[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.