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SURGICAL TREATMENT METHOD OF COMMINUTED THORACIC AND LUMBAR VERTEBRAL FRACTURES

机译：合并胸腰椎椎体骨折的手术治疗方法

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FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to traumatology and orthopedics, and can be used for surgical treatment of comminuted thoracic and lumbar vertebral fractures. After the surgical approach to the spinal column in the trauma area, a transpedicular spinal fixation is performed with bilateral introduction of two screws into adjacent with at least one injured vertebra and one screw into fragment of at least one injured vertebra and their attachment to each other by means of corresponding rods and nuts. Screw introduced into the injured vertebra is installed on the side, which is contralateral acceptable for performance of anterior-lateral approach, providing its carrying through the pedicle of the arch of the injured vertebra into its largest fragment without leaving the boundaries of the lateral third of the injured vertebral body. In developing osteolysis of the latter, a second surgical intervention is performed, wherein through an anterior-lateral approach, a partial resection of the injured vertebra and a supporting corporodesis with an implant is performed without re-mounting the previously established transpedicular system. In case of trauma more than one of adjacent vertebrae one screw is installed in each injured vertebra.;EFFECT: method provides higher stability of fixation of the injured vertebra with eliminating obstacles for the anterior support corporodesis and reduced traumatism by excluding the stage of the transpedicular system remodeling in the cases of developing osteolysis after the first surgical intervention.;1 cl, 1 ex
机译：领域：药物;发明：涉及药物，即创伤学和骨科，并且可用于外科治疗胸椎和腰椎粉碎性骨折。在外科手术中到达创伤区域的脊柱后，进行经椎弓根固定，将两个螺钉向与至少一个受伤椎骨相邻的一侧双向插入，将一个螺钉插入至少一个受伤椎骨的碎片中，并将它们彼此固定通过相应的杆和螺母。引入受伤椎骨的螺钉安装在侧面，对于进行前-外侧入路而言，这是对侧可接受的，只要其将受伤椎弓根蒂带入其最大片段而不会离开外侧三分之一的边界受伤的椎体。在进行后者的溶骨术时，要进行第二次外科手术，其中，通过前外侧入路，在不重新安装先前建立的椎弓根系统的情况下，对受伤的椎骨进行部分切除，并用植入物进行支撑骨质疏松术。如果发生创伤，相邻的椎骨不止一个，则在每个受伤的椎骨中都安装一个螺钉。效果：该方法可提供更高的固定稳定性，并消除了椎弓根的固定阶段，从而消除了前支撑骨质疏松的障碍，并减少了创伤第一次外科手术后出现骨溶解的情况下进行系统重塑。; 1 cl，1 ex

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