Morphometrical Substantiation of Surgical Method Choice of Damage Correction of Chest Department of Spinal Column

Abstract

The purpose is to reveal patterns of variability of thoracic vertebrae size characteristics for adequate selection of standard sizes and orientation of corrective hardware introduction. Materials include preparations of vertebrae of 60 skeletons from the collection of Department of Human Anatomy, Saratov State Medical University and 110 computer tomograms in adults without visible backbone pathology, 200 computer tomograms of backbone traumas from archives at Saratov Scientific Research Institute of Traumatology and Orthopedics. The analysis of results of surgical treatment of 288 patients with backbone damages have been carried out from 1995 till 2008. Since 2003 preoperative planning at 160 patients has been done taking into account anatomo-topographic vertebrae sizes. Optimum selection of ventral designs has been carried out taking into account the sizes of vertebral bodies (front, back, lateral heights, sagittal and frontal diameters of vertebral bodies). It is necessary to consider the sizes of back structures (thickness and height of arches, pediculo-regional length, height, width, corners of convergence and inclination of pedicles of vertebrae).

Keywords

• thoracic vertebrae
• ventral and transpedicular constructions