METHOD FOR RECONSTRUCTION spinal canal IN THE TREATMENT OF STENOSIS lumbar-sacral spine

摘要

The process of reconstruction of the vertebral canal for the treatment of stenosis of the lumbosacral spine, comprising skeletonization interspinous gap in the stenotic process dissection bifida, mobilization of the spinal canal of the rear wall, the execution intrakanalnyh manipulation rear spine wall integrity reconstitution, characterized in that produce unilateral skeletonization interspinous maximum gap in the projection stenotic process, then the implementation transspinoz th access to the vertebral canal dedicated acantha conventionally divided into three parts - the distal, middle and proximal, cut off the tip of the spinous process of vertebra contralaterally in the horizontal plane at the boundary between the distal and middle parts of it, whereupon further skeletonizing muscles that attach to the base of the spinous process vertebra from the opposite side, expand the central and lateral spinal canal zone, keeping dugootroschatye joints of the vertebrae on either side, relaxing vayut excised and hypertrophied ligamentum flavum part of stenotic process on the side to the dural sac, ligaments adjacent retaining nadostistuyu and interspinous and reduced back wall of the spinal canal, previously severed stump fixing apex vertebra to the spinous process of the musculo-ligamentous apparatus ipsilateral (operated) side.