SU1650114A1 - Method for frontal spodylosyndesis - Google Patents
Method for frontal spodylosyndesis Download PDFInfo
- Publication number
- SU1650114A1 SU1650114A1 SU884367716A SU4367716A SU1650114A1 SU 1650114 A1 SU1650114 A1 SU 1650114A1 SU 884367716 A SU884367716 A SU 884367716A SU 4367716 A SU4367716 A SU 4367716A SU 1650114 A1 SU1650114 A1 SU 1650114A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- graft
- vertebral bodies
- bone
- grooves
- spodylosyndesis
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims description 4
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 7
- 230000002265 prevention Effects 0.000 claims abstract description 3
- 230000004927 fusion Effects 0.000 claims 1
- 238000006073 displacement reaction Methods 0.000 abstract description 2
- 239000003814 drug Substances 0.000 abstract description 2
- 208000020339 Spinal injury Diseases 0.000 abstract 1
- 201000010099 disease Diseases 0.000 abstract 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract 1
- 210000001621 ilium bone Anatomy 0.000 abstract 1
- 230000000399 orthopedic effect Effects 0.000 abstract 1
- 210000000574 retroperitoneal space Anatomy 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000001066 destructive effect Effects 0.000 description 1
- 238000009297 electrocoagulation Methods 0.000 description 1
- 210000003405 ileum Anatomy 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000004705 lumbosacral region Anatomy 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 238000002278 reconstructive surgery Methods 0.000 description 1
- 210000005084 renal tissue Anatomy 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Изобретение относитс к медицине, а именно к ортопедии, травматологии в лечении заболеваний травм позвоночника. С целью сокращени сроков сращени костей с предупреждением смещени трансплантата формируют в губчатом аутотрансплан- тате из крыла подвздошной кости зубчатой формы верхние и нижние грани и соответственно им площадки в телах позвонков с последующим внедрением сформированного трансплантата в пазы и фиксацией. 1 ил.The invention relates to medicine, namely to orthopedics, to traumatology in the treatment of diseases of spinal injuries. In order to reduce the time of bone bonding with the prevention of graft displacement, the upper and lower edges and, accordingly, the areas in the vertebral bodies with the subsequent introduction of the graft into the grooves and fixation of the graft are formed in the spongy autograft from the dentate iliac bone. 1 il.
Description
Изобретение относитс к медицине и может быть использовано в реконструктив- но-восстановительной хирургии позвоночника .The invention relates to medicine and can be used in reconstructive spinal reconstructive surgery.
Цель изобретени - сокращение сроков сращени костей с предупреждением смещени трансплантата.The purpose of the invention is to reduce the time for bonding of the bones with the prevention of graft displacement.
На чертеже изображен трансплантат и соответствующие ему пазы в телах позвонковThe drawing shows the graft and the corresponding grooves in the vertebral bodies
Способ осуществл ют спс-дующим образом ,The method is carried out by
Под эндотрахеальным наркозом в положении больного на боку из косого разреза в по сничной области производитс доступ в забрюшинное пространство. Брюшинный мешок сдвигаетс медиально, почка с околопочечной клетчаткой кверху. Расслаиваетс больша по снична мышца. Рассекаютс паравертебральные ткани на уровне пораженных позвонков с одновременной электрокоагул цией сегментарных сосудов. После обнажени позвоночника производитс резекци пораженных тел позвонков в пределах здоровой костной ткани. Пазы в остатках тел позвонков формируютс долотом зигзаг на всю ширину тел приUnder endotracheal anesthesia in the position of the patient on the side of the oblique incision in the lumbar region, access to the retroperitoneal space is provided. The peritoneal sac is displaced medially, the kidney with the renal tissue upwards. Exfoliates large muscle. The paravertebral tissues are dissected at the level of the affected vertebrae with simultaneous electrocoagulation of the segmental vessels. After exposing the spine, the affected vertebral bodies are resected within the limits of healthy bone tissue. The grooves in the remnants of the vertebral bodies are formed by a zigzag chisel on the entire width of the bodies with
доступе слева до правой стороны (см. чертеж ).access from left to right side (see drawing).
Забор аутотрансплантата из гребн .подвздошной кости осуществл етс этим же долотом. Внедрение трансплантата в пазы производитс в положении реклинации позвоночника. Реклинаци устран етс . М гкие ткани свод тс над трансплантатом. Дренируетс забрюшинное пространство. Накладываетс послойный шов раны до полной герметичности.An autograft is taken from the crest of the ileum by the same chisel. The graft is inserted into the grooves in the reclination position of the spine. Reclination is eliminated. Soft tissues come down over the graft. Drain the retroperitoneal space. A layered suture of the wound is applied to complete tightness.
Приме р.(Больна К.,, 56 лет с поражением I-II по сничных позвонков. Во врем операции произведена резекци смежных поверхностей пораженных позвонков вместе со стенками деструктивной полости. Сформированы глубокие пазы долотом зигзаг в остатках тел позвонков. Этим же долотом вз т губчатый трансплантат из гребн подвздошной кости, размером 3,6x3,0x1,2 см. Трансплантат плотно внедрен в пазы в положении реклинации позвоночника. При рентгенологическом контроле через 1 мес. после операции определ етс нахождение трансплантата позвонков, первичное костное сращение Больна приступила к ходьОExample (Patient K., 56 years old with lesion I-II in the lumbar vertebrae. During the operation, the adjacent surfaces of the affected vertebrae were resected together with the walls of the destructive cavity. Deep grooves were formed with a zigzag bit in the remains of the vertebral bodies. The same bit was taken The spongy iliac crest is 3.6x3.0x1.2 cm, the graft is firmly embedded in the grooves in the reclination position of the spinal column. During X-ray monitoring, after 1 month, the location of the vertebral graft is determined. bone affliction sick proceeded
ел оate about
Јь Ј
бе. Через 1.5 мес. после операции ходит свободно без костылей.be. After 1.5 months after surgery, walks freely without crutches.
Данный способ позвол ет не только создать прочную фиксацию трансплантата в костном ложе, но и улучшает услови сращени за счет увеличени площади соприкосновени . This method allows not only to create a firm fixation of the graft in the bone bed, but also improves the adhesion conditions by increasing the area of contact.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU884367716A SU1650114A1 (en) | 1988-01-21 | 1988-01-21 | Method for frontal spodylosyndesis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU884367716A SU1650114A1 (en) | 1988-01-21 | 1988-01-21 | Method for frontal spodylosyndesis |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1650114A1 true SU1650114A1 (en) | 1991-05-23 |
Family
ID=21351345
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU884367716A SU1650114A1 (en) | 1988-01-21 | 1988-01-21 | Method for frontal spodylosyndesis |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1650114A1 (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5425772A (en) * | 1993-09-20 | 1995-06-20 | Brantigan; John W. | Prosthetic implant for intervertebral spinal fusion |
| US5609637A (en) * | 1993-07-09 | 1997-03-11 | Biedermann; Lutz | Space keeper, in particular for an intervertebral disk |
| US9615937B2 (en) | 2011-09-09 | 2017-04-11 | Spine Wave, Inc. | Lateral approach expandable spinal implant and method |
-
1988
- 1988-01-21 SU SU884367716A patent/SU1650114A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Корпев П.Г. Хирурги костно-суставного туберкулеза, М., 1971, т.З, с. 122-123. * |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5609637A (en) * | 1993-07-09 | 1997-03-11 | Biedermann; Lutz | Space keeper, in particular for an intervertebral disk |
| US5425772A (en) * | 1993-09-20 | 1995-06-20 | Brantigan; John W. | Prosthetic implant for intervertebral spinal fusion |
| US9615937B2 (en) | 2011-09-09 | 2017-04-11 | Spine Wave, Inc. | Lateral approach expandable spinal implant and method |
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