摘要:
One embodiment of the present application includes: performing a medical procedure on a segment of a patient's spine. This segment includes two vertebrae each in contact with a spinal disk positioned in an intervertebral disk space. A passage is formed that follows a pathway through the vertebrae and the intervertebral disk space. This passage extends from an extradiscal opening through one of the vertebrae along a path that turns to change direction. The tubular device is inserted in the passage and extends through the intervertebral disk space. A fluid material is introduced into the tubular device to at least partially fill it to provide a spinal prosthetic structure. Other embodiments and inventive aspects include other prosthetic device arrangements, implantation methods, systems, and techniques.
摘要:
A method of implanting a spinal prosthesis comprises inserting a first member between superior and inferior spinous processes associated with respective superior and inferior vertebrae. The superior and inferior vertebrae are separated by an intermediate vertebra. The method further includes inserting a second member through a channel in the first member. After the second member is inserted, the method requires removing the second member from the channel and inserting a third member through the channel. The third member has a different stiffness than the second member. Finally, the method requires anchoring the third member to the intermediate vertebra, while the third member is inserted through the channel. The third member is anchored at first and second locations disposed on respective first and second lateral sides of the intermediate vertebra.
摘要:
A prosthetic device and a method of implanting same between two vertebrae of a vertebral column to stabilize the column, according to which each vertebrae is engaged by a spacer, and the spacers are connected to permit relative movement between the spacers so that the distance between the spacers can vary to conform with the distance between the vertebrae and accommodate bending movements of the vertebral column.
摘要:
A posterior spinal fixation device or dynamic spinal stabilization device or other orthopedic device includes an active agent-delivery component. The active agent-delivery component has an active agent impregnated therein or adsorbed thereon or otherwise contained therein and is configured to release the active agent locally after the device is implanted in a patient. One preferred type of implant in accordance with the invention is an implant for stabilizing a spinal motion segment that includes a spacer member positionable between adjacent spinous processes or transverse processes or other posterior spinal element, including an implanted anchor element.
摘要:
An intervertebral prosthetic device and method for spinal stabilization, according to which a prosthetic device is implanted relative to two vertebrae and is positioned so that it makes a rigid connection with one of the vertebra and a non-rigid connection with the other vertebra.
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.
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 anchor engaging end portions and a length along a longitudinal axis between the first and second anchor engaging end portions sized for positioning between and engaging each of the first and second anchor assemblies when the first and second anchor assemblies are engaged to the respective vertebrae. The connecting element further includes a support portion between the first and second anchor engaging end portions. The support portion includes first and second support members spaced from one another on opposite sides of the longitudinal axis, and a stabilizing member extending between the support members in a transverse orientation to the longitudinal axis.
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.