摘要:
A surgical instrument assembly includes an inserter instrument and a driving instrument to engage an implant to a bony structure in a patient. The inserter instrument is positionable in a patient with the implant engaged thereto to position the implant at an operative site in the patient. A driving instrument is engageable to the inserter instrument to engage the implant to bony structure at the operative site. A template is provided and engageable by the driving instrument to facilitate preparation of the bony structure to receive the implant
摘要:
A vertebral rod has an elongated body extending along a longitudinal axis. The rod also includes a cavity extending the length of the body. Either the body or the cavity may have an asymmetrical shape about a centroid in a plane perpendicular to the longitudinal axis. Alternatively, both may have the symmetrical shape about the centroid. The body of the rod may be bounded by an exterior surface and the cavity. The body has a first bending axis that is perpendicular to longitudinal axis. The body also has a second bending axis that is perpendicular to the longitudinal axis and to the first bending axis. The body of the rod may be distributed asymmetrically about the first and second bending axes. Also, the rod may have a different bending stiffness about the first and second bending axes.
摘要:
A pivoting connector couples a vertebral member to a longitudinal member. An anchor is pivotally attached to a body by positioning a head of the anchor within a cavity in the body. A longitudinal rod is inserted into a channel also positioned within the body and axially aligned with the cavity. A retainer applies a force to maintain the longitudinal rod within the channel, however the force may be isolated from the anchor. The cavity is adjustable between a plurality of sizes that apply different resistances to pivoting movement of the anchor relative to the body. The adjustment may be performed before or during a surgical procedure. The adjustment may be performed by inserting different components or by rotating a threaded element to create more or less rotational interference.
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 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.