摘要:
Embodiments of the invention include expandable, implantable devices and methods. Devices expand linearly to provide secure fixation between or among anatomical structures. In some embodiments, an implant replaces one or more vertebral bodies of the spine.
摘要:
Instrumentation and techniques for preparing vertebral members for insertion of an implant. Foundation instruments provide a reference relative to the vertebral members. The foundation devices guide the placement of one or more instruments that prepare the vertebral members. The instruments operatively align with the foundation instruments in a specific orientation to ensure proper placement relative to the vertebral members. Preparatory instruments may be used to further remove bone from the vertebral members. The preparatory instruments may be used prior to or after the other instruments. An insert is inserted and mounted to the vertebral members after the bone has been removed. A holder may be used for holding and placing the implant relative to the vertebral members.
摘要:
A surgical reducing instrument is used to position an elongated implant element in a desired position relative to one or more of the bone anchors of a spinal implant system. The reducing instrument includes a mounting member that is mounted to the anchor and extends along a first longitudinal axis and an implant reducing member pivotally linked to the mounting member that extends along a second longitudinal axis that is offset from and variably positionable relative to the first longitudinal axis about a pivot axis. The reducing member contacts the implant element and includes a manipulation portion to move the implant element along the second longitudinal axis and can maintain contact to move the implant element toward the bone anchor when the reducing member is pivoted relative to the mounting member about the pivot axis.
摘要:
A surgical instrument for use in spinal surgery is provided. The surgical instrument may have particular application in posterior total disc arthroplasty. The surgical instrument is adapted to be minimally invasive. The surgical instrument can be anchored into position by a stability pin. Further, the surgical instrument can guide a chisel or other instrument to the intervertebral space to resect a portion of a vertebral endplate. In at least one embodiment, the surgical instrument is also capable of distracting the disc space.
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 end members and a bumper assembly between the end members that flexibly connects the end members so the connecting element can provide dynamic stabilization of the spinal column when engaged to the anchor assemblies.
摘要:
A surgical implant engageable by a surgical tool having spaced apart jaws with inward facing tubular protrusions, is provided. The implant includes a body for interfacing with a bone structure. The implant also includes a head connected with the body having spaced apart posts juxtaposed by a stabilization member receiving area. Each post has an outward side face that includes an upper generally vertical surface intersecting with a generally inward directed under surface that in turn intersects with a lower generally vertical surface. The side face has a generally tubular cylindrical indention intersecting the upper vertical surface and the inward directed under surface.
摘要:
A connector apparatus is discussed for linking orthopedic elongated members, the apparatus having a connector body defining a first channel configured to receive a first elongate member and a second channel configured to receive a second elongate member. The channels are each defined by an inner contact surface configured to engage the corresponding elongate member. The first channel is U-shaped and opens at a top surface of the body. Additionally, the first channel includes an inner threaded portion configured to receive a first threaded retaining member to secure the first elongate member in the first channel. The second channel opens at a side surface of the body. Preferably, the channels open in substantially perpendicular directions. Additionally, the connector body defines a threaded through-hole, in communication with the second channel, configured to receive a second threaded retaining member to secure the second elongate member in the second channel.
摘要:
A spinous process clamp employs a pair of elongate plates that are positioned on either side of the spinous processes of vertebrae that are to be fused. The plates are joined by fasteners, preferably bolts and nuts. The plates include a recess on the bone facing side of the plate for retaining a bone growth promoting substance. When the bolts and nuts are tightened, the spinous processes are clamped between the plates, thereby pressing the bone growth promoting substance against the bone and encouraging bone growth across the vertebrae fixed by the plates.
摘要:
A pair of bone attachment devices and a crosslink device for a spinal fixation system or other implant arrangement is provided that extends between and engages the bone attachment devices with engaging members. The bone attachment devices include a receiver portion and the crosslink device includes a pair of elongated bridging members each having a pivotally attached connector for connecting to the bone attachment devices at various planar elevations. An interconnection device situated between the connectors receives the members and allows translational and rotational adjustment of the members relative to one another.
摘要:
The present application is directed to devices and methods for contouring an implant. The implant is constructed of a material that is moldable when heated above a glass transition temperature. The devices and methods provide for applying heat while the implant is within the patient. The temperature of the implant or a section of the implant is elevated above the glass transition temperature to contour the implant to the desired shape. Once contoured, the devices and methods include removing the heat causing the implant to cool below the glass transition temperature to a substantially solid state. In various embodiments, the devices generally include a body, a contact section positioned on the body, and a heater that heats the contact section.