摘要:
An interbody fusion cage (12) has an externally threaded stem (19) projecting from a domed outer end (22). A contoured plate (11) is provided with an aperture (23A) receivable on the stem. The stem threads (26) receive a nut (21) to fix the plate to the cage. Bone screws (16-18) anchor the plate to vertebral bodies (13, 14). A hemispherical surface (23) on the plate (11) and surrounding the stem-receiving aperture (23A) and bearing on the dome (22), accommodates universal angulation of the plate relative to the cage. In addition to a cage installation tool (51), there is a plate installation tool assembly including a plate holder (31), a nut holder (34T) and cage adjuster (34), a nut driver (33), and a plate holding prong controller (32, 43).
摘要:
A disc preparation system includes an oscillating rasp (26) for preparation of vertebral endplates and a central reamer (100) for reaming a pair of kidney-shaped grooves into the vertebral endplate. The oscillating rasp (26) is powered by a rotary power source. A linkage assembly (42) is coupled to the rotary power source to convert the rotary motion into a reciprocating motion. A pair of rasps plates (66, 68), which are linked to the linkage assembly, linearly reciprocate in opposite directions in response to the reciprocating motion of the linkage assembly. In one form, the central reamer (100) includes a pair of cutting elements (104) that are coupled to the rotary power source in order to rotate in response to rotational movement from the rotary power source. In another form, the central reamer includes a single cutting element coupled to an angled reamer handle and a reamer guide.
摘要:
An assembly (20) for aligning a prosthetic device for insertion into an intervertebral space (5) is provided. The assembly includes an alignment instrument (22), a first clamp assembly (52) slidably engaged with the alignment instrument, a second clamp assembly (54) slidably engaged with the first clamp assembly, and an implantation device (24) slidably engaged with the second clamp assembly, the implantation device being adapted to retain a prosthetic device thereon.
摘要:
A prosthetic device (600) for anterior-oblique insertion into an intervertebral space is provided. The prosthetic device includes a first component (602) having a first flange (640) for engaging a first vertebra from an anterior-oblique approach, the first flange being angled relative to the longitudinal and transverse axes of the first component, and a second component (604) having a second flange (670) for engaging a second vertebra from an anterior-oblique approach, the second flange being angled relative to the longitudinal (R) and transverse axes (T) of the second component, and wherein the first and second components cooperate to permit articulating motion between the first and second components.
摘要:
An interbody fusion cage (12) has an externally threaded stem (19) projecting from a domed outer end (22). A contoured plate (11) is provided with an aperture (23A) receivable on the stem. The stem threads (26) receive a nut (21) to fix the plate to the cage. Bone screws (16-18) anchor the plate to vertebral bodies (13, 14). A hemispherical surface (23) on the plate (11) and surrounding the stem-receiving aperture (23A) and bearing on the dome (22), accommodates universal angulation of the plate relative to the cage. In addition to a cage installation tool (51), there is a plate installation tool assembly including a plate holder (31), a nut holder (34T) and cage adjuster (34), a nut driver (33), and a plate holding prong controller (32, 43).
摘要:
This invention relates to methods and instruments for performing disc space preparation and implant insertion from a unilateral approach to the spine through a posterior lateral opening to the disc space. The instruments include spreaders, distractors, reamers, scrapers, cutters, chisels, pushers and implant inserters. A surgical procedure is provided that allows bilateral support of the adjacent vertebrae with at least one interbody fusion device inserted into the disc space via a unilateral approach. Implants for insertion into the disc space are also provided.
摘要:
Instruments and methods are provided for positioning one or more implants into a spinal disc space. The instruments and methods have application in an anterior lateral approach to the disc space between the L4 and L5 vertebrae. The instruments include a distractor (30), a housing (50), a guide member (80) to facilitate positioning of the housing, and a partition member engageable to the housing to facilitate positioning of one or more implants into the disc space.
摘要:
Systems and methods for stabilizing the spine are provided. For stabilizing the L5-S1 junction, the system includes a plate (7) that has a generally triangular shape with an upper node (8a) and a pair of lower nodes (9a, 10a). The upper node (8a) has a hole (8) through the plate (7) to receive a screw (11) for passage into the L5 vertebra. The lower nodes (9a, 10a) each include a hole (9,10) through the plate (7) to receive screws (12, 13) for passage into the S1 vertebra. The system further includes a plate (7) having a retaining element (32) for preventing backout of screws inserted through the plate (9). Instruments and methods for attaching the plate to the spinal column are also provided.
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:
An intersomatic implant (1a, 1b) maintains bone graft material in a receiving cavity formed in a disc in order to obtain intervertebral fusion. The implant (1a, 1b) includes of a plurality of parts provided with means for in situ connection of two consecutive parts. Instruments (33) are used to connect these implants (1a, 1b) and a tool assists in introducing these implants (1a, 1b) into the cavity formed in the disc.