[Use of a transplant from the iliac crest with axial blood supply for anterior spondylodesis of the lower lumbar and lumbosacral segments of the spine]. / Ispol'zovanie transplantata iz grebnia podvzdoshnoi kosti s osevym istochnikom krovosnabzdeniia dlia perednego spondilodeza nizhnepoiasnichnogo i poiasnichno-kresttsovogo otdelov pozvonochnika.

The method of anterior osseoplasic stabilization of inferiolumbar and lumbosacral parts of spine by means of non-free vascularized transplant from the anterior part of the iliac crest has been developed. In the anatomical experiment at 100 objects there have been studied alternative surgical anatomy of vascular transplant pedicle from deep vessels, surrounding the iliac bone, ascertained the possibility of its lengthening at the cost of the muscular-periosteal "cuff". 9 patients have been operated on with positive results. There have been achieved an acceleration of the osseous stabilization of the spine by 1.5-2 times as compared with the traditional methods without essential restructuring of resolution of transplants with vascular connections.

[Treatment-diagnostic tactics for conservative treatment of uncomplicated compression fractures of the spine in the lower chest and lumbar regions]. / Lechebno-diagnosticheskaia taktika konservativnogo lecheniia neoslozhnennykh kompressionnykh perelomov pozvonkov v nizhnegrudnom i poiasnichnom otdelakh.

Fractures of the vertebra bodies were divided by the authors into 5 groups depending on the character of destruction. Reposition is not required in a deficiency of the height of the injured body to 15%. Reposition is necessary if the deficiency is more than 15%. The aim of the reposition is to correct the axis of the vertebra by means of reestablishment of the shape and mass of the injured vertebra body by unbending and simultaneous stretching the vertebral column. The proposed method was tested in treatment of 241 patients. The necessary reposition was achieved in 84.4% of the patients. Primary invalidism was determined in 8.1% for 1-2 years. The working ability was completely recovered in 83.1% of the patients and partly in 16.9%.

[Clinico-tactical classification of compression-flexion injuries of the thoracic and lumbar segments of the spine]. / Kliniko-takticheskaia klassifikatsiia kompressionno-fleksionnykh povrezhdenii grudnogo i poiasnichnogo otdelov pozvonochnika.

In the article is presented classification, which takes into consideration mechanisms and sequence of spinal segment destruction in case of compression-flexion violence. On the basis of experimental and clinical data are shown the stages of destruction and their roentgenologic diagnosis, prognostication of some other damages, which are not detected by common methods. Differentiated curative tactics, taking account of necessary restorative measures in correspondence with stages and resolution types, is given.

[Posterior stabilization of complicated spinal injuries with titanium plates]. / Zadniaia stabilizatsiia titanovymi plastinami pri oslozhnennykh povrezhdeniiakh pozvonochnika.

Decompressive operations due to the complicated damages of thoracal and lumbar parts of the spine aggravate its instability. Existing constructions for inner momentary stabilization of spine are not effectual enough. On the basis of biomechanical and clinical investigations individuality modelled titanium plates with multilevel fixation by means of polymeric materials are proposed. They ensure situationally strong spine stabilization. It is possible to regulate operation mode of the plates: contraction, distraction, neutral stabilization and their combinations.

[Compression-flexion fractures of lower thoracic and lumbar vertebrae: causes of failure of the reclination treatment and the ways of its improvement]. / Kompressionno-sgibatel'nye perelomy nizhnegrudnykh i poiasnichnykh pozvonkov: prichiny neuspekha reklinatsionnogo lecheniia, puti ego sovershenstvovaniia.

The authors present their views to the methods of treatment of compression-flexion fractures of the vertebra. The technique of elimination of deformation of the vertebral column and its stabilization in the field of injury for the necessary terms is described.

[The Harrington method of treating scoliosis in adults: its biomechanical analysis and modification]. / Tekhnika Kharringtona pri lechenii skolioza u vzroslykh: biomekhanicheskii analiz, modifikatsiia.

The authors have analysed the outcomes of the surgical treatment of 23 patients with spondylolisthesis of the 4th and the 5th lumbar vertebrae at stages I--IV. The longterm results of the treatment of the patients who had been operated on after the methods worked out by V. D. Chaklin and A. A. Korzh proved to the quite favourable.

[Intervertebral spondylodesis of mid- an lower-cervical vertebrae using blood-supplied transplants]. / Mezhtelovoi spondilodez sredne- i nizhnesheinykh pozvonkov krovosnabzhaemymi transplantatami.

The anatomical prerequisites, grounds and methods of anterior osteoplastic spondylosyndesis after traumas of the cervical part of the spinal column are described. Layer transplants from the manubrium sterni on the feeding pedicle--the breast portion of the muscle were used. The evolution of blood supplied transplants in 20 patients (out of 25 patients operated upon) was followed. The skeletal extension and plaster immobilization were used as means of additional stabilization of the spinal column. High resistance of the blood supplied transplants to microbe aggression was noted.

[Elimination of anterior compression of the spinal cord using the posterior approach]. / Ustranenie perednei kompressii spinnogo mozga cherez zadnii dostup.

The method of frontal decompression of the spinal cord by crushing the Urban wedge in irreducible neglected dislocation fractures of the thoracic and lumbar vertebrae is described. Positive results were obtained in all the 12 patients operated upon: from the relief of using the orthopedic devices to the regression of neurological disturbances.

[Biomechanical basis for a combined method of repositioning fractures and fracture-dislocations of the lower thoracic and lumbar vertebrae]. / Biomekhanicheskoe obosnovanie kombinirovannoi metodiki repozitsii perelomov i perelomovyvykhov nizhnegrudnykh i poiasnichnykh pozvonkov.

On the basis of data of model experiments and results of the treatment of 53 patients the authors recommend a combined technique of the treatment of severe fractures and dislocation fractures (a one-step reposition and subsequent extension of the involved portion). Favorable immediate and late results were obtained.

[Flap trepanation of the skull with removal of the bone plate and its replantation in traumatic brain compression]. / Loskutnaia trepanatsiia cherepa s udaleniem kostnoi plastiny i ee replantasiei pri travmaticheskoi kompressii mozga.

The results of 104 operations for traumatic compression of the brain have been studied. The advantages of bone-plastic approach are demonstrated. The indications for a primary removal of a flat bone graft plate in acute and subacute traumatic compression of the brain are precised. The results of a delayed plasty of skull defects following decompression trepanation are analysed. The flap bone plates, removed (on indications) during decompression trepanation through bone-plastic approach and kept in a weak formalin solution were used as grafts. Good results were obtained in the most of cases.