Background technology
Along with the development of biomechanics Research and material science, the application of interior technique for fixing is more and more extensive, at spinal column degenerative disease, tumor of spine, wound to such an extent as to be widely applied in the operative treatments such as Spondylitis, the resetting means that internal fixation operation mainly uses comprises bone screw, locking nut and reposition lever, conventionally, the top of reposition lever is locking nut, screws locking nut, can realize reposition lever and be connected with the locking of bone screw.
Please refer to Fig. 1 to Fig. 3, Fig. 1 is the first connected mode schematic diagram of bone screw and reposition lever in prior art; Fig. 2 is the second connected mode schematic diagram of bone screw and reposition lever in prior art; Fig. 3 is the third connected mode schematic diagram of bone screw and reposition lever in prior art.
In Fig. 1, directly offer at the head of bone screw 11 groove that holds reposition lever, the perisporium top of groove has female thread, reposition lever 12 is implanted behind the below of groove, again locking nut 13 is screwed in to the top of the female groove of tool, be the top of reposition lever 12, along with constantly screwing of locking nut 13, reposition lever 12 is locked; In Fig. 2, use connector 14 fixed bone screws 11 and reposition lever 12, connector 14 has the through hole that holds the groove of reposition lever 12 and insert for bone screw 11, the straight line of groove and through hole is vertical, the relative position of bone screw 11 and reposition lever 12 is adjusted complete, locking nut 13 can be screwed in to the top of groove, be the top of reposition lever 12, reposition lever 12 is locked; In Fig. 3, the same locking nut 13 that uses lock onto reposition lever 12 in groove.
According to foregoing, lock pole member is mainly locking nut 13, the locking of reposition lever 12 all relies on locking nut 13 directly against reposition lever 12, lock onto in groove, the radial orientation of reposition lever 12 all needs reserved certain space to hold lock pole member, as the top of the groove that holds reposition lever 12 in Fig. 1 to Fig. 3 all has the internal thread segment screwing in for locking nut 13, in the time can or limiting to for working place deficiency on reposition lever 12, holding and locking all of lock pole member has difficulties, such as, while implementing internal fixation operation in occipital bone position, adopt locking mode of the prior art, integral thickness after reposition lever 12 and locking nut 13 stacks is larger, and occipital bone is less along the space of reposition lever 12 thickness directions, the rear surgery location of occipital bone that easily causes of having performed the operation is outwardly.
Therefore, how changing the connected mode of reposition lever and bone screw in resetting means, make it in limited space, realize the locking of reposition lever, is those skilled in the art's technical issues that need to address.
Summary of the invention
The connecting device of first object of the present invention for providing a kind of reposition lever to be connected with bone screw, this connecting device can make to lock pole member and separate with reposition lever, so that lock bar device uses the in the situation that of insufficient space.Another object of the present invention is to provide a kind of above-mentioned connecting device and resetting means for spinal column and occipital bone of comprising.
For reaching first object of the present invention, the invention provides the connecting device of a kind of reposition lever and bone screw, described connecting device has the body running through for described reposition lever; Described body has opening on along its length, two opening edges all have the fastening limit of extension, described in two, the surface on fastening limit is relative, and described connecting device has at least one pair of connecting hole that is coaxially arranged at fastening limit described in two, and a pair of described connecting hole has at least one through hole.
Preferably, the inner tubal wall of described body has dentalation.
Preferably, the cross sectional shape of described body is circular.
Preferably, the cross sectional shape of described body is rhombus.
The connecting device that this invention provides can be positioned reposition lever in body, and lock pole member can rely on tightening up of the moving body of closed fastening sideband, thereby locking reposition lever, lock pole member and reposition lever divide and are arranged, therefore,, when operation, reposition lever is without superposeing with lock pole member, hold the space of locking pole member without reserved at reposition lever place, be convenient to implement internal fixation operation in the confined space; And this connecting device simple in structure, can realize easily the lock clubs of lock pole member and do.
For reaching another object of the present invention, the present invention also provides a kind of resetting means for spinal column and occipital bone, comprise bone screw, reposition lever, and the connecting device being connected with described bone screw, described connecting device is the connecting device described in above-mentioned any one, and described resetting means also comprises the also lock pole member on fastening limit described in closed two of a pair of described connecting hole that inserts coaxial setting.
Preferably, described lock pole member is described bone screw, described connecting device has a pair of described connecting hole that is coaxially arranged at fastening limit described in two, a pair of described connecting hole is through hole, described bone screw runs through a pair of described connecting hole of coaxial setting, a pair of described connecting hole has screwed hole, and described bone screw has and the external screw thread of the female thread adaptation of described screwed hole.
Preferably, the described connecting hole of the coaxial setting of described screwed hole running through with described bone screw, with the nose shape adaptation of described bone screw so that the head of bone screw described in clamping.
Preferably, described lock pole member is lock-screw, and described lock-screw inserts the coaxial a pair of described connecting hole arranging, and a pair of described connecting hole has screwed hole, and the female thread adaptation of the external screw thread of described lock-screw and described screwed hole.
Preferably, described fastening limit is also provided with the described connecting hole running through for described bone screw.
Preferably, the described connecting hole running through for described bone screw is screwed hole.
Preferably, the described connecting hole of the coaxial setting of described screwed hole inserting with described lock-screw and the nose shape adaptation of described lock-screw are so that the head of lock-screw described in clamping.
The resetting means that this invention provides comprises the connecting device that foregoing provides, and because above-mentioned connecting device has above-mentioned technique effect, the resetting means with this connecting device also has identical technique effect, is not repeated herein.
In a kind of specific embodiment, take bone screw as lock pole member, can simplify the structure of connecting device, and in the process of implantable bone screw, can realize lock clubs and do.
The specific embodiment
Core of the present invention is for providing the connecting device of a kind of reposition lever and bone screw, and this connecting device can make to lock pole member and separate with reposition lever, so that connecting device uses the in the situation that of insufficient space.Another core of the present invention is for providing a kind of above-mentioned connecting device and resetting means for spinal column and occipital bone of comprising.
In order to make those skilled in the art understand better technical scheme of the present invention, below in conjunction with the drawings and specific embodiments, the present invention is described in further detail.For ease of understanding technical scheme of the present invention, following embodiment connecting device provided by the present invention is provided in provided resetting means and is described, and the embodiment of resetting means is no longer repeated in this description, and its beneficial effect is in conjunction with embodying in the following embodiments.
Please refer to Fig. 4, the perspective view of a kind of specific embodiment that Fig. 4 is connecting device provided by the present invention; Fig. 5 is the top view of connecting device shown in Fig. 4; Fig. 6 be in Fig. 5 A-A to cutaway view; Fig. 7 is for using the structural representation of the resetting means of connecting device in Fig. 4.
Resetting means, comprises bone screw 5, reposition lever 4, and the connecting device 2 being connected with bone screw 5.The bottom rivet nut of bone screw 5 is generally helicitic texture, thereby in can firmly implanting.Connecting device 2 has the body 21 running through for reposition lever 4, and body 21 has opening on along its length, and the length of opening is consistent with the length of body 21, and body 21 as shown in Figure 6 has the latasuture of certain width, and two opening edges all have the fastening limit 22 of extension on body 21, " outward " is for the inner chamber of body 21 herein, i.e. the outside of fastening limit 22 in body 21 inner chambers, and the surface on two fastening limits 22 is relative, and two fastening limits 22 shown in Fig. 4 are parallel relatively, connecting device 2 comprises at least one pair of connecting hole 23 that is coaxially arranged at two fastening limits 22, to connecting hole 23, at least one is through-hole structure for this, lock pole member can insert a pair of connecting hole of coaxial setting, and making two fastening limits 22 in closure state, the lock pole member in this embodiment is lock-screw 3, the two coaxial a pair of connecting holes 23 that arrange in the middle of being positioned in fastening limit 22 in Fig. 4, the length on two fastening limits 22 and width are not limited to be symmetrical arranged, the length on two fastening limits 22 is as shown in Figure 4 also inconsistent, the two only needs to meet at least one pair of connecting hole 23 can be coaxially set, long fastening limit 22 can arrange the connecting hole 23 running through for bone screw 5, long fastening limit 22, below is as shown in Figure 6 provided with respectively connecting hole 23 at left and right end, the connecting hole 23 herein running through for bone screw 5 can be general unthreaded hole structure, also can be screwed hole, can also there is the shape with bone screw 5 head adaptations, so that bone screw 5 and connecting hole 23 clampings, in addition, the length that fastening limit 22 length in this embodiment are longer than body 21, in fact, the length on fastening limit 22 is also unrestricted, only need to meet the processing of connecting hole 23, body 21 in this connecting device 2 and fastening limit 22 can directly be formed by base material cigarette, also can process respectively behind body 21 and fastening limit 22, more fixing.
In this embodiment, the operating process of resetting means is as follows: first four bone screw 5 are inserted respectively in two of the left and right connecting hole 23 on the fastening limit 22 of growing in two connecting devices 2, then by four bone screw 5 implant damages or distortion, secondly, the two ends of reposition lever 4 are run through respectively to the body 21 of two connecting devices 2, adjust the distance between two connecting devices 2, make it meet the requirement resetting, again lock-screw 3 is screwed in the middle a pair of connecting hole 23 of two connecting devices 2, the i.e. two coaxial interstitial holes that arrange in fastening limit 22, this is to having a screwed hole in connecting hole 23, the female thread adaptation of the external screw thread of lock-screw 3 and neutral threaded hole, the head diameter of lock-screw 3 is greater than the diameter with another connecting hole 23 of the coaxial setting of screwed hole, constantly screwing along with lock-screw 3, two fastening limits 22 are closed gradually, body 21 tightens up thereupon, thereby reposition lever 4 is clamped in the body 21 of two connecting devices 2, reach the object that maintains reset effect.In fact, the body 21 of connecting device 2 not operation before in open configuration, the diameter of section maximum of body 21, the final diameter of section of body 21 is determined by the closed degree on fastening limit 22, therefore, body 21 can hold the reposition lever 4 within the scope of certain model, can make body 21 hold diameter range by design is the reposition lever 4 between 3mm~10mm, certainly, can be according to actual needs, further adjust the diameter of body 21 and the size of opening, thereby change the scope of holding reposition lever 4, make the range of application of this connecting device 2 more extensive.
It should be noted that, above-mentioned lock-screw 3 is realized the object on closed fastening limit 22 by the screwed hole running through, also can take other locking mode, such as, by the connecting hole of a pair of coaxial setting of bolt-through 23, on bolt, there is swivel nut, the continuous inward turning of swivel nut, thereby extruding two fastening limit 22 closures; The a pair of connecting hole 23 in centre in this embodiment is through hole, also can make a connecting hole 23 for through hole, another connecting hole 23 is thread groove, notch is relative with through hole, lock-screw 3 can insert in thread groove and screw from through hole, can realize equally the closure on two fastening limits 22, this kind of mode has certain requirement for the thickness on fastening limit 22, therefore, preferably make a pair of connecting hole 23 be through-hole structure, certainly, those skilled in the art can also take other usual manners to realize the closure on fastening limit 22.
The lock pole member of this connecting device 2 is lock-screw 3, lock-screw 3 is locked fastening limit 22, thereby fastening limit 22 drives body 21 to shrink locks reposition lever 4 indirectly, locking 4 points of pole member and reposition levers is arranged, when operation, reposition lever 4 is without superposeing with lock pole member, therefore, without the reserved space of locking pole member that holds at reposition lever 4 places, be convenient to implement internal fixation operation in the confined space, as in the time that the enforcement of occipital bone place is performed the operation, reposition lever 4 and lock pole member are roughly along the surface distributed of occipital bone, space is comparatively sufficient, operation incisura is low, compared with prior art, can be because reposition lever 4 is outwardly along direction stacked the cause surgery location vertical with occipital bone with lock pole member, and this connecting device 2 simple in structure, can realize easily the lock clubs of lock pole member and do.
The a pair of connecting hole 23 that in this embodiment, lock-screw 3 inserts has the screwed hole with lock-screw 3 adaptations, can make the coaxial inwall of another connecting hole 23 and the nose shape adaptation of lock-screw 3 arranging, thereby the head of being convenient to lock-screw 3 snaps in this connecting hole 23, and lock-screw 3 is realized the closure on two fastening limits 22 in screw-in process.As shown in Figure 6, with the shape of the connecting hole 23 of the coaxial setting of screwed hole can be round table-like, the head of lock-screw 3 also has round platform section, lock-screw 3 snaps in this connecting hole 23 under guide effect preferably.
Please refer to Fig. 8, the perspective view of the second specific embodiment that Fig. 8 is connecting device provided by the present invention.
Known according to above-described embodiment content, connecting hole 23 numbers on the each fastening limit 22 of connecting device 2 are also unrestricted, in Fig. 8, connecting device 2 has two pairs of connecting holes 23 that are coaxially arranged at two fastening limits 22, while using two connecting devices 2, can on each connecting device 2, insert respectively a bone screw 5 and a lock-screw 3, lock pole member is similarly lock-screw 3, and a pair of connecting hole 23 that lock-screw 3 runs through can have a screwed hole.
When two fastening limits 22 coaxially arrange four pairs of connecting holes 23, can insert two bone screw 5 and two lock-screws 3, or a bone screw 5 and three lock-screws 3, or a lock-screw 3 and three bone screw 5, can select according to actual needs the number of lock-screw 3 and bone screw 5, certainly, for the object of simplifying connecting device 2, on two fastening limits 22, connecting hole 23 numbers of the coaxial setting of processing can be controlled in five pairs, in the first embodiment, can on a fastening limit 22, process separately the connecting hole 23 running through for bone screw 5, the number of this connecting hole 23 also can be controlled according to the bone screw of actual needs 5 numbers.
Please refer to Fig. 9, the perspective view of the third specific embodiment that Fig. 9 is connecting device provided by the present invention; Figure 10 is the top view of connecting device in Fig. 9.
In this embodiment, two of connecting device 2 fastening limits 22 only coaxially arrange a pair of connecting hole 23 running through for bone screw 5.When operation, first two bone screw 5 are inserted respectively in a pair of connecting hole 23 of two connecting devices 2, then by two bone screw 5 implant damages or distortion; Secondly, identical with the first embodiment, the two ends of reposition lever 4 are run through respectively to the body 21 of two connecting devices 2, adjust the distance between two connecting devices 2, make it meet the requirement resetting, then screw bone screw 5, along with constantly screwing of bone screw 5, in bone screw 5 is firmly implanted, and two fastening limits 22 screw under power effect in bone screw 5 closed to tighten up body 21 gradually, thereby locking reposition lever 4.Bone screw 5 in this embodiment plays the effect of lock-screw 3 in the first embodiment simultaneously, it is the lock pole member that bone screw 5 becomes reposition lever 4 in this embodiment, thereby further simplify the structure of connecting device 2, in the process of implantable bone screw 5, can realize lock clubs and do.
Certainly, for above-described embodiment, carry out hands art at occipital bone place, occipital bone place need to be fixed on in one end of reposition lever 4, when the other end is fixed on spinal column place, because the working place of occipital bone is limited, can only use a connecting device 2, as shown in Figure 7, connecting device 2 is inserted in one end of reposition lever 4, by locking mode locking reposition lever 4 and the connecting device 2 of above-described embodiment, connecting device 2 is positioned at occipital bone place, the other end of reposition lever 4 can be fixed on spinal column place by U-shaped bone screw, those skilled in the art also can use fixed form fixed reset rod 4 and the spinal column of some other routine.
Similar with the principle of above-described embodiment, in this embodiment, the a pair of connecting hole 23 that lock-screw 3 inserts has screwed hole, can make and the inwall of another connecting hole 23 and the nose shape adaptation of lock-screw 3 of the coaxial setting of screwed hole, thereby the head of being convenient to lock-screw 3 snaps in this connecting hole 23.
Known according to above-described embodiment, the coaxial connecting hole 23 arranging of connecting device 2 is mainly run through by lock pole member (can be lock-screw 3 or bone screw 5), to play the effect that drives body 21 to tighten up, and the connecting hole 23 running through for bone screw 5 (when pole member is not locked in conduct), be not limited to coaxially be arranged at fastening limit 22, as in Fig. 4 only below the left and right end on long fastening limit 22 connecting hole 23 is set.Those skilled in the art also can expect, the connecting hole 23 running through for bone screw 5 also can not be arranged on fastening limit 22, such as, bone screw 5 can be directly connected on the body 21 of connecting device 2, and can make bone screw 5 with fastening limit 22 roughly in vertical state, in fact, can also be directly body 21 and bone screw 5 be processed into one, be that body 21 can be the side channel of offering in bone screw 5, all can realize object of the present invention.
Please refer to Figure 11, the left view that Figure 11 is Figure 10.Can process dentalation at the inner tubal wall of body 21, as shown in figure 11, dentalation can increase the frictional force between reposition lever 4 and body 21, thereby contribute to strengthen the clamping force of body 21 to reposition lever 4, based on this principle, also can process other structures at the inner tubal wall of body 21, such as the structure such as screw thread, projection, certainly, these structures are not all to hinder reposition lever 4 to run through body 21 as prerequisite.Certainly, body 21 inwalls there is dentalation also can be for other embodiment.
Please refer to Figure 12, Figure 12 is a kind of side view of connecting device in resetting means provided by the present invention.For above each embodiment, the shape in the cross section of body 21 can be circular, and the body 21 of circular cross-section is easily processed, and is also convenient to the insertion of reposition lever 4; The cross sectional shape of body 21 can also be rhombus, and as shown in figure 12, while using the body 21 of diamond-shaped cross-section, reposition lever 4 is not easy to rotate, thereby plays the effect of better fixed reset rod 4.
Above a kind of resetting means for spinal column and occipital bone provided by the present invention is described in detail.Applied specific case herein principle of the present invention and embodiment are set forth, the explanation of above embodiment is just for helping to understand method of the present invention and core concept thereof.It should be pointed out that for those skilled in the art, under the premise without departing from the principles of the invention, can also carry out some improvement and modification to the present invention, these improvement and modification also fall in the protection domain of the claims in the present invention.