CN105596070B - Posterior cervical open-door laminoplasty Plastic operation fixed system - Google Patents
Posterior cervical open-door laminoplasty Plastic operation fixed system Download PDFInfo
- Publication number
- CN105596070B CN105596070B CN201610041518.9A CN201610041518A CN105596070B CN 105596070 B CN105596070 B CN 105596070B CN 201610041518 A CN201610041518 A CN 201610041518A CN 105596070 B CN105596070 B CN 105596070B
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- China
- Prior art keywords
- metal plate
- spinous process
- door
- process side
- titanium cable
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7053—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with parts attached to bones or to each other by flexible wires, straps, sutures or cables
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7059—Cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
The present invention provides a kind of posterior cervical open-door laminoplasty Plastic operation fixed systems, including spinous process side metal plate, the spinous process side metal plate bottom is provided with the inclined transition metal plate with spinous process side metal plate one, one end of the transition metal plate passes through one end of connection axis connection universal ball end, and the other end of the universal ball end passes through connecting shaft connecting side block portion metal plate.The top of spinous process side metal plate is provided with titanium cable channel, and the lower part of spinous process side metal plate is provided with spinous process nail hole.The right end of lateral mass portion metal plate is provided with lateral mass screw hole, and the left end of lateral mass portion metal plate is provided with becket.One end of the becket connection titanium cable, after the other end of the titanium cable passes through titanium cable channel and spinous process side, extension end is buckled by titanium cable and is fixed.This patent can protect door-hinge, and door-hinge fracture and fracture door-hinge is avoided to charge into intraspinal tube and damage spinal cord.And fracture door-hinge can be repaired.Its structure is simple, easy for installation, fixation.
Description
Technical field
The present invention relates to a kind of operation fixed system, especially a kind of posterior cervical open-door laminoplasty Plastic operation is fixed
System.
Background technique
Neck way of escape open-door laminoplasty Plastic operation is still that the generally acknowledged treatment spinal canal stenosis of educational circles is easy, effective at present
One of operation method.It is merged with vertebrae plate resection and (or) bone grafting, stationary phase ratio in posterior screw, there is series of advantages.Especially
It is and permanently to remain the rear structure of cervical vertebra while decompression.So far from the vertebroplasty of report, have much about
The report of enabling fixing means is maintained, including uses tradition seam joint capsule method fixation, uses lateral mass screw anchor titration.But it is postoperative
Vertebral plate is closed, door-hinge fracture is made, Sagittal alignment, cervical curvature loss happen occasionally.
Summary of the invention
To solve the above problems, the present invention provides a kind of structure is simple, easy for installation, fixed reliable posterior cervical list
Enabling laminoplasty fixed system.
Posterior cervical open-door laminoplasty Plastic operation fixed system described in this patent, including spinous process side metal plate, institute
It states spinous process side metal plate bottom and is provided with inclined transition metal plate with spinous process side metal plate one, the transition metal plate
One end passes through one end of connection axis connection universal ball end, and the other end of the universal ball end passes through connecting shaft connecting side block portion metal
Plate.
The top of spinous process side metal plate is provided with titanium cable channel, and the lower part of spinous process side metal plate is provided with spinous process
Nail hole.
The right end of lateral mass portion metal plate is provided with lateral mass screw hole, and the left end of lateral mass portion metal plate is provided with gold
Belong to ring.
It is stretched after the other end of the titanium cable passes through titanium cable channel and spinous process side one end of the becket connection titanium cable
Outlet is buckled by titanium cable and is fixed.
Posterior cervical open-door laminoplasty Plastic operation fixed system described in this patent opens vertebra applied to posterior cervical list
The fixation of pipe Plastic operation and the reparation of single open-door back door axle fracture failure case are fixed, and specific installation method is as follows: being used
One piece of lateral mass screw passes through the lateral mass screw hole on lateral mass portion metal plate, and the lateral mass portion metal plate of the device is fixed on door-hinge side
On centrum lateral mass.It is each passed through spinous process nail hole with two pieces of spinous process screws, is separately fixed at spinous process root and spinous process portion, by spinous process side
Metal plate is fixed on spinous process side.Finally, titanium cable one end is fixed on becket, the other end passes through titanium cable channel and spinous process side
Afterwards, extension end is buckled fixed by titanium cable.
This patent uses universal ball end, can freely revolve with universal ball end between lateral mass portion metal plate and spinous process side metal plate
Turn, reduce and difficulty of opening the door occur because placing the present apparatus, while the present apparatus can protect door-hinge, reduces door-hinge fracture and door-hinge
The probability that damage spinal cord and nerve root occur is charged into intraspinal tube after fracture.This patent application titanium cable connecting side block portion metal plate and
Spinous process side metal plate forms bowstring, plays the stable effect of triangle.Its principle meets anchoring fixing means, but directly not solid
Due to spinous process side, but titanium cable channel is passed through, saves spinous process sidetracking hole operating time, it is simple and convenient.It is applied after opening the door successfully
Locked titanium cable is buckled, postoperative generation of closing the door again is avoided.Compared with existing surgical technic, this patent includes that lateral mass is fixed, is universal
Unique advantage that rotating ballhead, spinous process are fixed, titanium cable triangle is stable, titanium cable snap lock is waited indefinitely, can protect door-hinge, avoid door-hinge disconnected
It splits and is broken door-hinge and is charged into intraspinal tube and damage spinal cord, and fracture door-hinge can be repaired, easy to operate, fixation can
It leans on, has prevented the generation of traditional operation complication.
Detailed description of the invention
Fig. 1 is the mounting structure schematic diagram of posterior cervical open-door laminoplasty Plastic operation fixed system of the invention.
Specific embodiment
As shown in Figure 1, posterior cervical open-door laminoplasty Plastic operation fixed system of the invention, including spinous process side metal
Plate 2,2 bottom of spinous process side metal plate are provided with the inclined transition metal plate 6 with spinous process side metal plate one, the transition
One end of metal plate 6 connects one end of universal ball end 7 by connecting shaft 12, and the other end of the universal ball end 7 passes through connecting shaft
12 connecting side block portion metal plates 11.
The top of spinous process side metal plate 2 is provided with titanium cable channel 1, and the lower part of spinous process side metal plate 2 is provided with
Spinous process nail hole 3.
The right end of lateral mass portion metal plate 11 is provided with lateral mass screw hole 10, and the left end of lateral mass portion metal plate 11 is set
It is equipped with becket 8.
The becket 8 connects one end of titanium cable 5, after the other end of the titanium cable 5 passes through titanium cable channel 1, extension end
It is fixed by titanium cable buckle 18.
Posterior cervical open-door laminoplasty Plastic operation fixed system described in this patent opens vertebra applied to posterior cervical list
The fixation of pipe Plastic operation and the reparation of single open-door back door axle fracture failure case are fixed, and specific installation method is as follows: being used
One piece of lateral mass screw 9 passes through the lateral mass screw hole 10 on lateral mass portion metal plate 11, and the lateral mass portion metal plate 11 of the device is fixed
On door-hinge pleurocentrum lateral mass 17.It is each passed through spinous process nail hole 4 with two pieces of spinous process screws 4, is separately fixed at 16 He of spinous process root
Spinous process side metal plate 2 is fixed on spinous process side 14 by spinous process portion 15.Finally, 5 one end of titanium cable is fixed on becket 8, the other end
Behind titanium cable channel 1 and spinous process side 14, extension end is fixed by titanium cable buckle 18.
The advantages that this patent has structure simple, easy for installation, fixed reliable, meanwhile, the present apparatus can protect door-hinge 13, keep away
Exempt from the fracture of door-hinge 13 and fracture door-hinge 13 and charges into the probability that damage spinal cord occurs to intraspinal tube.And fracture door-hinge 13 can be repaired
It is multiple.
The above-described embodiments are merely illustrative of preferred embodiments of the present invention, not to model of the invention
It encloses and is defined, without departing from the spirit of the design of the present invention, this field ordinary engineering and technical personnel is to the technology of the present invention side
The various changes and improvements that case is made, should fall within the scope of protection determined by the claims of the present invention.
Claims (1)
1. posterior cervical open-door laminoplasty Plastic operation fixed system, which is characterized in that including spinous process side metal plate, the spine
Prominent side metal plate bottom is provided with the inclined transition metal plate with spinous process side metal plate one, one end of the transition metal plate
By connecting one end of axis connection universal ball end, the other end of the universal ball end passes through connecting shaft connecting side block portion metal plate；
The top of spinous process side metal plate is provided with titanium cable channel, and the lower part of spinous process side metal plate is provided with spinous process nail hole；Institute
The right end for stating lateral mass portion metal plate is provided with lateral mass screw hole, and the left end of lateral mass portion metal plate is provided with becket；It is described
Becket connects one end of titanium cable, and after the other end of the titanium cable passes through titanium cable channel and spinous process side, extension end is by titanium cable card
Button is fixed.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610041518.9A CN105596070B (en) | 2016-01-22 | 2016-01-22 | Posterior cervical open-door laminoplasty Plastic operation fixed system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610041518.9A CN105596070B (en) | 2016-01-22 | 2016-01-22 | Posterior cervical open-door laminoplasty Plastic operation fixed system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105596070A CN105596070A (en) | 2016-05-25 |
| CN105596070B true CN105596070B (en) | 2019-07-09 |
Family
ID=55976816
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610041518.9A Active CN105596070B (en) | 2016-01-22 | 2016-01-22 | Posterior cervical open-door laminoplasty Plastic operation fixed system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105596070B (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019018014A1 (en) * | 2017-07-18 | 2019-01-24 | Frank Castro | Joint arthrodesis system |
| CN109171933A (en) * | 2018-10-11 | 2019-01-11 | 刘观燚 | A kind of screw steel plate system for spinous process of axis |
| CN112426217B (en) * | 2020-10-30 | 2022-03-04 | 北京大学第三医院（北京大学第三临床医学院） | Spinous process reconstruction opening door plate |
| CN114027959A (en) * | 2021-11-30 | 2022-02-11 | 迪恩医疗科技有限公司 | Hinge type vertebral lamina fixing plate |
Citations (4)
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| CN203693716U (en) * | 2014-01-15 | 2014-07-09 | 上海三友医疗器械有限公司 | Expanding device for vertebral plate |
| CN203790017U (en) * | 2013-11-05 | 2014-08-27 | 北京市富乐科技开发有限公司 | Bayonet type vertebral plate forming titanium plate |
| CN104000646A (en) * | 2014-06-23 | 2014-08-27 | 北京纳通科技集团有限公司 | Posterior cervical single-door bone plate |
| CN205458981U (en) * | 2016-01-22 | 2016-08-17 | 赵海生 | Transport record of a lorry opens door canalis spinalis and enlarges plasty fixing device behind cervical vertebra |
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| US8926664B1 (en) * | 2006-11-07 | 2015-01-06 | Globus Medical, Inc. | Laminoplasty fixaction devices |
| US8470003B2 (en) * | 2009-10-30 | 2013-06-25 | DePuy Synthes Products, LLC | Laminoplasty plates and methods of expanding the spinal canal |
| US10226284B2 (en) * | 2011-09-01 | 2019-03-12 | Globus Medical, Inc. | Laminoplasty plates, systems, and devices, and methods relating to the same |
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2016
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Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN203790017U (en) * | 2013-11-05 | 2014-08-27 | 北京市富乐科技开发有限公司 | Bayonet type vertebral plate forming titanium plate |
| CN203693716U (en) * | 2014-01-15 | 2014-07-09 | 上海三友医疗器械有限公司 | Expanding device for vertebral plate |
| CN104000646A (en) * | 2014-06-23 | 2014-08-27 | 北京纳通科技集团有限公司 | Posterior cervical single-door bone plate |
| CN205458981U (en) * | 2016-01-22 | 2016-08-17 | 赵海生 | Transport record of a lorry opens door canalis spinalis and enlarges plasty fixing device behind cervical vertebra |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105596070A (en) | 2016-05-25 |
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