METHOD FOR PREVENTING "DISEASE OF THE ADJACENT LEVELS" AFTER SETTING RIGID SYSTEM OF TRANSPEDICULAR FIXATION AT LUMBAR LEVEL USING U-IMPLANT FOR INTERSPINOUS FIXATION
ІНСТИТУТ НЕЙРОХІРУРГІЇ ІМ. А.П. РОМОДАНОВА НАМН УКРАЇНИ
发明人:
Педаченко Юрій Євгенович
申请号：
UA201400677
公开号：
UA91204U
申请日:
2014.01.23
申请国别(地区):
UA
年份:
2014
代理人:
摘要：
The method for preventing the "disease of the adjacent levels" after setting the rigid system of transpedicular fixation at the lumbar level using U-implant for the interspinous fixation relates to the surgical techniques. Under intraoperative X-ray control, the titanium screws are inserted through the bodies of at least two vertebrae. Through the heads of the screws, two perpendicular titanium rods are passed and locked with the special nuts. U-implant is installed for interspinous stabilization at the level adjacent to the transpedicular system. The method comprises the linear incision of the soft tissues over the spinous processes of the vertebral moving segment, the skeletonization of the half-arches and the spinous processes of the superior and inferior vertebrae. The supraspinal ligament is notched but is left in place and separated from the adjacent tissues. Then interspinous ligament is removed, the bone structures of half-arch and intervertebral joints are partially resected. The yellow ligament is removed. Following the bilateral visualization of the sheath of dura mater, the decompression is considered as the adequate one. Following the adequate decompression of the stenosed vertebral and radical canals, U-implant is inserted into the interspinous space for interspinous stabilization of the corresponding size depending on the constitutional features of the individual patient. Following the U-implant installation, the spared supraspinal ligament is sutured in the physiological localization.Способ профилактики "болезни смежных уровней" после установки ригидной системы транспедикулярной фиксации на поясничном уровне с использованием U-имплантата для межостистой фиксации относится к хирургическим методам лечения. Пациенту с болезнью "смежных уровней" проводят установку ригидной системы транспедикулярной фиксации, а именно под интраоперационным рентгеноконтролем в тела нескольких (двух и более) позвонков устанавливают титановые винты. Через их головки проводят
