FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to traumatology and orthopedics, pediatric surgery, neurosurgery, vertebrology. Main volume of wedge-shaped resection of the vertebral body is closed until performing laminectomy and exposing the posterior wall of the resected vertebral body by ultrasonic destruction of the cancellous bone bilaterally through the transpedicular approaches under the control of the electronic optical transducer. Volume of resection of the body is enlarged by resection of the upper closing plate of the resected vertebral body and total discectomy. That is followed by laminectomy, vertebra arrows resection, and exposure and osteotomy of posterior and lateral walls of a resected vertebral body using an ultrasonic bone destructor. That is followed by partial resection of arcs of above- and below-lying vertebrae in order to prevent corrugation of the dural sac when the osteotomy of the spine is closed by contracting the transpedicular fixing screws. Osteotomy defect is closed by intraoperative neurophysiological monitoring.
EFFECT: invention provides correction of sagittal body imbalance, reduced injuries, reduced risk of postoperative complications.
1 cl, 10 dwg, 1 ex
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Authors
Dates
2019-10-28—Published
2019-03-22—Filed