摘要:
Translational bone fixation assemblies, kits containing such assemblies, and methods of use are described herein. The described assemblies may be used in spinal fusion procedures in which a damaged or diseased disc (or part of a disc) is removed from between a pair of vertebrae and a spinal fusion spacer is placed between the vertebrae. The assemblies may be applied to an anterior portion of the affected vertebrae to span the affected disc space, and may be fixed to the vertebrae using bone screws. The assemblies may function to maintain the vertebrae aligned during the initial period following fixation in which fusion of the spacer to the adjacent vertebrae occurs. The assemblies may also function to share some of the axial spinal load applied to the fusion spacer to prevent extreme subsidence of the spacer into the vertebral body, such as where the patient has poor bone quality.
摘要:
An implant for insertion into the disc space between vertebrae. The implant including a spacer portion (20;1020), a plate portion (50;1050) coupled to the spacer portion, a plurality of bone fixation elements (70) for engaging the vertebrae and a retention mechanism (80,82;1080) for preventing the bone fixation elements from postoperatively uncoupling from the implant.
摘要:
An implant for insertion into a disc space between vertebrae, wherein the implant includes a spacer portion (20), a plate portion (50) coupled to the spacer portion, two bone fixation elements (70) for engaging the vertebrae and a retention mechanism for preventing the bone fixation elements from postoperatively backing-out of the plate portion. The retention mechanism may be in the form of a spring biased snapper element (110) that is biased into communication with the bone fixation elements so that once the bone fixation element advances past the snapper element, the snapper element is biased back to its initial position in which the snapper element interfaces with the bone fixation elements. Alternatively, the retention mechanism may be in the form of a propeller (310) rotatable between a first position in which the bone fixation elements are insertable to a second position where the bone fixation elements are prevented from backing-out.
摘要:
A bone stabilization or fixation assembly may include a bone plate having an upper side and an underside and at least one fixation hole having a first diameter and the hole extending from the upper side to the underside. The area of the bone plate adjacent the fixation hole has a first thickness. The bone stabilization assembly further includes at least one fastener having a head, a shaft, and a relief. The head has a larger dimension than the shaft. The shaft may have threads having a pitch, a core diameter and an outer thread diameter. The relief has a length and a second diameter. The first diameter of the fixation hole may be smaller than the outer thread diameter but larger than the second diameter of the relief. Also, the length of the relief may be greater than the first thickness of the bone plate. The first diameter may be greater than, equal to, or less than the core diameter of the shaft.
摘要:
The present invention is directed to a low profile intervertebral implant (10) for implantation in an intervertebral disc space (D) in-between adjacent vertebral bodies (V). The intervertebral implant includes a plate (40) preferably coupled to a spacer (20). The plate is preferably formed from a first material and the spacer is preferably formed from a second material, the first material being different from the second material. The plate is preferably sized and configured so that the plate does not extend beyond the perimeter of the spacer. In this manner, the plate preferably does not increase the height profile (hs) of the spacer and the plate may be implanted within the intervertebral disc space in conjunction with the spacer.
摘要:
An intervertebral spacer implant (80) is provided with a retention mechanism (86) to help alleviate expulsion and movement of the implant when placed in the spine while providing an implant that is easier to insert in the spine. In one embodiment the retention mechanism comprises a keel on at least one of the inferior or superior faces of the spacer implant preferably extending in an anterior-posterior direction. In another embodiment the implant comprises a spacer (84) and a plate (82), the plate comprising a supplemental or alternative retention mechanism. In one embodiment the retention mechanism comprises one or more holes (88) in the anterior end of the plate. In yet another embodiment, the retention mechanism comprises one or more blades that are in a first position when inserted and are preferably rotated to a second position that engages the superior and inferior vertebrae.
摘要:
An implant (10) for insertion into a disc space between vertebrae including a spacer portion (20), a plate portion (50) coupled to the spacer portion, two bone fixation elements for engaging the vertebrae and a retention mechanism for preventing the bone fixation elements from postoperatively backing-out of the plate portion. The retention mechanism may be in the form of a spring biased snapper element (110) that is biased into communication with the bone fixation elements so that once the bone fixation element advances past the snapper element, the snapper element is biased back to its initial position in which the snapper element interfaces with the bone fixation elements. Alternatively, the retention mechanism may be in the form of a propeller rotatable between a first position in which the bone fixation elements are insertable to a second position where the bone fixation elements are prevented from backing-out.