SU1457909A1 - Method of treatment of osteosynthesis of the spine column - Google Patents

Abstract

This invention relates to neurosurgery and orthopedics. The purpose of the invention is to ensure the stability of the spine in the absence of adhesions and scars in the spinal canal. The yellow ligament is detached from the lower articular process of the overlying vertebra and a partial resection of its medial part is performed. Part of the articular surface of the superior articular process of the underlying vertebra is exposed. The yellow ligament is detached from the superior articular process and osteophytes and portions of the articular process are removed. Identical resection is performed on the opposite side.

Description

one

This invention relates to medicine, namely to neurosurgery and orthopedics.

The purpose of the invention is to ensure the stability of the spine in the absence of adhesions and scars in the spinal canal.

The method is carried out as follows.

A longitudinal incision along the line of the spinous processes reveals soft tissues and exposes the arches of the vertebrae, the yellow ligament and the dorsal surface of the arcuate processions. With the aid of a tight little tuffer and a thin spatula, the yellow ligament from the lower articular process of the overlying vertebra is peeled off, after which a partial chisel of the medial part is removed with a narrow chisel. After removal, a portion of the articular surface of the superior articular process of the underlying vertebra is exposed. Additionally, the yellow ligament is peeled from the superior articular process and, using Janson pliers and a sharp small neurosurgical spoon, the osteosclerosis is removed.

fitov and parts of the articular process, without damaging the yellow ligament, thus achieving decompression of the spinal elements of the central and lateral parts of the spinal canal. Identically resection is performed on the opposite side, and, if necessary, at the level of another one or two segments.

Example. Ill B., 40 years old, was in the clinic for lumbar osteochondrosis with complaints of pain in the lumbar spine and right leg, aggravated in the upright position and when walking. The diagnosis was established: lumbar osteochondrosis, spondyloarthrosis, degenerative stenosis of the spinal canal, syndrome of udal intermittent claudication.

As a result of the conducted epidurography on the lumbar spine, a narrowing of the spinal canal was found due to the pronounced arthrosis of the arcuate processes at the level of L ,, .. and L, 5 vertebrae.

The patient was operated according to the described method.

 ate

with

about with

After exposing the arches of the vertebrae, the yellow ligament and the dorsal surface of the arculoplastic joints at the level of the vertebrae, the yellow ligament from the lower articular process of the overlying vertebra is delaminated at the level of La- "right, the medial part of the articular process is partially resected, the yellow ligament from the upper articular a process and its medial part is removed with osteophytes. Similarly, phased non-canal resection of the arcuate process joints at the level of the left and on both sides is performed. Hemostasis. The wound is sutured in layers to drainage. On the fourth day after surgery, the patient was allowed to get up. After three months and a year after the operation on the control examinations, there are no complaints, walking is not painful, Comrade returned to the former way of life. Radiological instability of the spine in the area of surgery was not revealed.

Thus, the proposed method for the treatment of osteochondrosis in the absence of adhesions

Scars B of the SPECIAL channel allows to eliminate the factors affecting the compression of the spinal canal, to carry out rapid postoperative rehabilitation of patients, prevent postoperative instability, the development of scars and adhesions of the vertebral canal.

Claims (1)

Invention Formula A method of treating spinal osteochondrosis by exposing the arches of the vertebrae, the yellow connection and the dorsal surface of the arculate process joints, partial resection of the medial part of the articular processes and the removal of osteophytes at the narrowing level, characterized in that in order to ensure the stability of the spine in the absence of adhesions and scars in the spinal canal resection of articular processes and removal of osteophytes first, in the region of the lower process of the overlying vertebra, and then the upper underlying vertebra, after the preliminary detachment of the yellow ligament at the site of its attachment.