摘要:
In an intervertebral implant, having an upper part that has a support face for a vertebra and a lower part that has a support face for an adjacent vertebra, on each of which parts engagement elements, which are accessible from one side of the intervertebral implant, for a manipulation instrument are disposed, in order to minimize the structural height of the intervertebral implant upon insertion into an intervertebral space, it is proposed that the upper part and lower part each have protrusions and recesses aimed at the respectively other part, which are offset laterally from one another in such a way that when the upper part has been brought close to the lower part they mesh with one another; and that the engagement elements on the upper part and on the lower part are each disposed in protrusions of these parts in such a way that the engagement elements of the upper part and lower part are located side by side and at least partly overlap in the direction of the height of the intervertebral implant.
摘要:
A method of implanting an intervertebral implant or component thereof, in which each component is selected to have an inner surface and an outer surface which engages an adjacent vertebra and presents only three distinct points of contact with a cortical rim of the vertebra. The outer surface is selected to have a footprint which is sized to be within that of the cortical rim. In disclosed embodiments, the footprint can be convexo-concave shaped or kidney shaped. The intervertebral implant can be provided with upper and lower (or first and second) components which engage adjacent first and second vertebrae and which move relative to one another. The implant has both the first and second outer surfaces sized to present a respective footprint sufficient for two lateral-anterior and one posterior points of contact with an adjacent cortical rim of the respective first and second vertebra.
摘要:
A method of implanting an intervertebral implant or component thereof, in which each component is selected to have an inner surface and an outer surface which engages an adjacent vertebra and presents only three distinct points of contact with a cortical rim of the vertebra. The outer surface is selected to have a footprint which is sized to be within that of the cortical rim. In disclosed embodiments, the footprint can be convexo-concave shaped or kidney shaped. The intervertebral implant can be provided with upper and lower (or first and second) components which engage adjacent first and second vertebrae and which move relative to one another. The implant has both the first and second outer surfaces sized to present a respective footprint sufficient for two lateral-anterior and one posterior points of contact with an adjacent cortical rim of the respective first and second vertebra.
摘要:
A spinal implant system including a spinal rod, a first clasp and a second clasp, a connecting element having a head and a shank connecting the first and second clasps, a first fastener for fastening the body of the first clasp to the spinal rod, a second fastener for fastening the shank of the connecting element to the body of the first clasp and a retainer for retaining the second clasp onto the head of the connecting element so that the second clasp can disengage itself from the head only in a direction toward the first clasp. The first clasp is adapted to be fixed to the vertebrae by a hook thereon. The second clasp is adapted to be fixed to the vertebrae by a hook thereon.
摘要:
An implant for replacing a removed vertebra includes an outer sleeve having a longitudinal axis and a peripheral inner surface. The inner surface has a series of axially adjoining, peripheral grooves lending the inner surface a sawtooth-shaped configuration when viewing the inner sleeve in axial section. The implant further includes an inner sleeve having a longitudinal axis and a peripheral outer surface. The outer surface has a series of axially adjoining, peripheral ribs lending the outer surface a sawtooth-shaped configuration when viewing the inner sleeve in axial section. The inner sleeve is telescopingly received in the outer sleeve such that the series of axially adjoining, peripheral ribs of the outer surface engage into the series of axially adjoining, peripheral grooves of the surface in an interfitting relationship. The sawtooth-shaped configurations of the inner and outer surfaces are oriented such that in normal operation the sleeves are prevented by the interengaging sawtooth configurations from being telescoped into one another, but are allowed by ratchet action to telescope outwardly from one another. The inner sleeve is radially sufficiently resilient to allow alternating radial compression and expansion during the ratchet action.
摘要:
A method and apparatus for customizing an intervertebral implant includes the initial step of obtaining a 3D anatomy of a series of vertebrae including an abnormal vertebra in a computer. The 3D anatomy of the series is then repositioned in the computer to eliminate the deformity caused by the abnormal vertebra. It is next determined whether a superior or inferior surface of the abnormal vertebra is an abnormal surface which causes the deformity, whereby an approximate gap between the abnormal surface and a desired normal surface is determined. Using that gap determination, a custom implant is constructed to engage the abnormal surface and fill the determined gap. Thus, when the implant is implanted between the abnormal surface and an adjacent surface of an adjacent vertebrae, the deformity is substantially compensated for. The implant may have articulation between the endplates to allow relative movement therebetween.
摘要:
In an intervertebral implant, having an upper part that has a support face for a vertebra and a lower part that has a support face for an adjacent vertebra, on each of which parts engagement elements, which are accessible from one side of the intervertebral implant, for a manipulation instrument are disposed, in order to minimize the structural height of the intervertebral implant upon insertion into an intervertebral space, it is proposed that the upper part and lower part each have protrusions and recesses aimed at the respectively other part, which are offset laterally from one another in such a way that when the upper part has been brought close to the lower part they mesh with one another; and that the engagement elements on the upper part and on the lower part are each disposed in protrusions of these parts in such a way that the engagement elements of the upper part and lower part are located side by side and at least partly overlap in the direction of the height of the intervertebral implant.
摘要:
In an intervertebral implant, having an upper part that has a support face for a vertebra and a lower part that has a support face for an adjacent vertebra, on each of which parts engagement elements, which are accessible from one side of the intervertebral implant, for a manipulation instrument are disposed, in order to minimize the structural height of the intervertebral implant upon insertion into an intervertebral space, it is proposed that the upper part and lower part each have protrusions and recesses aimed at the respectively other part, which are offset laterally from one another in such a way that when the upper part has been brought close to the lower part they mesh with one another; and that the engagement elements on the upper part and on the lower part are each disposed in protrusions of these parts in such a way that the engagement elements of the upper part and lower part are located side by side and at least partly overlap in the direction of the height of the intervertebral implant.
摘要:
This invention proposes a system (100) for the insertion and removal of a so-called “locator” pin (110) for very precisely positioning a pedicle screw (170) in a bone (O), enabling the implementation of an affordable and safe procedure that reduces exposure to surgery.According to the invention, the system comprises: a locator-pin (110) comprising a pin body (112), a distal portion (114) shaped so as to penetrate a bone; and a proximal portion (116) equipped with: a first fixing member (118) to fix, during use, to an insertion pin-carrier (120); and a second fixing member (119) to fix, during use, to a removal pin-carrier (130); the two fixing members (118, 119) being different; an insertion pin-carrier (120) equipped with a fixing member (121) complementary to the first fixing member (118) of the locator-pin; a removal pin-carrier equipped with a fixing member (131) complementary to the second fixing member (119) of the locator-pin; and a guide cannula (140) designed to receive freely sliding the locator-pin (110), the insertion pin-carrier (120) and the removal pin-carrier (130).
摘要:
In an insertion instrument for a three-piece intervertebral implant that includes an upper part that can be placed against a vertebra, a lower part that can be placed against the adjacent vertebra, and a pivot element that can be inserted between these two parts, the instrument having two arms, disposed side by side and supported pivotably relative to one another on one end, which at their free ends each have one retention device for the upper part and lower part, respectively, of the intervertebral implant, it is proposed that a longitudinal guide for the pivot element is disposed in one of the arms.