Object: different nosologic forms of the scoliotic disease including spinal growth process in a postoperative period, surgical techniques for correction of the scoliotic deformities. Purpose: to ground scientifically, to develop new and to improve existing methods for the surgical correction of the scoliotic spinal deformities with different pathogenesis and size. Methods: clinical, radiological, mathematic modeling method, informational, statistical. For the first time was proved possibility of the spinal growth and obtained surgical correction sparing in the condition of the threedimensional correction with growing polysegmental construction “MOST-2” with antelateral convex spinal epiphyseodesis in skeletal immature patients without revision surgeries. For the first time were proved changes of the vertebras shape and dimensional position at the apex of the curve in the condition of the threedimensional correction with growing polysegmental construction with antelateral convex spinal epiphyseodesis. For the first time with the mathematical model of the spine and implant was proved that stresses in the “Zielke” and “Hopf” construction rods are 1,3 times bigger in comparison with CDI and “MOST” systems constructions, stresses at the place of the screw insertion into body of the vertebra in using ventral implants (“Zielke” system – 33,1 MPa and “Hopf”-30,1 MPa) are 77,5-83,4% bigger then in using posterior spinal systems (CDI - 6,7 MPa and “MOST” – 5,0 MPa), using of the posterior CDI system results into stresses over 30% bigger then in transpedicular instrumentation by “MOST” construction. Stresses in the vertebras in using transpedicular system are less than in using hooks in 2,4 times. For the first time was proved possibility of the spinal deformity correction with Cobb angle over 80° without anterior release of the spine. For the first time was proved efficacy of the anterior spinal release and halotraction in spinal deformities over 120°. For the first time was proved was revealed sparing of the paragibbus spinal growth after hemivertebral resection in patients with congenital scoliosis. For the first time was proved loss of the surgical correction up to 2,2° in using transpedicular polysegmental system for the correction of the dystrophic and nondystrophic spinal curves in neurofibromatosis. For the first time was proved impact of the threedimensional spinal correction on spine-pelvic balance. System of the health care has got the line of new effective technologies of the scoliosis surgical correction in curves with the different genesis using new polysegmental construction types, that allow spinal deformity correction in skeletal immature children without revision surgeries, considerably improve scoliotic deformity correction using transpedicular fixation, to carry out correction of the severe scoiotic deformities due to anterior spinal release and halotraction, considerably increase correction of the congenital scoliosis due to wedgevertebra resection in combination with traspedicular spinal fixation, to help adult patients with scoliotic deformities and neurofibromatosis patients. Results of the investigation were introduced into clinical practice of State Institution “Sytenko Institute of the Spinal and Joint Pathology AMS of Ukraine”, neurosurgical clinic of the Donetzk’s Scientific Research Institute of the traumatology and orthopedics, department of the pediatric and traumatology of the Republics clinical hospital “OHMATDIT” Kyiv, neurosurgical department of the emergency care hospital Kyiv, department orthopedic and traumatology hospital N8 Kyiv. Material of the dissertation was included into teaching plan of postgraduated course in the cathedra of traumatology and orthopedics HMAPO. Traumatology and orthopedy.
