FIELD: medicine.
SUBSTANCE: access is performed in the C4 vertebra projection along the outer edge of the nodal muscle in the direction between the sternocleidomastoid muscle and the anterior scalene muscle. Then a channel is formed laterally from the internal jugular vein, common carotid artery and vagus nerve to the C3 vertebra, starting from the bottom edge of the transverse process of the C3 vertebra base, through its body into the C2 vertebra body at an angle of 50-70° of the axial line of the C3 vertebra and 5-10° in the frontal plane of the median line of the spine. The fixing screw is inserted into the created channel. Similarly, the vertebrae are fixed from the opposite side of the neck.
EFFECT: method allows to reduce trauma, labour, avoid prolonged immobilization.
8 dwg
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Authors
Dates
2018-01-16—Published
2017-03-30—Filed