摘要:
Devices and methods for attaching a support to the sacrum. One device may include first and second anchors that mount to the sacrum, and first and second lateral extensions coupled to the anchors to secure the device to the sacrum. A bearing face having a width is positioned between the lateral extensions. The face may have a height in an anterior-posterior direction greater than the spinous process of the sacrum. Further, the bearing face may be oriented in a superior direction when the device is mounted to the sacrum. An implant may be supported by the device to space the sacrum and L5 vertebrae. The implant may be an interspinous device and positioned between the L5 spinous process and the bearing face. The implant is supported at least in part by the bearing face.
摘要:
Devices and methods for spinal stabilization include first and second anchor assemblies engageable to respective ones of first and second vertebrae and a connecting element engageable to the first and second anchor assemblies. The connecting element includes opposite first and second members and a dampener between the end members that provides a flexible bumper between the end members to provide dynamic stabilization of the spinal column when engaged to the anchor assemblies.
摘要:
A molding device is disclosed and can include a first mold component and a second mold component substantially opposite the first mold component. The first mold component and the second mold component can fit around a superior spinous process and an inferior spinous process.
摘要:
An adjustable interspinous process brace is disclosed and can include a superior component. The superior component can include a superior spinous process bracket that can engage a superior spinous process. Further, the adjustable interspinous process brace can include an inferior component. The inferior component can include an inferior spinous process bracket that can engage an inferior spinous process. Further, the inferior component can be movably engaged with the superior component from a retracted position to an extended position. In the extended position, a distance between the superior spinous process bracket and the inferior spinous process bracket can be increased.
摘要:
A spinal rod having first and second end members. The end members may be flexible or rigid. An expandable intermediate section is positioned between the first and second end members. The intermediate section may be axially expandable upon the introduction of a substance into a port that may be located in either of the first and second end members or the intermediate section. The intermediate section may be expandable between a first size, where the first and second end members are spaced a first distance apart, and a second enlarged size, where the first and second end members are spaced a second greater distance apart.
摘要:
The present application is directed to devices and methods for spacing apart spinous processes. In one embodiment, the device includes a body having a central portion that separates first and second sections. The body is constructed of a combination of an elastic material and a bio-absorbable material. When initially implanted within a patient, the bio-absorbable material affects the stiffness of the device. The device stiffness changes to that of the elastic material as the bio-absorbable material is absorbed by the body.
摘要:
A surgical implantation procedure and a device for performing same according to which an expandable member is inserted between anatomical structures and expanded in one plane to cause relative movement between the structures. The expansion is terminated when the structures are in a predetermined spatial relationship.
摘要:
A method spacing spinal elements includes installing a first spinal implant having a sensor associated therewith; selecting a second spinal implant based on measurement data provided by the sensor; and replacing the first spinal implant with the second spinal implant. The first and second implants may be installed in separate surgical procedures, or during the same surgical procedure, and the implants may be positioned between a superior spinous process and an inferior spinous process and advantageously directly engage the same. The selection of the second implant may be based on the data provided by the sensor and a material property of the second spinal implant, such as its stiffness. The measurement data may correspond to strain or force data. The sensor may be, but is not required to be, embedded in the first spinal implant. A corresponding apparatus is described.
摘要:
A method of patient assessment, treatment, and outcome modeling is disclosed. The method includes obtaining patient characteristic information from a current patient, defining a plurality of therapeutic factors based on the characteristic information of the current patient, and weighting the therapeutic factors. The method also includes accessing at least one database having medical records of prior patients, the medical records including prior patient characteristic information, prior patient treatment plan, and prior patient outcome, comparing the weighted factors of the current patient to the medical records of the prior patients to identify one or more relevant prior patient records, and retrieving at least a portion of the relevant prior patient records, the portion including at least the prior patient treatment plan and the prior patient outcome. The method also includes performing a simulation of at least one of the prior patient treatment plans based on the current patient's characteristic information and selecting a treatment plan for the current patient.
摘要:
A retaining mechanism engages a bone fastener to a bone plate as the bone fastener is positioned through a retaining mechanism in a plate hole while preserving multi-axial capabilities of the fastener relative to the plate during insertion of the fastener. When the head of the fastener is positioned adjacent the plate, the head can optionally be received in the retaining mechanism and expand the retaining mechanism to fixedly engage the retaining mechanism into locking engagement with the plate and lock the bone fastener in position relative to the plate. In another form, the multi-axial capabilities of the bone screw is preserved or at least partially preserved when the bone fastener is finally positioned in the retaining mechanism.