摘要:
The present disclosure relates, according to some embodiments, to devices, systems, and/or methods for delivery (e.g., controlled delivery) of a pharmaceutical to a subject's spine. For example, the disclosure relates to implants that provide both a mechanical function and a pharmacological function. According to some embodiments, a spinal implant may comprise a rigid spinal implant body having one or more recesses, one or more layers in each of the one or more recesses, each of the one or more layers comprising a biocompatible material and a pharmaceutically effective amount of a pharmaceutical compound; and at least one biocompatible cap in each of the one or more recesses. An implant may further comprise biocompatible barriers interspersed between the layers.
摘要:
Instruments and techniques for implanting non-rigid implants are provided that include positively engaging the implant between distal and proximal ends of the implant at least adjacent the distal end of the insertion instrument while deploying the implant longitudinally and distally from the insertion instrument.
摘要:
A prosthetic device for insertion into an intervertebral space may include a first articulating element formed of a ceramic material and a second articulating element configured to cooperate with the first articulating element to permit articulating motion. The second articulating element also may be formed of a ceramic material. A first polymer component may be joined to the first articulating element at a first ceramic-polymer interface and a second polymer component may be joined to the second articulating element at a second ceramic-polymer interface. A method of manufacturing the disc is also disclosed.
摘要:
An instrument for inserting an implant is provided. The implant includes a protrusion having a protrusion width for extending into a portion of a bone structure. The instrument includes an elongated member and a first member connected to the elongated member. The first member is adapted for selectively engaging the implant. The first member has a width substantially equal to or less than the protrusion width. A second member may be in movable communication with the first member for selectively engaging the implant.
摘要:
An expandable spinal implant including at least two expandable branch portions extending generally along a longitudinal axis and each including a fixed end portion and an opposite movable end portion with the fixed end portions coupled together adjacent a base portion of the implant. A first of the branch portions includes at least one transverse projection having opposite axially-facing outer surfaces. A second of the branch portions defines at least one transverse recess having opposing axially-facing inner surfaces. The transverse projection is positioned within and displacable along the transverse recess with the outer surfaces of the projection positioned in close proximity with the inner surfaces of the recess to provide structural support to the implant subsequent to expansion. In one embodiment, the branch portions are separated from one another by at least one slot including a narrow portion that defines the close fitting transverse projection and transverse recess.
摘要:
A vertebral implant for insertion into a patient includes a tubular member extending along a longitudinal axis and includes a first region comprised of a shape-memory material. The first region includes a first longitudinal height when the implant is maintained at a temperature below a threshold temperature. The first region includes a second longitudinal height when the implant is maintained at a temperature at or above the threshold temperature. The tubular member further includes a second region with a third longitudinal height regardless of whether the implant is maintained above or below the threshold temperature. The second region may be constructed of the same shape-memory material. The second region may be disposed at an end of the tubular member. Bone-growth materials may be packed into the ends of the tubular member. End pieces may be coupled to the ends of the tubular member.
摘要:
A system for augmenting a spinal joint comprises a first flexible stabilizing device adapted to extend through a pedicle of a first vertebra, at least a portion of a vertebral body of the first vertebra, at least a portion of a vertebral body of a second vertebra, and a pedicle of the second vertebra.
摘要:
An orthopedic prosthesis comprising a polymeric cup member for use in a ball and socket joint is disclosed. The cup member may include several advantageous features such as a multi-directional and multi-planar channel having an undercut area that provides a mechanical lock between the cup member and a fixation material for enhanced fixation. The cup member may further comprise a plurality of spacers for ensuring an even mantle of fixation material between the cup member and the bone, a series of divots for enhancing fixation, a locating feature that permits a physician to visualize and locate the cup member in the socket of the patient's bone on appropriate medical equipment, and a lead-in chamfer located between a terminal edge and an interior surface of the cup member. Further, the terminal edge of the cup member may comprise a planar rim or may alternatively comprise a hood located distally from said terminal edge.
摘要:
A prosthetic device for lateral insertion into an intervertebral space is provided. The device includes a first component for engaging a first vertebral body, a second component for engaging a second vertebral body, and an articulation member positioned between the first and second components. The first and second components each have a length that extends upon cortical bone of opposing sides of an apophyseal ring of the corresponding vertebral body and a width that is smaller than the length. A ratio of length to width for each of the first and second components can be in the range of 1.3:1 to 1.7:1.
摘要:
An artificial spinal joint creates at least a portion of a coupling between a superior vertebra and an inferior vertebra. The artificial spinal joint comprises an anterior joint replacement component extending into an intervertebral disc space between the superior and inferior vertebrae. The artificial spinal joint further comprises a bridge component coupled to the anterior joint replacement and extending posteriorly from the anterior joint replacement beyond the intervertebral disc space and a posterior joint replacement component coupled to the bridge, wherein the posterior joint replacement component includes a posterior protrusion engaged with a posterior socket.