FIELD: medicine.
SUBSTANCE: determine the projection of vertebrae fixed by using the image intensifier in lateral and frontal projection. Perform administration of crown saw with stilettos in the legs and the body of the vertebra. Remove stilettos and spend guide needles. Remove crown saws. Longitudinal layers cut through the skin, subcutaneous tissue and fascia, bluntly dissect the muscles. Perform installation of defenders of soft tissues. Formed on the spokes of the channels in the vertebral body and legs to insert the screws. In this stratified dissection of the skin, subcutaneous tissue and fascia, blunt bundle of muscles, creating access to the facet joints, carried out immediately after the projection of the vertebral latched under the control of image intensifier. Then, under the control of visual and palpatory anatomical landmarks define the point of introduction of screws into the vertebrae feet, after which the surface cortex is cut with thin cutters. Awl point scheduled for installation of crown saws, thus give direction to the introduction of beating for a leg and the vertebral body by controlling its visual and palpation of anatomical landmarks, depth introduction and guide to beating the spokes are measured with a ruler.
EFFECT: method reduces the duration of the operation, to reduce the radiation exposure to the operating personnel to reduce the duration of hospitalization, and reduce the likelihood of neurological and infectious complications.
1 cl, 1 ex
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Authors
Dates
2016-03-20—Published
2015-03-12—Filed