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 (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:
Surgical techniques and instruments are provided for preparing a disc space for implantation of a vertebral fusion device or implant. In accordance with one embodiment of the technique, a surgical instrument assembly (40) is provided having an outer sleeve (50) with distraction fingers (58) at one end to maintain distraction of a disc space. A switching sleeve (100) having a pair of rotatable distractors (108) is coupled within the outer sleeve (50), and the sleeves are placed over a dilator (150) until the distractor heads (110) are placed within the disc space. The dilator (150) is withdrawn and the disc space distracted by rotating the distractors (108) of the switching sleeve (100). The switching sleeve (100) is uncoupled from the outer sleeve (50) and the fingers (58) of the outer sleeve (50) are then inserted into the disc space. The switching sleeve (100) and dilator (150) are then removed and the outer sleeve (50) defines a channel therethrough that allows insertion of implants at bilateral locations within the disc space without movement or manipulation of the outer sleeve (50). Laparoscopic procedures may be performed in the disc space by placing a sealing member (180) over the end of the outer sleeve (50) after it is inserted into the disc space.
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 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:
Surgical techniques and instruments are provided for preparing a disc space for implantation of a vertebral fusion device or implant. In accordance with one embodiment of the technique, a surgical instrument assembly (40) is provided having an outer sleeve (50) with distraction fingers (58) at one end to maintain distraction of a disc space. A switching sleeve (100) having a pair of rotatable distractors (108) is coupled within the outer sleeve (50), and the sleeves are placed over a dilator (150) until the distractor heads (110) are placed within the disc space. The dilator (150) is withdrawn and the disc space distracted by rotating the distractors (108) of the switching sleeve (100). The switching sleeve (100) is uncoupled from the outer sleeve (50) and the fingers (58) of the outer sleeve (50) are then inserted into the disc space. The switching sleeve (100) and dilator (150) are then removed and the outer sleeve (50) defines a channel therethrough that allows insertion of implants at bilateral locations within the disc space without movement or manipulation of the outer sleeve (50). Laparoscopic procedures may be performed in the disc space by placing a sealing member (180) over the end of the outer sleeve (50) after it is inserted into the disc space.
摘要:
A prosthetic device (40) for lateral insertion into an intervertebral space is provided. The prosthetic device includes a first component (42) having a first laterally-extending flange (58) for engaging a first vertebra from a lateral approach to the first vertebra, the first component having a first articular surface (52). The prosthetic device further includes a second component (44) having a second laterally-extending flange (68) for engaging a second vertebra from a lateral approach to the second vertebra, the second component having a second articular surface (72) for cooperating with the first articular surface to permit articulating motion between the first and second components.
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.