摘要:
Various methods and devices are provided for implanting a motion segment repair system. In particular, exemplary methods and devices are provided for implanting a spinal disc implant and/or a PDS device using a posterior surgical approach, including methods and devices for distracting adjacent vertebrae using a posterior surgical approach, methods and devices for posteriorly introducing a spinal implant into a disc space between adjacent vertebrae, and methods and devices for coupling a PDS device to the adjacent vertebrae to provide a complete motion segment repair system that is implanted using a posterior surgical approach.
摘要:
Various methods and devices are provided for stabilizing the posterior elements of the spine, and more preferably methods and devices are provided for sharing the load with the intervertebral disc, the facet joints, the ligaments, and the muscles of the spinal column. In certain exemplary embodiments, methods and devices are provided for substantially controlling or providing resistance to movement, including flexion, extension, lateral bending, and axial rotation, of the adjacent vertebrae.
摘要:
An interspinous spacer having opposed, pivotally connected s-shaped members that can enter the interspinous space in an initial state and then rotate to a final state to secure the implant to the adjacent interspinous processes.
摘要:
Methods and devices are provided for spinal fixation. In one exemplary embodiment, the methods and devices provide one or more points of fixation located adjacent to a first fixation point at which a bone anchor is implanted in bone. For example, an extension member can be coupled, either directly or indirectly, to a bone anchor, and a fastener can be used to anchor the extension member to bone at a second point of fixation adjacent to the first point of fixation. The second point of fixation can be effective to prevent rotation or other movement of the bone anchor, thereby stabilizing the bone anchor. The methods and devices are particularly useful for unilateral fixation, in which one or more levels of the spine are stabilized along a single lateral side of the spine.
摘要:
Various methods and devices are provided for stabilizing the posterior elements of the spine, and more preferably methods and devices are provided for sharing the load with the intervertebral disc, the facet joints, the ligaments, and the muscles of the spinal column. In certain exemplary embodiments, methods and devices are provided for substantially controlling or providing resistance to movement, e.g., flexion, extension, lateral bending, and/or axial rotation, of the adjacent vertebrae.
摘要:
A bone plate secured by both a screw and a post. The head of the post may act as a cam that prevents screw backout. Preferably, the shaft of the first post passes partially through the first post through hole so that the distal unthreaded portion of its shaft substantially extends beyond the plate and the proximal threaded portion of its shaft substantially remains in the first post through hole.
摘要:
A separate nub component between the plate and an intervertebral fusion cage, wherein the nub is attached to the plate. The nub lessens the undesired pivotal movement of the plate. It is believed that when the nub fits snugly between the endplates of the adjacent vertebral bodies, it acts as a stop against the undesired pivotal movement of the plate.
摘要:
A novel posterolateral inter-muscular approach has been developed to access the cervical spine. The approach includes elevating the splenius capitis and trapezios muscles dorsally to create a window for deep spine access, wherein the window comprises i) an anterior superior border of the trapezius muscle; ii) an anterior inferior border of the splenius capitis muscle, and iii) a posterior superior border of the levator scapulae muscle. Preferably, a device such as an implant or an instrument is then passed through the window to manipulate the spine.
摘要:
An S-shaped interspinous spacer having a pair of hooks that, upon lateral insertion between opposed spinous process, bear upon the opposed spinous processes.
摘要:
Various methods and devices for replacing damaged, injured, diseased, or otherwise unhealthy posterior elements, such as the facet joints, the lamina, the posterior ligaments, and/or other features of a patient's spinal column, are provided. In one exemplary embodiment, the methods and devices are effective to mimic the natural function of the spine by allowing flexion, extension, and lateral bending of the spine, while substantially restricting posterior-anterior shear and rotation of the spine.