SU1148611A1 - Method of treatment of osteochondrosis of lumbar part of the spine - Google Patents

Description

This invention relates to the field of medicine, namely neural surgery, traumatology and orthopedics.

There is a known method of treating osteochenosis in the lumbar spine during the first puncture of an intervertebral disc under x-ray control 1.

However, this method requires treatment for up to one year.

The aim of the invention is to reduce the duration of treatment.

This aim is achieved in that according to a method of treating degenerative disc disease lumbar spine intervertebral disc ggutem puncture under reptgenovs KIM control vrapatelnym movement of the hollow rod having a longitudinal slot forming a cutting edge to a rod iJOJioio dugoobraznyii.mi gyastinkami having cutting kro.mki, The discs of the disc and the disc tissue (JJOIJMH are moved away from the spinal cord and its formation of a through canal); for my. rappeal pulpo.

FIG. 1 shows an apparatus for carrying out the method b: and FIG. 2 s.hema implementation of the method.

The method is implemented. N) t as follows) 0) az.

In x-ray kgyuengs. Ch {) | () is laid on its side. By means of control and x-ray access, a hollow rod 1 with a groove, forming a cut; roi ki, is fed through a cloth to 10GP () (disk 2 with 10 C) e3ii: v; pa) above the Koppa, inserted 1st n hollow -zhezhen ;, 1 so that its working end B: -. j4: TV -i, nz it. Then, using gpchkp 4 rotates; 1 nymi moi mi)) t in the right direction, away from cn.n; igo the brain and its formations, ch tk.pn gp (ka 2 until it is. Jsg-; lk through, resulting in about |) that 5. Ante of this map.; 1pen (; and Tschipipip hollow rod 1 and insert-p m, p.chren-guide 7. Then are replaced and replaced by its other one-pplgm rod 8 with arcuate plastids with rezhchtstsi edges, which is along the man-dead shaft and the water heater 7 is inserted into the formed 1.1 Kan, - | o to the end, after CH1H) Mand. Ren- | the conductor is removed, and the core 8 is rotated by the handle 4 with a rotary motion. (m (withdrawn from the canal; | a 5, formed in the cavity of the disk 2 by the stem J.) In this case, the arcuate plates 9 of the alternate stem 8 cut into cartilaginous. |) asparacula cartilaginous pallet of fixation apparatus () at intervertebral disk 2 and expanding channel 5 for the migration of the pulpal bone-1 core K). Periodically, the rod 8 is cleaned ..andren 6. At the end of the procedure, through ste).

8 to the pass-through channel 5 formed in the intervertebral (.) Of the vominal disk 2, a radiopaque BeHiecTBo is inserted to control the migration of the h1n1a1oznog 10 core from the intervertebral

disc 2, after which rod 8 is removed. 11y, a single draw 10 comes out on its own according to the principle of least resistance. Thus, the disease is transferred to the last, Uperiod - the period of formation of ankylosis in the intervertebral segment, mine duration) The stages of pain syndromes characteristic of earlier periods of weathering, which in this case is interrupted. When:; the pathophysiological process is lost, and the pulpal nucleus is only accelerated: - yes, it resolves naturally with the help of the tissue; m

Example /. B (;, 1 Sh, 49 l., History of Illness, N1 3748, was treated on a p. P (;; lumbo-sacral osteochondrosis with crown m syndrome L - L5; On admission - complaints of intense pain (on a sacred sacrum spinal column, radiating to the left thigh and shin to the th, kmm, joint, numbness of the first lifuiijia of the left foot.

Kevrologicheski: Conscious, Oriented .kan. (;; well-maintained reflexes from the hands are alive;), S, knee-foot and Achilles D S, G |. ncpBoio toe of the left foot, Youlia ./ixeiiHb. symptom of nat same. Lasega.

Mr-cTiso:} area of lumbar lordosis, M; J; K-5;: e1gost on palpation of the paraverte a .ibiio c.ieBa in the region of L., - L5-C1 vertebrae.

f - :) 1 - .. asi () method using device b, l ,; chrovedgpa fenestracii and deco.impress1 mszvonvonok (second disc L; L5 on the left. 1 () h, hrn)} 1st thiopental anesthesia, iircTviiaH 12 vM from the line of the spinous processes IvieBo, intervertebral puncture iH produced i-i; lnska JL-JI ,. with a hollow rod) i i. Its location is otregirovano ..-, 4 ngenologicheskogo control. In the rod (P: mandrel-conductor is introduced, rod, -. Cha., And another stripper 8 is introduced along mandrel-conductor to crush interstitially Hi.KfHioro.tisk. Destruction of the disk along the cKBOsHoro-drip formed in it by erasing. 8, .r) set up within 5 min. For i) ii-Lo.EYa.ia with the sequestering of intervertebral dmsk and SG (cores, a co-rist mixture of mayodil and tantalum, lia ko1gg1) (). N-) |; xy X-ray diffraction pattern of contrast ratio1 is located in the cavity disk. The destructor is deleted. Iodine, aseptic lowering. Oc, there would not be any juveniles during the operation; 1 Ma after the second day after the operation; and, choi syndrome, he stopped. In the neurological status of the .vi, the asymmetry of the tendons and reflexes of the legs was preserved, the hypetelin of the first toe of the left foot decreased, which means that umenop1ils are symptomatic of tension

Claims (1)

¢ 54) (571 METHOD FOR TREATING OSTEOCHONDROSIS OF THE Lumbar Spine by intervertebral puncture; og. · Disk under X-ray control. Cast in that, in order to reduce the treatment time, rotational movement ί: ο .. · <οίό of the rod with a longitudinal incision edging edges, and hollow stesl'.nm with | \ like plates. having cutting edges, they destroy the cartilaginous plates of the fixation apparatus of the intervertebral disc and form in the disc tissue;; <side of the spinal cord and its OO О?! 3О к:; 'О l! i, C KZ OZ M OH KZ I 2. L Y I l ί And ϊ 'p2 ΐ. And And