摘要:
A method of tailoring a spinal implant to correspond to a specific patient's needs includes: pre-operatively evaluating a patient to determine a desired spinal segment response; and modifying one or more features of flexures of an implant to provide the desired spinal segment response. Modifying one or more features of flexures of the implant can include modifying one or more of a thickness, width, length and/or shape of the features of the flexures. Various systems for executing the methodologies taught herein are also provided.
摘要:
Systems and method in accordance with the embodiments of the present invention can include an implant for positioning within a cervical facet joint for distracting the cervical spine, thereby increasing the area of the canals and openings through which the spinal cord and nerves must pass, and decreasing pressure on the spinal cord and/or nerve roots. The implant can be inserted laterally or posteriorly.
摘要:
Dynamic posterior stabilization systems and methods of stabilizing vertebrae are described. A dynamic posterior stabilization system may include bone fasteners and a dampener system. The bone fasteners may be secured to the vertebrae, and the dampener system may be attached to the bone fasteners. The dampener system may include a first dampener set and a second dampener set positioned on an elongated member. The first dampener set may be compressed and provides resistance to movement of the first bone fastener towards the second bone fastener. The second dampener set may be compressed and provide resistance to movement of the first bone fastener away from the second bone fastener.
摘要:
An orthopaedic device (1) for the mobile connection of a first and a second bony segment (4, 5) of an organic device for cooperating with or substituting a natural articulation comprising a first working surface (9) related to the first cooperating segment (4) with a second working surface (10) related to the second bony segment (5) in order to constrain (guide) the relative motion between the said bony segments (4, 5); the first and the second working surface (9, 10) are respectively practically shaped as the axodes of the relative motion of a first and a second link of a linkage practically equivalent to the natural articulation; in particular the first and the second link are corresponding, in the linkage, to the first and the second bony segment (4, 5).
摘要:
One or more rolling or rotating elements such as rollers or bearings reduce friction in an artificial disc replacement (ADR). In the preferred embodiment, the rolling or rotating elements are situated between the ADR and the vertebrae or endplate resurfacing components. The reduced friction decreases the shear stress on the vertebral endplates which, in turn, may decrease pain from the endplates. Alternatively, when used with resurfacing components, the reduced shear will prolong the life of the ADR. Multidirectional wheels allow the ADR to move in all directions to accommodate spinal motion. Roller embodiments allow flexion and extension of the spine with movement of the ADR. Conversely, the vertebrae slide over the dome shaped rollers during lateral bending. Spinal movement occurs as the vertebrae move over the device. The mobile therefore device nullself-centers.null In all embodiments, the body of the device may flex to dampen axial loads.
摘要:
A joint assembly incorporated into reconditioned end surfaces established between an upper bone and an opposing lower bone. The assembly includes a pair of first components anchored into reconditioned bone end surfaces of a first joint defining bone and exhibiting a flexible and band-shaped loop displace-ably supported along exposed undersides established between outer portions which are assembled around the bands. A second component anchored into a second reconditioned end surface of a second joint defining bone exhibits a planar support surface upon which said bands are in contact with and displace during articulating motion of the bones. Entrapment pockets are formed within the first components for collecting wear particles and debris resulting from displacement of the belt.
摘要:
A joint assembly incorporated into reconditioned end surfaces established between an upper bone and an opposing lower bone. The assembly includes a first component anchored into a first of the reconditioned bone end surfaces and exhibiting a first exposed support surface and a second component anchored into a second of the reconditioned bone end surfaces and exhibiting a second exposed support surface further including a flexible and conveyable closed loop belt relatively displaceable upon contact with the first support surface. Entrapment pockets can be formed within the implantable components and for collecting wear particles and debris from the belt and in order to extend the life of the joint assembly.
摘要:
Dynamic posterior stabilization systems and methods of stabilizing vertebrae are described. A dynamic posterior stabilization system may include a first bone fastener configured to couple to a first vertebra, a second bone fastener configured to couple to a second vertebra, and a dampener system attached to the first bone fastener and the second bone fastener. The dampener system may include a first dampener set and a second dampener set. Compression of the first dampener set provides resistance to movement of the first bone fastener towards the second bone fastener. Compression of the first dampener set and the second dampener set provides resistance to movement of the first bone fastener away from the second bone fastener.
摘要:
A disc implant is provided which maintains intervertebral spacing and stability within the spine. In an embodiment, a disc implant may include three or more components. Components of the implant may imitate certain physiological movements associated with a healthy spine. In certain embodiments, the components of the implant may limit physiological movements to within certain ranges, imitating normal spinal movements.
摘要:
This invention relates to a biojoint prosthesis comprising: a) a prosthetic comprising a first component having an outer surface comprising at least 90 mol % zirconia, and b) a second component having a surface shaped to receive the outer surface of the first component, wherein the outer surface of the first component is received on the surface of the second component, and wherein a) at least a portion of the surface of the second component receiving the first component comprises a ceramic having a surface roughness of no more than 100 nm, and b) the outer surface of the first component has a surface roughness of no more than 100 nm.