METHOD OF CORRECTING SEVERE FORM OF IDIOPATHIC SCOLIOSIS IN CHILDREN OF CHEST LOCALISATION WITH ARC VALUE MORE THAN 110º Russian patent published in 2015 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to vertebrology. Discetomy is performed on the apex of curvature arc from ventral access and ventral inter-body spondilodesis with autobone from resected rib. After that, dorsal access to posterior bone structures of spine and installation of support elements (transpedicular screws) on concave and convex side of curvature relative to the line of spinous processes into body of each vertebra along deformation arc are carried out. Then, first rod is installed on concave side of deformation, which leads to stabilisation of curvature zone. Ablation of posterior support structures of spine on the apex of scoliotic arc and partial wedge-like resection of apex vertebra body with base, facing apex of deformation arc, are performed from the same access. After that, second rod, curved on physiological spine curvatures, is installed on convex side of scoliotic arc, and correction of main curvature arc is carried out due to direct pressure on deformation apex and segmental contraction of support elements of metal construction along rod to complete joining of remaining parts of apex vertebra in zone of partial resection. First rod is removed during this maneuver. After that, new rod, preliminarily curved on physiological curvatures of spine, is installed on the opposite side relative to the line of spinous processes and final segmental distraction of support elements of metal construction along rod is performed. Rods are joined to each other in upper and lower parts by means of transverse stabilisers, and posterior local spondilodesis with autobone is performed along metal construction.

EFFECT: method makes it possible to restore frontal and sagittal profiles of spine, makes it possible to achieve true derotation of vertebrae on the apex of deformation arc and preserve achieved result in remote periods after operation.

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