Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Novosibirskij nauchno-issledovatelskij institut travmatologii i ortopedii im. YA.L. Tsivyana" Ministerstva zdravookhraneniya Rossijskoj Federatsii
发明人:
Markin Sergej Petrovich (RU),Маркин Сергей Петрович (RU),Sanginov Gafur Dzhaborovich (RU),Сангинов Гафур Джаборович (RU),Vasilev Andrej Igorevich (RU),Васильев Андрей Игоревич (RU)
申请号：
RU2018124047
公开号：
RU0002692580C1
申请日:
2018.07.02
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: group of inventions refers to medicine, namely to vertebrology, and can be used for transforaminal interbody fusion. One-sided resection of hypertrophied articular processes of facet joint is performed. Carry out the entrance to the spinal canal and partial decompression of the roots of the spinal cord. Resected bone tissue is preserved and milled. Complemented root is shifted in medial direction. Disc herniation and osteochondral growths are resected. In opened after displacement of root of fibrous ring of intervertebral disc with scalpel, a window is cut, through which discectomy and curettage of disc is performed. Adjacent bone plates of adjacent vertebrae are cleaned until blood dew appears. Tongue of interbody spacing is performed. Cage is filled with autogenous crumbs and the obtained implant is inserted into an interbody space in a sagittal plane and shifted in the disk cavity on the opposite "healthy" side, keeping its position strictly in a sagittal plane. Rotary pusher (RP) is installed in the gap between the lateral edge of the implant and the lateral edge of the hole in the fibrous ring by orienting the RP blade in the sagittal plane. RP rotates through 90 degrees, the RP blade to translate into the horizontal plane, moving the implant towards the midline. RP is transferred into a sagittal plane. In the gap formed between the RP and the implant, a larger RP is installed. Rotating RP of larger size by 90 degrees to bring the blade into horizontal plane, moving the implant even further towards the midline. RP of larger size is transferred into sagittal plane and both RP are removed. To RP of smaller size RP of larger size is installed in horizontal plane with subsequent turn into sagittal one. In the gap between the RP of larger size and the implant in the sagittal plane, a RP of an even larger size is set and rotated by 90 degrees, moving the implant even further. Successively increasing size of RP, performing similar manipulati
