Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

EXPERIMENTAL STUDYOF ANTERIOR CORRECTION AND FIXATION TECHNIQUES FOR SPINAL DEFORMITIES

https://doi.org/10.14531/ss2011.3.82-88

Abstract

Objective. To assess spinal mobility with different extents of intervertebral disc resection, strength of screw fixation in vertebral bodies depending on placement techniques, and potentials for augmentation of screw fixation with bone cement.

Material and Methods. Eighteen young human cadaveric models of thoracolumbar spines were used. Discs with different extents of discectomy were exposed to rapture and torsion load. Mechanical stability of screw fixation using different placement techniques and augmentation with bone cement was assessed.

Results. The highest spinal mobility was observed after total discectomy with posterior longitudinal ligament dissection. Two-rod fixation system proved to be the most stable one, and bicortical screw placement – the most preferable. Bone cement augmentation increases mechanical stability of screws inserted into vertebral bodies.

About the Authors

Sergey Vasilyevich Kolesov
Central Institute of Traumatology and Orthopaedics n.a. NN Priorov, Moscow
Russian Federation


Nikolay Sveridovich Gavryushenko
Central Institute of Traumatology and Orthopaedics n.a. NN Priorov, Moscow
Russian Federation


Stepan Anatolyevich Kudryakov
Scientific and Practical Centre for Medical Care to Children with Craniofacial Abnormalities and Congenital Nervous System Disorders, Moscow
Russian Federation


Ilya Aleksandrovich Shavyrin
Scientific and Practical Centre for Medical Care to Children with Craniofacial Abnormalities and Congenital Nervous System Disorders, Moscow
Russian Federation


References

1. Ветрилэ С.Т., Кулешов А.А., Ветрилэ М.С. и др. Хирургическое лечение грудопоясничного и поясничного сколиоза // Хирургия позвоночника. 2004. № 2. С. 12–18.

2. Ветрилэ С.Т., Кулешов А.А., Ветрилэ М.С. Хирургическое лечение грудопоясничного и поясничного сколиоза с использованием дорсального и вентрального инструментария // Актуальные вопросы детской травматологии и ортопедии: Тез. докл. науч.-практ. конф. СПб., 2005. С. 87.

3. Ветрилэ С.Т., Кулешов А.А., Швец В.В. Сравнительный анализ результатов оперативного лечения сколиоза с применением дистрактора Harrington в сочетании с методом Luque и системы Cotrel – Dubousset // Вестн. травматол. и ортопед. им. Н.Н. Приорова. 1999. № 2. С. 7–15.

4. Дулаев А.К., Ястребков Н.М., Орлов В.П. Применение вентральных доступов в хирургии грудного и грудопоясничного отделов позвоночника// Вестн. травматол. и ортопед. им. Н.Н. Приорова. 2000. № 3. С. 21–27.

5. Михайловский М.В., Фомичев Н.Г. Хирургия деформаций позвоночника. Новосибирск, 2002.

6. Рубашкин С.А. Анатомо-морфометрическое обоснование хирургической коррекции сколиотической деформации: Автореф. дис.. канд. мед. наук. Саратов, 2008.

7. Dwyer AF, Newton NC, Sherwood AA. An anterior approach to scoliosis. A preliminary report. Clin Orthop Relat Res. 1969;62:192–202.

8. Halm H, Liljenqvist U, Castro WH, et al. Augmentation of ventral derotation spondylodesis according to Zielke with double-rod instrumentation. Preliminary report on two-year results of thoracolumbar curves. Acta Orthop Belg. 1995;61:286–293.

9. Halm H, Liljenqvist U, Niemeyer T, et al. Halm – Zielke instrumentation for primary stable anterior scoliosis surgery: operative technique and 2-year results in ten consecutive adolescent idiopathic scoliosis patients within a prospective clinical trial. Eur Spine J. 1998;7:429–434.

10. Kaneda K, Satoh S, Fujiya N. Analysis of results with Zielke instrumentation for thoracolumbar and lumbar curvature. Nippon Seikeigeka Gakkai Zasshi. 1985;59:841–851.

11. Kaneda K, Shono Y, Satoh S, et al. New anterior instrumentation for the management of thoracolumbar and lumbar scoliosis. Application of the Kaneda two-rod system. Spine. 1996;21:1250–1262.

12. Spinal Deformities: The Essentials / Ed. by RF Heary, TJ Albert. Thieme, 2007:45–190.

13. Turi M, Johnston СЕ II, Richards BS. Anterior correction of idiopathic scoliosis using TSRH instrumentation. Spine. 1993;18:417–422.

14. Zielke K, Stunkat R, Beaujean F. Ventrale derotations-spondylodesis. Arch Orthop Unfallchir. 1976;85:257–277.


Review

For citations:


Kolesov S.V., Gavryushenko N.S., Kudryakov S.A., Shavyrin I.A. EXPERIMENTAL STUDYOF ANTERIOR CORRECTION AND FIXATION TECHNIQUES FOR SPINAL DEFORMITIES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2011;(3):082-088. (In Russ.) https://doi.org/10.14531/ss2011.3.82-88



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)