CN105232191A - Intervertebral fusion device capable of being braced in transverse direction - Google Patents
Intervertebral fusion device capable of being braced in transverse direction Download PDFInfo
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- CN105232191A CN105232191A CN201510756390.XA CN201510756390A CN105232191A CN 105232191 A CN105232191 A CN 105232191A CN 201510756390 A CN201510756390 A CN 201510756390A CN 105232191 A CN105232191 A CN 105232191A
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Abstract
The invention belongs to the technical field of medical apparatus and instrument implants of a department of orthopaedics and particularly relates to an intervertebral fusion device capable of being braced in the transverse direction. The device comprises a hollow main body; the device is characterized in that before being braced, the main body is of a cuboid structure, after being braced, the inner circumference of the main body is of a hexagonal structure, and the main body is of an arc-shaped structure with the middle thickness larger than the thickness of the two ends. The intervertebral fusion device has the advantages that it is guaranteed that a sufficient supporting surface and stable supporting performance are available, the bone grafting area and bone grafting amount are increased to the greatest extent, the bone graft fusion rate is raised, and the problems that an intervertebral fusion device sediments after being implanted, and the intervertebral height is lost are solved thoroughly.
Description
Technical field
The invention belongs to orthopedic medical device inner matter technical field, particularly relate to one and laterally can strut inter vertebral fusing device.
Background technology
BAK and nail-stick system are combined in treats the disease aspects such as low back pain that caused by lumbar degenerative slippage, Segmental defect and discogenic disease, lumbar instability causes and has good efficacy.BAK not only can recover the height of intervertebral, expands intervertebral foramina, also enhances the support of front pillar simultaneously, adds the stability of Fusion levels, prevents Cage subsidence and pseudoarticulation formation.The forties in 20th century, CLOWARD just starts to apply intervertebral fusion method treatment lumbago, and thereafter, first BAK-Cage is applied to human body.Through development for many years, various BAK is arisen at the historic moment.And wherein conventional be cylindrical screw fusion device and box-shaped fusion device two class greatly.
Along with the popularization of clinical practice and going deep into of theoretical research, find existing Invasive lumbar fusion device Shortcomings gradually.Such as Chinese invention patent CN2361245Y discloses a kind of adjustable screw type intervertebral fusion device, this fusion device is made up of elastic titanium alloy boxes and baskets and middle m-polyethylene vertebral pulp, elastic titanium alloy boxes and baskets are cylindric hollow-core construction, at the screw thread that outer tubular wall has both sides to be interrupted.But circumgyration incision effect when this cylindrical screw Invasive lumbar fusion device is implanted causes more greatly and easily subsiding and disc height decline to the destruction of soleplate, thus easily causes intervertebral fusion failure and displacement.Compared with cylindrical screw fusion device, the supporter of box-shaped fusion device is cuboid framework, and volume is less, easily implants.Such as Chinese published patent application CN103263309A, discloses a kind of fusion device, and main part is provided with from rear lower to front upper oblique groove, and oblique groove is for coordinating the oblique screw of pedicle of vertebral arch with fixing fusion device.The contact surface of this box-shaped fusion device and soleplate is smooth, and interface bed knife is weak, can not provide enough self-stability energy.And this fusion device needs additional pedicle screw system to be fixed, open surgery wound is large, hemorrhage many, and easy Spinal Cord is neural, and need to carry out muscle widely and peel off and long tractive, gerontal patient is difficult to tolerate and adds surgery cost.Therefore the method for Wicresoft is applied to and clinically becomes development trend at present.
In actual use, the Invasive lumbar fusion device of traditional type also also exists many defects, such as, postoperatively occurs sedimentation in various degree and the problem such as bone fusion rate is low, finally causes vertebras highly to be lost.In recent years research shows, the problems referred to above are very large relevant with bone grafting area with the interface stability of Invasive lumbar fusion device.Therefore, needing one to have enough interface stability performances again can abundant bone grafting, and the expanding lumbar intervertebral fusion device can implanted by Wicresoft's approach, to perform the operation Wicresoft to make intervertebral fusion.
Summary of the invention
In order to overcome above-mentioned the deficiencies in the prior art, the object of this invention is to provide one and laterally can strut inter vertebral fusing device, while guarantee has enough supporting surfaces and stable support performance, increase bone grafting area and bone grafting amount to greatest extent, improve fusion rate of bone graft, thoroughly solve the problem that Invasive lumbar fusion device implants rear sedimentation, intervertebral height is lost.
To achieve these goals, the present invention adopts following technical scheme:
One laterally can strut inter vertebral fusing device, comprises the main body of hollow, and it is characterized in that described main body is rectangular structure before strutting, it is hexagonal structure that described main body struts rear inner circumferential shape, and described main body is the arcuate structure that interior thickness is greater than two-end thickness.
Described main body comprises head and afterbody and the right front wall between described head and afterbody, left front wall, right wall, left wall, right back wall, left back wall, described head and described afterbody pass on left described left front wall, described left wall, described left back wall are connected, and described head is connected by described right front wall, described right wall, described right back wall with on the right side of described afterbody.
Described head, described left front wall, right described antetheca composition presoma, body in described left wall, described right wall composition, described afterbody, described left back wall, described right back wall composition opisthosoma, described presoma, described middle body, described opisthosoma form described main body.
Be connected respectively by joint pin between described right front wall with described right wall, between described right wall with described right back wall, between described left front wall with described left wall, between described left wall with described left back wall, and described right front wall, described right wall, described right back wall can rotate around described joint pin, described left front wall, described left wall, described left back wall can rotate around described joint pin.
The thickness of described head and described afterbody is less than the thickness of described right wall center.
The thickness of described head and described afterbody is less than the thickness of described left wall center.
Described head and described left front wall or described afterbody and described left back wall junction increase progressively continuously to the thickness of described left wall center, and the thickness of described head and described left front wall or described afterbody and described left back wall junction differs 3-4mm to the thickness of described left wall center.
The upper and lower surface of described main body is respectively equipped with pawl structure.
Described right front wall, described left front wall, described right wall, described left wall, described right back wall, described left back wall lateral surface are respectively equipped with the implant holes running through each respective side walls.
Described head is provided with lock(ing) bolt.
The invention has the beneficial effects as follows: instead of the conventional quadrilateral structure main body of prior art by hexagonal structure main body, in thin cuboid before strutting, be beneficial to by rear outside less enter the implantation of operative approach passage, implanting rear distraction between cone is hexagonal structure, on the basis of four length of sides, two mesospores in left and right are added original, because this increasing the girth strutting rear whole device, also just add the bone grafting amount of device inside; In main body, the design of arcuate structure makes it more meet the anatomical features of human body cone intercalated disc soleplate, adds the stability after the implantation of whole device; The pawl structure that main body upper and lower surface is arranged, for increasing fitness and the steadiness of device and soleplate; Implant holes is used for main body and struts rear injection bone-grafting material, is beneficial to the flowing of bone-grafting material to device space outerpace, increases the area of later stage bone-graft fusion, thus increases the stability of later stage skeletonization; At head design lock(ing) bolt, be after hexagon struts at device, the whole device for spreading of lockable, with the stability of the Injection Space and later stage device that ensure later stage bone-grafting material.Device of the present invention is while guarantee has enough supporting surfaces and stable support performance, add bone grafting area and bone grafting amount to greatest extent, improve fusion rate of bone graft, thoroughly solve the problem that Invasive lumbar fusion device in prior art implants rear sedimentation, intervertebral height is lost.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is expansion schematic diagram of the present invention.
In figure, 1, main body, 2, head, 3, afterbody, 4, right front wall, 5, left front wall, 6, right back wall, 7, left back wall, 8, joint pin, 9, pawl structure, 10, implant holes, 11, lock(ing) bolt, 12, right wall, 13, left wall.
Detailed description of the invention
Below in conjunction with accompanying drawing, a kind of detailed description of the invention of the present invention is explained.
The invention provides one and laterally can strut inter vertebral fusing device, this device comprises the main body of hollow, be rectangular structure before described main body struts, it is hexagonal structure that described main body struts rear inner circumferential shape, and described main body is the arcuate structure that interior thickness is greater than two-end thickness.This structure not only increases bone grafting area, and be beneficial to by rear outside less enter the implantation of operative approach passage.
Specifically, as shown in Figure 1 and Figure 2, described main body comprises head and afterbody and the right front wall between described head and afterbody, left front wall, right wall, left wall, right back wall, left back wall, described head and described afterbody pass on left described left front wall, described left wall, described left back wall are connected, and described head is connected by described right front wall, described right wall, described right back wall with on the right side of described afterbody; Described head, described right front wall, described left front wall form vertebral body, and described afterbody, described right back wall, left back wall form hypocentrum, and described upper vertebral body, described hypocentrum form described main body.
Be connected respectively by joint pin between described right front wall with described right wall, between described right wall with described right back wall, between described left front wall with described left wall, between described left wall with described left back wall, and described right front wall, described right wall, described right back wall can rotate around described joint pin, described left front wall, described left wall, described left back wall can rotate around described joint pin.Be convenient to strutting and closing of device.
The thickness of described head and described afterbody is less than the thickness of described right front wall and described right back wall junction, the thickness of described head and described afterbody is less than the thickness of described left front wall and described left back wall junction, described head and described afterbody increase progressively continuously to the thickness of described left front wall (right front wall) with described left back wall (right back wall) junction, and preferably, described head and described left front wall (right front wall) or described afterbody and described left back wall (right back wall) junction increase progressively continuously to the thickness of described left wall center, and the thickness of described head and described left front wall (right front wall) or described afterbody and described left back wall (right back wall) junction differs 3-4mm to the thickness of described left wall (right wall) center, indication thickness be main body be provided with pawl structure upper and lower surface between distance.This design more meets the anatomical features of human body cone intercalated disc soleplate, adds the stability after the implantation of whole device;
The upper and lower surface of described main body is respectively equipped with pawl structure, to increase fitness and the steadiness of device and soleplate.
Described right front wall, left front wall, right wall, left wall, right back wall, left back wall lateral surface are respectively equipped with the implant holes running through each respective side walls, implant holes is perpendicular to the side of each sidewall, rear injection bone-grafting material is strutted for main body, be beneficial to the flowing of bone-grafting material to device space outerpace, increase the area of later stage bone-graft fusion, thus increase the stability of later stage skeletonization.
Described head is provided with lock(ing) bolt, is after hexagon struts at device, the whole device for spreading of lockable, with the stability of the Injection Space and later stage device that ensure later stage bone-grafting material.
Device of the present invention adopts Absorbale magnesium alloy material, has both ensured the instant stability after implanting intervertebral disc, can be absorbed by the body again along with self ossified reinforcement of bone-graft fusion.While guarantee has enough supporting surfaces and stable support performance, add bone grafting area and bone grafting amount to greatest extent, improve fusion rate of bone graft, thoroughly solve the problem that Invasive lumbar fusion device in prior art implants rear sedimentation, intervertebral height is lost.
During use, Invasive lumbar fusion device of the present invention is placed on soleplate, and well suit with soleplate, during placement, the pawl structure of main body upper and lower surface contacts with soleplate, and soleplate is between upper vertebral body and hypocentrum, then bone grafting is implanted by operation path from afterbody, bone grafting is after the implantation by left and right antetheca, left and right sidewall, the implant holes of left and right each sidewall of mesospore flows into the intervertebral space of human body, bone grafting is made to be laid on the soleplate of vertebral body, postoperative three months, these bone graftings will handle assembly together with upper and lower vertebral fusion, thus solve the problem of human body lumbar vertebrae instability, reach operation object.
Above an example of the present invention has been described in detail, but described content being only preferred embodiment of the present invention, can not being considered to for limiting practical range of the present invention.All equalizations done according to the present patent application scope change and improve, and all should still belong within patent covering scope of the present invention.
Claims (10)
1. transverse direction can strut an inter vertebral fusing device, comprises the main body of hollow, and it is characterized in that described main body is rectangular structure before strutting, it is hexagonal structure that described main body struts rear inner circumferential shape, and described main body is the arcuate structure that interior thickness is greater than two-end thickness.
2. inter vertebral fusing device according to claim 1, it is characterized in that described main body comprises head and afterbody and the right front wall between described head and afterbody, left front wall, right wall, left wall, right back wall, left back wall, described head and described afterbody pass on left described left front wall, described left wall, described left back wall are connected, and described head is connected by described right front wall, described right wall, described right back wall with on the right side of described afterbody.
3. inter vertebral fusing device according to claim 2, it is characterized in that described head, described left front wall, right described antetheca composition presoma, body in described left wall, described right wall composition, described afterbody, described left back wall, described right back wall composition opisthosoma, described presoma, described middle body, described opisthosoma form described main body.
4. inter vertebral fusing device according to claim 3, it is characterized in that being connected respectively by joint pin between described right front wall with described right wall, between described right wall with described right back wall, between described left front wall with described left wall, between described left wall with described left back wall, and described right front wall, described right wall, described right back wall can rotate around described joint pin, described left front wall, described left wall, described left back wall can rotate around described joint pin.
5. the inter vertebral fusing device according to claim 1 or 4, is characterized in that the thickness of described head and described afterbody is less than the thickness of described right wall center.
6. inter vertebral fusing device according to claim 5, is characterized in that the thickness of described head and described afterbody is less than the thickness of described left wall center.
7. inter vertebral fusing device according to claim 6, it is characterized in that described head and described left front wall or described afterbody and described left back wall junction increase progressively continuously to the thickness of described left wall center, and the thickness of described head and described left front wall or described afterbody and described left back wall junction differs 3-4mm to the thickness of described left wall center.
8. inter vertebral fusing device according to claim 1, is characterized in that the upper and lower surface of described main body is respectively equipped with pawl structure.
9. the inter vertebral fusing device according to Claims 2 or 3 or 4 or 6 or 7, is characterized in that described right front wall, described left front wall, described right wall, described left wall, described right back wall, described left back wall lateral surface is respectively equipped with the implant holes running through each respective side walls.
10. the inter vertebral fusing device according to Claims 2 or 3 or 4 or 6 or 7, is characterized in that described head is provided with lock(ing) bolt.
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CN112957161A (en) * | 2021-01-29 | 2021-06-15 | 四川大学华西医院 | Wing-shaped fixing titanium net for cervical vertebra lateral bone grafting distraction |
US11234833B2 (en) | 2015-05-12 | 2022-02-01 | Nuvasive, Inc. | Expandable lordosis intervertebral implants |
US11273047B2 (en) | 2017-12-18 | 2022-03-15 | Nuvasive, Inc. | Expandable implant device |
US11679000B2 (en) | 2013-05-22 | 2023-06-20 | Nuvasive, Inc. | Expandable fusion implant and related methods |
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