METHOD OF SURGICAL TREATMENT OF OSTEOCHONDROSIS OF LUMBARIAN SPINE DIVISION IN INSTABILITY OF ORIGINALLY-MOTOR SEGMENT

摘要

FIELD: medicine.;SUBSTANCE: cutting the skin from the posterior medial access in the projection of spinous processes one level above and below the identified zone of the unstable segment of the lumbar spine, followed by dissection of the subcutaneous tissue and its fascia, perform the skeletonization of the spinous processes, arcuate joints and arcs to the base of the transverse processes. Introducing into the adjacent vertebrae of the unstable segment of the lumbar spine two pairs of transpedicular screws. Stacking in any order on the heads of two pairs of unstable segment of transpedicular screws located in adjacent vertebrae, two metal fixing bars of metal fixation with length of 50 mm each, made of non-deformed material with a thermomechanical shape memory based on titanium nickeled intermetallide or from a copper system alloy of 14 wt % of aluminium - 4 wt % of nickel. They fix two metal fixing rods of metal fixation with nuts pre-placed on the head of the transpedicular screws. Perform layer-by-layer suturing of dissected muscles, fascia and skin of the postoperative wound.;EFFECT: method allows you to keep the mobility of the lumbar spine, provide early rehabilitation of the patient.;1 cl