Spinal orthopedic bar apparatus for placing
Technical field
The present invention relates to a kind of spinal orthopedic bar apparatus for placing, for Via Posterior Spinal Approach Minimally Invasive Surgery.
Background technology
In Via Posterior Spinal Approach Minimally Invasive Surgery, restoring backbone is made by the mating reaction of pedicle screw and Orthopedic rod, pedicle screw is arranged on spinal column relevant position by usual employing pedicle screw clamping device, again Orthopedic rod is inserted in the U-lag of pedicle screw, by interior pinning, Orthopedic rod is fixed in the U-lag of pedicle screw, because the U-lag size of pedicle screw is limited, in Minimally Invasive Surgery, require that Orthopedic rod can directly be inserted in the U-lag of pedicle screw by doctor exactly, very high to the requirement of doctor, and operating difficulties.
In order to address this problem, partial monopoly discloses on pedicle screw clamping device, to offer an opening solve this technical problem, such as US Patent No. 2011/0040328A1 just discloses a kind of spinal orthopedic bar apparatus for placing, accompanying drawing 17 is the spinal orthopedic bar apparatus for placing schematic diagram of US Patent No. 2011/0040328A1, the clamping part of pedicle screw clamping device 1 is provided with female thread 17, female thread 17 matches with the external screw thread of interior pinning 16, pressing device 8 is relied on to rotate interior pinning 16 under the female thread 17 of pedicle screw clamping device 1 guides, Orthopedic rod 11 is placed in pedicle screw 19.Pedicle screw 19 top has U-lag 20, and this U-lag 20 matches with the U-shaped opening of pedicle screw clamping device 1.Wherein, after pedicle screw clamping device 1 clamps pedicle screw 19, the female thread 17 of pedicle screw clamping device 1 forms a continuous print screw thread collection, so that Orthopedic rod 11 is pressed in the U-lag 20 of pedicle screw 19 by interior pinning 16 smoothly with the female thread 18 of pedicle screw 19.The major defect of this technology is that the pushing of Orthopedic rod 11 relies on the interior external screw thread of pinning 16 and the female thread 17 of pedicle screw clamping device 1 to guide to push, therefore this technology necessarily requires the female thread 17 of pedicle screw clamping device 1 to be positioned at the clamping part of pedicle screw clamping device 1, the female thread 17 of pedicle screw clamping device 1 forms a continuous print screw thread collection with the female thread 18 of pedicle screw 19, a kind of pedicle screw must coordinate a kind of pedicle screw clamping device to use, make poor universality, and if the female thread 17 of pedicle screw clamping device 1 is oversize, Orthopedic rod 11 is then installed need to spend the more time, if female thread 17 is too short, that then leaves that Orthopedic rod 11 penetrates the U-shaped opening of pedicle screw clamping device 1 for can will become too little by operative space.
Based on above-mentioned objective fact, a kind of in operation versatility spinal orthopedic bar apparatus for placing that is good, convenient operation become this area problem demanding prompt solution.
Summary of the invention
The object of the present invention is to provide a kind of can in operation convenient operation, spinal orthopedic bar apparatus for placing that versatility is good.
The invention provides a kind of spinal orthopedic bar apparatus for placing, it is characterized in that: there is pedicle screw clamping device and screw thread pressue device.One end of pedicle screw clamping device is clamping part, and the other end is grip part, and clamping part extends a U-shaped big uncork to direction, grip part, and in order to pass Orthopedic rod, pedicle screw clamping device has internal thread part; Screw thread pressue device has external thread part; Wherein the internal thread part of pedicle screw clamping device and the external thread part of screw thread pressue device are worked in coordination, and are pressed into by Orthopedic rod in the U-lag of pedicle screw and lock; The length of internal thread part and described external thread part designs like this, and when the external thread part of screw thread pressue device has just departed from the internal thread part of pedicle screw clamping device, internal lock pitch of nails also has very little distance from the screw thread of the U-lag of pedicle screw.
According to above-mentioned design, the opening size of the U-shaped big uncork of pedicle screw clamping device is greater than the U-lag opening size of pedicle screw.
According to above-mentioned design, when described external thread part just coordinates with the internal thread part of pedicle screw clamping device, the interior pinning being connected to screw thread pressue device lower end adjoins the upper end of the U-shaped big uncork of pedicle screw clamping device.
According to above-mentioned design, this very little distance is 1mm.
According to above-mentioned design, bottom U-shaped big uncork, extension slot is set away from the direction of described clamping part.
According to above-mentioned design, the internal thread part of pedicle screw clamping device is positioned at the grip part end of pedicle screw clamping device.
According to above-mentioned design, internal thread part and external thread part are single thread or multi start thread.
The invention provides a kind of spinal orthopedic bar apparatus for placing, it is characterized in that: there is pedicle screw clamping device, screw shell and screw thread pressue device; One end of pedicle screw clamping device is clamping part, and the other end is grip part, and clamping part extends a U-shaped big uncork to direction, grip part, and in order to pass Orthopedic rod, upper end, grip part has the installation portion sealed with screw shell; Screw shell one end has the joint portion sealed with grip part, and screw shell inside has internal thread part; Screw thread pressue device has external thread part; Wherein pedicle screw clamping device and screw shell removably sealed installation, the external thread part of screw thread pressue device and the internal thread part of screw shell are worked in coordination, and are pressed into by Orthopedic rod in the U-lag of pedicle screw and lock.
According to above-mentioned design, the opening size of the U-shaped big uncork of pedicle screw clamping device is greater than the U-lag opening size of pedicle screw.
According to above-mentioned design, the length of internal thread part and external thread part designs like this, namely when the external thread part of screw thread pressue device just coordinates with the internal thread part of screw shell, the interior pinning being connected to screw thread pressue device lower end adjoins the upper end of the U-shaped big uncork of pedicle screw clamping device, when the external thread part of screw thread pressue device has just departed from the internal thread part of screw shell, internal lock pitch of nails also has very little distance from the screw thread of the U-lag of pedicle screw.
According to above-mentioned design, this very little distance is 1mm.
According to above-mentioned design, pedicle screw clamping device and screw shell are that removably is connected.
According to above-mentioned design, bottom U-shaped big uncork, extension slot is set away from the direction of clamping part.
According to above-mentioned design, internal thread part and external thread part are single thread or multi start thread.
Beneficial effect of the present invention comprises:
(1) in the present invention, external thread part is set on screw thread pressue device, matching with the internal thread part of pedicle screw clamping device or screw shell is incompatiblely pressed in the U-lag of pedicle screw by Orthopedic rod, solve the defect needing to change pedicle screw clamping device because pedicle screw model is different, improve the versatility of operating theater instruments;
(2) wear the U-shaped big uncork position of excellent position at pedicle screw clamping device 1, wear excellent location comparison and easily find, lower to surgical operation skill set requirements.
Accompanying drawing explanation
Fig. 1 a is the axonometric chart of pedicle screw clamping device of the present invention;
Fig. 1 b is the front view of pedicle screw clamping device of the present invention;
Fig. 2 a is the axonometric chart of another structure of pedicle screw clamping device of the present invention;
Fig. 2 b is the front view of another structure of pedicle screw clamping device of the present invention;
Fig. 3 is screw thread pressue device of the present invention;
Fig. 4 is the schematic diagram of spinal orthopedic bar apparatus for placing of the present invention;
Fig. 5 is the structural representation of the firm engagement in threaded portion of spinal orthopedic bar apparatus for placing of the present invention;
Fig. 6 is the structural representation of the firm disengaged position in threaded portion of spinal orthopedic bar apparatus for placing of the present invention
Fig. 7 is the partial enlarged drawing that spinal orthopedic bar apparatus for placing of the present invention places Orthopedic rod;
Fig. 8 is the structural representation that spinal orthopedic bar apparatus for placing of the present invention completes Orthopedic rod placement;
Fig. 9 is the design sketch after spinal orthopedic bar apparatus for placing of the present invention completes;
Figure 10 a is the axonometric chart of the pedicle screw clamping device of another embodiment of the present invention;
Figure 10 b is the front view of the pedicle screw clamping device of another embodiment of the present invention;
Figure 11 a is the axonometric chart of another structure of pedicle screw clamping device of another embodiment of the present invention;
Figure 11 b is the front view of another structure of pedicle screw clamping device of another embodiment of the present invention;
Figure 12 a is the structural representation of another embodiment of the present invention screw shell;
Figure 12 b is the sectional view of screw shell of the present invention;
Figure 13 is the schematic diagram of the spinal orthopedic bar apparatus for placing of another embodiment of the present invention;
Figure 14 is the structural representation of the firm engagement in threaded portion of the spinal orthopedic bar apparatus for placing of another embodiment of the present invention;
Figure 15 is the structural representation of the firm disengaged position in threaded portion of the spinal orthopedic bar apparatus for placing of another embodiment of the present invention;
Figure 16 is the structural representation that the spinal orthopedic bar apparatus for placing of another embodiment of the present invention completes Orthopedic rod and places;
Figure 17 is the spinal orthopedic bar apparatus for placing schematic diagram of prior art.
Wherein, description of reference numerals is as follows:
1 pedicle screw clamping device 11 Orthopedic rod
2 internal thread part 12 screw shells
3 clamping part 13 installation portions
4 U-shaped big uncork 14 internal thread parts
5 extension slot 15 joint portions
Pinning in 6 grip parts 16
7 screw thread pressue device 17 female threads
8 pressing device 18 screw threads
9 external thread part 19 pedicle screws
10 operating portion 20 U-lags
Detailed description of the invention
The concrete structure of spinal orthopedic bar apparatus for placing involved in the present invention is described in detail below in conjunction with accompanying drawing.In the present invention, the various method and structure be well known to those skilled in the art is not being described in detail, in the present invention, have employed identical Reference numeral with the structure of prior art structure.
One embodiment of the present of invention, spinal orthopedic bar apparatus for placing includes pedicle screw clamping device 1 (as shown in Fig. 1 a to 2b) and screw thread pressue device 7 (as shown in Figure 3).One end of described pedicle screw clamping device 1 is clamping part 3, and the other end is grip part 6, described clamping part 3 extends a U-shaped big uncork 4 to direction, grip part 6, the opening size of U-shaped big uncork 4 is greater than the opening size of the U-lag 20 of pedicle screw 19, so that doctor wears excellent position through being easy to find during Orthopedic rod 11.Also can arrange extension slot 5 (as shown in Fig. 2 a, 2b) according to practical operation situation on the direction of the bottom of shape U-shaped big uncork 4 away from clamping part 3, this extension slot 5 can be used as Orthopedic rod 11 through guiding groove during pedicle screw clamping device 1.Inside, grip part 6 has internal thread part 2, and this internal thread part 2 can in any position, the inside of grip part 6, preferably at the upper end position of grip part 6.Described screw thread pressue device 7 has operating portion 10, pressing device 8 and external thread part 9.Wherein the internal thread part 2 of pedicle screw clamping device 1 intermeshes with the external thread part 9 of screw thread pressue device 7, Orthopedic rod 11 pushes in the U-lag 20 of pedicle screw 19 and locks by rotating down pressing, the screw thread coordinating pressurization can be single thread, also can be multi start thread.
Described internal thread part 2 and the length of external thread part 9 design like this, namely when the external thread part 9 of screw thread pressue device 7 just coordinates with the internal thread part 2 of pedicle screw clamping device 1 (as shown in Figure 5), the interior pinning 16 being connected to screw thread pressue device 7 lower end adjoins the upper end of the U-shaped big uncork 4 of pedicle screw clamping device 1, when the external thread part 9 of screw thread pressue device 7 has just started to depart from the internal thread part 2 of pedicle screw clamping device 1 (as shown in Figure 6), the interior pinning 16 being connected to screw thread pressue device 7 lower end also has one section of small distance apart from the female thread 18 of the U-lag 20 of pedicle screw 19, this distance can be such as 1mm.
Introduce the work process of the spinal orthopedic bar apparatus for placing of this embodiment of the present invention below in conjunction with surgical operation step, there are following steps:
Step one: pedicle screw clamping device 1 clamps pedicle screw 19 and is driven in vertebral body by Pedicle of Vertebral Arch of Posterior Spine.
Step 2: use the device of clamping Orthopedic rod by Orthopedic rod 11 transdermal, be placed on the U-shaped big uncork position 4 of pedicle screw clamping device 1, as shown in Figure 4.
Step 3: use screw thread pressue device 7 to be pressed in the U-lag 20 of pedicle screw 19 by Orthopedic rod 11.The external screw thread 9 of screw thread pressue device 7 and the internal thread part 2 of pedicle screw clamping device 1 coordinate to be depressed Orthopedic rod 11, as shown in Figure 5.When the external screw thread 9 of screw thread pressue device 7 has just departed from the female thread of pedicle screw clamping device 12, the pinning 16 being positioned at the top of the pressing device 8 of screw thread pressue device 7 also has very little distance apart from the screw thread 18 of pedicle screw U-lag 20, as shown in Figure 6, the external screw thread of interior pinning 16 engages with the female thread 18 of pedicle screw U-lag 20 by now manual vertical pressurization, being coordinated by the external screw thread of interior pinning 16 and the female thread 18 of pedicle screw U-lag 20 is locked in pedicle screw U-lag 20 by Orthopedic rod 11 again, as shown in Figure 7,8.
Step 4: take out screw thread pressue device 7, the device clamping Orthopedic rod and pedicle screw clamping device 1, complete spinal orthopedic bar placement work, as shown in Figure 9.
As another embodiment of the present invention, spinal orthopedic bar apparatus for placing includes pedicle screw clamping device 1 (as shown in Figure 10 a to 11b), screw shell 12 (as shown in Figure 12 a, 12b) and screw thread pressue device 7 (as shown in Figure 3).One end of described pedicle screw clamping device 1 is clamping part 3, the other end is grip part 6, described clamping part 3 extends a U-shaped big uncork 4 to direction, grip part 6, the opening size of U-shaped big uncork 4 is greater than the opening size of the U-lag 20 of pedicle screw 19, so that doctor wears excellent position through being easy to find during Orthopedic rod 11.Also can arrange extension slot 5 (as shown in Figure 11 a, 11b) according to practical operation situation on the direction of the bottom of U-shaped big uncork 4 away from clamping part 3, this extension slot 5 can be used as Orthopedic rod 11 through guiding groove during pedicle screw clamping device 1.Upper end, grip part 6 has the installation portion 13 sealed with screw shell 12.Screw shell 12 one end has the joint portion 15 sealed with installation portion 13, has internal thread part 14 in screw shell, and this internal thread part can in the inner any position of screw shell 12, preferably in the upper end of screw shell 12.
Screw thread pressue device 7 has operating portion 10, pressing device 8 and external thread part 9.The external thread part 9 of screw thread pressue device 7 intermeshes with the internal thread part 14 of screw shell 12, is pressed into by Orthopedic rod 11 in pedicle screw 19 and locks, and the screw thread coordinating pressurization can be single thread, also can be multi start thread.Installation portion 13 is two horizontal cuts formed symmetrically on the end wall of grip part 6, and joint portion 15 is two the horizontal pins installed symmetrically on the wall of screw shell 12.The installation portion 13 of pedicle screw clamping device 1 and the joint portion 15 removably sealed installation of screw shell 12.This removably can be commonly used other connected mode by prior art, as being threaded, engaging etc.
Described internal thread part 14 and the length of external thread part 9 design like this, namely when the external thread part 9 of screw thread pressue device 7 just coordinates with the internal thread part 14 of screw shell 12 (as shown in Figure 5), the interior pinning 16 being connected to screw thread pressue device 7 lower end adjoins the upper end of the U-shaped big uncork 4 of pedicle screw clamping device 1, when the external thread part 9 of screw thread pressue device 7 has just started to depart from the internal thread part 14 of screw shell 12, the interior pinning 16 being connected to screw thread pressue device 7 lower end also has one section of small distance apart from the female thread 18 of the U-lag 20 of pedicle screw 19, this distance can be such as 1mm.
Introduce the work process of the spinal orthopedic bar apparatus for placing of this embodiment of the present invention below in conjunction with surgical operation step, there are following steps:
Step one: pedicle screw clamping device 1 clamps pedicle screw 19 and is driven in vertebral body by Pedicle of Vertebral Arch of Posterior Spine.
Step 2: use the device of clamping Orthopedic rod by Orthopedic rod 11 transdermal, be placed on the position of the U-shaped big uncork 4 of pedicle screw clamping device 1.
Step 3: use the external screw thread 9 of screw thread pressue device 7 and the internal thread part 14 of screw shell 12 to coordinate and Orthopedic rod 11 is pressed in the U-lag 20 of pedicle screw 19.First screw shell 12 is arranged on pedicle screw clamping device 1 upper end by joint portion 15, then screw thread pressue device 7 is stretched in pedicle screw clamping device 1 pushes Orthopedic rod 11.Figure 14 is the external screw thread 9 of screw thread pressue device 7 and the internal thread part 14 just position of engagement of screw shell 12, pressure process is realized by the external screw thread 9 of screw thread pressue device 7 and internal thread part 14 engagement of screw shell 12, Figure 15 is that the external screw thread 9 of screw thread pressue device 7 and the internal thread part 14 of screw shell 12 engage the position just departed from, now, the pinning 16 being positioned at the top of the pressing device 8 of screw thread pressue device 7 also has very little distance apart from the screw thread 18 of the U-lag 20 of pedicle screw 19, and this distance can be such as 1mm.Interior pinning 16 engages with the screw thread 18 of pedicle screw U-lag 20 by now manual vertical pressurization, being coordinated by the external screw thread of interior pinning 16 and the screw thread 18 of pedicle screw U-lag 20 is locked in the U-lag 20 of pedicle screw 19 by Orthopedic rod 11 again, as shown in figure 16.
Step 4: take out screw thread pressue device 7, the device clamping Orthopedic rod and pedicle screw clamping device 1, complete spinal orthopedic bar placement work, as shown in Figure 9.
According to above-mentioned known, pedicle screw clamping device 1 is utilized to clamp pedicle screw 19 in spinal orthopedic bar apparatus for placing of the present invention, wear the position of excellent position at pedicle screw clamping device 1U shape big uncork 4, the size of this position U-shaped big uncork 4 is greater than the opening size of the U-lag 20 of pedicle screw 19, not only realize wearing excellent location comparison thus easily to find, the object lower to surgical operation skill set requirements.Not directly through in the U-lag 20 of pedicle screw 19 owing to wearing excellent position, lock bottom the U-lag 20 that Orthopedic rod 11 is pressed into pedicle screw 19 by the mode that the present invention is coordinated by the internal thread part 14 of the external thread part 9 of screw thread pressue device 7 and the female thread 2 on pedicle screw clamping device 1 or screw shell 12.The screw thread of package unit does not need to match with the screw thread of pedicle screw 19, can be adapted to the pedicle screw 19 of different manufacturers different model, make device have good versatility.
The foregoing is only preferred embodiment of the present invention, and be not used to limit claim of the present invention, under therefore all other does not depart from disclosed spirit, the equivalence that completes changes or modifies, and all should be contained in the claim of this case.