RU2268702C2 - Method and vertebral column correction device for removing vertebral column deformities - Google Patents

Abstract

FIELD: medicine; medical engineering.

SUBSTANCE: method involves arranging posterosuperior spines of iliac bone crests on horizontal line of frontal plane relative to patient body arranged in prone position in equidistant arrangement of their horizontal supporting plane. The bones are fixed in the achieved position. The sacral bone is fixed with plate to prevent from displacement. Traction of vertebra body placed proximally with respect to cranial part of deformity base in cranial direction is carried out to eliminate compression syndrome manifestations or to reduce deformity angle by 2-3 grades. Then, pressure is applied in transverse direction with respect to longitudinal axis of vertebral motor segments of deformity zone. The achieved vertebral column correction is fixed with orthopedic orthesis when needed. Device has patient support unit, frame, drive and vertebral column action members like sacral bone catcher and vertebral rest member. The latter is manufactured as rod and plates having convex zone and pinned from convex side on the lateral rod side. One free rod end has recess for receiving apices of spinal processes. The recesses are also produced on one plate ends set. The sacral bone catcher is manufactured as rod having swing joint with fixing member of pressure lever on one side. The rod transforms into plate having recess for receiving sacral bone crest.

EFFECT: provided selectivity in treating various diseases of vertebral genesis; simplified design.

4 cl, 3 dwg

Description

The invention relates to medicine, namely to manual medicine, orthopedics, vertebrology, traumatology, neurology in the elimination of spinal deformities, both independent and the consequences of injuries, degenerative-dystrophic, specific diseases. The end result or outcome of the intermediate stage of spinal injury is a violation of physiological bends in one plane or another. So, scoliosis in addition to rotational, lateral deformation is characterized by a decrease in the beginning of lumbar, and then cervical lordosis. A decrease in lordosis of the lumbar region in the form of smoothness, and then complete disappearance, is characteristic of osteochondrosis. Often, instead of the usual lordosis, there is a more or less pronounced kyphosis (“camel neck”), which is especially diagnosed in functional images. Hyperlordosis of the lumbar region accompanies flexion contracture of the hip joint with adduction of the thigh. Injuries, specific lesions of the spine (tuberculosis, osteomyelitis, etc.) are the culprits of kyphotic, often chest localization, deformation. As can be seen, on the example of a brief excursion into the etiopathogenesis of spinal injuries, deformations can be single or in combination, i.e. simultaneously in several planes, segments, as a result of injuries, traumatic or infectious, congenital and acquired, they can appear in a healthy part of the spine as a compensating biomechanical factor.

When a person is upright, the gravitational load through the vertebral bodies is transmitted to the intervertebral discs, and ideal, i.e. the most sparing for disks, it will be if the load is distributed evenly over the entire area of the disks. Under such conditions, the buffer and depreciation properties of the disk are manifested to the greatest extent with the least threat of damage.

The unevenness of static loads creates or leads to violations of the normal shape of the spinal column. So, for example, juvenile dysplastic kyphosis causes a compensatory increase in the cervical and lumbar lordosis, which causes its large uneven load on the cervical and lumbar discs, on the arched joints. As a result of this, not only osteochondrosis develops, but also arthrosis of the arched joints - spondylarthrosis. Adverse redistribution of long-term static loads is associated primarily with the use of anatomically illiterate accessories: bed, chairs, etc. From the point of view of fitness for static loads, the most favorable is the shape of the spinal column and individual vertebrae, in which the load in each segment is distributed evenly over the entire disk area.

The loss of function of at least one segment in the spinal column creates an overload of neighboring ones and can lead to disturbances in all parts of the spine (the effect of a soldered chain).

With a reduced turgor of the intervertebral disk (MD) in those parts of the spine where the gravitational load on the disk does not occur perpendicular to its plane, but at an angle, moderate 3-5 mm, and sometimes significant vertebral displacements are possible - front, back, side. As the height of the disk decreases and the vertebral bodies come closer, the load on the arched joints, which are formed in relation to the normal height of the disk and the normal shape of this spine, increases. A change in the shape of the spine with a decrease in the height of the disk causes a change in the ratios of the articular surfaces in the arched joints, the area of their contact decreases, and the load per unit area increases accordingly. All this leads to a functional overload of the arched joints and, as a result, to the gradual development of arthrosis in them.

Even with small displacements of the vertebrae, the intervertebral foramen is deformed, as a result of which cramped conditions are created for the roots, nerves and blood vessels passing through them. During spinal movements, nerve roots, blood vessels, spinal cord membranes, ligaments can be injured, which leads to neurological disorders, and edema that develops in response to trauma can contribute to their prolonged course. As a result of displacements of the vertebrae in the sagittal plane, the spinal canal can be deformed stepwise. In this case, deformation of the spinal canal and intervertebral openings can cause compression of blood vessels and the spinal cord, especially if the spinal canal is narrow due to its anatomical structure, tension of the roots of the spinal nerves or their compression, the development of circulatory disorders with swelling of soft tissues, which often leads to persistent neurological disorders.

There is a method of treating spinal deformity by the functional method, which is shown during compression of 1/3 of the body height due to expansion of the broken vertebra, and spinal deformity is subsequently corrected due to the compensatory curvature of its adjacent areas, walking without a corset, and the gradual creation of a muscle corset. The method was developed by V.V. Gorinevskaya, E.F.Dreving (see, for example, Traumatology and orthopedics. / Ed. By H.A. Musatov and G.S. Yumashev. M., Medicine, 1995, p. 344- 349).

In the above source (p. 349-351) the method of gradual reposition of bodies, deformity of the spine using a subsequent extension corset is described. The reposition is carried out using a roller, on the CITO reclinator, on the Yumashev pneumatic reclinator.

A known method of treating spinal deformities, in particular scoliosis, therapeutic exercises, massage, physiotherapy, corrective traction, laying in gypsum beds, step beds, redresses, various types of corsets, restorative treatment. It is noted that this tactic partially corrects compensatory curvatures, but does not affect the main curvature of the body (Orthopedics and Traumatology Manual. / Ed. By N.P. Novachenko, vol. II, M., Medicine, 1968, pp. 344-351 )

Known methods of treating spinal deformities by fixing a specific element of the spine and using the strength of the hands of 60 kg or the knee of the physician produce movements aimed at restoring the position of the vertebra (N.A. Kasyan. Manual therapy for osteochondrosis of the spine. M., Medicine, 1985, 32-52; A.B.Sitel. Manual medicine. M., Medicine, 1993, 164-172).

Known methods for eliminating spinal deformities by manual exposure or manual exposure using means of direct impact on the vertebrae do not overcome the counteraction of those forces that cause deformation. Known methods of traction for the head, for the axillary region, for the pelvis, limbs often lead to instability in segments located far from deformation (RU 2056815, publ. 03/27/1996; RU 2093132, publ. 20.10.1997; RU 2123835, publ. 27.12 .1998; RU 2168321, 10.06.2001).

A known method of correction of the spine, implemented through a device according to RU 2204372, publ. 05/20/2003, containing an electric drive for rotating massage elements. However, the device acts only on soft tissue elements (skin, muscles, ligaments) and is not intended to correct deformations in which bone elements or segments of vertebral bodies are included.

Known methods for correcting spinal deformities are aimed at correcting deformities in any one part of the spine, in the presence of deformation only in one plane, with multi-plane deformations and at different levels they do not produce an effect, are burdensome for patients, and post-traumatic doctors develop such myositis and corns on the hands from constant physical overstrain and local pressure by the metacarpophalangeal joints and the same bone segments of the hands on the spine. Existing and well-known nozzles on the doctor’s hands do not have or do not have anatomical sizes and shapes when in contact with certain elements of the vertebra, vertebral-motor segment, and the whole spine. Imperfect devices that facilitate the physical work of a doctor while eliminating spinal deformities in all its manifestations.

A known method of correction of the spine according to RU 2001133078, publ. 08/20/2003, including the effect on the interosseous spaces, on the fields between the spinous processes using a wedge-shaped device that allows you to push these tissues apart by 2-5 mm. Without begging the merits of the known method and having certain indications, it should be noted that the known method completely depends on the physician’s physical capabilities, does not provide for the simultaneous fixation of the sacrum and the overcoming of the forces that lead to the deformation of the overlying vertebrae in the deformation zone, and correction with multi-plane deformations is not always possible taking place with kyphosis, scoliosis, retrolisthesis. The method does not include impact on the deformed pelvis (oblique, twisted), accompanying curvature of the spine and which is the key in the biomechanics of the spine.

The objective of the proposed method for the treatment of spinal deformities is the development of methods for influencing the spine using a specially designed device for correction of the spine in multi-plane deformations encountered in the form of kyphosis, scoliotic deformation, retrolisthesis, compression stable fractures, not exceeding a decrease in body height by 1/3, increased or reduced physiological lordosis associated with deformations of limitation of movements in the costof vertebral joints. The solution of this problem contributes to the selective treatment of various diseases of vertebrogenic genesis, the expansion of the types of organs to be rehabilitated at an early stage and far-reaching, reversible and not discredited by surgical intervention, expanding the scope of the method, expanding the age and gender framework for doctors and patients, accelerating and cheapening the treatment of patients.

The problem is solved in that a method for eliminating spinal deformities and a device for correcting the spine are developed. The method includes laying the patient lying on his stomach on the horizontal plane of the support, for example, a stool (Fig. 1), establish the posterior superior spine of the iliac crests on the horizontal line of the frontal plane as applied to the patient and in equal position of the rest to the horizontal plane of the spine, fix the posterior superior spine of the iliac crest bones in the achieved position, on the area of the dorsal surface of the sacrum impose a special rigid plate having an anatomical size and shape of the dorsal on top the sacrum, and keep the sacrum from being displaced by pressure on the plate, effect by pressure on the elements of the dorsal surface of the vertebral-motor segments that make up the spinal deformity zone, displacing them towards the normal location, and first traction is performed due to pressure in the cranial direction of the vertebral body, spread proximal to the cranial part of the base of the deformation until the compression syndromes are eliminated or the angle of deformation is reduced by 2-3 degrees, and then the pressure wasp they are located in the transverse direction to the longitudinal axis of the vertebral-motor segments of the deformation zone, and in case of retrolisthesis, the pressure after traction is exerted only on the dorsal surface of the body, the spinous, arched, transverse processes of the shifted vertebra. With a decrease in physiological lordosis of the spine, pressure is applied to the region of 1, 2, 3 sacral vertebrae. With an increase in physiological lordosis, pressure is applied to the region of 4-5 sacral vertebrae.

When limiting movements in the vertebral-costal joints, pressure is applied to the capitate and to the neck of the rib articulated with the vertebra. With scoliotic deformation, pressure is applied to the transverse process of the rotated vertebra located on the side of rotation. The necessity, feasibility of the above methods of the method was first worked out on biomanicenes, confirmed by X-ray functional studies and tested with great efficiency in clinical practice. The validity of the preliminary installation of the pelvis in the physiological position and subsequent traction, and then the restoration of the vertebrae to their normal position are dictated by the following.

In the presence of spinal deformity, regardless of its etiology, the upper part of the arc is affected by gravity directed vertically downward and bending force directed towards the concavity of the deformation arc. The total vector of these forces is always directed toward the concavity of the deformation and downward. The bending force acting on the lower part of the deformation arc is also the total force vector along the vertical and horizontal axis. At the same time, a force acts on the strain peak, i.e. body mass located proximal to the deformation peak directed toward the convexity of the deformation arc. Deformation of the spine will be stable if the sum of the force vectors acting along the horizontal axis of the upper part of the arc and the lower part of the deformation arch is equal to the force acting on the top of the arc and is directed towards the convexity of the arc, and in this case there will be no progression of deformation, and intervertebral elements will not experience a destructive effect. The foregoing is characteristic of the model as a single semi-rigid stable spine design. In a patient, the body mass located proximal to the deformation peak increases the force of gravity directed vertically downward in the upper part of the arc, the bending force directed towards concavity increases, and then the sum of the force vectors acting along the horizontal axis of the upper part of the arc and the lower part of the arc will exceed the force acting on the top of the arc, directed towards the convexity, which leads to rapid progression of deformation. Any manipulation on such a spine, its segments without first reducing the force acting in the upper part of the deformation arch, leads to the destruction of the intervertebral elements, primarily the intervertebral disc and its pulpous nucleus. Studies on biomanicene and confirmed in the clinic justified the need to reduce the force acting on the proximal or upper section of the deformity arch by traction in the cranial direction of the vertebral body, and through it the entire spine, located proximal to the cranial part of the deformation base, to reduce the deformation angle by 2 -3 degrees, which eliminates primarily the existing compression syndromes. And only after traction are forces directed against the action of forces deforming the spine in the transverse direction to the longitudinal axis of the vertebral-motor segments in the deformation zone.

Traction of the vertebrae in the cranial direction and the impact in the transverse direction to the longitudinal axis of the vertebral-motor segments in the deformation zone eliminate subluxations in the arched joints, reduce intradiscal pressure, by increasing the intervertebral space, reduce / eliminate the degree of protrusion of the disc beyond the borders of the fibrous ring, reduce / eliminate intervertebral disc pressure on the anterior internal venous plexus, posterior longitudinal ligament, reduce / eliminate tonic muscle tension, venous and l caviar stasis, edema of the roots and intervertebral, inter-process ligaments, i.e. the starting mechanism of deformations is removed, the vicious circle of pain impulses circulation is broken.

Primary or secondary spinal deformity leads to a misalignment of the pelvis in the frontal, sagittal planes, or a combination thereof, a relative shortening of one limb on the side of a higher location of the iliac crest, functional blocks in the sacroiliac joints, and disruption of the position of the sacral bone.

Pelvic alignment by placing the iliac crests in a symmetrical position is necessary to eliminate pelvic distortion, to eliminate the relative shortening of the lower limb, accompanied by the oblique pelvis for all spinal deformities, to place the sacrum, which is the key in the biomechanics of the entire spine, relative to the ilium in a functionally advantageous position.

The method is as follows.

The method is carried out using a device for correction of the spine, consisting of a special bench (Fig. 1), equipped with vertical struts, a horizontal bar, on which levers are fixed with working elements in the form of a sacrum clamp (Fig. 2, B) and an emphasis on the vertebrae (Fig. 2, A). The patient is placed on his stomach on the horizontal plane of the couch, the posterior superior spine of the iliac crests are mounted on a horizontal line in the frontal plane with reference to the patient’s body and at an equal position to the horizontal plane of the support, the posterior superior spine of the iliac crests are fixed in the reached position. A sacral fixator is applied to the sacral dorsal surface region in the form of a rigid plate having an anatomical shape and size of the sacral dorsal surface, and the sacrum is kept from pressure displacement and due to the “plate-rod-lever on horizontal bar” system. Another working lever with the emphasis of the vertebrae (Fig. 2, A) is located above the distal section of spinal deformity at the necessary angle of influence on the displaced spine so that the notch on the end of the rod for the tips of the spinous processes is at the top of the spinous process, and the notches on the end parts of the plates on the transverse processes of the vertebra located proximal to the cranial part of the base of the deformity arch. By pressing lever 3, due to the pressure of the vertebrae against the vertebra, traction is performed in the cranial direction of the vertebral body located proximal to the cranial part of the base of the deformity arch, and this leads to a shift in the cranial direction of the overlying sections of the spine.

Traction is carried out until the compression syndromes from the side of the neurovascular elements, the roots of the spinal cord are eliminated, or the deformation angle is reduced by 2-3 degrees. Studies have shown that decompression due to traction occurs when the deformation angle is reduced by 2-3 degrees. After making sure that the traction effect is obtained, the vertebrae are pressured in the transverse direction to the longitudinal axis of the vertebral-motor segments of the deformation zone until the deformation is eliminated by setting the displaced vertebra in its normal position.

All manipulations are carried out taking into account the reduction of pain and constant dialogue with the patient. Elimination of deformation occurs as a result of repeated manipulations using a device for correction of the spine. The achieved correction is fixed with orthopedic means according to the principle of “three-point” orthoses. The above technique is justified for the correction of kyphotic deformity, which is most often found in the thoracic, thoracolumbar regions. In vertebral retrolisthesis, a feature of the technique is the pressure after traction only on the dorsal surface of the body, spinous and transverse processes of the shifted vertebra. The remaining techniques are carried out, as in the elimination of kyphotic deformation, in the same sequence and in some cases fixation with orthopedic means is also required.

Deformation of the spine caused by a decrease in physiological lordosis, using the example of lumbar localization, requires exposure in the form of pressure on the region of 1, 2, 3 sacral vertebrae, also after traction with the above techniques.

With an increase in physiological lordosis, pressure is applied to the region of 4-5 sacral vertebrae, which leads to a decrease in the arch of deformation, the establishment of the sacrum in a position that ensures congruency of the articular surfaces in the sacroiliac joints.

In order to restore movements in the vertebral-costal joints impaired by kyphotic, scoliotic and mixed deformities, pressure is applied to the capitate or neck of the rib articulated with the vertebra.

With scoliotic deformity, pressure is applied to rotate the vertebra, on the transverse process of the rotated vertebra located on the side of rotation.

As the closest analogue of the device for correction of spinal deformity, the device according to the patent of the Russian Federation No. 2163108, used in the implementation of the method of treatment of osteochondrosis in its clinical manifestations, was adopted. The known device contains a platform for laying the patient, a frame on which a vibroshock drive with a nozzle mounted on the spinal lesion zone is mounted. However, this device does not allow to eliminate multi-plane deformations in the form of kyphosis, scoliotic deformity, retralisthesis, compression fractures with a decrease in the height of the vertebral body by 1/3 of its height, increased or decreased physiological lordoses, concomitant deformations of restrictions on movements in the costal-vertebral joints.

The present invention in terms of the device ensures the achievement of the technical result, which consists in eliminating the above disadvantages and without the use of electric motors.

The technical result is achieved due to the fact that the device for the correction of the spine, containing a support for the patient, a frame, a drive and impact elements, has a drive made in the form of two rotary levers, a frame made in the form of two parallel legs connected by a transverse bar with the possibility of it displacement and fixation, while two pivoting levers are arranged to move on the transverse rod and have the possibility of fixed or spring-loaded fixation of their free ends, impact elements, Filled in the form of an emphasis on the vertebrae and sacrum retainer, installed by means of fixation units that can be rotated around the lever and move along it, the vertebrae rest on one lever, and the sacrum retainer on the other, and the vertebra rest is made in the form of a rod and plates, each with a bulge pivotally mounted on the convex side on the lateral surface of the shaft, one end of the shaft is articulated with a fixation unit, and the other free end is made with a recess for the apex of the spinous process of the vertebra, the plate and at one end are made with recesses for the posterior-lateral surfaces of the transverse processes of the vertebra and are able to protrude above the free end of the rod, the sacrum fixator is made in the form of a rod on the one hand having a hinge connection to the fixation unit, and on the other, a plate with a recess for the sacrum crest.

The invention in terms of the device is illustrated by the following images.

Figure 1 shows the device in General view, figure 2 shows the emphasis of the vertebrae (A) and the clamp of the sacrum (B). A device for the correction of spinal deformities contains a support for the patient, a frame, a drive and elements of influence on the spine.

Support for the patient can be made, for example, in the form of a banquet 1 having an opening for the face 2 and a filler with a surface that allows you to create an anatomically comfortable shape corresponding to the bulges of the front of the patient.

The drive is made in the form of two rotary levers 3 and 4 with free ends 5. The frame is made in the form of two parallel vertical risers 7 and 8, connected by a horizontal rod 9 with the possibility of its movement and fixation. Two rotary levers 3 and 4 are arranged to move along the horizontal rod 9. The free ends 5 of the levers 3 and 4 have the possibility of fixed or spring-loaded fixing of the free ends 5, for example, by means of a locking assembly including a set of holes located on the bench 1 (on the bar) 10, into which telescopic detachable tubes 11 are inserted, on which couplings 12 are mounted, which are connected by a rigidly fixed bracket or springs / rubber from the expander 13 with the free ends 5 of the levers 3 and 4.

Elements of the impact on the spine are made in the form of an emphasis on the vertebrae (14 and Fig. 2, A) and a sacrum fixator (Fig. 2B), installed using fixation nodes 16 and 6, which can be rotated around the lever 3 or 4 and moved along them. The emphasis of the vertebrae 14 is mounted on the lever 3, and the sacrum retainer (FIG. 2, B) on the lever 4. The fixing nodes can be made, each, for example, in the form of couplings 16 and 6 with clamps and ears 18 on the side surface.

The emphasis of the vertebrae 14 is made in the form of a rod 19 and two symmetrical plates 20 with bulges pivotally mounted on the side of the bulges 21 on the lateral surfaces of the rod 19. The upper ends 23 of the rods 19 and 29 are hinged to the fixation unit along the axes 24 and 25, which can be installed in the holes made in the rods 19 and 29, coinciding with the holes of the ears 18. The free end of the rod 19 is made with a recess for the apex of the spinous process of the vertebra 27. Plates / stops 20 at the contact ends are made with recesses for the rear-side surfaces transverse processes of the vertebra 26 and have the possibility of varying protrusions above the free end 27 of the rod 19.

The sacrum retainer (FIG. 2, B) is made in the form of a rod 29 and has a special plate at the end that is shaped to repeat as closely as possible the dorsal part of the sacral bone, with a recess for the sacrum ridge 28. The rod ending with a special plate is installed using the plate made in it holes along the axis 25 and fixed in the ears 18, the coupling 6 with a deviation in any axis if necessary.

The device is used as follows.

On the banquet 1, face down the patient. The lever 4 is installed over the sacral region and the rod 29 is pressed by the recess 28 to the dorsal surface of the sacrum so as to exclude the displacement of the sacrum in the cranial-caudal direction and in the frontal plane with respect to the patient’s body, followed by rigid fixation using the bracket 13.

The lever 3 is located above the distal portion of the deformation of the spine. The rod 19 is set at the necessary angle of influence on the corresponding vertebra so that the notch 27 is located at the apex of the spinous process, and the notches 26 are located on the transverse processes of the vertebra.

When the sacrum is fixed, by pressing the lever 3, pressure is applied, initially directed to traction of a part of the spine in the cranial direction, and then pressure is applied by the rod 19, changing the inclination of the rod 19 in the transverse direction to the longitudinal axis of the spinal-motor segment of the deformation zone. At the same time, the pressure of the stop 20 from the side of rotation to the transverse process occurs.

To achieve the required impact for the first time, a temporary impact factor is used due to the use of springs or rubber (Fig. 1, a), and sharp swings or smooth pressure are carried out.

This method using the device allows you to eliminate pathological kyphosis and lordosis, as well as selectively and locally affect the intervertebral joints, and therefore the consequences of angular overloads, which led to persistent deformations of the intervertebral joints and crushing of the disk with displacement in the anteroposterior and lateral planes, are eliminated. The result of the impact is the restoration of the height and diameter of the fibrous ring of the disk, the restoration of the pulpous nucleus. The amortization capabilities of the entire disc are restored, the intervertebral joints are restored, the intervertebral openings increase to physiological norms, and the radicular nerves and spinal cord are freed from compression.

The method of influencing the deformed parts of the spinal column (vertebra, vertebrae) using the present invention, thanks to the articulated mechanism at any angle necessary for the treatment of the spine, vertebra, sacrum, for the first time makes it possible to counteract the angular loads leading to joint disorders of the spine in all planes. It is this method of exposure with the simplicity of the device design that allows you to expand the field of treatment of spinal deformities.

This method and device allows you to restore the intervertebral discs and intervertebral joints, the vertebral bodies adjacent to it are unloaded, bone tissue restructuring (subchondral osteosclerosis, marginal bone growths) is stopped, the joint space is normalized, the position of the vertebrae in the front-back direction, the lateral, rotational displacements are restored intervertebral foramen increase.

The intervertebral openings increase to a functional norm, and normal conditions are created for the roots, nerves and blood vessels. Considering that all spinal roots leave the intervertebral foramen (sensitive, motor, and vegetative fibers pass through the roots), we can speak of a polyetiological method of treating all systems and organs of the body. Using the invention, a targeted effect on one or a group of vertebrae, innervatingly responsible for the condition of any organ or system of a person, is possible.

To date, the proposed method has treated outpatients and inpatients in a clinic headed by MD, prof. A.S. Bryukhovetsky, and on the basis of the department of "Biomedical devices and technologies" MGAPI. Over 300 patients were treated. In assessing the results of treatment were guided by the following criteria:

1. The disappearance of pain syndromes.

2. The restoration of the range of motion in various parts of the spine and joints.

3. Disability recovery without restrictions.

4. Parallel treatment of many somatic diseases.

5. Significant improvement in overall well-being.

6. Full recovery of patients is about 80%, which is confirmed by known methods of verification and persistent and prolonged remission of former patients, the medical supervision of which was provided personally by the professor.

As a positive reaction to treatment, we consider the deterioration of well-being, especially after 1-2 sessions, which is associated with improved blood supply, increased (GFR), and glomerular filtration rate of the kidneys (salt, hormonal adjustment, blood pH restored).

Description to figures 1 and 2:

1. A bench with a loose liner, covered with elastic fabric.

2. A hole for the patient’s face, necessary for manipulations in the cervical spine.

3. The push lever.

4. Lever for fixing the sacrum.

5. Levers for manipulating the vertebrae and sacrum.

6. Locking sleeve for sacral fixation lever.

7. Vertical riser.

8. The vertical riser.

9. Horizontal rods.

10. A bar for inserting the tube / holder onto which the sleeve (12) is worn.

11. Tube-holders that are inserted into the bar (12).

12. Couplings without fixation, put on the tube-holder (11), to which the springs or rubber from the expander are attached perpendicularly, a rigid bracket.

13. A bracket or spring in an amount of 1 to 5 pcs. and more or a bracket connecting to the couplings (12 and 17).

14. The working rod.

15. The coupling moving on a horizontal bar with lever fasteners.

16. A coupling with a locking device that moves along a lever with a mount for the working rod on the spine.

17. Coupling, put on a lever, to which springs or rubber from the expander are attached, a rigid bracket.

18. Couplings moving along vertical rods.

19. The working rod.

20. Self-expanding stops in the transverse processes.

21. Device for free self-movement of stops in transverse processes.

22. Holes allowing for rearrangement in increments of 1 mm ↑ or ↓ (20).

23. Specially made upper part of the working rod for fixing at different angles.

24. The axis of fastening of the working upper part of the rod in the ears of the locking sleeve on the lever of influence on the vertebrae.

25. The axis of fastening of the working upper part of the rod in the ears of the locking sleeve on the sacral fixation lever.

26. Special cutouts in emphasis on the transverse processes for ease of fit.

27. The recess in the shaft for ease of fit to the spinous process (taking into account the soft lining).

28. A notch for the sacral bone crest.

29. A replaceable working rod, turning into the anatomically necessary shape of the plate, for fixing the sacrum.

Claims (7)

1. A method of correction of the spine, eliminating deformations of the spine, including mechanical action aimed at increasing interosseous spaces with a device for correction of the spine, characterized in that before the correction of the spine in the position of the patient lying on his stomach on the horizontal plane of the support, the posterior superior iliac crest spines are installed on a horizontal line the frontal plane in relation to the patient’s body and in an equal arrangement of them to the horizontal plane of the support, fix the posterior the ileal crests of the iliac bones in the achieved position, on the region of the dorsal surface of the sacrum, a fixative of the sacrum is applied, having the anatomical shape and size of the dorsal surface of the sacrum and keep the sacrum from being displaced by pressure on the plate; deformations of the spine, displacing them to a normal location, and first traction in the cranial direction of the vertebral body, conjugated proximal to the cranial base deformation to compression syndromes eliminate or reduce the angle of deformation at 2-3 °, and then the pressure is carried out transversely to the longitudinal axis of the spinal motion segments of the deformation zone with subsequent fixation achieved correction of spinal orthopedic orthosis. 2. The method according to claim 1, characterized in that during scoliotic deformation, the pressure is applied to the transverse process of the rotated vertebra located on the side of rotation. 3. The method according to claim 1, characterized in that during retrolisthesis, pressure after traction is carried out only on the dorsal surface of the body, spinous, transverse processes of the shifted vertebra. 4. The method according to claim 1, characterized in that when the physiological lordosis is reduced, the effect in the form of pressure is carried out on the region of 1, 2, 3 sacral vertebrae. 5. The method according to claim 1, characterized in that with an increase in physiological lordosis, pressure is applied to the area 4, 5 of the sacral vertebrae. 6. The method according to claim 1, characterized in that, with restrictions on movements in the vertebral costal joints, pressure is applied to the capitate or neck of the rib articulated with the vertebra. 7. A device for correcting the spine, containing a support for the patient, a frame, a drive, and elements for acting on the spine, characterized in that the drive is made in the form of two rotary levers, the frame is made in the form of two vertical struts connected by a horizontal bar with the possibility of its movement and fixation , two rotary levers are arranged to move on a horizontal bar and have the possibility of fixed or spring-loaded fixation of their free ends, the elements of the impact on the spine are made in the form emphasis on the vertebrae and sacrum retainer, installed by means of fixation units that can be rotated around the lever and move along it, vertebrae rest on one arm, and sacrum retainer on the other, vertebrae rest is made in the form of a rod and plates, each with a bulge, hinged with sides of the bulge on the lateral surface of the shaft, one end of the shaft is hinged to the fixation unit, and the other free end is made with a recess for the tips of the spinous process of the vertebra, plates at one end are made us with recesses for the postero-lateral surfaces of the transverse processes of the vertebrae and are able to protrude above the free end of the rod, clamp sacrum is in the form of a rod with one side having a hinged connection to the fixing unit, and on the other - a plate with a recess for the ridge of the sacrum.

Images