Сравнительная оценка способов хирургической стабилизации шейного отдела позвоночника

Аннотация

Subjects of the research: The clinical material was obtained from the results of surgical treatment of 77 patients with posttraumatic and degenerative instability of the cervical spinal segment who were treated in the Department of Vcrtcbrology of the Scientific Research Institute of Traumatology and orthopedics of the Ministry of Health of the Republic of Uzbekistan, in the Department of the Spine Pathology of the Republican center of Rehabilitation of Invalids, and in the department of neurosurgery of the Clinic of Andijan Medical Institute. Purpose of work: Determination of the optimal method of intervertebral stabilization of the cervical spine in use of implants from autobonc, carbon, porous corundum ceramics, porous titanic nikclid and cage. Methods of research: common clinical, orthopedic and neurological investigation, roentgenological, computcd-tomographic, magnetic-resonance tomography and multispiral computcd-tomographic investigations, electromyography. The results obtained and their novelty: Comparative evaluation of the longterm results of the intervertebral stabilization with various implants showed that use of titanic cages in combination with autobonc implantation allows maximal preservation of the achieved stability in the spinal-motor segment and intraopcra-tional correction of the kyphotic deformation. With the stabilization porous titanium bone nickelidc titanium unit was formed in 81,8% of cases, the carbon implant in 78,5% of cases, the porous ceramics in 66,7% of cases and the use of plans autokostnoy-sticks in 65,2% cases, the bone formed a solid block. Practical value: The results of investigations allow for vertcbrologists to chose optimal method of intervertebral stabilization and to improve results of surgical treatment of diseases and damages of the cervical spine. Degree of embed and economic effectivity: The results of the investigations performed have been introduced into the clinical practice of the Scientific Research Institute of Traumatology and Orthopedics, Clinics of the Republican center of Rehabilitation of Invalids, Clinic of the Andijan Medical Institute, Clinic of the Republican Research center of neurosurgery and Republican vertcbroccntcr. Field of application: Traumatology and orthopedics, neurosurgery.