METHOD FOR MAKING DISSECTION, SPONDYLODESIS AND CORPOROPLASTY OF LUMBOSACRAL PORTION OF THE VERTEBRAL COLUMN

摘要

FIELD: medicine. SUBSTANCE: method involves making operation without bandaging and intersecting aortal and inferior vena cava branches, neurovascular fascicles of vertebral bodies, without separating and displacing musculus teres and psoas major, without traumatizing nerve plexuses, dissecting anterior longitudinal ligament without mobilizing and displacing bifurcations of aorta and vena cava of thoracic lymphatic duct. Cortical layer is removed at the level of 1-2 segments of the sacrum and spongy matter is removed from the bodies of 3-5 lumbar vertebrae in operating with instruments in proximal direction. The defect is widened beyond the entrance opening. It is filled with autotransplants undergone to antibiotics and ultraviolet rays treatment and bone fragments. The last transplants are placed in oblique transverse directions, bringing their ends in engagement with the edges of the entrance opening. EFFECT: enhanced effectiveness of surgical treatment.