ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2022.78.07ymj-56Research ArticleМЕТОДЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯMETHODS OF DIAGNOSIS AND TREATMENTРезультаты применения модифицированного корригирующего маневра вращения дуги при хирургическом лечении тяжелых сколиозовResults of the use of a modified corrective maneuver of arc rotation in the surgical treatment of severe scoliosishttps://orcid.org/0000-0002-5400-0570ДжалиловТ. Я.JalilovT. Ya.

Джалилов Тогрул Яшар оглы – к.м.н., н.с.

Jalilov Togrul Yashar ogly – Candidate of Medical Sciences, researcher, Department of Adult Orthopedics, Scientific Research

Baku

dr.djalilovtogrul@mail.ruНИИ травматологии и ортопедии АзербайджанаАзербайджанInstitute of Traumatology and Orthopedics of Azerbaijan, Department of Adult OrthopedicsAzerbaijan202203022025022731Copyright © Джалилов Т.Я., 20252025Джалилов Т.Я.Jalilov T.Y.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/56

Хиррургическая коррекция тяжелых идиопатических сколиозов считается рискованной процедурой. Во многих случаях в целях лечения устойчивых деформаций выше 55⁰ требуется проведение задней остеотомии типа педикулярной остеотомии, резекции тела позвонка. Но эти процедуры влекут за собой высокую неврологическую недостаточность и риски кровотечения, согласно мнению некоторых авторов, осложнения могут достигать 80% не только во время операции, но и спустя 6 мес. после оперативного вмешательства.Разработанная нами методика «Вращение дуги» с целью коррекции тяжелого ригидного сколиоза позволяет значимо достичь коррекции и избежать послеоперационных осложнений, связанных с остеотомиями и дискэктомиями, выполняемыми при «классическом» варианте оперативного лечения.

Surgical correction of severe idiopathic scoliosis is considered a risky procedure. In many cases, in order to treat stable deformities above 550, a posterior osteotomy such as pedicular osteotomy, resection of the vertebral body, is required. But these procedures cause high neurological failure and bleeding risks, and according to some authors, complications can reach 80% not only during surgery, but also after 6 months surgery.The technique of arc rotation developed by us in order to correct severe rigid scoliosis makes it possible to significantly achieve correction and avoid postoperative complications associated with osteotomies and discectomies performed in the classic version of surgical treatment.

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The authors declare that there are no conflicts of interest present.