Email this article Use of Asymmetric TLIF Technique for the Treatment of Idiopathic Scoliosis
- Authors: Baklanov A.N1, Kolesov S.V1, Shavyrin I.A1
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- Issue: Vol 20, No 2 (2013)
- Pages: 20-25
- Section: Articles
- URL: https://journals.eco-vector.com/0869-8678/article/view/47450
- DOI: https://doi.org/10.17816/vto20130220-25
- ID: 47450
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Abstract
Purpose of the study was to determine the possibility of asymmetric transforaminal lumbar interbody fusion (TLIF) application for dorsal spine correction and fixation in patients with idiopathic scoliosis. Dorsal spine correction and fixation using technique of asymmetric transforaminal lumbar interbody fusion on the concave side of lumbar spine deformity was performed in patients, aged 14—58 years, with idiopathic scoliosis. Average preoperative deformity angle made up 78.25° versus 30.25° postoperatively; average correction was 61.6%. For TLIF performance combined implants, i.e. interbody titanium cages filled with autobone, were used. Use of asymmetric TLIF enabled to reduce the slope of lower instrumented vertebra and thus to perform the correction of spine frontal balance. Lordosing effect of cage improved the sagittal profile of the vertebral column while more rapid formation of lumbar corporodesis under conditions of interbody fixation prevented rods and screws fractures in the lower pole of metal constructions.
Full Text
Применение методики асимметричного TLIF при лечении идиопатического сколиоза×
References
- Davis H. Increasing rates of cervical and lumbar spine surgery in the United States, 1979-1990. Spine. 1994; 19: 1117-23.
- Resnick D.K., Choudhri T.F., Dailey A.T., Groff M.W., Khoo L., Matz P.G., Mummaneni P., Watters W.C. 3rd, Wang J., Walters B.C., Hadley M.N. Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: lumbar fusion for disc herniation and radiculopathy. J. Neurosurg. Spine. 2005; 2: б73-8.
- Чаклин В.Д. Труды НИИ Уральского областного отдела здравоохранения. т. 1. Свердловск; 1933: 113-21.
- Михайловский М.В. Этапы развития вертебральной хирургии: исторический экскурс. Хирургия позвоночника. 2004; 1: 10-24.
- Cloward R.B. The treatment of ruptured lumber intervertebral discs by vertebral body fusion. I. Indications, operative technique, after care. J. Neurosurg. 1953; 10: 154-68.
- Harms J., Rolinger H. A one-stage procedure in operative treatment of spondylolistheses: dorsal tractionreposition and anterior fusion (author’s transl). Z Orthop Ihre Grenzgeb. 1982; 120: 343
- Ветрилэ С.Т., Кулешов А.А., Ветрилэ М.С., Кисель А.А. Хирургическое лечение грудопоясничного и поясничного сколиоза. Хирургия позвоночника. 2004; 2: 12-8
- Li F., Chen Q., Chen W., Xu K. Posterior-only approach with selective segmental TLIF for degenerative lumbar scoliosis. J. Spinal Disord. Tech. 2011; 24 (5): 308-12.
- Wolf J.H. Das Gesetz der Transformation der Knochen. 1892. Reprint: Pro Business, Berlin 2010.
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).