Method for treating scoliosis in children
The invention relates to medicine, in particular to traumatology and orthopedics and may be used for the minimally invasive treatment of scoliosis in children.Summary of the invention consists in that it is determined the projection of the spine deformation curvature, is performed the general anesth...
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Sprache: | eng ; rum ; rus |
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Zusammenfassung: | The invention relates to medicine, in particular to traumatology and orthopedics and may be used for the minimally invasive treatment of scoliosis in children.Summary of the invention consists in that it is determined the projection of the spine deformation curvature, is performed the general anesthesia, are determined the points for the introduction of transpedicular screws. In the lumbar region the points are located in the most convex portion of the lateral articular processes, namely at the intersection of the line passing through the middle of the articular process base with the line passing through the lateral edge of the articular process, more medial from the junction of the transversal and articular processes. In the thoracic region the points are located at the intersection of the line passing through the center of the articular process with the line passing through the upper edge of the transverse process, after which into the said points are transdermally introduced guide pins in the frontal plane at an angle of 45° in the direction of the head, which pass through the pedicle, root of the arch of vertebra, vertebra covering plate, through the disc with the nucleus pulposus, then through the covering plate of the upper vertebra and the cancellous tissue with the exteriorization of the end of the pins by 1...2 cm onto the front surface of the vertebral body, then are introduced in the direction of the pins the pedicular screws, made with a longitudinal through channel or without a channel.
Invenţia se referă la medicină, în special la traumatologie şi ortopedie şi poate fi utilizată pentru tratamentul miniinvaziv al scoliozei la copii.Esenţa invenţiei constă în aceea că se determină proiecţia curburii deformaţiei coloanei vertebrale, se efectuează anestezie generală, se determină punctele pentru introducerea unor şuruburi transpediculare. În regiunea lombară punctele sunt situate în partea cea mai proeminentă a apofizelor articulare laterale, şi anume la intersecţia liniei care trece prin mijlocul bazei apofizei articulare cu linia care trece de-a lungul marginii laterale a apofizei articulare, mai medial de locul de unire a apofizelor transversale şi articulare. În regiunea toracică punctele se află la intersecţia liniei care trece prin mijlocul apofizei articulare cu linia care trece pe marginea superioară a apofizei transversale, după aceasta în punctele menţionate transdermal se introduc broşe de ghidare în plan frontal sub un unghi de 45° în |
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