摘要:
Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.
摘要:
Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.
摘要:
Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.
摘要:
Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.
摘要:
A measurement tool is designed to measure the relative displacements between two bony landmarks of a spine, such as pedicles and facet surfaces. The measurement tool may have a registration interface designed to be registered to a first bony landmark, and a contact feature shaped to contact a second bony landmark. The registration interface may be registered to a frame rigidly coupled relative to the first bony landmark. The measurement tool also has a displacement structure that permits motion of the contact feature relative to the registration interface along multiple dimensions. The displacement structure may have two or three sliding joints that enable relative translation along orthogonal axes. Each sliding joint may have a rod with a plurality of markings that can easily be read to acquire measurements from the displacement structure.
摘要:
A measurement tool is designed to measure the relative displacements between two bony landmarks of a spine, such as pedicles and facet surfaces. The measurement tool may have a registration interface designed to be registered to a first bony landmark, and a contact feature shaped to contact a second bony landmark. The registration interface may be registered to a frame rigidly coupled relative to the first bony landmark. The measurement tool also has a displacement structure that permits motion of the contact feature relative to the registration interface along multiple dimensions. The displacement structure may have two or three sliding joints that enable relative translation along orthogonal axes. Each sliding joint may have a rod with a plurality of markings that can easily be read to acquire measurements from the displacement structure.
摘要:
A measurement tool is designed to measure the relative displacements between two bony landmarks of a spine, such as pedicles and facet surfaces. The measurement tool may have a registration interface designed to be registered to a first bony landmark, and a contact feature shaped to contact a second bony landmark. The registration interface may be registered to a frame rigidly coupled relative to the first bony landmark. The measurement tool also has a displacement structure that permits motion of the contact feature relative to the registration interface along multiple dimensions. The displacement structure may have two or three sliding joints that enable relative translation along orthogonal axes. Each sliding joint may have a rod with a plurality of markings that can easily be read to acquire measurement from the displacement structure.
摘要:
A dilating system for dilating bodily tissue includes a elongate tubular first dilator and a elongate tubular second dilator. The second dilator has an outer diameter greater than the outer diameter of the first dilator, the first dilator being configured to be received within the second dilator. In one embodiment, a first mating member is formed on the exterior surface of the first dilator while a second mating member is formed on the interior surface of the second dilator. The first mating member engages with the second mating member when the second dilator is passed over the first dilator so as to cause the second dilator to travel along a fixed path relative to the first dilator.
摘要:
A system includes an implant with an articulation surface, a fixation member which may be anchored in a bone, and a base portion which may receive the fixation member. The base member may comprise a bone-engaging portion and an attachment portion. The base member may receive the fixation member such that a threaded portion of the fixation member and the bone-engaging portion of the base member may be seated in the bone. The implant may be attached to the attachment portion of the base member. The base member may be configured in a variety of shapes and may include fins, teeth, pegs or other anti-rotation features, and may include a bone ingrowth surface. The attachment portion may be tapered and attachable to the implant through a taper-lock.
摘要:
A prosthesis for the replacement of at least a portion of the bone of a facet located on a mammalian vertebra, comprising: an articulating surface that articulates with another facet; a bone contacting surface that contacts a surface of the vertebra, the articulating surface being connected to the bone contacting surface; and a fixation element that attaches the bone contacting surface to the vertebra, the fixation element being adapted for implantation into an interior bone space of a pedicle of the vertebra; wherein the prosthesis is configured so that no portion of the prosthesis contacts the posterior arch of the vertebra.