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首页> 外国专利> METHOD FOR PREOPERATIVE PLANNING FOR CORRECTION OF TECTORAL IDIOPATHIC SCOLIOSIS IN PATIENTS 10-14 YEARS OLD

METHOD FOR PREOPERATIVE PLANNING FOR CORRECTION OF TECTORAL IDIOPATHIC SCOLIOSIS IN PATIENTS 10-14 YEARS OLD

机译：术前规划术前规划，矫正患者10-14岁的患者患者特发性脊柱侧凸

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FIELD: medicine. ;SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics, and can be used for preoperative planning of surgical treatment of idiopathic scoliosis in children with incomplete growth - 10-14 years old. Previously, all patients undergo X-ray of the spine at the C7-S1 level in step-mode in two projections with the determination of the magnitude of the main deformity and thoracic kyphosis. If the radiographs show signs of the size of the roots of the arches of the vertebrae on the concave side of the apex of the thoracic scoliotic arch less than 5 mm, then such patients additionally undergo multispiral computed tomography (MSCT) of the thoracic spine to determine the thickness of the roots of the arches of the vertebrae on the concave side of the apex of the thoracic arch. A group of patients whose vertebral arch thickness on the concave side of the apex of the thoracic arch according to MSCT is less than 5 mm is planned to undergo a ventral stage followed by a dorsal hybrid type of fixation. A group of patients who, according to X-ray data, have no signs of the size of the roots of the arches of the vertebra on the concave side of the apex of the thoracic scoliotic arch is less than 5 mm, while the size of the main thoracic arch and thoracic kyphosis does not exceed 80°, one-stage total transpedicular fixation is planned. The group of patients who, according to X-ray data, have no signs of the size of the roots of the arches of the vertebra on the concave side of the apex of the thoracic scoliotic arch is less than 5 mm, while the size of the main thoracic arch and / or thoracic kyphosis exceeds 80°, the mobility of the deformity of the main thoracic scoliotic arch and thoracic kyphosis, by performing an X-ray of the spine in a tilted position towards the thoracic scoliotic arch and lying on the roller. A group of patients in whom the mobility of both deformities is more than 25% is planned to undergo one-stage total transpedicular fixation. For a group of patients whose mobility of at least one of the deformities is less than 25%, anterior ventral mobilization with subsequent total transpedicular fixation is planned.;EFFECT: method improves quality of surgical treatment, achieving optimal correction; lack of postoperative progression; reduction of hospital stay and fast postoperative rehabilitation due to planning correction taking into account the individual characteristics of the patient's spine structure.;1 cl, 6 ex
机译：领域：医学。 ;物质：发明涉及药物，即创伤学和整形外科，可用于术前规划对不完全增长的儿童特发性脊柱侧凸的手术治疗 - 10-14岁。以前，在两个突起中，所有患者在C7-S1水平中经过脊柱的X射线，其在两个突起中测定主要畸形和胸腔脊柱脊髓的大小。如果射线照相显示椎管弓弓的凹陷弓的弓形弓的尺寸的迹象，那么这些患者另外经过胸椎的多层计算断层扫描（MSCT）到在胸拱的顶点的凹面上确定椎骨拱的根的厚度。计划根据MSCT的胸弓顶点的凹面侧的椎体拱厚的一组患者小于5mm，预计将经历腹侧阶段，然后是背杂化型固定。一组患者，根据X射线数据，没有椎骨弓形弓的凹部的凹陷尺寸的迹象，胸椎弓的顶点小于5毫米，而大小主要胸拱和胸腔脊柱脊髓不超过80°，计划单级总横向固定。根据X射线数据的患者组，没有椎弓根凹陷的凹陷弓的根部尺寸的迹象小于5毫米，而尺寸主要胸拱和/或胸腔脊柱斑纹超过80°，主要胸椎弓弓和胸腔脊柱病的畸形，通过在倾斜位置进行脊柱朝向胸泡拱门并撒谎滚轴。计划在两种畸形的迁移率超过25％的患者中，计划经过一级总床突固定。对于一组患者，至少一个畸形的迁移率小于25％，计划与随后的总床突固定的前腹侧动员。;效果：方法提高外科治疗质量，实现最佳校正;缺乏术后进展;考虑到患者脊柱结构的个体特征，减少了医院住宿和快速术后康复。; 1 CL，6 EX

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