摘要:
Artificial disc devices are disclosed that restore correct anatomical intervertebral spacing for damaged discs while maintaining a substantially normal range of biomechanical movement for the vertebrae between which they are implanted. The disc devices include center bearing and outer or annular bearing portions with the center bearing portion including generally axially extending locating surfaces which cooperate with the facing vertebral surfaces to resist migration. The outer bearing portion is for load bearing or load sharing with the center bearing portion and includes surfaces that extend radially toward the periphery of the vertebrae so that subsidence about the center bearing portion is minimized. Alternate forms of the disc devices include one with an axially enlarged center ball bearing having an annular ring bearing extending thereabout and another having upper and lower plate members with a central bumper member and a surrounding resilient annular member therebetween.
摘要:
A bone fixation apparatus and method are provided that allow a user to push bone pins into engagement with bones with more precision and accurate feel as to proper engagement and the clamping forces between the pins and bone over prior devices utilizing applicator guns and the like. Fine tuning of the clamping forces is also contemplated. Compact and highly ergonomic bone fixators are provided which allow the user to remain close to the pin application site during clamping of the pins onto the bone. Significant flexiblity is preferably incorporated by having two adjustably connected positioner bodies which can each mount a pin holder module releasably attached thereto. A fixation system with improved rigidity is also provided by way of independent clamping members for each of a pair of rod mounts on each pin positioner. The independent clamp members keeps their size to a minimum while allowing the angular separation of connecting rods secured in the rod mounts and spanning and interconnecting two fixators to be optimized, e.g. approximately eighty degree angular spacing, from a system stability standpoint.
摘要:
Artificial disc devices are disclosed that restore correct anatomical intervertebral spacing for damaged discs while maintaining a substantially normal range of biomechanical movement for the vertebrae between which they are implanted. The disc devices include center bearing and outer or annular bearing portions with the center bearing portion including generally axially extending locating surfaces which cooperate with the facing vertebral surfaces to resist migration. The outer bearing portion is for load bearing or load sharing with the center bearing portion and includes surfaces that extend radially toward the periphery of the vertebrae so that subsidence about the center bearing portion is minimized. Alternate forms of the disc devices include one with an axially enlarged center ball bearing having an annular ring bearing extending thereabout and another having upper and lower plate members with a central bumper member and a surrounding resilient annular member therebetween.
摘要:
A spinal stabilization system includes a first engagement member and a support structure. The first engagement member is adapted to be disposed between a first vertebra and a second vertebra. The engagement member generally includes a seating surface for accommodating at least a portion of a laminar region of the first vertebra. The support structure engages a portion of the second vertebra. The structural cooperation of the first engagement member and the support structure is such that the engagement member restricts reduction of the intervertebral spacing between the first and second vertebrae.
摘要:
In one form, a tool apparatus is provided that permits a spinal rod and cap assembly to be secured into a yoke coupling member anchored into a spinal bone. The tool apparatus includes a single actuator handle that is operable to both advance a drive member or persuader rod linearly along a longitudinal axis of the tool and also to rotate the drive member about the longitudinal axis. The rotary motion of the single actuator handle, therefore, is effective to linearly advance a cap assembly and spinal rod into a yoke coupling member secured to the tool and also to rotate at least a portion of the cap assembly to lock the cap relative to the yoke using the same rotary motion of the handle.
摘要:
Implant devices in the form of a vertebral body replacement for implantation within an intervertebral space between adjacent vertebrae is disclosed for immobilization and support of the adjacent vertebrae in a desired spatial relationship and for promotion of fusion by the adjacent vertebrae. Instruments for insertion and implantation of the implant devices and of fusion material such as bone graft material are disclosed. Methods are disclosed for implantation of the implant devices.
摘要:
A spinal fixation system is provided that, in one form, comprises a pedicle screw assembly having a coupling device with an elongate member for guiding a fixation element, such as a spinal rod, into the coupling device and a lock device for fixing the spinal rod to the coupling device. The pedicle screw assembly may be passed through a small incision and connected to a vertebral bone. By connecting a second pedicle screw assembly to a second vertebral bone, the elongate members of the pedicle screw assemblies provide guideposts for directing the spinal rod subcutaneously between the pedicle screw assemblies and into the coupling devices thereof.
摘要:
An implant device is provided for implantation within an intervertebral space between adjacent vertebrae comprising an implant body, a rotatable portion and a piercing portion configured to pierce the adjacent vertebra.
摘要:
A bone plate system having a retainer for resisting back-out of a bone anchor from a throughbore of a bone plate is provided. In one aspect, a bone plate system having a resilient retainer disposed in a bone plate throughbore with a pair of elongate arm portions of the resilient retainer extending along opposite sides of the throughbore. In another aspect, a bone plate system having a resilient retainer with a pair of elongate interference portions completely exposed in the throughbore and spaced from each other across the throughbore to retain a head of a bone anchor received in the throughbore. In addition, a bone plate system having a resilient retainer with a pair of opposite end portions disposed within a groove of a throughbore wall such that a bone anchor may be inserted into the throughbore without contacting either of the opposite end portions of the retainer.
摘要:
A bone plate system having a retainer for resisting back-out of a bone anchor from a throughbore of a bone plate is provided. In one aspect, a bone plate system having a resilient retainer disposed in a bone plate throughbore with a pair of elongate arm portions of the resilient retainer extending along opposite sides of the throughbore. In another aspect, a bone plate system having a resilient retainer with a pair of elongate interference portions completely exposed in the throughbore and spaced from each other across the throughbore to retain a head of a bone anchor received in the throughbore. In addition, a bone plate system having a resilient retainer with a pair of opposite end portions disposed within a groove of a throughbore wall such that a bone anchor may be inserted into the throughbore without contacting either of the opposite end portions of the retainer.