RU2644267C1 - Method for healing spine, joins that have multiplanar deformation, and device for healing spine, joins that have multiplanar deformation (options) - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: group of inventions relates to medicine, methods and devices for healing spine and joints that have multiplanar deformation both without contractures, stiffness, and with contractures and stiffness (variants). Initially, the ligamentous tendon apparatus is relaxed, the intervals between the transverse processes of the vertebrae are increased, they are leveled in the frontal plane, then the rotation of the vertebral bodies is eliminated by affecting the spinous processes, then retro-steles are eliminated and the displaced spinous processes are aligned in the sagittal plane, the remaining rotation is eliminated by affecting the transverse processes. To implement the methods, the proposed device is used, which comprises detachably-inserted abutments and wedges, as described in the patent claim. Variability of the removable wedges and supports construction allows to eliminate multi-plane deformations both with contractures, stiffness, and without them.

EFFECT: reduction of spent efforts of the healer, reduction of traumatization of the spinous, transverse processes of the vertebra due to the distribution of action forces on interchangeable supports of the device, wedges, possibility of influencing the spine from the left, right and center, eliminating deformation and producing a derotation at 75–90º with the elimination of secondary neurologic syndromes.

12 cl, 14 dwg, 2 ex

Description

The invention relates to medicine, medical equipment for the improvement of the spine, joints having a multi-plane congenital or acquired deformation (options).

The prior art method of healing the spine and joints according to RU 2545447, publ. 03/27/2015 using a device for the recovery of the spine and joints RU 137194, publ. 02/10/2014. However, the known method and device with all the positive properties have several disadvantages:

- little effective for eliminating having simultaneous multi-plane deformation of the spine, joints, both with conservative treatment and in preparation for surgical methods;

- during the implementation of the method, the working part of the wedges slides from the processes of the spine due to the flat surface of the wedges;

- it is not possible to act simultaneously on the processes of three or more adjacent vertebral-motor segments;

- it is not possible to simultaneously affect the elements of the vertebrae located on both sides of the spinous processes;

- in the process of work, a large load on the healer’s hands was revealed during the reduction and retention of the device’s arms, undesirable trauma to the bone elements of the vertebrae, joints, osteoporosis;

- counter displacement of bone elements is impossible.

The objective of the method using the claimed device is to eliminate multi-plane deformation of the spine, joints with the expansion of the possibility of using the device.

The technical result is a more effective recovery of the spine, joints, reduction of tissue trauma due to the distribution of forces acting on replaceable - replaceable wedges, stops; the possibility of simultaneous impact on the left and right located bone elements from the longitudinal axis of the spine and joints, the possibility of impact along and across the longitudinal axis of the spine, the impact on the spinous processes of three or more adjacent vertebrae at the same time, the possibility of repositioning by the approach and extension of the articular elements;

The claimed method (options) is carried out using our proposed device (options) for the improvement of the spine, joints.

Multiplane deformations are detected on the basis of physical, instrumental, if necessary x-ray, MRI studies, of their developments described in patents RU 2545447, 137194, 2329014, 2294731.

After establishing the available multi-plane deformity in the healed person, the method is carried out using a device for healing the spine, joints with multi-plane deformation.

We have developed an impact algorithm for improving the spine, joints with multi-plane deformation using a device with interchangeable stops, wedges. A device with used interchangeable stops, wedges is designed to eliminate one component of a multi-plane deformation, and for the remaining components of the deformation, the following are used. The method itself and its variant includes the impact in the following sequence, taking into account the use of means for their implementation.

1. Using the following means of exposure, the ligament-tendon component of the deformity of the vertebral-motor segment (s) is relaxed, the gaps between the transverse processes are increased, and they are aligned in the frontal plane.

2. Then it is eliminated, again using replaceable wedges, stops, rotation of the vertebral bodies by affecting the spinous processes.

3. Replacing interchangeable stops, wedges eliminate retrolisthesis.

4. Next, using interchangeable wedges, the stops displace the spinous processes and align them in the sagittal plane.

5. The following effect is aimed at the final derotation of the vertebra (s) by acting on the transverse processes.

In the absence of stiffness, contractures, one means were used in the form of stops, wedges. In the case of contractures, stiffness, the impact algorithm was preserved, but the means of influence were used in a different design, which allowed applying a stronger turn, turn, push, shift, extension, and therefore they were put into options.

The methods are feasible only with the proposed devices, so first we give a description of the devices and work with them.

A device for healing the spine, joints with multi-plane deformation.

The prior art device for the correction of the spine, containing a wedge-shaped device, which is made sliding of two interconnected along the axis of the wedges adjacent to each other with flat sides. The half-wedges are equipped with handles with a spring installed between them, which ensures contact and half-wedge breeding (RU No. 2220697, publ. 10.01.2004). The device has the following disadvantages:

- the introduction of half wedges requires a lot of physical effort, which forces the healer to additionally press the base of the half wedges;

- the inability to carry out the impact of only one half-wedge, since both half-wedges move apart at the same time;

- the working side of the half-wedge, in view of the presence of a flat beveled surface, slides off the surface of the spinous processes, bone elements that form the joint;

- half-wedges do not allow for the rotation of the vertebrae and joint elements due to their sliding off the bone elements during angular impact;

- the device cannot displace one bone part of the components of the joint, the vertebral-motor segment with the simultaneous rigid fixation of the other part forming the spine, joint.

The prior art device for the healing of the spine and joints, containing a wedge-shaped device made sliding of two semi-wedges interconnected along the axis, adjacent to each other with flat sides. The half-wedges are equipped with handles with a spring installed between them, which allows wedges to be raised, a handle with a groove for the protrusion of the upper handle, a palm rest on the handle with a hole, (patent No. 137194, publ. 02/10/2014)

The known device with all its attractiveness of specialists has several disadvantages:

- the counter-working part of the wedges has a flat surface, at the time of exposure it tends to slide off the processes of the vertebrae;

- the presence of two half-wedges does not allow an effect on adjacent processes of adjacent vertebral-motor segments of the spine;

- the device can only be manipulated on one side to expand the space between the vertebrae. If necessary, symmetric expansion has to install the device on the contralateral side;

- counter displacement of bone elements is impossible;

- the absence of a locking element for handles creates inconvenience when working;

- the device does not have an element that allows you to control the location of the handles in the sagittal and frontal planes relative to the axes and planes of the parts of the spine.

The objective is to improve the means for improving the spine and joints with the expansion of the possibility of its use and more effective elimination of deformities.

The technical result of using the claimed device for healing the spine and joints is to reduce the healer’s expended forces, to reduce trauma to the spinous, transverse processes due to the distribution of forces acting on removable stops, wedges and the possibility of affecting the spinal tissue from the left, right side and in the center.

The proposed device is characterized by diagrams and illustrations of figures.

Figure 1, 1 (bottom view)

1 - movable, inserted into the groove on the side of the working part of the device in the sagittal plane, a handle for pressing, pressing and holding with a stable installation of the device on the spine, has anatomically convenient contours of the palm surface of the hand. The handle is attached to the handle (9) with a bolt (5) for movable connection of the handle. (α) the angle of the possible installation of the handle (1) from horizontal to vertical position. The hairpin (4) is inserted selectively after aligning with one of the holes (2) on the handle and handle, fixes the selected position.

2 - Through holes through the handle (9) and the handle (1) are located radially, in a semicircle relative to the bolt (5).

3 - The spring holding the handles in the open state is installed in the grooves inside the handles (9) and (10).

4 - A stud for fixing the handle (1) relative to the handle (9) is inserted through the holes (2) after selecting the position.

5 - A bolt movably connecting the handle (1) and the handle (9).

6 - A bolt connecting the handles (9) and (10) with the range of dilution along the arrows (Z, ω).

7, 7 and 7 ', 7' - Sockets-holders of removable edge wedges, stops on the upper handle (9).

8 and 8 '- Sockets-holders of interchangeable wedges, stops on the lower handle (10).

9 - The handle of the device, when shifted in the direction of the arrow (ω), moves the edge wedges installed in the holder slots (7), (7) to the axis (β), the half wedges installed in the holder slots (7 '), (7') from axis (β) - the working part of the device, (Fig. 1).

10 - The device handle, when shifted in the direction of the arrow (Z), moves the wedge installed in the holder socket (8) to the axis (β), the semi-wedge installed in the holder socket (8 ') from the axis (β).

11 - Hydraulic levels on the handle (9) helping to determine the position of the working parts of the device, wedges, stops when pressing, compressing, expanding and swinging the impact on the transverse and spinous processes of the vertebrae according to the arrows (Z, ω), (13). Hydro levels (11) on the handle (9) are used as a testing device, indicating the degree of twisting of the vertebral bodies and deviations of the processes.

12 - Recesses for the fingers of the palm in the handle (10) to hold the device at the time of exposure.

13 - The range of possibilities after the introduction of wedges-stops in the joint spaces for smooth rocking of the handles in the frontal plane. The action increases the intervertebral spaces and relaxes the ligamentous apparatus.

14 - Spreader, easily removable and installed, selectively changing to a stable position the closing or opening of the handles (9), (10) and wedges, emphasis during certain manipulations. A disk with a notch along the edge is fixed in the middle part (20). From its center, screws with left and right threads (19) go up and down, which are screwed in-screwed into fixed cylindrical nuts of a thrust with threads inside and fixed in cavities (16), (18) with studs through coaxial holes (15) and (17) ) from the end edges of the handles (9) and (10). Due to this, when the disk (20) is rotated in one direction, the strut is shortened, and in the other it lengthens, and, accordingly, the handles (9) and (10) smoothly and controllably compress and expand.

15 - Coaxial through holes in the handle (10) and in the cylindrical nut of the lower part of the throat through which a spacer is attached in the lower cavity from the end of the handle (16) with a bolt with a “wing” nut or a pin (not shown).

16 - A cavity at the end of the handle (10), for installing the lower part of the spacer (14) with its subsequent fixation through a coaxial hole (15) on the sides of the handle with a pin or bolt.

17 - Through coaxial holes through the handle (9) from the sides and the upper part of the spreader for fixing the cylindrical spreader nut in the cavity (18) with a stud or a bolt with a “wing” nut (not shown).

18 - A cavity from the end face of the handle (9) for installing the upper part of the spacer with subsequent fixation through coaxial holes (17) in the handle and in the spacer with a bolt or stud (not shown).

19 - Screw parts of a thrust with left and right threads which, when the disk (20) is rotated with a notch along the edge, makes it possible to move and extend the handles to a selected distance and fixing them relative to each other.

20 - The disc at the edges of the edge has a notch for ease of rotation with free fingers at the time of pressing the handle (9) of the device with a palm.

The device for healing the spine, joints (Fig. 1) and (Fig. 1, bottom view) is equipped with handles with a spring installed between them to return the handles. Between the handles there is a removable spacer regulating closing and opening for their fixed selected fixation. After installing the thrust from the end face of the handles (9) and (10) in special cavities (16) and (18), pressing the device by the handle and the upper handle, use your free fingers on the upper handle by rotating the disk (20) fixed in the middle of the threaded portion of the head of the head (20) with with a notch along the edge, we draw together, or push the handles apart by screwing or unscrewing the threaded parts with left and right threads (19) into the cylindrical nuts fixed through the coaxial holes in the ends of the handles and in the extreme parts of the elongated cylindrical nuts (15) and (17). In this case, a dosed smooth force extension or movement of the working contact parts of the wedges, stops is possible. A handle is attached to the upper handle for clamping the device with a screw (5), with the ability to change the selected position, followed by fixing with a pin (4). The hydraulic levels are installed in the upper handle: one hydraulic level is parallel to the axis of the upper handle, the other is perpendicular; informing about the location of the working part of the device relative to the frontal and sagittal planes. In the lower working horizontal planes of the handles are nests-holders. These are cavities in the form of truncated prisms. Four holder slots are located in the upper handle (9). Between the nests-holders (7 ') - (7), (7') - (7) openings in the form of arches are selected. Two holder slots in the lower handle (10). An arch-shaped opening similar to the selected openings in the upper handle is selected between the holder slots (8) - (8 '). The holder holders are installed with fixing ledges, in the form of truncated prisms, interchangeable wedges, stops. Due to the design capabilities of the device equipped with different wedges, stops, it is possible to expand or approach the articular processes, the expansion of the joint spaces; repositioning of the processes of the vertebrae, joints in three planes. Given the identity of the mounting protrusions of all the wedges, stops installed in the holder holders of the device, it is possible to replace them, use different equipment to achieve a technical result. A mandatory requirement for all sets of wedges and stops is the roundness of all faces and the smoothness of all corners.

Stop A (Fig. 2, Fig. 3)

The emphasis has a die (28) with an upper and lower horizontal surface, two lateral and two end planes with rounded edges (chamfers). On the upper surface there are two mounting protrusions (29) of the shape of a truncated prism for installation in the holder slots (7) and (7) of the device (Fig. 1). Fixing tabs (29) for tight installation of interchangeable (Fig. 1, 1 (bottom view)) wedges, stops in the holder slots on the handles (9) and (10). Under the number (29) depicts the mounting protrusions of all removable wedges, stops in figures 2-14. The distance between the mounting tabs (29) (Fig. 2) corresponds to the distance between the holder slots (7) and (7) on the handle (9) of the device (Fig. 1, 1 (bottom view)). On the lower horizontal plane in the die, autonomous mechanisms are installed (Fig. 3) for self-rotating legs of the stop during pressure manipulations and their return to their original position after releasing the pressure load relative to the action planes. Rotating rods-shafts of mechanisms are fixed in the upper part of the stops A (Fig. 2) and A1 (Fig. 4).

The scheme of the rotary mechanism (Fig. 3):

21 - bearing (2 pieces);

22 - a clip with a spring (aa);

23 - lower lock washer;

24 - the protruding part of the steel shaft is fixedly mounted in the leg of the wedge;

25 - the upper lock washer;

The counter-lateral surfaces of the legs (26) of the stops A (Fig. 2) and A1 (Fig. 4) contain mini-stops (27) for dorsal pressure during operation with the device and they also serve as stops when introducing the lower parts of the wedge-shaped legs (26 ) between the transverse processes of the spine with the control of exposure in the frontal plane by the hydraulic level (11) (Fig. 1). Thus, the legs have the ability to rotate and self-return relative to the lower plane of the die (28), indicated by a dividing line at the contact points.

The device (Fig. 1) with mounted stops A or A1 is designed to increase the gaps between the transverse processes, intervertebral spaces on both sides of the spine and align the transverse processes in the frontal plane.

The mounting protrusions (29) and (29) are inserted into the holder holders (7) and (7) of the device (Fig. 1) of the handle (9), which is installed along the spine with the working part above the impact site. Wedge-shaped legs of an emphasis enter between transverse processes from two parties of a segment. Rocking the compressed handles fixed with a stud from the ends through coaxial holes (not shown) and the handle in the frontal plane along the arrows (13) and to increase the amplitudes of the angular actions along the arrows (Z, ω), the ligament-tendon component of the deformed segment is gradually relaxed, increase intervertebral space, gradually introducing the lower parts of the wedge-shaped legs of the stop A (Fig. 2) between the transverse processes to contact with mini-stops (27) located on the opposite-side surfaces of the wedge-shaped legs.

In case of joint contractures, stiffness of the spinal segments, an emphasis A1 (Fig. 4) is used, in which the wedge-shaped legs are displaced relative to the mounting protrusions (29) and (29). The rest of the design of the stop A1 is identical to the stop A. Work with the device equipped with the stop A1 is identical to the work with the stop A: the tapered legs of the stop are inserted between the transverse processes on both sides, the clamps are shaken with fixed pins from the ends through the coaxial holes in the handles and the handle devices in the frontal plane (13) and to increase the amplitudes of angular influences along the arrows (Z, ω) until the tendon-ligamentous apparatus relaxes, and the intervertebral space increases.

Thus, increasing the impact arm (L ₁ ) due to the reduction of the arm (L ₂ ), we use this asymmetry with the pressing and simultaneously swinging movement of the device with an accented effect on the problem area of the spine from the side of the scoliotic fan approach of the transverse processes. With an “S” -shaped scoliosis, reaching the contralateral approach of the transverse processes, it is necessary to die (28), or the device itself should be rotated 180 °.

Stops B, B (Fig. 5)

The stops B on the upper horizontal planes have mounting tabs (29) in the form of truncated prisms for installation in the holder slots (7) and (7) in the upper handle (9) of the device (Fig. 1) or in the holder slots (8) and (8 ') in the lower handle (10) with 90 ° rotation of the stops. It depends on the installation of the device - along or across the spine. Stops of a cubic shape with smooth edges and working contact parts extend from the upper horizontal planes in the lower horizontal planes, consisting of recesses (30) with elastic congruent coatings for the dorsal surfaces of the transverse processes and with edge edges (31) for insertion between adjacent transverse processes, which gives a steady installation of emphasis. The operation of the device (Fig. 1) with tightened handles in the direction of the arrows (Z, ω) and (13) makes it possible to apply pressure in the cranial-caudal directions at different angles with respect to the frontal plane, as well as symmetrically on both sides of the spine, relaxing the ligamentous apparatus, expand gaps between the transverse processes. Only after this, by the recesses (30) of the fixed stops B and the alignment of the axes (γ) of the working contact planes with the longitudinal axial transverse processes, we produce, with a gradual increase in pressure, reposition of the standing vertebra ventrally to a physiological position.

Given the magnitude of the diameters of the lumbar vertebrae, interchangeable stops B are provided with offset working contact planes relative to the mounting protrusions.

The combination of stops B and C installed in the device creates a pressure emphasis on the displaced dorsal transverse process and expands the ability to reposition the vertebra in a physiological position.

The height of the stops is the same and excludes contact with the spinous processes of the vertebrae. The repositioning result is controlled by a hydraulic level (11) on the upper handle of the device (9).

The device (Fig. 1) is positioned along the spine. Mounting tabs of the stops are installed in the holder slots. Contact work planes (30) with an elastic coating are mounted on the transverse processes of the vertebra. The axes (γ) of the stops are combined with the longitudinal axial transverse processes on both sides of the vertebra requiring repositioning. Using the hydraulic level determine the degree of rotation. Rocking the device with tightened handles in the direction of the arrows (Z, ω) and (13), the pressure angle and the edges (31) of the stops change with gradual strengthening, we achieve relaxation of the ligamentous muscle contractures, and we increase the gaps between the vertebrae. After that, while continuing to swing the device, we gradually increase the pressure in the ventral direction until the retrolisthesis is completely eliminated. The emphasis on pressing the dorsally displaced transverse process is carried out by pressing the handle and closed handles, fixed with a pin through the coaxial holes (15) and (17) from the end face of the handles (not shown).

When eliminating retrolisthesis, it is possible to install the device across the spine. Stops are installed in the holder slots with a 90 ° turn by the mounting protrusions (29) in the handle (10) so that the axes (γ) coincide with the longitudinal axes of the transverse processes of the retro-vertebral vertebra. Thus, a congruent fit of the contact parts of the stops to the upper surfaces on the dorsal side of the transverse processes selected for manipulation of the stops B and B, their combination B and B, and for the lumbar B and B.

With contractures, stiffness, the effect of the device is enhanced by an emphasis B for more accentuated pressure on one of the transverse processes of the dorsally deflected. The emphasis is made with an offset contact working part relative to the mounting protrusion.

After relaxing the ligaments and eliminating muscle contractures, we position the device (Fig. 1), equipped with stops selected for this deformation, across the spine. The transverse installation of the device facilitates the work of the health-improving machine - the manipulation is carried out on one side of the spine, the effectiveness of the treatment for hyperlordosis is increased, and it is possible to carry out health-improving manipulations in the position of a healthy man lying on his stomach with emphasis on the elbows, supporting the head with palms. In this position, lumbar lordosis is more effectively restored, and the fan-shaped expansion in the ventral part of the intervertebral spaces helps to eliminate retrolisthesis and rotation.

Stops B and B are made in duplicate and are interchangeable; they can be installed with a turn of 90 ° and 180 °.

Emphasis W (Fig. 6)

Emphasis W consists of two half-wedges (G) and (D) with the possibility of tight closure by internal planes. In the middle, on the lower surface of the rams of the stop Ж, an arch-like opening is made, forming two edge wedges, each consisting of two half wedges (D) and (D). The opening excludes contact with the spinous processes. The emphasis W on the upper horizontal surface has 3 mounting protrusions (29), the shape of the truncated prisms and in the closed state of the half wedges is installed in the holder holders (8 '), (7'), (7 ') of the device (Fig. 1). The half-wedge (G) is installed in the holder holder (8 ') of the handle (10) of the device with a mounting protrusion (29), and the half-wedge (D) is installed with two mounting projections (29) in the holder holders (7') and (7 ') of the handle (9) devices. The location of the mounting protrusions with closed half wedges exactly coincides with the holder slots in the device with the open handles (9) and (10). A device with an emphasis W is installed along the spine. The emphasis is introduced between the transverse processes. With the force closing of the handles, the floor wedges move apart to the required distance. The effect between the transverse processes is carried out in parallel, on both sides of the spine. On the outer flattening planes of the half wedges, mini-stops (32) are made. Mini-stops (32), superimposed on the dorsal surfaces of adjacent transverse processes on both sides of the spine, limit the pressure of the stop W with ventral pressure and align their position in the frontal plane. By compressing the handles (9) and (10), we simultaneously simultaneously expand the gaps between the transverse processes on both sides of the spine with half wedges (G) and (D), which increases the intervertebral spaces and leads to the derotation of the vertebral body and restoration of disk function.

With stiffness, contractures for manipulation, an installed spacer from the end of the device handles is used. The working contact parts of the semi-wedges, installed on both sides of the spine between the transverse processes, are moved apart in parallel and the processes are displaced in the cranial-caudal direction at the same time due to the divergence of the semi-wedges (G) and (D) by a controlled force. Stably holding the device by the handle (1) and handle (9), rotating the disk (20) of the thrust with free fingers gradually increase the intervertebral space. The increase occurs simultaneously and strictly parallel, which eliminates edge compression and sequestration of extruded intervertebral discs. This manipulation forms a negative pressure in the intervertebral space, restoring the turgor and depreciation properties of the disk, centralization of the pulpous nucleus. The impact is possible with time retention and compression-expansion for the best pumping of a squeezed intervertebral disc with biological fluid and elimination of protrusions.

Emphasis E (Fig. 7)

The upper part of the stop E is made in the form of a horizontal platform on which a mounting protrusion (29) is made in the form of a truncated prism for installation in the device holder-holder (8 ') (Fig. 1). The body of the stop E in the transverse plane is bifurcated by an arch into two wedge-shaped legs (33), (33), which are flattened down to the contact working part. The legs of the stops (33), (33) are intended for insertion from two sides of the spine between the transverse processes. In the lower part of the legs of the stops (33), (33) on the lateral planes, mini-stops (34) are provided with elastic coatings of the contact parts for vertical pressing while aligning adjacent transverse processes in the frontal plane. Mini-stops (34) are superimposed on the transverse processes in the segment of the spine, stabilize the legs (33), (33) at the moment of force pressing and are also used to relax the ligamentous apparatus. In the place where the legs (33), (33) diverge, a protrusion (35) with a hole (36) (shown by a dotted line) is made for applying a displaced dorsal spinous process onto the end face. The hole on the inside has an elastic coating to prevent injury to the end of the spinous process when pressed on it. The device (Fig. 1), with compressed handles fixed with a hairpin, with a removable stop E inserted into the holder-holder (8 '), the lower handle (10) is installed along the spine. The remaining holder slots are not used. Before the force impact, the ligamentous apparatus of the damaged intervertebral joint is necessarily relaxed by the swinging effect of the device with the legs (33), (33) along the arrows (13) and (Z, ω). After relaxation of the ligamentous apparatus, retrolisthesis is more effectively eliminated. The device with an emphasis can be rotated 180 ° or an emphasis 180 ° in the device for more accurately combining axial pressure with the axial spinous process to increase the possibility of manipulation.

Focusing on the end part of the spinous process, displacing the retrolistrous vertebra ventrally to the physiological position.

Emphasis And (Fig. 8)

The emphasis And consists of two half-wedges (P) and (P), closed by internal planes and in this position is installed. The half-wedge (P) is installed in the holder-holder of the lower handle (8 '), the half-wedge (P) is installed in the holder-holders of the upper handle (7'), (7 ') with fixing tabs (29) located on the upper horizontal planes of the half-wedges (П) ) and (P). In this case, the handles (9) and (10) are apart. For mounting density, the protrusions-holders (29) have the shape of a truncated prism. Additional fasteners, if necessary, use studs passing through the holder slots and mounting tabs (not shown). On the lateral planes of the legs of the semi-wedges (P) and (P) in the places of the external contact thinning, the holes (37), (37) are made in the form of an ellipse cut along a deviated longitudinal axis passing through the center with a deviation of about 20 °. Wells are contralaterally displaced relative to each other. This is necessary for combining the deeper edge parts of the holes (37) and (37) with adjacent spinous processes rotated in different directions, which ensures congruence of fit during angular impact on them (Fig. 9).

The device is placed along the spine. Half-wedges are inserted in the closed position by the holes at the necessary angle relative to the longitudinal axis of the spine between the rotated spinous processes. By turning the device, the spinous processes in the sagittal plane are leveled due to the simultaneous smooth extension of the semi-wedges (P) and (P) by squeezing the handles. This ensures a stable repositioning of the segment. Introducing the closed working parts of the semi-wedges into the joint spaces and closing the handles eliminate their compression. Half wedges (P) and (P) are used to restore intercostal, interarticular spaces and between the transverse, spinous processes of the vertebrae. With the semi-wedges (P) and (P), it is possible to deploy the displaced sacrum. To do this, set the half-wedges (P) and (P) along the rudiments of the spinous processes of the sacrum from two sides, reach a tight and fixed fit to the lateral surfaces of the rudiments of the spinous processes of the sacrum and firmly pressing the device in the frontal plane, unfolding the sacrum relative to the sagittal plane. With semi-wedges, you can deploy an offset coccyx in a physiological position.

Emphasis And is used on the necessary side of the spine to restore intercostal spaces on the concave side of the spine, to affect the articular joints of large, medium, small joints, to affect the spinous and transverse processes, to affect the sacrum and tailbone.

Wedges M, L (Fig. 10, Fig. 11)

The wedges M are three identical wedge-stops, (Fig. 10), installed by mounting tabs (29) in the holder slots (8), (7), (7) of the device (Fig. 1), for pushing oncoming movement. Fixing protrusions (29) in the form of truncated prisms are located on their upper horizontal planes. Onto-plane wedges passing from the horizontal planes passing into the edge edges. The wedges have a concavity of the inner contact part for acting on the lateral surfaces of the spinous processes, and the opposite side is convex. The contact edge edges of the wedge are formed by merging the concave and convex surfaces. The concave surface is covered with elastic material to prevent tissue trauma. The height of the wedges excludes contact with the ends of the spinous processes.

The wedges-stops L (Fig. 11) are identical in shape to the wedges M, but their working contact-fitting part is two times wider. The mounting protrusions (29) on horizontal planes for installation in the edge holder slots (7) and (7) on the upper handle (9) are the same as on the M. wedges

Install the device across the spine. The median wedge M is installed in the nest-holder of the lower handle (8) to the lateral surface of the spinous process of the rotated vertebra. Marginal wedges M and M are installed in the nests-holders of the upper handle (7) and (7) counter-laterally to the lateral surfaces of the spinous processes of adjacent vertebrae relative to the rotated. By stabilizing the device with the handle (1), over the area of the spine requiring correction, smoothly repeatedly squeezing the handles (10) and (9) of the device (Fig. 1), we reposition. In this case, the median wedge M in the holder-holder (8) is shifted to the axis (β) of the device. Two edge wedges (M) and (M) in the holder slots (7) and (7) do not move, being in a stable position. Thus, by pressing on the lateral surface of the rotated spinous process, its derotation is carried out.

In case of contractures, stiffness in the segments of the spine, joints, to increase the impact on the lateral surface of the spinous process of the rotated vertebra, edge wedges-supports L and L are installed in the holder holders of the upper handle (7) and (7), which provide a more stable position during manipulation and reduce traumatization, distributing the forces of action on the spinous processes from the contralateral side of the derotation.

Thus, acting on the lateral surfaces of the spinous processes of the vertebrae, the displaced spinous processes deerotate and at the same time destabilization of adjacent vertebrae that do not need correction is excluded.

Wedges N (Fig. 12), P (Fig. 13), P (Fig. 14)

Wedges N, P, P with mounting protrusions (29), in the form of truncated prisms located on the upper horizontal planes, are inserted into the holder-holder of the lower handle (8), in the holder-holders of the upper handle (7), (7) of the device (Fig. 1) for their oncoming rapprochement. From the middle of the body of the wedge H, two wedge legs (38), (39) extend in opposite directions at an angle of 90 °, ending in two working edges (40) at an angle of 45 ° relative to the lower horizontal plane. Two legs extend from the middle of the body of the wedge H at an angle of 90 ° relative to each other in opposite directions. On the back of the flat working planes, the wedges (38), (39) gradually thin out to the working edges (40).

The edge wedges P and P are mirrored, from the middle of the bodies the wedges are bent at an angle of 45 ° in opposite directions. On the back side of even working planes, the edge (41) and (42) wedges gradually thin out towards the working edges (43). The working edges (43), as in the case of the wedge H, relative to the lower horizontal plane, diverge in opposite directions at 45 ° angles for congruent impact on the lateral surfaces of the spinous processes when the device deviates left or right at these angles. The gate of the lateral planes of the wedge N and the wings of the inner lateral planes P and P when installed in the device (Fig. 1) are parallel and when the handles are compressed, they approach each other, but the wedges do not completely close.

The middle wedge H is installed in the holder-holder (8) of the lower handle (10) of the device. Edge wedges P, P are installed in the holder slots (7) and (7) of the upper handle (9) of the device.

Set the wedges with internal, parallel working planes towards each other in the device (Fig. 1). Palpation determines the contralateral deviations of the spinous processes of adjacent vertebrae relative to the sagittal plane. The device is installed across the spine. Deviate the device at an angle of 45 ° relative to the sagittal plane so that the working edge (40) of the wedge legs (38) of the wedge H and the working edge (43) of the edge wedge - stop P are in the same plane. In this position, the working surfaces of the wedges are set to the lateral surfaces of the two spinous processes of the counter-laterally rotated and gradually, repeatedly holding the handles (9) and (10) hold in time and hold the wedge (38) leg of the wedge (H) and the edge P. wedge. Thus, we partially derotate two adjacent vertebrae, moving them to the sagittal plane. Then the device is deflected by 90 ° degrees, and the wedge leg (39) of the wedge N and the edge wedge (42) of the wedge P are shifted towards each other until complete derotation. Manipulations are carried out on one side of the spine. It saves time and energy of the healer.

Thus, the impact on the lateral planes of the spinous processes eliminates the contralateral rotational displacement of the vertebrae with the restoration of the physiological properties of the intervertebral disc and the pulpous nucleus.

All manipulations on the spine, on the joints are carried out using soft pads (for example, a thick towel in 1, 2 or more layers) between the skin and wedges, stops.

The compactness and lightness of the device (for example, caprolon, textolite, etc.) with a set of removable wedges, stops provides for the use of the method and device during extreme sports competitions, during expeditions, in emergency situations, in military field conditions.

The methods are as follows:

A method of healing the spine, joints having a multi-plane deformation is carried out by the proposed device for healing the spine, joints having a multi-plane deformation. Moreover, at first the action is carried out by a device having a removable emphasis A for relaxing the ligament-tendon apparatus, increasing the gaps between the transverse processes, and aligning them in the frontal plane. Then they act with a device having removable wedges M to eliminate rotation of the vertebral bodies by affecting the spinous processes. For this, the median wedge M on the lower handle is installed to the lateral surface of the spinous process of the rotated vertebra. Two wedges inserted into the marginal nests-holders of the upper handle lead contralaterally to the lateral surfaces of the spinous processes of adjacent vertebrae relative to the rotated. Gently squeeze the handles repeatedly. After that, use a device containing a removable emphasis E to eliminate retrolisthesis. For this, a device with a removable stop in the holder-holder of the lower handle is installed along the spine. The legs of the stops are introduced on both sides of the spine between the transverse processes and pressure is applied by the protrusion of the stop on the end face of the displaced process. Next, the effect is carried out by a device with a removable focus And to displace the spinous processes and align them in the sagittal plane. To do this, the emphasis with closed half wedges is installed in the holder slots with the handles apart. The device is placed along the spine. Introduce emphasis between the rotated spinous processes. By turning the device, the spinous processes in the sagittal plane are aligned with the smooth extension of the half wedges due to the compression of the handles. The remaining rotation is eliminated using a device with a removable stop W for derotation by acting on the transverse processes. To do this, the emphasis in the closed state of the half wedges is introduced into the nests-holders of the handles. A half-wedge with one mounting protrusion is inserted into the holder-holder of the lower handle, a half-wedge with two mounting protrusions is installed in the holder-holders of the upper handle. The device is placed along the spine. The closed half wedges of an emphasis enter between transverse processes from two parties of a backbone. The remaining rotation is eliminated by squeezing the handles.

The method is carried out only using the proposed device. A device for healing the spine, joints having a multi-plane deformation, includes stops, wedges for handles that move toward each other with a spring installed between them, a movable connection of the handles in the working part of the device with holders for wedges, stops due to a bolt inserted into coaxial holes handles, the handle movable in the plane of handles. A removable spacer is inserted between the handles, consisting of screw rods with right and left threads that enter into cylindrical nuts installed from the ends in the cavity of the handles and fixed through coaxial holes in the handles with pins that prevent their rotation. In the middle of the junction of the threaded rods, a disk with a notch along the edge is fixedly fixed for rapprochement and separation of the handles during rotation of the wheel. On the upper handle, hydraulic levels are integrated informing the position of the working part of the device relative to the sagittal and frontal planes, the base of the handle with anatomically convenient contours of the palm surface of the brush is inserted into the groove of the end of the working part of the upper handle, with the possibility of moving from horizontal to vertical position, followed by fixing with a hairpin in the upper handle. In the lower working parts of the handles, holders are made in the form of cavities in the form of truncated prisms, and four holders are on the upper handle and two on the bottom. Sockets-holders on the handles are made mirror-sized in size and shape of all identical mounting protrusions of interchangeable wedges and stops for their stable fixation. The mounting sockets in the handles are made and provided for inserting interchangeable wedges, stops in them to eliminate the existing multi-plane deformation. To relax the ligament-tendon component of the deformation, to increase the gaps between the transverse processes, to align them in the frontal plane, an abutment A is used, having upper and lower horizontal surfaces on a die, two lateral and two end surfaces with rounded edges. On the upper surface of the die there are two mounting protrusions in the form of a truncated prism for installation in the holder holders of the upper handle. The distance between the mounting tabs corresponds to the distance between the holder slots on the upper handle. Autonomous mechanisms for turning and returning to the former position of the wedge-shaped legs are inserted and strengthened in the lower horizontal plane of the die and two wedge-shaped legs. The lateral surfaces of the wedge-shaped legs contain mini-stops for pressing on the transverse processes and pressure restrictions.

To eliminate rotational deformations of the spinous processes, the working part of the handles is equipped with replaceable three wedges M, of identical size and shape, which have fastening protrusions on the upper horizontal platforms in the form of truncated prisms for installation in the socket-holders of the handles. In this case, two wedges M are installed in the holder holders (7) and (7) of the upper handle, and one wedge M is installed in the holder holder (8) of the lower handle. When compressing the handles, the wedges are shifted towards each other. From horizontal platforms with mounting protrusions, wedge planes extend downward against the plane of the wedges, forming a contact edge edge of the wedge due to the merger of the concave and convex surfaces.

The working part of the lower handle is equipped with a removable stop E to eliminate the retroliste component of deformation. Its upper part is made in the form of a horizontal platform with a mounting protrusion for installation in the holder-holder of the lower handle. The body of the stop in the transverse plane is bifurcated by an arch into two legs with thinning them down. On the lateral planes of the legs, mini-stops are made. In the place of the divergence of the legs, a protrusion with a hole is made from below for congruent placement of the end face of the displaced dorsal spinous process. The hole has an elastic coating.

To eliminate the displacement of the spinous processes and their alignment in the sagittal plane, the working part of the handles is equipped with a removable stop I, consisting of two half-wedges with the ability to close internal planes when installed in a device with open handles. When the handles are compressed, the semi-wedges move apart. On the upper horizontal plane of one half-wedge, two fastening protrusions are made for installation in the upper holder handle slots (7 ') and (7') and one fastening protrusion on the other half-wedge for installation in the lower handle holder (8 '). The mounting tabs are in the form of a truncated prism. The distance between the mounting tabs is equal to the distance between the holder slots on the handles in the open state. On the lateral planes of the semi-wedges in the places of external thinning, the holes are made in the form of a semi-ellipse with an offset relative to each other.

The working part of the handles is equipped with a removable focus G to eliminate the remaining rotation of the vertebrae by affecting the transverse processes. The emphasis consists of two semi-wedges with the ability to close with internal planes at the time of installation in the device holder sockets and move apart when the arms are compressed, increasing the intervertebral space in parallel. In the middle of the bottom surface of the dies, an arch-like opening is made, forming two edge wedges consisting of semi-wedges. On the upper horizontal surface of the dies, mounting protrusions are made in the form of truncated prisms for installation in the handle holder slots. Moreover, one half-wedge is equipped with two mounting protrusions at a distance corresponding to the distance between the holder slots installed in the holder holders of the upper handle. The second half-wedge is equipped with one mounting protrusion installed in the socket-holder of the lower handle. On the outer planes of the semi-wedges thinning downwards, mini-stops are made to limit the input of the semi-wedge legs between the transverse processes.

A method of healing the spine, joints having multi-plane deformation with contractures, joint stiffness (option) is carried out by the proposed device. To relax the ligamentous tendon apparatus, to increase the gaps between the transverse processes, to level them in the frontal plane, the effect is first carried out by a device with a removable stop A1, in which the wedge-shaped legs are offset relative to the mounting protrusions. For this, the wedge-shaped legs of the stop are inserted between the transverse processes on both sides of the spine, swing for the compressed handles and the device handle in the frontal plane. Then, to eliminate the rotation of the vertebral bodies by acting on the spinous processes, use the median wedge M and the regional wedges L. At the same time, to increase the impact on the lateral surface of the spinous process of the rotated vertebra, edge wedges are installed in the socket holders of the upper handle, which distributes the shear forces to the processes from the contralateral side derotiruemym. To eliminate retrolisthesis and dorsal standing of the spinous process, the stops B and B are used. The stops are installed in the holder holders of the upper handle of the device so that the working parts are located on both sides of the vertebra on the dorsal surfaces of the transverse processes and the marginal edges between adjacent transverse processes. Repositioning is carried out by recesses of the stops when combining the axes of the working planes with the longitudinal axial transverse processes when pressing in the cranial-caudal directions at different angles relative to the frontal plane. The displacement of the spinous processes and their alignment in the sagittal plane is carried out by three wedges P, N, P. The middle wedge with two legs is installed in the socket holder of the lower handle of the device, two edge wedges are installed in the socket holders of the upper handle. The device is installed across the spine. The working surfaces of the wedges are set to the lateral surfaces of the two spinous processes of the counter-laterally rotated, compress the handles to shift towards the wedges.

The method is feasible only using the proposed device.

The device includes stops, wedges located on sliding handles with a spring installed between them, a movable connection of the handles in the working part of the device with wedge holders, stops due to a bolt inserted into the coaxial holes of the handles, a handle movable in the plane of the handles. To eliminate deformation during contractures and joint stiffness between the device handles, a removable spacer is inserted, consisting of screw rods with right and left threads, included in cylindrical nuts installed from the ends in the cavity of the handles and fixed through coaxial holes in the handles with pins that prevent their rotation. In the middle of the joint of the threaded rods, a disk with a notch along the edge is fixedly fixed for rapprochement and separation of the handles during rotation of the disk. On the upper handle, hydraulic levels are integrated, informing the position of the working part of the device relative to the sagittal and frontal planes. In the groove of the end face of the working part of the upper handle, the base of the handle is inserted with anatomically convenient contours of the palm surface of the brush with the ability to move from horizontal to vertical position, followed by fixing with a hairpin in the upper handle. In the lower working parts of the handles, holders are made in the form of cavities in the form of truncated prisms. And four sockets are on the upper handle and two on the bottom. Sockets-holders on the handles are made mirrored in size and shape of all identical mounting protrusions of removable stops, wedges for their stable fixation. Handle sockets are designed for installing interchangeable stops, wedges for sequential elimination of deformation. Moreover, to align the transverse processes in the frontal plane, relax the ligament-tendon component, increase the gaps between the transverse processes during contractures, and stiffen joints, an emphasis A1 is used, which has upper and lower horizontal surfaces on the die, two lateral and two end planes with rounded edges. On the upper surface of the die, two protrusions are made in the form of a truncated prism for installation in the holder slots (7) and (7) of the upper handle (Fig. 1 (bottom view)). The wedge-shaped legs on the lower surface are offset from a vertical line passing through the center separating the mounting tabs on the upper surface of the die. The counter-lateral surfaces of the wedge-shaped legs contain mini-stops for pressing on the transverse processes and pressure restrictions. On the lower horizontal surface in the die and wedge-shaped legs installed autonomous mechanisms of rotation of the wedge-shaped legs. To eliminate rotation of the vertebral bodies by affecting the spinous processes during contractures, joint stiffness, the working part of the upper handle is equipped with two mirrors L, the working part of the lower handle is equipped with a wedge M. Each wedge has a mounting protrusion in the form of a truncated prism on a horizontal platform for installation in nests -handle holders. The convex and concave planes of the wedge closing at the bottom form the contact edge edge of the wedge. The working part of the edge wedges A is two times wider than the base of the protrusion. To eliminate retrolisthesis and dorsal standing of the spinous process, the working part of the handles is equipped with interchangeable stops B and B. The stop B has an upper horizontal plane with a mounting protrusion in the form of a truncated prism for installation in the holder holders of the upper handle. From the upper horizontal plane, a stop of a cubic form with rounded faces and a working contact part from below, which is congruent to the dorsal surface of the transverse processes and has edge edges, goes down. At the wedge B, the working contact part is displaced relative to the mounting protrusion for influencing the vertebral bodies of different diameters. To displace the spinous processes and align them in the sagittal plane under contractures, stiffness of joints, the working part of the device is equipped with three wedges P, N, P. From the middle of the body of the median wedge N, installed in the holder-holder of the lower handle, they move in opposite directions at an angle of 90 ° two wedge legs ending with two working edges at an angle of 45 ° relative to the lower horizontal plane. From the middle of the body on the back of the flat working planes, the legs of the wedge gradually thin out to the working edges. Two other wedges P, P installed in the edge holders-holders of the upper handle are mirror-shaped and bent at an angle of 45 ° in opposite directions from the middle of the bodies. On the back side of the relatively even working planes, the wedges flatten towards the working edge. This installation of wedges in the holder slots allows you to act on the lateral parts of the spinous processes, shifting them to the axis (β) of the device (Fig. 1).

Implementation Example:

B-th S., 25 years old, said during a conversation: She noticed the progression of scoliotic deformity of the thoracolumbar localization with the appearance of a posterior bend in the thoracic region. I went to many doctors, starting with a children's clinic and ending with various rehabilitation centers. Everyone said that it’s too late and nothing can be done conservatively, the operation is indicated. There was a problem walking with a straight back, pulled forward, hunched strongly, pain in the back bothered, and most importantly, the existing physical defect suppressed morally.

Clinical and radiological examination revealed S-shaped scoliosis of the 2nd degree with kyphosis in the thoracic region, i.e. multi-plane deformation caused by scoliosis (displacement of the vertebrae in the frontal, sagittal, horizontal planes), exacerbated by kyphotic retrolisthesis. Thus, it was found that the patient has a simultaneously multi-plane deformity of the spine, which is not yet accompanied by contracture, stiffness of the ligament-tendon apparatus throughout the curvature. There is a decrease in the gaps between the transverse processes, their displacements in the frontal plane, rotation of the vertebral bodies with a deviation of the spinous processes, retrolisthesis of the apical vertebra of kyphosis, shift of the spinous processes in the sagittal plane.

Attempts to carry out the correction of the position of the displaced elements of the spine with manual methods did not produce any effects.

In the future, they carried out rehabilitation according to the proposed method using a device with interchangeable wedges, stops.

At the beginning, the impact was carried out on the deformed part of the spine with a device having a removable emphasis A for relaxing the ligament-tendon apparatus, increasing the gaps between the transverse processes, aligning them in the frontal plane, and then acting on the device having removable wedges M to eliminate rotation of the vertebral bodies by acting on the spinous processes. Then used a device containing a removable emphasis E to eliminate retrolisthesis. Then the exposure was carried out by a device with a removable focus And to displace the spinous processes and align them in the sagittal plane. The remaining rotational defrma- tions were eliminated using a device with a replaceable emphasis W for derotation by acting on the transverse processes of the deformed spinal section.

Subsequently, after correction of the position of the vertebrae, stabilization was carried out using orthoses.

Improvement was carried out 2-3 times a year for 3-4 procedures per course. At the same time, leg length correction, health gymnastics, elimination of axial loads, lifting weights were carried out, all flexion movements in the chest region, all twisting movements were forbidden, she was engaged in swimming.

Results of treatment: discomfort decreased, the center of gravity in the lumbar region shifted, the muscle shaft on the left and the bone hump on the right decreased, the shoulder blade was outlined, which had previously gone much inward, it became possible to keep the back straight without much tension, the shoulders leveled, the curvature arch in the lumbar region disappeared and the secondary thoracic deformity.

Example 2. B-th A, 58 years old, had a simultaneous multi-plane deformity of the thoracolumbar region with pronounced kyphosis in the thoracic region, contractures, stiffness in the joints of the deformed spine zone. The design features of the device with removable stops, wedges that are designed to improve the spine without contractures and stiffness did not give an effect, therefore, rehabilitation was carried out with a device designed to eliminate deformation, contractures and stiffness as follows.

The relaxation of the ligament-tendon apparatus, the increase in the gaps between the transverse processes, and their alignment in the frontal plane were initially carried out with a removable focus A1. Then, to eliminate rotation of the vertebral bodies, they affected the spinous processes by L. wedges. To eliminate retrolisthesis and dorsal standing of the spinous process, emphasis B and C were used. The shift of the spinous processes and their alignment in the sagittal plane were carried out by three wedges N, P, P.

Given the presence of contractures of the ligament-tendon apparatus of the deformed spinal zone, courses were carried out 4–5 with a repetition of 3-4 times a year.

It should be noted that in the literature (level of knowledge) the following is reported: “The group of gross rigid chest and thoracolumbar scoliosis includes scoliotic deformations of 75 ° -90 °. With such deformations, the derotating maneuver is either ineffective or practically impossible due to gross torsion changes at the top of the primary curvature arc. ”

Our practice has shown that the proposed method and device allows the elimination of deformation and derotation at 75 ° -90 ° with the elimination of secondary neurological syndromes.

Claims (12)

1. A device for the recovery of the spine and joints with multi-plane deformation, including working elements located on sliding handles with a spring installed between them and movably connected in the working part due to a bolt inserted into the coaxial holes of the handles, a handle movable in the plane of the handles, characterized the fact that between the handles a removable spacer is inserted, consisting of threaded rods with right and left threads, included in the cylindrical nuts installed from the ends in the cavity of the handles and fix inserted through coaxial holes in the handles with pins that prevent their rotation, in the middle of the joint of the threaded rods, a disk with a notch along the edge is fixedly fixed for rapprochement and extension of the handles during its rotation, a groove is made on the upper handle and levels are integrated that inform about the position of the working part of the device relative to the sagittal and frontal planes, a handle base with anatomically convenient contours of the palm surface of the brush with the ability to move from horizontal to vertical position, followed by fixing with a pin in the upper handle, holders in the form of cavities with the shape of truncated prisms are made in the lower working parts of the handles, with four holder slots on the upper handle and two on the lower handle, while the holder slots on the handles are made mirror in size and shape of all identical mounting protrusions of interchangeable wedges or stops for their stable fixation. 2. The device according to p. 1, characterized in that for relaxing the ligament-tendon component of the deformation, increasing the spaces between the transverse processes, aligning them in the frontal plane, the working part of the handles is equipped with a removable stop A having two upper and lower horizontal surfaces on the ram and two end surfaces with rounded edges, on the upper surface of the die there are two mounting protrusions in the form of a truncated prism for installation in the holder slots of the upper handle, the distance between the mounting heights up corresponds to the distance between the holder slots on the upper handle, autonomous mechanisms for turning and self-returning to the previous position of the wedge-shaped legs are inserted and strengthened in the lower horizontal plane of the die and two wedge-shaped legs, the side surfaces of the legs contain mini-stops for pressing on the transverse processes and pressure restrictions . 3. The device according to p. 1, characterized in that to eliminate rotational deformations of the spinous processes, the working part of the handles is equipped with replaceable three wedges M, of identical size and shape, which have mounting tabs on the upper horizontal platforms in the form of truncated prisms for installation in holder slots handles, while the middle wedge is installed in the nest-holder of the lower handle, and the other two wedges are installed in the extreme nests of the upper handle, from horizontal platforms with mounting protrusions extend down counter to the plane of the wedges, Zuya contact the edge of the wedge edge by merging the concave and convex surfaces. 4. The device according to p. 1, characterized in that for eliminating the retroliste component of deformation, the working part of the handle is equipped with a removable stop E, its upper part is made in the form of a horizontal platform with a mounting protrusion for installation in the socket holder of the lower handle, the body of the stop is in the transverse plane it is bifurcated by an arch into two legs with thinning them downward, mini-stops are made on the lateral planes of the legs, a protrusion with a hole is made at the point of divergence of legs for congruent placement of the end face of the displaced spinous process, the hole has elastic coating. 5. The device according to claim 1, characterized in that for eliminating the displacement of the spinous processes and aligning them in the sagittal plane, the working part is equipped with a removable stop I, consisting of two half wedges with the ability to close with internal planes when installed with open handles, on the upper horizontal plane of one half-wedge made two protrusions-holders for installation in the socket holders of the upper handle and one mounting protrusion on the other half-wedge for installation in the lower handle, the mounting protrusions are in the form of a truncated prism, the distance between the mounting protrusions is equal to the distance between the holder slots on the handles in the open state, the holes are made in the shape of an ellipse with offset relative to each other on the lateral planes of the semi-wedges in the places of external thinning. 6. The device according to p. 1, characterized in that to eliminate the remaining rotation of the vertebrae by affecting the transverse processes, the working part of the handles is equipped with a removable stop Zh, consisting of two half-wedges with the ability to close with internal planes at the time of installation in the holder holders of the device and move apart squeezing the handles, increasing the intervertebral space in parallel, in the middle of the lower surface of the dies, an arch-like opening is made, forming two edge wedges, on the upper horizontal surface of the dies are made monthly protrusions in the form of truncated prisms for installation in the handle holder slots, wherein one half-wedge is provided with two mounting projections at a distance corresponding to the distance between the holder-sockets installed in the holder-holders of the upper handle, the second half-wedge is provided with one mounting protrusion installed in the holder-holder of the lower handle, on the outer planes of the semi-wedges thinning downward, mini-stops are made to limit the introduction of the semi-wedge legs between the transverse processes. 7. The device according to claim 1, characterized in that for aligning the transverse processes in the frontal plane, relaxing the ligament-tendon component, increasing the gaps between the transverse processes in contractures, and stiffness of the joints, the working part of the handles is equipped with a stop A1 having upper and lower horizontal surfaces on die, two lateral and two end planes with rounded edges, on the upper surface of the die are two protrusions in the form of a truncated prism for installation in the holder holders of the upper handle , the wedge-shaped legs of the lower surface are offset from the vertical line passing through the center separating the mounting protrusions on the upper surface of the plate, the counter-lateral surfaces of the wedge-shaped legs contain mini-stops for pressing on the transverse processes and pressure limitations, on the lower horizontal surface in the plate and wedge-shaped legs Autonomous mechanisms for turning the wedge-shaped legs are installed. 8. The device according to claim 1, characterized in that to eliminate rotation of the vertebral bodies by affecting the spinous processes during contractures, joint stiffness, the working part of the lower handle is equipped with a wedge M, the working part of the upper handle is equipped with mirror-shaped two wedges A, each of which has on a horizontal platform, a mounting protrusion in the form of a truncated prism for installation in the edge holders-holders of the upper handle, the convex and concave planes of the wedge, closing below form the edge of the wedge, and the working contact part of the wedge A is two times wider than the base of the mounting protrusion. 9. The device according to claim 1, characterized in that to eliminate retrolisthesis and dorsal standing of the spinous process during contractures, joint stiffness, the working part of the handles is equipped with interchangeable stops B and B, the stop B has an upper horizontal plane with a protruding protrusion-holder in the form of a truncated prism for installation in the nests-holders of the upper handle, the emphasis of a cubic shape with rounded edges and a working contact part from below, which is made congruently dorsal, moves down from the upper horizontal plane ited transverse processes and has a boundary edge for the displacement of the spinous processes and their alignment in the sagittal plane. 10. The device according to p. 1, characterized in that for the displacement of the spinous processes and their alignment in the sagittal plane with contractures, joint stiffness, the working part of the device is equipped with three wedges P, N, P, from the middle of the body of the median wedge N, installed in the nest holder of the lower handle, two wedge legs extend to opposite sides at an angle of 90 °, ending with two working edges at an angle of 45 ° relative to the lower horizontal plane, from the middle of the wedge body at the level of the base of the protrusion from the back relatively flat working planes, the wedge legs gradually thin out to working edges, the other two wedges П, Р installed in the edge holders-holders of the upper handle are mirrored and bent from the middle of the bodies at an angle of 45 ° in opposite directions, from the back side of relatively flat working planes the wedges in the direction of the working edge are thinned. 11. A method of healing the spine, joints having a multi-plane deformation, including using a device for healing the spine, joints, characterized in that the effect is carried out by the device according to claim 1 using replaceable elements of this device according to paragraphs. 2-5 or 7-10, and at first the device is installed along the spine and the ligament-tendon apparatus is relaxed, the gaps between the transverse processes are increased and they are aligned in the frontal plane by introducing wedge-shaped legs of the device interchangeable stop A between the transverse processes on both sides and swinging the compressed device handles and handles in the frontal plane, or by using a removable stop A1 of the aforementioned device, for which the wedge-shaped legs of the stop A1 are inserted between the transverse outgrowths weaving on two sides of the spine, swinging for compressed handles and the handle of the device in the frontal plane; Then, the rotation of the vertebral bodies is eliminated by acting on the spinous processes using removable wedges M in the device, while the median wedge M on the lower handle of the device is installed to the lateral surface of the spinous process of the rotated vertebra, two wedges inserted into the edge holders-holders of the upper handle are brought contralateral to the lateral surfaces of the spinous processes of adjacent vertebrae relative to the rotated, the handles gently repeatedly squeeze; or rotation of the vertebrae is eliminated by exposure to the spinous processes with a device using the median wedge M and edge wedges L, for which they increase the impact on the lateral surface of the spinous process of the rotated vertebra and distribute the shear forces on the processes from the side of the contralateral derotted vertebra by installing edge wedges L in the nests - holders of the top handle of the device; after which retrolisthesis is eliminated using a removable stop E in the device, for which a device with a removable stop E in the socket-holder of the lower handle is installed along the spine, the legs of the stops are inserted from both sides of the spine between the transverse processes, the protrusion of the stop E is pressed against the end face of the offset process, or in the aforementioned device use interchangeable stops B and B, which are installed in the holder slots of the upper handle of the device so that the working parts of each stop are located on both sides ozvonka the dorsal surface of the transverse processes and the boundary edges between adjacent transverse processes, wherein the repositioning is performed recessed abutments and B when combined axes working planes with the longitudinal axial transverse appendages when implementing pushes in the cranial-caudal direction at different angles relative to the frontal plane; Next, the spinous processes are displaced and aligned in the sagittal plane, for which the device uses a removable stop And, which with closed half wedges are installed in the holder slots with the handles apart, the device is placed along the spine, the stop is inserted And between the rotated spinous processes, the device is aligned by turning spinous processes in the sagittal plane with the simultaneous extension of the semi-wedges due to compression of the handles; or three wedges P, N, P are used in the device, while the middle wedge with two legs is installed in the holder-holder of the lower handle of the device, two edge wedges are installed in the holder-holders of the upper handle, the device is installed across the spine, the working surfaces of the wedges are installed to the side the surfaces of the two spinous processes counter-laterally rotated, grips the handles to shift towards the wedges. 12. The method according to p. 11, characterized in that in the case of the remaining rotation of the vertebrae, it is eliminated using the replaceable stop W described in point 6 in the device by acting on the transverse processes, for which the stop W in the closed state of the half wedges is inserted into the nests -handle holders, while a half-wedge with one mounting protrusion is inserted into the holder-holder of the lower handle, a half-wedge with two mounting protrusions is installed in the holder-holders of the upper handle, the device is placed along the spine, closed half-wedges of the stop W are inserted between chnymi processes on both sides of the spine, the rest of the rotation eliminates compression handles.

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