摘要:
An interbody spinal fusion implant (100) for insertion across the height of a disc space between two adjacent vertebral bodies of a human spine comprises a flat upper and lower surface (112,114), which form a support structure for bearing against the adjacent vertebral bodies. Each surface has at least one opening therethrough, wherein the openings are in communication with one another to permit for the growth of bone from adjacent vertebral body to adjacent vertebral body through said implant. The upper and lower surfaces each have an interior surface spaced apart from one another to define a hollow interior in communication with said openings. The implant includes an access opening (132) between said upper and lower surfaces and an access door (134). The access door permits the introduction of bone growth promoting material into the hollow interior. The access door is configured to cooperatively engage said implant for retaining the bone growth promoting material within said implant.
摘要:
The present invention is directed to a plating system having multiple (2) and single (600) locking mechanisms for general skeletal use other than in the anterior cervical spine; an orthopedic plating system (960) that permits a pair of bone screws to be inserted into a bone in a crossed over orientation and locked to the plate; a segmentable plating system (1000) which can be made to a selected length by the surgeon; and a combination screw-lock-plating system (2000) for allowing and/or causing intersegmental compression of bone portions.
摘要:
An abrading element (18) for preparing a space between adjacent vertebral bodies to receive an insert, the abrading element being mountable on a shaft (15) of an apparatus capable of rotating said abrading element to cause said abrading element to create at least one surface having a predetermined contour in the end plate of at least one of the adjacent vertebral bodies, said abrading element comprising: at least one abrading surface (19) having a width selected to substantially match the overall width of the insert to be received between the adjacent vertebral bodies, said abrading element being adapted to be rotated about an axis generally perpendicular to a longitudinal axis of the shaft of the apparatus.
摘要:
An apparatus and method for placing adjacent vertebrae at a fixed distance and angular relationship relative to each other, fixing the vertebrae in the position by use of a milling block (100) engaging each of the adjacent vertebrae, and then using a milling instrument (200), the depth, length and excursion of which from side to side are controlled by the apparatus to machine out a defined thickness of bone and a space of defined length, height, width and shape in preparation for receiving an inter-body spinal implant of graft or known size and configuration, are disclosed.
摘要:
An interbody spinal fusion implant for insertion across the height of a disc space between two adjacent vertebral bodies of a human spine comprises an insertion end for insertion first into the spine and a trailing end opposite said insertion end, a longitudinal axis, and a depth along the longitudinal axis. The implant further comprises an upper surface and a lower surface between said insertion and trailing ends, said surfaces being flat and forming a support structure for bearing against the adjacent vertebral bodies. The implant has a height between said surfaces, each surface has at least one opening therethrough, wherein the openings are in communication with one another to permit for the growth of bone from adjacent vertebral body to adjacent vertebral body through said implant. The implant also comprises opposite walls between said upper and lower surfaces and between said insertion and trailing ends, and a width between said opposite sides. The upper and lower surfaces each have an interior surface spaced apart from one another to define a hollow interior in communication with said openings. The maximum width of the implant between said opposite walls is larger than a maximum height between said upper and lower surfaces of said implant. The upper and lower surfaces are in angular relationship to the longitudinal axis along the depth of the implant, and the implant includes an access opening between said upper and lower surfaces and an access door. The access door is configured to permit the introduction of bone growth promoting material into the hollow interior, wherein the access opening is larger of the largest of said openings. The access door is configured to cooperatively engage said implant for retaining the bone growth promoting material within said implant.