摘要:
Systems and methods for multi-directional stabilization of a spinal column segment are provided. The systems include one or more motion preserving constructs that are engaged to adjacent vertebrae and extend trans-axially between the vertebrae obliquely to the central axis of the spinal column. The systems permit motion of at least a portion of a vertebral level while providing stabilization at least when tensioned. Systems that provide stabilization in compression are also contemplated.
摘要:
An instrument for tensioning a flexible elongate member in a surgical procedure includes a tensioning mechanism engageable to a portion of the flexible elongate member and operable to apply a tensioning force to the elongate member. The instrument includes a distal end portion at a distal end of the tensioning mechanism that is adapted to allow orientation of the elongate member in a first direction for implantation and to allow the instrument to extend transversely to the implantation orientation during application of a tensioning force. The distal end portion can also include a receptacle to receive a structure at the surgical site to facilitate positioning of the distal end portion at the desired location.
摘要:
Embodiments include a method for promoting selective tissue attachment to medical implants. By treating implant surfaces where tissue attachment is desired with tissue attachment promoting treatments, and treating implant surfaces where tissue attachment is not desired with tissue attachment inhibiting treatments, selective tissue attachment to medical implants may be achieved. Also, embodiments include an implant with at least one tissue contacting surface and at least one secondary surface where tissue attachment is not desired, and appropriate tissue attachment promoting or inhibiting treatments on the surfaces.
摘要:
A method of making a component of a spinal fixation system. The method may comprise providing a mixture of a powder of at least one metal or metal alloy and a polymeric binder. A metal-injection-molding process may use the mixture to form a component for a spinal fixation system. The components may have varying flexibility across their cross-sections. Also, components are provided that are produced by this process, such as spinal fixation rods and plates.
摘要:
A method of decompressing a facet joint comprises forming an opening in a facet capsule of the facet joint and inserting a spacer device through the opening into the facet capsule.
摘要:
Devices, methods and systems for stabilizing at least a portion of the spinal column are provided. Devices include seats and coupling members for engaging an elongate member. Systems include an elongate member sized to span a distance between at least two vertebral bodies and being at least partially formed of a flexible material. One or more seats can include rollers to allow relative movement of the rod and the seat.
摘要:
A spinal fixation device comprises a receiver that can be used with rods of different sizes. The receiver comprises a body with a channel formed therein. The body is adapted to receive one of a set of interchangeable inserts that engage rods of different sizes. A bone anchor secures the receiver to a vertebral member.
摘要:
A connector pivotally connects an anchor to a longitudinal member in a spinal implant. The connector body may include an oppositely disposed channel and cavity that are aligned on a common axis of the body, but isolated from each other. The channel receives the longitudinal member and the cavity receives the anchor. The anchor may include a shaft and an enlarged head that fits within the cavity. The cavity may include a narrow opening that is sized to retain the head within the cavity. The head may pivot within a wear member. The anchor may freely pivot within the cavity when a fastener mates with the receiver to maintain the longitudinal member within the channel.
摘要:
Embodiments provide composite components for use in spinal fixation systems. The composite components may comprise polyetheretherketone (PEEK) or another non-resorbable or resorbable polymeric material and at least one metal. Incorporation of PEEK or another non-resorbable or resorbable polymeric material into the components allows average or mean physical properties (e.g., tensile strength, modulus of elasticity, etc.) of the components to be modulated. The composition and orientation of the composite components can be advantageously chosen to produce components with desired physical characteristics.
摘要:
Systems and methods for multi-level, multi-functional stabilization of a spinal column segment are provided. The systems include one or more constructs having a motion preserving portion that permits motion of at least a portion of a vertebral level and a motion preventing portion that substantially prevents motion of at least a portion of a second, adjacent vertebral level.