межотросткового расширителя

English translation: interspinous process spreader

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
Russian term or phrase:межотросткового расширителя
English translation:interspinous process spreader
Entered by: Frank Szmulowicz, Ph. D.

13:58 Apr 6, 2021
Russian to English translations [PRO]
Medical - Other
Russian term or phrase: межотросткового расширителя
Операция проведена методом микрохирургической декомпрессии ПП4/5 слева, с секвестротомией и нуклеотомией и соединением 4 и 5 поясничных позвонков винтами, штифтами и костными элементами в межпозвонковом пространстве, со стабилизацией сегментов ПП3/4 и ПП5/КП1 посредством межотросткового расширителя.
Maxim Polukhin
Local time: 11:47
interspinous process spreader
Explanation:
Fig. 19.5
A spreader is placed between the spinous processes. The spreader is used to measure the size of the interspinous device. Care must be made not to overdistract the interspace with resultant fracture of the spinous process.

spreader is then placed in order to measure the interspinous space. The spreader is opened, distracting the spinous processes with care not to over distract and fracture the bone ( Fig. 19.5 ). The spreader’s ratchet is kept up at this point and when proper distraction is achieved it is dropped down and a measurement may be made. There is risk of fracture of the spinous process. This is especially true in those with osteoporosis. If fractured, the spinous process plate will need to be abandoned. The authors always recommend having a back-up plan for fixation when performing this procedure.


Image courtesy of Zimmer Biome\https://i0.wp.com/neupsykey.com/wp-content/uploads/2019/11/f...
https://neupsykey.com/spinous-process-plates-for-lumbar-fixa...
Selected response from:

Frank Szmulowicz, Ph. D.
United States
Local time: 04:47
Grading comment
Спасибо!
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +1interspinous process spreader
Frank Szmulowicz, Ph. D.
4interspinous process spacer
Marlin31


  

Answers


3 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +1
interspinous process spreader


Explanation:
Fig. 19.5
A spreader is placed between the spinous processes. The spreader is used to measure the size of the interspinous device. Care must be made not to overdistract the interspace with resultant fracture of the spinous process.

spreader is then placed in order to measure the interspinous space. The spreader is opened, distracting the spinous processes with care not to over distract and fracture the bone ( Fig. 19.5 ). The spreader’s ratchet is kept up at this point and when proper distraction is achieved it is dropped down and a measurement may be made. There is risk of fracture of the spinous process. This is especially true in those with osteoporosis. If fractured, the spinous process plate will need to be abandoned. The authors always recommend having a back-up plan for fixation when performing this procedure.


Image courtesy of Zimmer Biome\https://i0.wp.com/neupsykey.com/wp-content/uploads/2019/11/f...
https://neupsykey.com/spinous-process-plates-for-lumbar-fixa...

Frank Szmulowicz, Ph. D.
United States
Local time: 04:47
Native speaker of: Native in EnglishEnglish, Native in PolishPolish
PRO pts in category: 213
Grading comment
Спасибо!

Peer comments on this answer (and responses from the answerer)
agree  mk_lab
1 hr
  -> Большое спасибо.
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4 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5
interspinous process spacer


Explanation:
interspinous process spacer (distractor)
https://www.premera.com/medicalpolicies/7.01.107.pdf
Devices known as spacers have been designed to be positioned between the vertebrae. Spacers are ntended to reduce pain. Generally speaking, a surgeon places the device and then expands it. This expansion lifts the part of the bone that’s pressing on the nerve.
Interspinous and interlaminar implants (spacers) stabilize or distract the adjacent lamina and/or spinous processes and restrict extension to reduce pain in patients with lumbar spinal stenosis and neurogenic claudication. Interspinous spacers are small devices implanted between the vertebral spinous processes. After implantation, the device is opened or expanded to distract (open) the neural foramen and decompress the nerves

Расширитель используется для декомпрессии нервных корешков и стабилизации позвонков (как это и описано в представленном фрагменте). В случае со спредером речь идет об измерительном инструменте, т.е. у него другие задачи.

https://jss.amegroups.com/article/view/3525/html
Interspinous process spacers versus traditional decompression for lumbar spinal stenosis: systematic review and meta-analysis

https://journals.lww.com/spinejournal/fulltext/2015/03010/su...
Superion Interspinous Process Spacer for Intermittent Neurogenic Claudication Secondary to Moderate Lumbar Spinal Stenosis

Marlin31
Russian Federation
Local time: 11:47
Native speaker of: Native in RussianRussian
PRO pts in category: 4
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