摘要:
The present application is directed to guides for inserting an elongated member into a patient. The guide generally includes an elongated shape with a distal end that is positioned within the patient, and a proximal end that may be positioned outside of the patient. The guide may include a channel formed between sidewalls. The channel is sized to receive the elongated member and guide the member into a predetermined location within the patient. In one embodiment, the guide is used with an insertion device that may include a pivoting carriage for initially inserting the guide and then the elongated member into the patient. The guide may also be used in a freehand technique that is positioned specifically within the patient by the surgeon.
摘要:
A dynamic spinal stabilization assembly includes a rod having a plurality of slidable collars thereon. The rod is mounted to at least one of the relevant bone anchoring element(s) via the collars. The collars are spaced from one another such that the bone anchoring element engages at least two collars. The collars may be arranged on the rod so that adjacent collars are longitudinally spaced from one another by a distance not more than one-half the length of the rod-receiving channel in the relevant bone anchoring element. There may be elastic elements slidably disposed on the rod between adjacent collars.
摘要:
The present application is directed to methods and devices that provide for asymmetrical movement of vertebral members. In one embodiment, first and second anchors connect the rod to the vertebral members. The rod may be fixedly connected to the first anchor, and movably connected to the second anchor. A limiting device may be positioned on one or both sides of the second anchor. The limiting device or devices control an extent of movement between the rod and the second anchor during vertebral motion. In one embodiment, the device controls an amount of flexion and extension of the vertebral members.
摘要:
A device for reducing a stabilization member into the head of a medical implant is provided. The device includes a first jaw for engaging the implant underneath the implant head. A second jaw is provided for engaging the stabilization number. The second jaw is slideably mounted with respect to the first jaw and is movable with respect to the first jaw to reduce the stabilization member within the head of the implant
摘要:
A locking device employing a break away interface member rigidly coupled to a seating member for use in securing a stabilization member within a bone stabilization system. The bone stabilization system includes a bone anchor, a stabilization member, a coupling mechanism and a locking device. The locking device is structured to engage the coupling mechanism and the coupling mechanism is configured to couple the stabilization member to the bone anchor. The locking device, which is configured to thread into the coupling mechanism, includes an interface member rigidly connected to the seating member. The interface member breaks away from the seating member at a break-off junction to drop into contact with the stabilization member and to secure the stabilization member in the coupling mechanism following continued engagement of the seating member into the coupling mechanism.
摘要:
Embodiments of the invention include expandable, implantable devices and methods. Devices expand linearly to provide secure fixation between or among anatomical structures. The expanded height of some embodiments is greater that twice the unexpanded height of the device. In some embodiments, an implant replaces one or more vertebral bodies of the spine.
摘要:
A dynamic spinal stabilization assembly includes at least one mounting collar with a bore therethrough along a longitudinal axis, and a spinal rod slidably extending through the bore. The bore includes a medially disposed first section of reduced size that tapers both inwardly and outwardly relative to the axis, and respective end sections of relatively larger size. The bore may be defined by an interior wall that convexly curves toward the axis in the first section, advantageously with a constant non-zero radius of curvature. The bore profile helps minimize potential binding that may occur between the collar and the rod. The rod is coupled to bone anchoring elements, with at least one such connection being via the collar.
摘要:
An interspinous spacer system includes a core configured to fit between adjacent spinous processes, a first fork movable relative to the core from a non-use position to an in-use position, and second fork. When in the in-use position, the first fork extends outwardly from a first side of the core and bounds an opening. The second fork extends outwardly from a second side of the core, opposite the first side, and bounds the opening. Third and fourth forks extend outwardly from the first and second sides of the core respectively and form a second opening. The second, third, and fourth forks are affixed relative to the core and relative to each other. The first fork is inserted between spinous processes in the non-use position to avoid damage to a superspinous ligament adjacent the spinous processes. Other aspects and related methods are also disclosed.
摘要:
The present application is directed to implants with inner and outer members positioned in a telescoping arrangement. The members may include helical supports to selectively adjust the height of the implant. The helical supports offer a large contact surface to prevent inadvertent reduction of the length due to application of a compressive force. In some embodiments, the helical support members may be shaped to facilitate movement of the members to increase the height. The shape may further prevent movement that would decrease the height. Some embodiments may also prevent relative rotation of the members. In use, the inner and outer members are moved apart to adjust the height of the implant to space apart the vertebral members. The members may further be constructed to prevent the members from moving together after insertion between the vertebral members.
摘要:
Embodiments of the invention include expandable, implantable devices and methods. Devices expand linearly within the volume of a membrane and laterally to provide secure fixation between or among anatomical structures. In some embodiments, an implant replaces one or more vertebral bodies, or portions of vertebral bodies, of the spine.