicas avançadas e os fluxos de trabalho pós-intervenção, o TIVATO® 700 da ZEISS é o seu parceiro inteligente que melhora o desempenho geral quando você mais precisa.
Quer ver mais experiências clínicas dos seus colegas? Cadastre-se no MyZEISS para encontrar artigos clínicos e webinars adicionais na nossa área de Peer Insights.
Ruetten, S. et al. Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations. Int Orthop. 2008 Nov 18;33(6):1677–1682. doi: 10.1007/s00264-008-0684-y
2
Dong, Y. et al. The Clinical Efficacy of Anterior Cervical Discectomy and Fusion Under Three-Dimensional Microscopy. World Neurosurg 2024 Oct:190:309-310. doi: 10.1016/j.wneu.2024.07.182. Epub 2024 Aug 7. https://pubmed.ncbi.nlm.nih.gov/39097085/
3
Cheung, J. et al. Complications of Anterior and Posterior Cervical Spine Surgery. Asian Spine J. 2016 Apr 15;10(2):385–400. doi: 10.4184/asj.2016.10.2.385
![Cirurgia de descompressão da coluna vertebral]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail-pinal-decompression-surgery.jpg/_jcr_content/renditions/original.image_file.100.33.0,147,1280,574.file/thumbnail-pinal-decompression-surgery.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail-pinal-decompression-surgery.jpg/_jcr_content/renditions/original.image_file.360.120.0,147,1280,574.file/thumbnail-pinal-decompression-surgery.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail-pinal-decompression-surgery.jpg/_jcr_content/renditions/original.image_file.768.256.0,147,1280,574.file/thumbnail-pinal-decompression-surgery.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail-pinal-decompression-surgery.jpg/_jcr_content/renditions/original.image_file.1024.341.0,147,1280,574.file/thumbnail-pinal-decompression-surgery.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail-pinal-decompression-surgery.jpg/_jcr_content/renditions/original.image_file.1280.427.0,147,1280,574.file/thumbnail-pinal-decompression-surgery.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail-pinal-decompression-surgery.jpg/_jcr_content/renditions/original.image_file.1280.427.0,147,1280,574.file/thumbnail-pinal-decompression-surgery.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail-pinal-decompression-surgery.jpg/_jcr_content/renditions/original.image_file.1280.427.0,147,1280,574.file/thumbnail-pinal-decompression-surgery.jpg"} "Cirurgia de descompressão da coluna vertebral")
![Melhor resolução]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache2.png/_jcr_content/renditions/original.image_file.100.100.28,23,398,393.file/icons_depthplus_zeichenflache2.png","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache2.png/_jcr_content/renditions/original.image_file.360.360.28,23,398,393.file/icons_depthplus_zeichenflache2.png","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache2.png/_jcr_content/renditions/original.image_file.370.370.28,23,398,393.file/icons_depthplus_zeichenflache2.png","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache2.png/_jcr_content/renditions/original.image_file.370.370.28,23,398,393.file/icons_depthplus_zeichenflache2.png","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache2.png/_jcr_content/renditions/original.image_file.370.370.28,23,398,393.file/icons_depthplus_zeichenflache2.png","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache2.png/_jcr_content/renditions/original.image_file.370.370.28,23,398,393.file/icons_depthplus_zeichenflache2.png","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache2.png/_jcr_content/renditions/original.image_file.370.370.28,23,398,393.file/icons_depthplus_zeichenflache2.png"} "Melhor resolução"){kind=icon}
![Precisão cirúrgica]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflaache1.png/_jcr_content/renditions/original.image_file.100.100.80,72,365,357.file/icons_depthplus_zeichenflaache1.png","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflaache1.png/_jcr_content/renditions/original.image_file.285.285.80,72,365,357.file/icons_depthplus_zeichenflaache1.png","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflaache1.png/_jcr_content/renditions/original.image_file.285.285.80,72,365,357.file/icons_depthplus_zeichenflaache1.png","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflaache1.png/_jcr_content/renditions/original.image_file.285.285.80,72,365,357.file/icons_depthplus_zeichenflaache1.png","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflaache1.png/_jcr_content/renditions/original.image_file.285.285.80,72,365,357.file/icons_depthplus_zeichenflaache1.png","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflaache1.png/_jcr_content/renditions/original.image_file.285.285.80,72,365,357.file/icons_depthplus_zeichenflaache1.png","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflaache1.png/_jcr_content/renditions/original.image_file.285.285.80,72,365,357.file/icons_depthplus_zeichenflaache1.png"} "Precisão cirúrgica"){kind=icon}
![Maior eficiência]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache3.png/_jcr_content/renditions/original.image_file.100.100.55,43,383,371.file/icons_depthplus_zeichenflache3.png","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache3.png/_jcr_content/renditions/original.image_file.328.328.55,43,383,371.file/icons_depthplus_zeichenflache3.png","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache3.png/_jcr_content/renditions/original.image_file.328.328.55,43,383,371.file/icons_depthplus_zeichenflache3.png","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache3.png/_jcr_content/renditions/original.image_file.328.328.55,43,383,371.file/icons_depthplus_zeichenflache3.png","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache3.png/_jcr_content/renditions/original.image_file.328.328.55,43,383,371.file/icons_depthplus_zeichenflache3.png","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache3.png/_jcr_content/renditions/original.image_file.328.328.55,43,383,371.file/icons_depthplus_zeichenflache3.png","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/icons_depthplus_zeichenflache3.png/_jcr_content/renditions/original.image_file.328.328.55,43,383,371.file/icons_depthplus_zeichenflache3.png"} "Maior eficiência"){kind=icon}
![Comparação dos modos Standard e Depth+]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/gunction_images_qevo_comparison01_zohscho1.jpg/_jcr_content/renditions/original.image_file.100.75.file/gunction_images_qevo_comparison01_zohscho1.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/gunction_images_qevo_comparison01_zohscho1.jpg/_jcr_content/renditions/original.image_file.360.270.file/gunction_images_qevo_comparison01_zohscho1.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/gunction_images_qevo_comparison01_zohscho1.jpg/_jcr_content/renditions/original.image_file.768.576.file/gunction_images_qevo_comparison01_zohscho1.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/gunction_images_qevo_comparison01_zohscho1.jpg/_jcr_content/renditions/original.image_file.1024.768.file/gunction_images_qevo_comparison01_zohscho1.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/gunction_images_qevo_comparison01_zohscho1.jpg/_jcr_content/renditions/original.image_file.1280.960.file/gunction_images_qevo_comparison01_zohscho1.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/gunction_images_qevo_comparison01_zohscho1.jpg/_jcr_content/renditions/original.image_file.1440.1080.file/gunction_images_qevo_comparison01_zohscho1.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/gunction_images_qevo_comparison01_zohscho1.jpg/_jcr_content/renditions/original.image_file.1920.1440.file/gunction_images_qevo_comparison01_zohscho1.jpg"} "Comparação dos modos Standard e Depth+")
![Comparação dos modos Standard e Depth+]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/function_images_qevo_comparison02_zohscho1.jpg/_jcr_content/renditions/original.image_file.100.75.file/function_images_qevo_comparison02_zohscho1.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/function_images_qevo_comparison02_zohscho1.jpg/_jcr_content/renditions/original.image_file.360.270.file/function_images_qevo_comparison02_zohscho1.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/function_images_qevo_comparison02_zohscho1.jpg/_jcr_content/renditions/original.image_file.768.576.file/function_images_qevo_comparison02_zohscho1.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/function_images_qevo_comparison02_zohscho1.jpg/_jcr_content/renditions/original.image_file.1024.768.file/function_images_qevo_comparison02_zohscho1.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/function_images_qevo_comparison02_zohscho1.jpg/_jcr_content/renditions/original.image_file.1280.960.file/function_images_qevo_comparison02_zohscho1.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/function_images_qevo_comparison02_zohscho1.jpg/_jcr_content/renditions/original.image_file.1440.1080.file/function_images_qevo_comparison02_zohscho1.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/zeiss-pentero-800-s/video/function_images_qevo_comparison02_zohscho1.jpg/_jcr_content/renditions/original.image_file.1920.1440.file/function_images_qevo_comparison02_zohscho1.jpg"} "Comparação dos modos Standard e Depth+")
![Retrato de Claudius Thomé, MD]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/claudius-thome-portrait.jpeg/_jcr_content/renditions/original.image_file.100.100.0,110,853,963.file/claudius-thome-portrait.jpeg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/claudius-thome-portrait.jpeg/_jcr_content/renditions/original.image_file.360.360.0,110,853,963.file/claudius-thome-portrait.jpeg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/claudius-thome-portrait.jpeg/_jcr_content/renditions/original.image_file.768.768.0,110,853,963.file/claudius-thome-portrait.jpeg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/claudius-thome-portrait.jpeg/_jcr_content/renditions/original.image_file.853.853.0,110,853,963.file/claudius-thome-portrait.jpeg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/claudius-thome-portrait.jpeg/_jcr_content/renditions/original.image_file.853.853.0,110,853,963.file/claudius-thome-portrait.jpeg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/claudius-thome-portrait.jpeg/_jcr_content/renditions/original.image_file.853.853.0,110,853,963.file/claudius-thome-portrait.jpeg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/claudius-thome-portrait.jpeg/_jcr_content/renditions/original.image_file.853.853.0,110,853,963.file/claudius-thome-portrait.jpeg"} "Claudius Thomé, MD")
![Infográfico do Depth+]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail.jpeg/_jcr_content/renditions/original.image_file.100.75.0,0,1640,1230.file/thumbnail.jpeg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail.jpeg/_jcr_content/renditions/original.image_file.360.270.0,0,1640,1230.file/thumbnail.jpeg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail.jpeg/_jcr_content/renditions/original.image_file.768.576.0,0,1640,1230.file/thumbnail.jpeg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail.jpeg/_jcr_content/renditions/original.image_file.1024.768.0,0,1640,1230.file/thumbnail.jpeg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail.jpeg/_jcr_content/renditions/original.image_file.1280.960.0,0,1640,1230.file/thumbnail.jpeg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail.jpeg/_jcr_content/renditions/original.image_file.1440.1080.0,0,1640,1230.file/thumbnail.jpeg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/specialties/p-r-surgery/spinal-decompression-surgery/thumbnail.jpeg/_jcr_content/renditions/original.image_file.1640.1230.0,0,1640,1230.file/thumbnail.jpeg"} "Depth+ Infographic")
![ZEISS PENTERO 800 S]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/images/pentero_800_s_4_3.jpg/_jcr_content/renditions/original.image_file.100.75.file/pentero_800_s_4_3.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/images/pentero_800_s_4_3.jpg/_jcr_content/renditions/original.image_file.360.270.file/pentero_800_s_4_3.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/images/pentero_800_s_4_3.jpg/_jcr_content/renditions/original.image_file.768.576.file/pentero_800_s_4_3.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/images/pentero_800_s_4_3.jpg/_jcr_content/renditions/original.image_file.1024.768.file/pentero_800_s_4_3.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/images/pentero_800_s_4_3.jpg/_jcr_content/renditions/original.image_file.1280.960.file/pentero_800_s_4_3.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/images/pentero_800_s_4_3.jpg/_jcr_content/renditions/original./pentero_800_s_4_3.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/product-portfolio/surgical-microscopes/images/pentero_800_s_4_3.jpg/_jcr_content/renditions/original./pentero_800_s_4_3.jpg"} "ZEISS PENTERO 800 S")
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