FIELD: medicine.
SUBSTANCE: transforaminal access to spinal canal is followed by a supplementary mobilisation of an operated spinal motion segment by removing an interspinous ligament, an adjoining portion of a supraspinal ligament and a central portion of a yellow ligament, and a preserving resection of adjacent portions of spinous processes. A decompression of neurovascular formations, a discectomy and an interbody implant installation are followed by a compression of the operated spinal motion segment by means of a transpedicular system up to a complete contact of bone surfaces of the spinous processes of the adjacent spines.
EFFECT: method enables increasing an intraoperative mobilisation of the operated spinal motion segments, increasing an amplitude of an intraoperative segmental distraction on a posterior osteoligamental column, reducing a probability of the intraoperative primary instability of the transpedicular system, increasing an amplitude of a potential correction of the spinal sagittal profile, forming a 360-degree spinal fusion in the operated spinal motion segments.
1 ex, 4 dwg
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Authors
Dates
2014-08-27—Published
2013-05-24—Filed