Abstract
Purpose. To demonstrate the effectiveness of an isolated fixation technique of multilevel spondylosis disorders in young patients.Materials and methods. Two military men were operated for multilevel spondylosis of lumbar vertebra (LII, LIV and LIV, LV).Results and discussion. Patients underwent bone autoplasty and osteosynthesis of vertebral arches using hybrid lamina transpedicular system in a screw-rod-hook form. Good anatomic and functional results were got.Conclusion. Avoidance of fixation of intact functional spinal units allows to achieve good treatment results and classify this operation as organ sparing surgery.
Highlights
Two military men were operated for multilevel spondylosis of lumbar vertebra (LII, LIV and LIV, LV)
Repair of defects in spondylolysis by segmental pedicular screw hook fixation: a preliminary report // Spine
Summary
Продемонстрировать эффективность методики изолированной фиксации многоуровневых спондилолизных дефектов у пациентов молодого возраста. Прооперированы двое военнослужащих молодого возраста с многоуровневым спондилолизом поясничных позвонков (LII, LIV и LIV, LV). Пациентам выполнены костная аутопластика и остеосинтез дужек позвонков комбинированной ламинарно-транспедикулярной системой в виде «винт-стержень-крюк». Возможность избежать фиксации интактных позвоночно-двигательных сегментов позволяет достичь хороших результатов лечения и отнести данную операцию к разряду органосохраняющих. Ключевые слова: морская медицина, спондилолиз, фиксация, хирургическое лечение
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