摘要:
A guide and method of using the guide for positioning within a patient between vertebral members for contouring each of the members. The guide comprises a first section and a second section. A first edge is positioned along an edge of the first section, and a second edge is positioned along an edge of the second section. One or more elongated rods extend through the sections. One or both of the sections are movable along the rods to adjust a spacing between the first edge and the second edge. When positioned within the patient, the first edge is aligned along a first vertebral member and the second edge is aligned along a second vertebral manner. A manner of locking the sections is included for preventing the sections from moving relative to each other once the first and second edges are aligned within the patient.
摘要:
A modular intervertebral prosthesis system includes first and second baseplates and an insert designed to mate to the baseplates. The baseplates include a mounting section and a intervertebral section extending away from the mounting section generally perpendicular thereto. The intervertebral section has at least one aperture passing therethrough. When installed, the insert is disposed between the intervertebral sections of the baseplates and faces the apertures. In this way, the insert is not insulated from the vertebral members, thereby allowing for osteoinduction, osteoconduction, and/or osteointegration, if desired. The insert may take the form of an articulating-type insert or a fusion-type insert, with the baseplates being operative with both types of inserts. After installation of the insert between the baseplates, the insert may be readily removed, at least initially.
摘要:
One embodiment of a hollow spinal spacer (10) includes a curved anterior wall (11) having opposite ends (12, 13), a posterior wall (15) having opposite ends (16, 17), two lateral walls (20, 21), each integrally connected between the opposite ends (12, 13, 16, 17) of the anterior (11) and posterior (15) walls to define a chamber (30). The walls (11, 15, 20, 21) include a superior face (35) and an inferior face (40). The superior face (35) defines a first opening (36) in communication with the chamber (30) and includes a first vertebral engaging surface (37). The inferior face (40) defines a second opening (41) in communication with the chamber (30) and includes a second vertebral engaging surface (42).
摘要:
One embodiment of a hollow spinal spacer (10) includes a curved anterior wall (11) having opposite ends (12, 13), a posterior wall (15) having opposite ends (16, 17), two lateral walls (20, 21), each integrally connected between the opposite ends (12, 13, 16, 17) of the anterior (11) and posterior (15) walls to define a chamber (30). The walls (11, 15, 20, 21) include a superior face (35) and an inferior face (40). The superior face (35) defines a first opening (36) in communication with the chamber (30) and includes a first vertebral engaging surface (37). The inferior face (40) defines a second opening (41) in communication with the chamber (30) and includes a second vertebral engaging surface (42).
摘要:
One embodiment of a hollow spinal spacer (10) includes a curved anterior wall (11) having opposite ends (12, 13), a posterior wall (15) having opposite ends (16, 17), two lateral walls (20, 21), each integrally connected between the opposite ends (12, 13, 16, 17) of the anterior (11) and posterior (15) walls to define a chamber (30). The walls (11, 15, 20, 21) include a superior face (35) and an inferior face (40). The superior face (35) defines a first opening (36) in communication with the chamber (30) and includes a first vertebral engaging surface (37). The inferior face (40) defines a second opening (41) in communication with the chamber (30) and includes a second vertebral engaging surface (42). In one embodiment, a lateral wing projects from an external surface of each of the lateral walls. In another embodiment, the anterior wall defines an anterior superior surface and an anterior inferior surface. The anterior superior surface has a concave shape defining a first radius which is configured to correspond to the anterior shape of an inferior vertebral endplate. The anterior inferior surface has a convex shape defining a second radius which is configured to correspond to the anterior shape of a superior vertebral endplate. In other embodiments, the lateral walls define a convex lateral superior surface and a convex lateral inferior surface. Each of the lateral surfaces define a radius configured to correspond to the shape of a vertebral endplate.
摘要:
Spinal spacers for fusion of a motion segment. A spinal spacer includes a body, which may be formed of a bone composition. The body includes a first end, an opposite second end, a superior face defining a superior vertebral engaging surface and an inferior face defining an inferior vertebral engaging surface. At least one of the vertebral engaging surfaces defines a set of migration resistance grooves. Each of the grooves includes a first face defining an angle of no more than about 90 degrees relative to the engaging surface and a second opposing sloped face.
摘要:
According to the invention, there is provided a trial implant and method of using same. The implant includes a modular bracket defining a structure having an internal surface adapted to be seated on the distal aspect of a resected femur bone and an external surface with a shape resembling the normal distal condyle of the femur. The bracket has an opening appointed to expose a portion of the resected bone of the femur, including guide structure for guiding a tool along a predetermined path for controlled shaping of a patellar groove in the bone exposed through the opening. Removal of any portion of the bracket or guide structure is unnecessary following the shaping steps prior to performing a trial reduction.
摘要:
According to the invention, there is provided a trial implant and method of using same. The implant comprises a modular bracket defining a structure having an internal surface adapted to be seated on the distal aspect of a resected femur bone and an external surface with a shape resembling the normal distal condyle of the femur. The bracket has a elongated central opening appointed to expose the resected bone of the femur, including a pair of tracks for guiding a tool along a predetermined path for controlled shaping of a patellar groove in the bone exposed through the opening. An end mill guide cooperates with the bracket to receive another tool to form a deep recess for accommodating a posterior-stabilizing housing. After the patellar track is formed, the external surface of the bracket articulates with a proximal aspect of the tibia during interoperative trial reduction of the knee joint. Removal of the bracket from the resected bone is unnecessary following the shaping steps prior to performing the trial reduction.
摘要:
Spinal spacers 20 are provided for fusion of a motion segment. The spacers include a load bearing member 21 having a wall 22 sized for engagement within a space between adjacent vertebrae to maintain the space and an effective amount of an osteogenic composition to stimulate osteoinduction. The osteogenic composition includes a substantially pure osteogenic factor in a pharmaceutically acceptable carrier. In one embodiment the load bearing member includes a bone graft impregnated in an osteogenic composition. In another embodiment, the osteogenic composition 30 is packed within a chamber 25 defined in the graft. Any suitable configuration of a bone graft is contemplated, including bone dowels, D-shaped spacers and cortical rings.
摘要:
Spinal spacers 20 are provided for fusion of a motion segment. The spacers include a load bearing member 21 having a wall 22 sized for engagement within a space between adjacent vertebrae to maintain the space and an effective amount of an osteogenic composition to stimulate osteoinduction. The osteogenic composition includes a substantially pure osteogenic factor in a pharmaceutically acceptable carrier. In one embodiment the load bearing member includes a bone graft impregnated in an osteogenic composition. In another embodiment, the osteogenic composition 30 is packed within a chamber 25 defined in the graft. Any suitable configuration of a bone graft is contemplated, including bone dowels, D-shaped spacers and cortical rings.