Supplementum 3+4/2007 - Společnost pro pojivové tkáně

ed either with plaster moulds or a data
processing way. The great problem is the
necessity of foreseeing a great amount of
changes while working the moulds as well
as when preparing the software. Errors can
hardly been avoided and require a great
time to be corrected.
Having noticed, that a minute amount
of great parts of a typical “Chêneau-brace”
can indifferently be used in a wide range
of patient’s sizes, we have tried to act a following
way:
1. Manufacture a brace according to a patient,
either with plaster forms or with
data processing methods.
2. If a part is not well adapted, just separate
a great but homogeneous region
of the brace, for instance the right pelvic
girdle; remould it with immediate
control on patient; then test the place
of this part also directly on patient.
Then, fix the part which had been separated,
on overlapping zones thanks
to rivets, on separated zones thanks to
bridges.
3. The same way of adjustments can
be made on bad local adaptations. If
a part is too tight, just saw, split and fix
a bridge. If too loose, saw, overlap and
fix rivets.
Advantage of this method are the easiness
of managing; the fact that it is much
less difficult to adjust a brace part when
isolated; that a control always can be made
direct on patient; that a very bad adapted
brace can quickly be well adapted; that
a noticeable time is won
ABSTRACT
CONSERVATIVE TREATMENT
OF SPONDYLOLISTHESIS AND
SPONDYLOLYSIS
Mezentzev A., Chekryshev D. O., Petrenko D. E.
Sytenko Institute of Spine and Joint Pathology,
Kharkiv, Ukraine; “Orthospine ltd.”, Evpatoria, Ukraine
E-mail: dmtry_o@rambler.ru
Conservative treatment of spondylolisthesis
and spondylolysis has produced
varying clinical results. Restoration of the
normal sagital spinal balance is important
both in non-operative and operative treatment
of the spondylolisthesis. In this study
12 patients with spondylolisthesis grade
I, spondylolysis and monolateral spondylolysis
with contralateral prespondylolysis
were treated with a brace with two gypsotomies,
one aiming at lordosing in L5/S1,
one delordosing in L2/L3 (Fig. 1). That
allowed to restore normal sagital balance of
the spine. In all 12 patients positive clinical
result was achieved. Proposed method of
conservative treatment allowed to achieve
reparation of the pars interarticularis, pain
relief and stabilization of the spine.
Key words: spondylolisthesis and spondylolysis,
conservative treatment, gypsotomy
Key words: Cheneau braces, half
module of brace
Figure 1. Two gypsotomies
350 The 9 th Prague-Sydney-Lublin Symposium