FIELD: medicine.
SUBSTANCE: invention relates to medicine. Method of anterior spondylosyndesis involves CT scanning of the patient's spine, determining the required dimensions of the telescopic implant and its adjustment, increasing its size to achieve optimal spinal deformation. Prior to surgical intervention, magnetic resonance imaging of the patient's spine is performed, the results of which are used to construct a three-dimensional spinal model, from which the physical dimensions of the actual telescopic implant and the bed for its placement are virtually determined. Parameters of spinal flexibility and ability to distraction are determined. According to the obtained parameters, a telescopic implant is prepared, including its filling with bone material or bioprocenter. Immediate surgical management of the patient's spine is started, during which, according to predefined parameters, a bed is prepared, in which a pre-prepared telescopic implant is inserted and started to be elongated by rotation of the stem, overcoming spinal resistance. When the telescopic implant reaches the predetermined length on the model, further increase of its length is stopped and fixing the telescopic implant with antimigration screws, the location and direction of screwing of which are pre-determined on the model. Wound is sutured in layers.
EFFECT: invention provides accelerated implementation of spondylosyndesis.
1 cl, 7 dwg
Title | Year | Author | Number |
---|---|---|---|
TELESCOPIC BODY-REPLACING IMPLANT OF VERTEBRA “LAS-3” AND METHOD OF ITS IMPLANTATION | 2016 |
|
RU2663641C2 |
COMBINED MESHY VERTEBRAL ENDOPROSTHESIS “PARALLELEPIPED-LAS” | 2015 |
|
RU2657924C2 |
METHOD FOR STABILIZING BODIES OF VERTEBRAE BY INTRODUCING IMPLANT | 2020 |
|
RU2743364C1 |
METHOD OF COMBINED FRONT-REAR SPONDLINE | 2015 |
|
RU2628044C2 |
POSTERIOR-POSTEROEXTERNAL EXTRAPERITONEAL-EXTRAPLEURAL APPROACH TO BODIES OF THORACOLUMBAR DIVISION | 2015 |
|
RU2628030C2 |
METHOD FOR DETERMINATION OF SAGITTAL SIZE OF COMPRESSING FACTOR | 2015 |
|
RU2640451C2 |
METHOD FOR SURGICAL CORRECTIVE SPONDYLODESIS ON THE LUMBAR SPINE | 2022 |
|
RU2785750C1 |
VERTEBRAL BODY ENDOPROSTHESIS FOR LOW INVASIVE (THORACOSCOPIC) SPONDYLOSYNDESIS, INSTRUMENT FOR ENDOPROSTHESIS IMPLANTATION WITH LOCKING DEVICE, AND METHOD FOR CLAIMED ENDOPROSTHESIS INSTALLATION WITH CLAIMED TOOLS AND LOCKING DEVICE | 2015 |
|
RU2615863C2 |
METHOD FOR SURGICAL REDUCTION OF DISPLACED VERTEBRA IN PATIENTS WITH ANTE-SPONDYLOLISTHESIS IN LUMBAR SPINE | 2021 |
|
RU2777246C1 |
METHOD OF TREATING INJURIES OF CERVICAL SPINE | 2010 |
|
RU2434598C1 |
Authors
Dates
2019-08-07—Published
2017-11-21—Filed