METHOD FOR RADIATING LOAD REDUCTION AT TRANSTUTOUS OPEN INSTALLATION OF TREDSPEDICULAR SCREWS UNDER CONDITIONS OF PARASPINAL MINO-ACCESS

摘要

1. A method of reducing radiation exposure during transcutaneous open installation of transpedicular screws in conditions of paraspinal mini-access, including mid-paraspinal mini-access and percutaneous punctures and performing x-ray control, installing spokes-navigators, cutting internal threads with cannulated taps, installing transpedicular screws, characterized in that the installation is started on the left side of the patient, the right growth spokes-navigator, which is carried out through a separate pr skin count, then set the left caudal knitting needle directly through the mini-access, while the installed knitting needles are in a different position, perform the first 2-3 fluoroscopic images in the frontal and sagittal projections, then cut through the knitting needles using cannulated taps corporal bone channels and establish transpedicular screws, and carry out it in the reverse order, namely first cut the pediculo-corporal bone channel with a cannulated tap on the left caudal knitting needle-navigator installed and the left caudal transpedicular screw is inserted, and the navigating knitting needle is removed at the time of the initial screw insertion, then the pediculo-corporal bone canal is cut with a cannulated tap along the established right growth knitting needle navigator and the right growthal pedicle screw is inserted, and the knitting needle the navigator is removed at the time of the initial introduction of the screw, then the next pair of spoke-navigators and transpedicular screws are installed, and installation is carried out with the right the torus