METHOD OF CORRECTION OF IDIOPATHIC SCOLIOTIC DEFORMITY OF THE SPINE IN THE FORM OF DOUBLE THORACIC ARCH OF CHILDREN

FIELD: medicine.SUBSTANCE: invention refers to medicine, namely, to the surgery of idiopathic scoliotic deformity of the spine in the form of the double thoracic arch of children. Deformations of the thoracic spine of the osteotomy of the articular joints are performed from the concave sides of the upper and lower arcs over three vertebrae. Reduction transpedicular support elements are installed into three vertebrae from the concave side of the upper arch of the thoracic spine deformity. Reduction transpedicular support elements are installed into three vertebrae from the concave side of the lower arch of the thoracic spine deformity. Rest of the vertebrae are provided with standard transpedicular support elements. First rod is installed along the convex side of the upper arc of curvature and along the concave side of the lower arc of curvature, the rod is pre-curved along the physiological kyphosis of the thoracic spine with the implementation of the three-dimensional correction of the lower arch of the thoracic spine deformity by performing the vertebral derotation due to reduction screws and segmental contraction at the apex of the lower arc of deformity. At the same time, the second rod is pre-curved along the physiological kyphosis of the thoracic spine from the opposite side relative to the line of spinous processes with the implementation of the three-dimensional correction of the upper arch of the thoracic spine deformity by means of performing the vertebral derotation due to reduction screws and segmental contraction at the apex of the upper arc of deformation.EFFECT: method restores the physiological profile of the thoracic region due to the three-dimensional correction.1 cl, 7 dwg Изобретение относится к медицине, а именно к хирургии идиопатической сколиотической деформации позвоночника в виде двойной грудной дуги у детей. Выполняют с вогнутых сторон верхней и нижней дуги деформации грудного отдела позвоночника остеотомии дугоотростчатых суставов на протяжении трех позвонков. Устанавливают редукционные транспедикулярные опорные элементы в три позвонка с вогнутой стороны верхней дуги деформации грудного отдела позвоночника. Устанавливают редукционные транспедикулярные опорные элементы в три позвонка с вогнутой стороны нижней дуги деформации грудного отдела позвоночника. В остальные позвонки устанавливают стандартные транспедикулярные опорные элементы. Устанавливают по выпуклой стороне верхней дуги искривления и вогнутой стороне нижней дуги искрив