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    Method of percutaneous paracoccygeal pre-sacral stabilization of a failed artificial disc replacement
    52.
    发明申请
    Method of percutaneous paracoccygeal pre-sacral stabilization of a failed artificial disc replacement 审中-公开
    经皮耻骨尾骶骨稳定化失败人造椎间盘置换的方法

    公开(公告)号：US20070173824A1

    公开(公告)日：2007-07-26

    申请号：US11335267

    申请日：2006-01-19

    申请人： Charles Rosen

    发明人： Charles Rosen

    IPC分类号： A61F2/30

    CPC分类号： A61F2/4455 ,  A61F2/442 ,  A61F2002/30079 ,  A61F2002/30299 ,  A61F2002/30367 ,  A61F2002/30507 ,  A61F2002/30579 ,  A61F2002/30662 ,  A61F2002/3069 ,  A61F2002/3085 ,  A61F2002/443 ,  A61F2210/009 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2230/0093

    摘要： A procedure for stabilization in situ of a failed artificial disc replacement (ADR) using a pre-sacral paracoccygeal approach to an inter-vertebral disc space, such as the L5-S1 disc space for example, where a bore is created in the ADR using a drill, and then a fastener is inserted into the bore of the ADR and used to compress the endplates of the ADR. The fastener may have ends that prevent movement of the fastener once established in the ADR, and maintain the ADR in compression. Subsequent to the stabilization of the ADR, a spinal fusion operation can be performed with the stabilized ADR such that regenerative growth of bone can surround and form over the ADR without relative movement of the ADR to resist complete fusion and immobilization, and thus to improve the clinical results.

    摘要翻译： 用于使用前骶尾旁淋巴细胞方法对椎间盘间隙（例如L 5 -S 1椎间盘空间）例如在其中产生孔的失败的人造椎间盘置换（ADR）进行稳定的程序 使用钻头的ADR，然后将紧固件插入ADR的孔中，并用于压缩ADR的终板。 紧固件可以具有阻止一旦建立在ADR中的紧固件的移动的端部，并且将ADR保持在压缩状态。 在ADR的稳定之后，可以用稳定的ADR进行脊柱融合手术，使得骨的再生生长可围绕并形成在ADR上，而无需ADR的相对运动以抵抗完全融合和固定，从而改善 临床结果。

    Transosseous spine core approach method implant and instrumentation
    54.
    发明申请
    Transosseous spine core approach method implant and instrumentation 失效
    骨折脊椎核心方法植入和手术

    公开(公告)号：US20070118219A1

    公开(公告)日：2007-05-24

    申请号：US11089896

    申请日：2005-03-25

    申请人： Edward Hyde

    发明人： Edward Hyde

    IPC分类号： A61F2/44

    CPC分类号： A61F2/4425 ,  A61B17/70 ,  A61B17/86 ,  A61F2/44 ,  A61F2/4455 ,  A61F2002/30079 ,  A61F2002/30092 ,  A61F2002/30574 ,  A61F2002/30683 ,  A61F2002/30772 ,  A61F2002/3085 ,  A61F2002/30937 ,  A61F2002/443 ,  A61F2002/444 ,  A61F2002/4631 ,  A61F2210/0014 ,  A61F2210/009 ,  A61F2310/00011 ,  A61F2310/00161 ,  A61F2310/00179 ,  A61F2310/00976

    摘要： The transosseous spinal core approach (TOSCA) represents a novel approach to the interior of the spine or disc space by removing a core from a first bone and performing a procedure, and/or making further enlargements and cuts in the first bone and performing a procedure, and/or making another cut into an adjacent disc space from the first bone hole and performing a procedure and/or continuing by cutting into another second bone and performing a procedure. The process can be further extended into additional spine levels by extending the cutting process. A core can be made at more than one level. The preferred surgical approach is a posterior lateral approach. An anterior surgical approach can be used as well. Any practical surgical approach or any combination of surgical approaches can be utilized to gain access to the first bone. Once the surgical soft tissue access to the first bone is completed TOSCA can be used to gain access to the interior of a vertebral body or disc space. After the procedure is completed in a vertebral body or disc space, usually at least a portion of the bone core is replaced to fill in the core hole.

    摘要翻译： 经骨髓脊髓核心方法（TOSCA）代表了通过从第一骨骼移除核心并执行手术，和/或在第一骨骼中进一步放大和切割并执行手术来对脊柱或椎间盘空间的内部进行新颖的方法 ，和/或从第一骨孔进一步切割成相邻的椎间盘空间，并且通过切割到另一个第二骨并执行手术来执行手术和/或继续。 通过延长切割过程，可以将该过程进一步扩展到额外的脊柱水平。 核心可以在多个层面上制作。 优选的手术方法是后侧方法。 也可以使用前路手术方法。 可以利用任何实际的手术方法或手术方法的任何组合来获得对第一骨的接近。 一旦外科手术软组织进入第一个骨骼就完成了TOSCA可以用来进入椎体或椎间盘的内部。 在椎体或椎间盘空间中完成手术之后，通常更换骨芯的至少一部分以填充芯孔。