CA2361069A1 - Methods and instrumentation for vertebral interbody fusion - Google Patents

Methods and instrumentation for vertebral interbody fusion Download PDF

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Publication number
CA2361069A1
CA2361069A1 CA002361069A CA2361069A CA2361069A1 CA 2361069 A1 CA2361069 A1 CA 2361069A1 CA 002361069 A CA002361069 A CA 002361069A CA 2361069 A CA2361069 A CA 2361069A CA 2361069 A1 CA2361069 A1 CA 2361069A1
Authority
CA
Canada
Prior art keywords
distractor
disc space
implant
guide sleeve
instrument
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA002361069A
Other languages
English (en)
French (fr)
Inventor
Lawrence M. Boyd
Eddie F. Ray, Iii
Bradley T. Estes
J. Kenneth Burkus
John D. Dorchak
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Warsaw Orthopedic Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2361069A1 publication Critical patent/CA2361069A1/en
Abandoned legal-status Critical Current

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Classifications

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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025—Joint distractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
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    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
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    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
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    • A61F2/446—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Transplantation (AREA)
  • Neurology (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Dentistry (AREA)
  • Pathology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
CA002361069A 1999-02-04 2000-02-03 Methods and instrumentation for vertebral interbody fusion Abandoned CA2361069A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11879399P 1999-02-04 1999-02-04
US60/118,793 1999-02-04
PCT/US2000/002942 WO2000045709A1 (en) 1999-02-04 2000-02-03 Methods and instrumentation for vertebral interbody fusion

Publications (1)

Publication Number Publication Date
CA2361069A1 true CA2361069A1 (en) 2000-08-10

Family

ID=22380775

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002361069A Abandoned CA2361069A1 (en) 1999-02-04 2000-02-03 Methods and instrumentation for vertebral interbody fusion

Country Status (6)

Country Link
US (2) US6575981B1 (enExample)
EP (1) EP1152697A1 (enExample)
JP (1) JP4243026B2 (enExample)
AU (1) AU761818C (enExample)
CA (1) CA2361069A1 (enExample)
WO (1) WO2000045709A1 (enExample)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114366283A (zh) * 2022-01-13 2022-04-19 戴建辉 一种射频消融针定位结构、使用方法及其可拆卸骨科导向器

Families Citing this family (98)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6648895B2 (en) 2000-02-04 2003-11-18 Sdgi Holdings, Inc. Methods and instrumentation for vertebral interbody fusion
US6743234B2 (en) 1999-02-04 2004-06-01 Sdgi Holdings, Inc. Methods and instrumentation for vertebral interbody fusion
WO2003026514A1 (en) * 1999-02-04 2003-04-03 Sdgi Holdings, Inc, Methods and instrumentation for vertebral interbody fusion
US6241770B1 (en) * 1999-03-05 2001-06-05 Gary K. Michelson Interbody spinal fusion implant having an anatomically conformed trailing end
US6485517B1 (en) * 1999-05-05 2002-11-26 Gary K. Michelson Nested interbody spinal fusion implants
WO2001013807A2 (en) * 1999-08-26 2001-03-01 Sdgi Holdings, Inc. Devices and methods for implanting fusion cages
JP4326134B2 (ja) 1999-10-20 2009-09-02 ウォーソー・オーソペディック・インコーポレーテッド 外科的手順を実行する方法及び装置
US7462195B1 (en) 2000-04-19 2008-12-09 Warsaw Orthopedic, Inc. Artificial lumbar interbody spinal implant having an asymmetrical leading end
US6350283B1 (en) * 2000-04-19 2002-02-26 Gary K. Michelson Bone hemi-lumbar interbody spinal implant having an asymmetrical leading end and method of installation thereof
US6478800B1 (en) 2000-05-08 2002-11-12 Depuy Acromed, Inc. Medical installation tool
US6599291B1 (en) 2000-10-20 2003-07-29 Sdgi Holdings, Inc. Methods and instruments for interbody surgical techniques
US6890355B2 (en) 2001-04-02 2005-05-10 Gary K. Michelson Artificial contoured spinal fusion implants made of a material other than bone
US6989031B2 (en) * 2001-04-02 2006-01-24 Sdgi Holdings, Inc. Hemi-interbody spinal implant manufactured from a major long bone ring or a bone composite
US7074226B2 (en) * 2002-09-19 2006-07-11 Sdgi Holdings, Inc. Oval dilator and retractor set and method
CA2501437A1 (en) * 2002-10-08 2004-04-22 Sdgi Holdings, Inc. Insertion device and techniques for orthopaedic implants
US7918876B2 (en) 2003-03-24 2011-04-05 Theken Spine, Llc Spinal implant adjustment device
US7491204B2 (en) 2003-04-28 2009-02-17 Spine Solutions, Inc. Instruments and method for preparing an intervertebral space for receiving an artificial disc implant
US7625379B2 (en) 2004-01-26 2009-12-01 Warsaw Orthopedic, Inc. Methods and instrumentation for inserting intervertebral grafts and devices
US8784421B2 (en) 2004-03-03 2014-07-22 Boston Scientific Scimed, Inc. Apparatus and methods for removing vertebral bone and disc tissue
US20050209610A1 (en) 2004-03-03 2005-09-22 Scimed Life Systems, Inc. Radially adjustable tissue removal device
US20050197661A1 (en) * 2004-03-03 2005-09-08 Scimed Life Systems, Inc. Tissue removal probe with sliding burr in cutting window
US20050209622A1 (en) * 2004-03-03 2005-09-22 Scimed Life Systems, Inc. Tissue removal probe with irrigation and aspiration ports
US20050240197A1 (en) * 2004-04-23 2005-10-27 Kmiec Stanley J Jr Device and method for inserting, positioning and removing an implant
US7544208B1 (en) 2004-05-03 2009-06-09 Theken Spine, Llc Adjustable corpectomy apparatus
US7033363B2 (en) 2004-05-19 2006-04-25 Sean Powell Snap-lock for drill sleeve
US7172628B2 (en) * 2004-07-27 2007-02-06 Lonnie Jay Lamprich Spinal disc prosthesis and methods
US7862617B2 (en) * 2004-07-27 2011-01-04 Lamprich Medical, Llc Spinal disc prosthesis apparatus and placement method
US20060036261A1 (en) * 2004-08-13 2006-02-16 Stryker Spine Insertion guide for a spinal implant
US7776045B2 (en) * 2004-08-20 2010-08-17 Warsaw Orthopedic, Inc. Instrumentation and methods for vertebral distraction
DE102004043996B4 (de) * 2004-09-08 2008-04-17 Aesculap Ag & Co. Kg Chirurgisches Instrument und Implantatsystem
US7799081B2 (en) 2004-09-14 2010-09-21 Aeolin, Llc System and method for spinal fusion
US7763024B2 (en) * 2004-09-23 2010-07-27 Spine Solutions, Inc. Adjustable cutting of cutout in vertebral bone
US9161783B2 (en) 2004-10-20 2015-10-20 Vertiflex, Inc. Interspinous spacer
US8425559B2 (en) 2004-10-20 2013-04-23 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8945183B2 (en) 2004-10-20 2015-02-03 Vertiflex, Inc. Interspinous process spacer instrument system with deployment indicator
US8409282B2 (en) 2004-10-20 2013-04-02 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8277488B2 (en) 2004-10-20 2012-10-02 Vertiflex, Inc. Interspinous spacer
US8317864B2 (en) 2004-10-20 2012-11-27 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8128662B2 (en) 2004-10-20 2012-03-06 Vertiflex, Inc. Minimally invasive tooling for delivery of interspinous spacer
US8123782B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Interspinous spacer
US8613747B2 (en) 2004-10-20 2013-12-24 Vertiflex, Inc. Spacer insertion instrument
US8273108B2 (en) 2004-10-20 2012-09-25 Vertiflex, Inc. Interspinous spacer
US8152837B2 (en) 2004-10-20 2012-04-10 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8167944B2 (en) 2004-10-20 2012-05-01 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9119680B2 (en) 2004-10-20 2015-09-01 Vertiflex, Inc. Interspinous spacer
US8012207B2 (en) 2004-10-20 2011-09-06 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8123807B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US7763074B2 (en) 2004-10-20 2010-07-27 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9023084B2 (en) 2004-10-20 2015-05-05 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for stabilizing the motion or adjusting the position of the spine
US20060089649A1 (en) * 2004-10-26 2006-04-27 Ullrich Peter F Jr Surgical instruments and method of using same
EP1814474B1 (en) 2004-11-24 2011-09-14 Samy Abdou Devices for inter-vertebral orthopedic device placement
WO2009086010A2 (en) 2004-12-06 2009-07-09 Vertiflex, Inc. Spacer insertion instrument
US8236058B2 (en) * 2005-09-27 2012-08-07 Fabian Henry F Spine surgery method and implant
US9271843B2 (en) 2005-09-27 2016-03-01 Henry F. Fabian Spine surgery method and implant
US20070100366A1 (en) * 2005-10-28 2007-05-03 Sara Dziedzic Minimally invasive tissue expander systems and methods
US20070123903A1 (en) * 2005-10-31 2007-05-31 Depuy Spine, Inc. Medical Device installation tool and methods of use
US7867237B2 (en) * 2005-10-31 2011-01-11 Depuy Spine, Inc. Arthroplasty revision device and method
US20070123904A1 (en) * 2005-10-31 2007-05-31 Depuy Spine, Inc. Distraction instrument and method for distracting an intervertebral site
US8377072B2 (en) * 2006-02-06 2013-02-19 Depuy Spine, Inc. Medical device installation tool
US8066714B2 (en) 2006-03-17 2011-11-29 Warsaw Orthopedic Inc. Instrumentation for distraction and insertion of implants in a spinal disc space
US7615079B2 (en) * 2006-04-20 2009-11-10 Meditech Advisors, Llc Monorail system
US8303601B2 (en) 2006-06-07 2012-11-06 Stryker Spine Collet-activated distraction wedge inserter
WO2008014258A2 (en) 2006-07-24 2008-01-31 Spine Solutions, Inc. Intervertebral implant with keel
ES2687619T3 (es) 2006-07-31 2018-10-26 Centinel Spine Schweiz Gmbh Guía de fresado y sistema de preparación para el recorte de quilla
US8845726B2 (en) 2006-10-18 2014-09-30 Vertiflex, Inc. Dilator
JP5271281B2 (ja) * 2007-02-09 2013-08-21 アルファテック スパイン， インコーポレイテッド 曲線状脊椎アクセス方法およびデバイス
CA2684461C (en) 2007-04-16 2015-06-30 Vertiflex Inc. Interspinous spacer
US8070754B2 (en) * 2007-05-31 2011-12-06 Fabian Henry F Spine surgery method and instrumentation
WO2009091922A2 (en) 2008-01-15 2009-07-23 Vertiflex, Inc. Interspinous spacer
US8449554B2 (en) * 2008-03-07 2013-05-28 K2M, Inc. Intervertebral implant and instrument with removable section
US20090270873A1 (en) 2008-04-24 2009-10-29 Fabian Henry F Spine surgery method and inserter
US8545501B2 (en) * 2008-10-22 2013-10-01 Wright Medical Technology, Inc. Instruments for preparing bone implants
WO2011006077A1 (en) 2009-07-09 2011-01-13 R Tree Innovations, Llc Flexible inter-body implant
US9204906B2 (en) 2009-10-22 2015-12-08 Nuvasive, Inc. Posterior cervical fusion system and techniques
US10098674B2 (en) 2009-10-22 2018-10-16 Nuvasive, Inc. System and method for posterior cervical fusion
US8979748B2 (en) * 2009-10-23 2015-03-17 James L. Chappuis Devices and methods for temporarily retaining spinal rootlets within dural sac
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
US8740948B2 (en) 2009-12-15 2014-06-03 Vertiflex, Inc. Spinal spacer for cervical and other vertebra, and associated systems and methods
CN102892387B (zh) 2010-03-16 2016-03-16 品尼高脊柱集团有限责任公司 椎间植入物以及移植物输送系统和方法
US9358122B2 (en) 2011-01-07 2016-06-07 K2M, Inc. Interbody spacer
US8845728B1 (en) 2011-09-23 2014-09-30 Samy Abdou Spinal fixation devices and methods of use
US9380932B1 (en) 2011-11-02 2016-07-05 Pinnacle Spine Group, Llc Retractor devices for minimally invasive access to the spine
US20130226240A1 (en) 2012-02-22 2013-08-29 Samy Abdou Spinous process fixation devices and methods of use
US9198767B2 (en) 2012-08-28 2015-12-01 Samy Abdou Devices and methods for spinal stabilization and instrumentation
US9320617B2 (en) 2012-10-22 2016-04-26 Cogent Spine, LLC Devices and methods for spinal stabilization and instrumentation
US10070970B2 (en) 2013-03-14 2018-09-11 Pinnacle Spine Group, Llc Interbody implants and graft delivery systems
US9486256B1 (en) 2013-03-15 2016-11-08 Nuvasive, Inc. Rod reduction assemblies and related methods
US9675303B2 (en) 2013-03-15 2017-06-13 Vertiflex, Inc. Visualization systems, instruments and methods of using the same in spinal decompression procedures
AU2015256024B2 (en) 2014-05-07 2020-03-05 Vertiflex, Inc. Spinal nerve decompression systems, dilation systems, and methods of using the same
US10857003B1 (en) 2015-10-14 2020-12-08 Samy Abdou Devices and methods for vertebral stabilization
US10973648B1 (en) 2016-10-25 2021-04-13 Samy Abdou Devices and methods for vertebral bone realignment
US10744000B1 (en) 2016-10-25 2020-08-18 Samy Abdou Devices and methods for vertebral bone realignment
US11051861B2 (en) 2018-06-13 2021-07-06 Nuvasive, Inc. Rod reduction assemblies and related methods
US11179248B2 (en) 2018-10-02 2021-11-23 Samy Abdou Devices and methods for spinal implantation
US11883303B2 (en) 2019-12-30 2024-01-30 Vertebration, Inc. Spine surgery method and instrumentation
US12102542B2 (en) 2022-02-15 2024-10-01 Boston Scientific Neuromodulation Corporation Interspinous spacer and methods and systems utilizing the interspinous spacer
US12433646B2 (en) 2023-02-21 2025-10-07 Boston Scientific Neuromodulation Corporation Interspinous spacer with actuator locking arrangements and methods and systems
US12390340B2 (en) 2023-03-15 2025-08-19 Boston Scientific Neuromodulation Corporation Interspinous spacer with a range of deployment positions and methods and systems

Family Cites Families (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1128944A (zh) * 1988-06-13 1996-08-14 卡林技术公司 插入脊椎植入物的设备与方法
US6123705A (en) 1988-06-13 2000-09-26 Sdgi Holdings, Inc. Interbody spinal fusion implants
US5015247A (en) 1988-06-13 1991-05-14 Michelson Gary K Threaded spinal implant
US5484437A (en) 1988-06-13 1996-01-16 Michelson; Gary K. Apparatus and method of inserting spinal implants
US5772661A (en) 1988-06-13 1998-06-30 Michelson; Gary Karlin Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine
US6210412B1 (en) 1988-06-13 2001-04-03 Gary Karlin Michelson Method for inserting frusto-conical interbody spinal fusion implants
US7534254B1 (en) 1988-06-13 2009-05-19 Warsaw Orthopedic, Inc. Threaded frusto-conical interbody spinal fusion implants
US5593409A (en) 1988-06-13 1997-01-14 Sofamor Danek Group, Inc. Interbody spinal fusion implants
US5015255A (en) 1989-05-10 1991-05-14 Spine-Tech, Inc. Spinal stabilization method
US5055104A (en) * 1989-11-06 1991-10-08 Surgical Dynamics, Inc. Surgically implanting threaded fusion cages between adjacent low-back vertebrae by an anterior approach
US5865834A (en) 1991-12-13 1999-02-02 Mcguire; David A. Coring reamer
US5269772A (en) 1992-01-24 1993-12-14 Wilk Peter J Laparoscopic cannula assembly and associated method
WO1994017759A1 (en) 1993-02-10 1994-08-18 Spine-Tech, Inc. Spinal stabilization surgical tool set
DE4328690B4 (de) 1993-08-26 2006-08-17 SDGI Holdings, Inc., Wilmington Zwischenwirbelimplantat zur Wirbelkörperverblockung und Implantationsinstrument zum Positionieren des Zwischenwirbelimplantats
US5514180A (en) 1994-01-14 1996-05-07 Heggeness; Michael H. Prosthetic intervertebral devices
US5431658A (en) 1994-02-14 1995-07-11 Moskovich; Ronald Facilitator for vertebrae grafts and prostheses
DE69516279T2 (de) 1994-05-23 2000-08-10 Sulzer Spine-Tech Inc., Angleton Implantat zur intervertebralen fusion
US5569205A (en) 1994-07-14 1996-10-29 Hart; Charles C. Multiport trocar
US5885299A (en) 1994-09-15 1999-03-23 Surgical Dynamics, Inc. Apparatus and method for implant insertion
US6033405A (en) 1994-09-15 2000-03-07 Surgical Dynamics, Inc. Apparatus and method for implant insertion
EP0796064A4 (en) 1994-10-24 2002-01-30 Smith & Nephew Inc SURGICAL CUTTING TOOL WITH OPENING GROOVES
US5766252A (en) 1995-01-24 1998-06-16 Osteonics Corp. Interbody spinal prosthetic implant and method
US5556399A (en) 1995-02-14 1996-09-17 Huebner; Randall J. Bone-harvesting drill apparatus and method for its use
CA2199462C (en) 1996-03-14 2006-01-03 Charles J. Winslow Method and instrumentation for implant insertion
US6159214A (en) 1996-07-31 2000-12-12 Michelson; Gary K. Milling instrumentation and method for preparing a space between adjacent vertebral bodies
US5968098A (en) 1996-10-22 1999-10-19 Surgical Dynamics, Inc. Apparatus for fusing adjacent bone structures
US6063088A (en) 1997-03-24 2000-05-16 United States Surgical Corporation Method and instrumentation for implant insertion
US6120506A (en) 1997-03-06 2000-09-19 Sulzer Spine-Tech Inc. Lordotic spinal implant
US6042582A (en) 1997-05-20 2000-03-28 Ray; Charles D. Instrumentation and method for facilitating insertion of spinal implant
CA2238117C (en) * 1997-05-30 2006-01-10 United States Surgical Corporation Method and instrumentation for implant insertion
FR2767675B1 (fr) 1997-08-26 1999-12-03 Materiel Orthopedique En Abreg Implant intersomatique et ancillaire de preparation adapte pour permettre sa pose
US6059790A (en) 1997-08-29 2000-05-09 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
US6086595A (en) 1997-08-29 2000-07-11 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
US6004326A (en) 1997-09-10 1999-12-21 United States Surgical Method and instrumentation for implant insertion
JP3321553B2 (ja) 1997-10-08 2002-09-03 松下電器産業株式会社 Ｂｉ−ＣＭＯＳ集積回路装置の製造方法
US6197033B1 (en) * 1998-04-09 2001-03-06 Sdgi Holdings, Inc. Guide sleeve for offset vertebrae
JP4204198B2 (ja) * 1998-04-09 2009-01-07 ウォーソー・オーソペディック・インコーポレーテッド テンプレート
US6171339B1 (en) * 1998-05-19 2001-01-09 Sulzer Spine-Tech Inc. Multi-lumen spinal implant guide and method
US6174311B1 (en) 1998-10-28 2001-01-16 Sdgi Holdings, Inc. Interbody fusion grafts and instrumentation
US6228022B1 (en) * 1998-10-28 2001-05-08 Sdgi Holdings, Inc. Methods and instruments for spinal surgery
EP1609445A1 (en) 1999-01-11 2005-12-28 SDGI Holdings, Inc. Intervertebral spacers with side wall accessible interior cavity
AU773603B2 (en) 1999-01-25 2004-05-27 Warsaw Orthopedic, Inc. Instrument and method for creating an intervertebral space for receiving an implant
US6648895B2 (en) * 2000-02-04 2003-11-18 Sdgi Holdings, Inc. Methods and instrumentation for vertebral interbody fusion
US6056749A (en) 1999-03-15 2000-05-02 Spineology, Inc. Method and device for fixing and correcting spondylolisthesis anteriorly
US6113602A (en) 1999-03-26 2000-09-05 Sulzer Spine-Tech Inc. Posterior spinal instrument guide and method
US6224599B1 (en) 1999-05-19 2001-05-01 Matthew G. Baynham Viewable wedge distractor device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114366283A (zh) * 2022-01-13 2022-04-19 戴建辉 一种射频消融针定位结构、使用方法及其可拆卸骨科导向器
CN114366283B (zh) * 2022-01-13 2024-05-28 戴建辉 一种射频消融针定位结构、使用方法及其可拆卸骨科导向器

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