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RU2019101567A - Reconstruction of the spinal canal in case of multilevel stenosis of the cervical spine - Google Patents

Reconstruction of the spinal canal in case of multilevel stenosis of the cervical spine Download PDF

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Publication number
RU2019101567A
RU2019101567A RU2019101567A RU2019101567A RU2019101567A RU 2019101567 A RU2019101567 A RU 2019101567A RU 2019101567 A RU2019101567 A RU 2019101567A RU 2019101567 A RU2019101567 A RU 2019101567A RU 2019101567 A RU2019101567 A RU 2019101567A
Authority
RU
Russia
Prior art keywords
spinal canal
reconstruction
vertebrae
multilevel
stenosis
Prior art date
Application number
RU2019101567A
Other languages
Russian (ru)
Other versions
RU2728106C2 (en
RU2019101567A3 (en
Inventor
Вадим Анатольевич Бывальцев
Владимир Алексеевич Сороковиков
Андрей Андреевич Калинин
Марат Амангельдиевич Алиев
Бобур Рузбаевич Юсупов
Original Assignee
Федеральное государственное бюджетное научное учреждение Иркутский научный центр хирургии и травматологии (ФГБНУ ИНЦХТ)
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Priority to RU2019101567A priority Critical patent/RU2728106C2/en
Publication of RU2019101567A3 publication Critical patent/RU2019101567A3/ru
Publication of RU2019101567A publication Critical patent/RU2019101567A/en
Application granted granted Critical
Publication of RU2728106C2 publication Critical patent/RU2728106C2/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Claims (1)

Способ реконструкции позвоночного канала при многоуровневом стенозе шейного отдела позвоночника, включающий выделение межостистого промежутка в области стенозирующего процесса, резекцию дужек позвонков, мобилизацию задней стенки позвоночного канала, выполнение интраканальных манипуляций, восстановление целостности задней стенки позвоночника, отличающийся тем, что при выполнении доступа к позвоночному каналу производят резекцию надостистой и межостистой связок, затем между остистыми отростками смежных позвонков осуществляют послойное высверливание основания нижележащего остистого отростка, сохраняя большую его часть вместе с прикрепляющимися мышцами и связками, резецируют дужки выше и ниже лежащих позвонков, после этого выполняют микрохирургическую реконструкцию позвоночного канала с увеличением его диаметра, сохраняя фасеточные суставы, затем мобилизуют желтую связку от подлежащей кости, иссекают гипертрофированную часть желтой связки на всем протяжении стенозирующего процесса до дурального мешка и спинно-мозговых корешков, восстановливают заднюю стенку позвоночного канала, фиксируя оставшиеся части смежных остистых отростков между собой лавсановой нитью через отдельные отверстия.A method of reconstruction of the spinal canal in case of multilevel stenosis of the cervical spine, including the isolation of the interspinous gap in the area of the stenosing process, resection of the arches of the vertebrae, mobilization of the posterior wall of the spinal canal, performing intracanal manipulations, restoring the integrity of the posterior wall of the spine, characterized in that when accessing the spinal canal the supraspinous and interspinous ligaments are resected, then between the spinous processes of the adjacent vertebrae, a layer-by-layer drilling of the base of the underlying spinous process is performed, keeping most of it together with the attached muscles and ligaments, the arches above and below the lying vertebrae are resected, after which microsurgical reconstruction of the spinal canal is performed with its increase diameter, preserving the facet joints, then mobilize the yellow ligament from the underlying bone, excise the hypertrophied part of the yellow ligament throughout the stenosing process to the dural ny sac and spinal roots, restore the posterior wall of the spinal canal, fixing the remaining parts of adjacent spinous processes between themselves with a lavsan thread through separate holes.
RU2019101567A 2019-01-21 2019-01-21 Method for vertebral canal reconstruction in multilevel cervical spine stenosis RU2728106C2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2019101567A RU2728106C2 (en) 2019-01-21 2019-01-21 Method for vertebral canal reconstruction in multilevel cervical spine stenosis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU2019101567A RU2728106C2 (en) 2019-01-21 2019-01-21 Method for vertebral canal reconstruction in multilevel cervical spine stenosis

Publications (3)

Publication Number Publication Date
RU2019101567A3 RU2019101567A3 (en) 2020-07-21
RU2019101567A true RU2019101567A (en) 2020-07-21
RU2728106C2 RU2728106C2 (en) 2020-07-28

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Family Applications (1)

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RU2019101567A RU2728106C2 (en) 2019-01-21 2019-01-21 Method for vertebral canal reconstruction in multilevel cervical spine stenosis

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2723766C1 (en) * 2019-12-12 2020-06-17 Федеральное государственное бюджетное учреждение "Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна" Министерства здравоохранения Российской Федерации (ФГБУ "ННИИТО им. Я.Л. Цивьяна" Минздрава России) Method for surgical management of degenerative foraminal stenosis on the cervical spine

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ATE285207T1 (en) * 1999-10-22 2005-01-15 Archus Orthopedics Inc FACET ARTHROPLASTY DEVICES
RU2221511C1 (en) * 2002-07-22 2004-01-20 Новосибирский научно-исследовательский институт травматологии и ортопедии Method for fixing arch in performing laminoplastic lumbar vertebral column segment repair
RU2531927C2 (en) * 2012-12-26 2014-10-27 Федеральное государственное бюджетное учреждение "Научный центр реконструктивной и восстановительной хирургии" Сибирского отделения Российской академии медицинских наук (ФГБУ "НЦРВХ" СО РАМН) Method for spinal canal repair accompanying lumbosacral stenosis
US10022113B2 (en) * 2013-09-20 2018-07-17 Fred F. Naraghi Methods, systems, and devices for the treatment of stenosis
RU2567824C1 (en) * 2014-09-26 2015-11-10 Федеральное государственное бюджетное научное учреждение "Иркутский научный центр хирургии и травматологии" (ИНЦХТ) Method for spinal canal repair in spinal cord tumour

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2723766C1 (en) * 2019-12-12 2020-06-17 Федеральное государственное бюджетное учреждение "Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна" Министерства здравоохранения Российской Федерации (ФГБУ "ННИИТО им. Я.Л. Цивьяна" Минздрава России) Method for surgical management of degenerative foraminal stenosis on the cervical spine

Also Published As

Publication number Publication date
RU2728106C2 (en) 2020-07-28
RU2019101567A3 (en) 2020-07-21

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