摘要:
A prosthetic device (700) for insertion into an intervertebral space is provided. The prosthetic device includes a first component (704) having a first recess (758) formed therein, the first recess defining a substantially concave recess surface of the first component, a second component (702) having a second recess (714) formed therein, the second recess defining a substantially planar recess surface (718), and a projection member (730) adapted to engage the second recess surface wherein the projection member is also adapted to engage the first recess surface to permit articulating motion between the first and second components.
摘要:
An instrument (100) for separating adjacent vertebrae includes a handle assembly (102) and a distal portion (104) at a distal end of the handle assembly. The distal portion includes first and second members (106, 108) movable from an unexpanded configuration for insertion in the disc space toward an expanded configuration to separate the vertebrae. A cutting member of a cutting instrument (300, 400, 500) can be guided by the instrument to prepare the vertebrae for engagement with an implant.
摘要:
A prosthetic device (410) for transforaminal insertion into an intervertebral space is provided. The prosthetic device includes a first component (412) having a first curved flange (426) for engaging a first vertebra from a transforaminal approach, the first component having a first articular surface (418), and a second component (414) having a second curved flange (450) for engaging a second vertebra from a transforaminal approach, the second component having a second articular surface (432) for cooperating with the first articular surface to permit articulating motion between the first and second components.
摘要:
An instrument and method for cutting a path in bone are provided. The instrument includes a curved guide member (500) defining a curved opening (504) extending therein, and a bit member (510) positioned within the opening (504) of the guide member (500). The bit member is adapted to move within the opening of the guide member to cut a path in bone.
摘要:
A method for correcting spondylolisthesis from the lateral approach is provided in which a pair of insertion members (30, 32) are inserted laterally into upper and lower vertebrae, a connecting member (34) is affixed to the insertion members (30, 32), and a rotating force is applied to the connecting member to encourage the upper and lower vertebrae into a desired position relative to one another.
摘要:
A fusion-promoting, spinal plating assembly is described. The plating assembly includes a first plate, and at least one additional plate connected to the first plate, the at least one additional plate extending transversely to the first plate. The plating assembly is adapted to be completely inserted within an intervertebral space defined between a first vertebral body and a second vertebral body.
摘要:
The present invention provides an instrument and method for surgical extraction. In one example, a surgical instrument for extracting a prosthetic device includes a distal portion transitionable from an insertion configuration to an extraction configuration, wherein the insertion configuration is adapted for displacement along a portion of a prosthetic device, and the extraction configuration is adapted for engaging and extracting the prosthetic device, and a proximal portion connected to the distal portion. In another example, an instrument for surgical extraction includes at least one extraction prong wherein the at least one extraction prong comprises a transverse flange, and a mounting portion wherein the at least one extraction prong is secured to the mounting portion.
摘要:
A prosthetic device (210) for insertion into a spondylosed intervertebral space is provided. The prosthetic device includes a first component having a first flange (230) for longitudinally engaging a first vertebra during longitudinal insertion therein, and a second component having a second flange (260) for longitudinally engaging a second vertebra during longitudinal insertion therein. One of the first and second components comprises a projection (224) extending from an articular surface of the first and second components comprises a recess (250) formed in its articular surface, the projection and recess being adapted to engage one another. One of the projection and the recess is offset relative to the articular surface to accommodate the spondylosed relationship between the first and second vertebrae.
摘要:
An articular disc prosthesis and method of implanting the same within an intervertebral space between adjacent vertebral bodies. The prosthesis includes a pair of articular components and an articular ball disposed therebetween. Each of the articular components includes an outer shell portion and a removable inner insert portion. The insert portion includes a concave articular surface sized and shaped to receive a portion of the articular ball to provide articulating motion between the articular components. The outer shell portion includes a central hemi-cylindrical portion, a pair of laterally extending flanges, and an axially extending lip. Following removal of the natural intervertebral disc, a pair of hemi-cylindrical recesses is formed along a central region of the adjacent vertebral bodies to a predetermined depth. The prosthesis is implanted within the prepared disc space by axially displacing the hemi-cylindrical central portions of the articular components along the hemi-cylindrical recesses in the vertebral bodies. The lateral flanges and the axial lip of the articular components bear against the endplates of the adjacent vertebral bodies to stabilize the prosthesis and to prevent subsidence.
摘要:
An intervertebral prosthetic joint including a first articular component adapted to engage a first vertebra and a second articular component adapted to engage a second vertebra. The articular components include abutting convex and concave articular surfaces that cooperate to permit articulating motion between the articular components. At least one of the convex and concave articular surfaces includes at least one surface depression that is configured to facilitate removal of matter disposed between abutting portions of the articular surfaces. In one embodiment of the prosthetic joint, each of the articular components has a vertebral bearing surface and a flange extending therefrom that is configured to penetrate a corresponding one of the first and second vertebrae, with the flange defining at least one opening extending therethrough to permit bone throughgrowth.