METHOD OF TREATING PATIENTS WITH SPINAL COMPRESSION FRACTURES AT LUMBAR LEVEL IN COMBINATION WITH TRAUMATIC INTERVERTEBRAL DISC INJURY Russian patent published in 2020 - IPC A61B17/70 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to neurosurgery, and can be used for spinal stabilization in vertebral compression fracture combined with traumatic intervertebral disk injury. After the transpedicular system is installed, distraction is carried out on the rods, followed by the endoscopic port (EP) installation. Point in which the skin incision is made for the EP installation is placed in the plane of the cortical plate of the underlying vertebra at distance of 5-6 cm from the middle line and 2–3 cm lateral of the outer edge of the corresponding joint with X-ray marking in a straight projection and 2–3 cm above an upper edge of the corresponding joint with X-ray marking in a lateral projection. Angle of inclination of the EP shall be 45 to 35° to an imaginary line drawn vertically through the centre of the target intervertebral disc. Under the control of the endoscope and the X-ray unit, a disk is removed, after which an osteal spoon is inserted into the EP, which is followed by curettage before a contact of the instrument with a dense bone tissue - a cortical plate. Fragments of the fibrous ring are removed by turbinate chisels under endoscopic and X-ray control to visualize cortical plates of vertebrae free of connective tissue. Intervertebral space is filled with bone chips through the endoscope port under the control of the endoscope and the X-ray control. Endoscope is removed and the vertebra is compressed on the rods until contact between the bone tissues. Transcutaneous transpedicular system is fixed, the ports are removed, and the wounds are closed in layers. If the cortical plate of the vertebral body is not visualized by the endoscope, the curettage is repeated until the result is achieved.

EFFECT: method provides a significant reduction in the risk of developing postoperative neurological complications and pain syndrome due to the fact that one surgical intervention involves stabilization of the spinal column from a posterior approach using a transcutaneous installation of the transpedicular system and endoscopic discectomy with an endoscopic port of the bone graft.

1 cl, 5 dwg, 3 ex