FIELD: medicine.
SUBSTANCE: in interbody spaces up to and below the vertebra, determined on the basis of preoperative planning, autoregally filled cages are introduced transforaminally from the rear access. Then, vertebra osteotomy is performed: its arch, processes and legs are removed, angular osteotomy is performed to the anterior quarter of its body and the ends of the formed wedge-shaped defect are brought together. After that, a modeled rod is laid in the previously installed transpedicular screws in the vertebral bodies above and below the osteotomous, final fixation of the achieved imbalance correction is performed.
EFFECT: method allows to form a bone block between adjacent vertebrae, to provide reliable fixation, to prevent development of pathology of adjacent vertebral-motor segments.
6 dwg
Authors
Dates
2017-08-28—Published
2016-11-23—Filed