METHOD FOR CARRYING OUT INSTRUMENTAL KYPHOSIS CORRECTION AND VERTEBRAL COLUMN FIXATION IN THE CASES OF INFANTINE TUBERCULOUS SPONDYLITIS Russian patent published in 2004 - IPC

FIELD: medicine.

SUBSTANCE: method involves making posterior instrumental fixation of the vertebral column with two contractors having supporting hooks after performing radical reconstruction of the vertebral column. Wire connection members are also used. They are mounted together with two contractors having supporting hooks in two stages. First, upper supporting hook is mounted on one and then on the other side of the vertebral column on the superior kyphosis knee on the transverse process in the cases of 5 years old children and on vertebral arch in the cases of smaller children. An intermediate hook is fixed under the arch to build claw-like structure. Next, the wire connection members are wrapped around the vertebral arches on the inferior kyphosis knee. Contractor rod is introduced into the supporting hooks earlier mounted on the superior kyphosis knee. The hooks are brought close to wedge them building supporting claw for preventing vertical shift of the rod. Then, the wire connection members are wound above the rods on the inferior kyphosis knee, bringing the rods closer to the vertebral column for eliminating deformity. Then, a rod is inserted into the lower supporting hook which sharp end is introduced preliminarily prepared sublaminary bed. The rod and the supporting hook are fixed with end dowel. The contractor rod is premodeled to match the physiological outline of the vertebral column. The wire connection members are wound in small children cases so that winding direction at the first coil is directed towards the rod. It corresponds to clockwise rotation for structures mounted on the right side with respect to spinous processes, otherwise counterclockwise rotation takes place.

EFFECT: enhanced effectiveness of treatment; stable fixation results.

3 cl, 6 dwg