METHOD AND DEVICE FOR CORRECTING KYPHOTIC DEFORMITY IN PATIENTS SUFFERING FROM TUBERCULOUS SPONDYLITIS OF THORACIC VERTEBRAL COLUMN SEGMENT AND VERTEBRAL COLUMN COMPRESSION

摘要

FIELD: medicine; medical engineering. SUBSTANCE: method involves carrying out surgical intervention in T-shaped paravertebral intercostal access. Long autografts are taken in advance from the neighboring ribs in subperiosteal way. The higher and lower ribs are transected in paravertebral way. 4-6 ribs are intersected on the opposite side for releasing straightened deformed ribs resistance. Injured vertebra bodies are excised. Purulent necrotized masses and sequesters are to be removed from anterior epidural space. Notch-type sockets are produced in healthy vertebra bodies and device pelots are set for correcting kyphotic deformities. After having applied extension , posterior long autografts having periosteal links are set. Then, short resected autografts being excesses of transected ribs are set. Pelots pressure is gradually released and then they are removed. Postoperative wound is sutured layer-by-layer by applying transcostal and intercostal sutures. The device has two parts, each having tube with base mountable on both side of operation table and working members on upper ends of telescopic holders. Horizontal articulated beam and member for fixing end socket receiving pin belonging to another horizontal beam with movable thrusting pelot bases having hinges and fixing members. Horizontal threaded beam passes through transverse canals on the upper end of the second holder. Internal beam end thrusts against horizontal beam socket with active pelots. External end of rotating horizontal beam has lever and handle. EFFECT: enhanced effectiveness of treatment; releasing anterior epidural space from compressive factors influence. 2 cl, 7 dwg