RU2435542C1 - Method of eliminating spinal cord compression in congenital kyphoscoliosis (deformation) of spine in children at background of disturbed segmentation of anterior parts of vertebrae - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to vertebrology. Method includes dorsal access along deformation and installation of multi-support metallic construction. At the level of middle column of vertebrae on deformation top their partial resection is performed in order to eliminate spinal cord compression and neurologic disorders. Resection is combined with formation of posterior bone unit by laying autotransplants along metallic construction with possibility to ensure stabilisation of obtained correction.

EFFECT: method ensures maximally possible correction of kyphoscoliosis.

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Description

The invention relates to medicine, in particular to orthopedics.

A known method for the correction of congenital kyphosis in children, consisting of a polysegmental discectomy and osteotomy in the area of the block from the anterolateral access and correction of congenital kyphosis with multi-support metalwork from the dorsal access (Surgical treatment of malformations of the spine in children. Ulrich EV, Mushkin A.Yu. Monograph SPb .: ELBI-SPb, 2007. Pages 72-75).

This method has several disadvantages. Performing two approaches increases the duration, severity of the operation, and blood loss. This method does not eliminate compression of the spinal cord in congenital kyphoscoliosis in children against the background of impaired segmentation of the anterior vertebrae.

The objective of the invention is to increase the effectiveness of treatment by eliminating spinal cord compression, achieving the maximum possible correction of congenital kyphoscoliosis (deformation) of the spine against the background of disturbed segmentation of the anterior vertebrae in children, and ensuring the stability of the result achieved during the growth and development of the child.

The technical result of the task is achieved by the fact that in the method of eliminating spinal cord compression in case of congenital kyphoscoliosis (deformation) of the spine in children against the background of disturbed segmentation of the anterior vertebrae, including dorsal access during deformation and installation of multi-support metal structures, it is proposed at the top of the deformation (which is cause of neurological disorders) perform a partial resection of the middle column of the spine in order to eliminate compression of the spinal cord, transposition of the spinal cord into the resection area and create the posterior bone block by laying autografts throughout the established metal structure with the possibility of stabilizing the achieved correction.

Figure 1 presents a diagram of the lateral projection of congenital kyphoscoliosis (deformation) of the spine. Position 1 - compression of the spinal cord.

Figure 2 presents a diagram of the lateral projection of congenital kyphoscoliosis (deformation) of the spine after surgery. Position 2 - partial resection of the middle column of vertebrae at the apex of deformation and the spinal cord is moved to the formed space. Position 3 - created posterior bone block. Position 4 - multi-bearing metal construction.

A way to eliminate spinal cord compression in congenital kyphoscoliosis (deformation) of the spine in children against the background of disturbed segmentation of the anterior vertebrae is as follows.

The position of the patient on the stomach. An incision is made along the line of the spinous processes, the middle of which passes through the apex of congenital kyphoscoliosis (deformation). Dorsal access during deformation is performed. Partial resection of the middle column of vertebrae at the top of the deformity is performed. The spinal cord moves into the formed space, as a result of which the latter decompresses. Then, multi-support metalwork is staged and congenital deformation is corrected. After setting the metalwork, the creation of the posterior bone block is carried out by laying autografts throughout the installed metalwork with the possibility of stabilizing the achieved correction.

The positive effect of the invention is to eliminate neurological symptoms, improve motor and sensory functions of the lower extremities.

In addition, due to the use of only one dorsal access, the time of surgical intervention, the morbidity and the amount of blood loss are reduced. Further, in the process of growth and development of the child, additional surgical interventions aimed at correcting congenital kyphoscoliosis (deformation) are not required.

Claims (1)

A method for eliminating spinal cord compression in case of congenital kyphoscoliosis (deformation) of the spine in children against the background of disturbed segmentation of the anterior vertebrae, including dorsal access during deformation and installation of multi-support metal structures, characterized in that partial resection of the middle vertebral column is performed at the top of the deformation in order to eliminate compression spinal cord and neurological disorders in combination with the formation of the posterior bone block by laying autografts on the prot metal structure with the possibility of stabilizing the achieved correction.

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