METHOD FOR PREOPERATIVE PLANNING FOR CORRECTION OF TECTORAL IDIOPATHIC SCOLIOSIS IN PATIENTS 10-14 YEARS OLD Russian patent published in 2021 - IPC A61B6/03 A61B17/70 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics, and can be used for preoperative planning of surgical treatment of idiopathic scoliosis in children with incomplete growth - 10-14 years old. Previously, all patients undergo X-ray of the spine at the C7-S1 level in step-mode in two projections with the determination of the magnitude of the main deformity and thoracic kyphosis. If the radiographs show signs of the size of the roots of the arches of the vertebrae on the concave side of the apex of the thoracic scoliotic arch less than 5 mm, then such patients additionally undergo multispiral computed tomography (MSCT) of the thoracic spine to determine the thickness of the roots of the arches of the vertebrae on the concave side of the apex of the thoracic arch. A group of patients whose vertebral arch thickness on the concave side of the apex of the thoracic arch according to MSCT is less than 5 mm is planned to undergo a ventral stage followed by a dorsal hybrid type of fixation. A group of patients who, according to X-ray data, have no signs of the size of the roots of the arches of the vertebra on the concave side of the apex of the thoracic scoliotic arch is less than 5 mm, while the size of the main thoracic arch and thoracic kyphosis does not exceed 80°, one-stage total transpedicular fixation is planned. The group of patients who, according to X-ray data, have no signs of the size of the roots of the arches of the vertebra on the concave side of the apex of the thoracic scoliotic arch is less than 5 mm, while the size of the main thoracic arch and / or thoracic kyphosis exceeds 80°, the mobility of the deformity of the main thoracic scoliotic arch and thoracic kyphosis, by performing an X-ray of the spine in a tilted position towards the thoracic scoliotic arch and lying on the roller. A group of patients in whom the mobility of both deformities is more than 25% is planned to undergo one-stage total transpedicular fixation. For a group of patients whose mobility of at least one of the deformities is less than 25%, anterior ventral mobilization with subsequent total transpedicular fixation is planned.

EFFECT: method improves quality of surgical treatment, achieving optimal correction; lack of postoperative progression; reduction of hospital stay and fast postoperative rehabilitation due to planning correction taking into account the individual characteristics of the patient's spine structure.

1 cl, 6 ex