SURGERY OF CRANIOVERTEBRAL JUNCTION SPONDYLITIS BASED ON THE MODEL OF THE PATHOLOGICAL BIOMECHANICS
Abstract
The choice of management for craniovertebral junction (CVJ) spondylitis should be based both on morphologic and biomechanical changes of this region. Utilizing biomechanical concept of F. Denis, the “three column”–model of CVJ was elaborated, that explain biomechanical changes in spondylitis caused by the forces of the tonic muscles and cantilever location of the head. Proposed biomechanical model determines the kind of surgical treatment based on restoration of the affected CVJ columns. The good results of surgery, based on this model, were obtained in 85% patients: regression of neurological symptoms and osseous block in spondylodesis region formation.
About the Authors
V. N. Lavrov
ФГБУ «Центральный НИИ туберкулеза РАМН»
Russian Federation
Russian Federation
A. M. Kiselev
ГБУЗ Московской области «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»
Russian Federation
Russian Federation
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Review
For citations:
Lavrov V.N., Kiselev A.M. SURGERY OF CRANIOVERTEBRAL JUNCTION SPONDYLITIS BASED ON THE MODEL OF THE PATHOLOGICAL BIOMECHANICS. Tuberculosis and socially significant diseases. 2014;(3):28-31. (In Russ.)
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