CN105708536A - Height-adjustable anchor-out type interbody fusion cage - Google Patents

Height-adjustable anchor-out type interbody fusion cage Download PDF

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Publication number
CN105708536A
CN105708536A CN201610265741.1A CN201610265741A CN105708536A CN 105708536 A CN105708536 A CN 105708536A CN 201610265741 A CN201610265741 A CN 201610265741A CN 105708536 A CN105708536 A CN 105708536A
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China
Prior art keywords
main board
screw
fusion device
vertebra
invasive lumbar
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Granted
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CN201610265741.1A
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Chinese (zh)
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CN105708536B (en
Inventor
姜传杰
杨凯
杨永军
吴瑞
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Shandong Wendeng Osteopathy Hospital
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Shandong Wendeng Osteopathy Hospital
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Publication of CN105708536A publication Critical patent/CN105708536A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

Abstract

The invention relates to a height-adjustable anchor-out type interbody fusion cage. The interbody fusion cage comprises an upper body plate, a lower body plate, a sleeve positioned on the body plate, a vertebral screw positioned in the sleeve, a heightening screw and a screw-adjusting screw. In the interbody fusion cage provided by the invention, the up-down height can be adjusted to adapt to different intervertebral spaces; and meanwhile, the vertebral screw is driven into the upper and lower vertebrae so that the interbody fusion cage does not retreat from the interbody or move in the interbody.

Description

Adjustment height anchor goes out formula Invasive lumbar fusion device
Technical field
The invention belongs to medical instruments field, relate to a kind of adjustment height anchor and go out formula Invasive lumbar fusion device.
Background technology
Vertebra degeneration is spinal surgery disease common clinically, has a strong impact on minimal invasive treatment and work, and operative treatment is frequently as the final selection of patient.The modus operandi of spinal treatment is developed to interbody fusion relatively common at present by simple lumbar discectomy, and have developed a series of fusion formula in being perfectly combined between pursuit vertebral body, such as intertransverse process autograft fusion art, Minor articulus bone graft fusion, H vertebral plate bone graft fusion etc..
In recent years, for improving the success rate of intervertebral fusion operation, reducing extenal fixation dependency, improve and keep the curvature of spinal column, Invasive lumbar fusion device arises at the historic moment.Since Invasive lumbar fusion device is applied to interbody fusion treatment vertebrae disease and obtains success, various Invasive lumbar fusion devices are come out one after another, and are widely accepted by clinic.It is stable that Invasive lumbar fusion device can effectively maintain anterior spinal, retains disc height, meets spinal column heavy burden requirement, be conducive to the rehabilitation of patient.
But the Invasive lumbar fusion device technology currently used there is also certain problem, and the Invasive lumbar fusion device used clinically at present mostly is fixed structure, it is more difficult to grasp vertebral body reconstruction height, secondary adjustment can not be carried out after implantation;As time goes on or the motion of patient and, Invasive lumbar fusion device can loosen and skids off or be implanted into sinking etc., stable after therefore needing clinically to research and develop a kind of implantation, the Invasive lumbar fusion device of secondary adjustment can be carried out.
Summary of the invention
In order to solve the deficiencies in the prior art, it is an object of the invention to provide a kind of adjustment height anchor and go out formula Invasive lumbar fusion device, use this Invasive lumbar fusion device can regulate intervertebral height, prevent the slippage of Invasive lumbar fusion device simultaneously, decrease the fixation procedure of pedicle screw.
To achieve these goals, the present invention adopts the following technical scheme that
The invention provides a kind of adjustment height anchor and go out formula Invasive lumbar fusion device, including upper main board 1, lower main board 2, it is positioned at the bone grafting hole 3 on main board, it is positioned at the upper sleeve pipe 9 on main board 1, it is positioned at the setting of casing 10 on lower main board 2, it is positioned at the vertebra nail 11 of sleeve pipe, described upper main board 1 front side wall is tightened up a screw hole 51 and lower screw hole 61, described hole 51 of tightening up a screw is inserted and adjusts oncomelania silk 52, described lower screw hole 61 inserts and heightens screw 62, described tune oncomelania silk 52 there is dentalation 523, follow closely 11 phases to be engaged with vertebra, oncomelania silk 52 is adjusted to drive vertebra nail 11 motion by rotating, adjust oncomelania silk 52 to follow closely 11 phases with vertebra and be engaged place without sleeve pipe obstruct, described heightening has ring toothing 623 on screw 62, it is engaged with sawtooth 102 phase on setting of casing 10, heightening screw 62 by rotation drives sleeve pipe to move, thus changing disc height, it is hollow structure 7 by the part of screw when lower main board 2 moves.
Further, the dentalation of the ring toothing 623 and setting of casing 10 of heightening screw 62 described in is positioned at a vertical plane.
Further, upper main board 1 and lower main board 2 place plane are drawn in opposite side from side, meet the mechanics structure of intervertebral disc.
Further, the upper main board 1 of Invasive lumbar fusion device and the upper and lower surface of lower main board 2 are provided with detent projection, increase the friction between Invasive lumbar fusion device and vertebra, it is prevented that the slippage of Invasive lumbar fusion device.
Further, upper main board 1 is provided with vertebra nail 4, and described upper vertebra nail 4 is followed closely 11 corresponding with the vertebra in setting of casing 10, during vertebra nail 11 motion in setting of casing 10, hammers into epipyramis by upper vertebra nail 4.
Further, lower main board 2 is provided with lower vertebra nail 12, and described lower vertebra nail 12 is followed closely 11 corresponding with the vertebra in upper sleeve pipe 9, during vertebra nail 11 motion in upper sleeve pipe 9, hammers into lower vertebra through lower vertebra nail 12.
Further, upper main board 1 is provided with retention device 8, and described retention device 8 can stop the rotation heightening screw 62.Retention device 8 can be that shrapnel device, clamp apparatus etc. can stop the device heightening screw 62 rotation.Retention device 8 is provided with switch on the front side wall of upper main board 1, when the height adjustment of Invasive lumbar fusion device is complete, opens retention device 8, blocks and heighten screw 62, it is prevented that it rotates.
Further, adjusting oncomelania silk 52 also to include interior catch 522, interior catch 522 is positioned at the inner side of Invasive lumbar fusion device, and its surface area is more than the surface area in hole 51 of tightening up a screw, thus preventing from adjusting oncomelania silk 52 outwards to slip.
Further, adjusting oncomelania silk 52 be hollow-core construction, and upper main board 1 rear wall is sky helicitic texture with the corresponding position of tune oncomelania silk 52.When the altitude mixture control of vertebra nail 11 is complete, screw in the screw agreed with mutually with internal threading arrangement, screw length more than adjust oncomelania silk 52 length and less than the distance between Invasive lumbar fusion device front and rear wall, the area of nut is more than the outer hexagonal area adjusting oncomelania silk 52, so that screw screws in the empty helicitic texture of rear wall, with fixing tune oncomelania silk 52.
Further, heightening screw 62 and also include catch 622, catch 622 is positioned at the inner side of Invasive lumbar fusion device, and its surface area, more than the surface area of lower screw hole 61, outwards slips thus preventing heightening screw 62.
Advantages of the present invention and beneficial effect:
The present invention have developed a kind of adjustment height anchor first and goes out formula Invasive lumbar fusion device, and this Invasive lumbar fusion device upper-lower height is adjustable to adapt to different intervertebral space;The present invention hammers into upper and lower vertebra by vertebra, and it is firm to inlay, difficult drop-off;The Invasive lumbar fusion device of the present invention is not in use by pedicle screw and Neck dissection simultaneously, has saved material, has simplified operating procedure.
Accompanying drawing explanation
Fig. 1 shows that adjustment height anchor goes out the structural representation of formula Invasive lumbar fusion device.
Fig. 2 shows that adjustment height anchor goes out the bottom schematic view of formula Invasive lumbar fusion device.
Fig. 3 shows that adjustment height anchor goes out the sectional view of formula Invasive lumbar fusion device.
Fig. 4 shows the structural representation of screw.
Fig. 5 shows tune oncomelania silk functional schematic.
Fig. 6 shows the functional schematic heightening screw.
In figure, 1, upper main board, 2, lower main board, 3, bone grafting hole, 4, upper vertebra nail, 51, hole of tightening up a screw, 52, oncomelania silk is adjusted, 521, outer hexagonal structure, 522, interior catch, 523, dentalation, 61, lower screw hole, 62, heighten screw, 621, hexagonal structure, 622, catch, 623, ring toothing, 7, hollow structure, 8, retention device, 9, upper sleeve pipe, 91, the without hindrance partition window 10 of upper sleeve pipe, setting of casing, 101, the without hindrance partition window of setting of casing, 102, sawtooth, 11, vertebra nail, 12, lower vertebra nail
Specific embodiment
Below in conjunction with drawings and Examples, the present invention is further detailed explanation, and following example are merely to illustrate the present invention rather than restriction the scope of the present invention.
1 one kinds of adjustment height anchors of embodiment go out formula Invasive lumbar fusion device
A kind of adjustment height anchor goes out formula Invasive lumbar fusion device as shown in figures 1 and 3, including upper main board 1, lower main board 2, it is positioned at the bone grafting hole 3 on main board, it is positioned at the upper sleeve pipe 9 on main board 1, it is positioned at the setting of casing 10 on lower main board 2, it is positioned at the vertebra nail 11 of sleeve pipe, upper main board 1 front side wall is tightened up a screw hole 51 and lower screw hole 61, tighten up a screw hole 51 is inserted and adjust oncomelania silk 52, lower screw hole 61 inserts and heightens screw 62, adjust and oncomelania silk 52 has dentalation 523, follow closely 11 phases to be engaged with vertebra, oncomelania silk 52 is adjusted to drive vertebra nail 11 motion by rotating, adjusting oncomelania silk 52 to follow closely the 11 phase places of occlusion with vertebra is the without hindrance partition window of upper sleeve pipe 91 and the without hindrance partition window 101 of setting of casing, heighten screw 62 to be engaged with sawtooth 102 phase on setting of casing 10, heightening screw 62 by rotation drives sleeve pipe to move, thus changing disc height, it is hollow structure 7 by the part of screw when lower main board 2 moves.Vertebra nail 11 in upper sleeve pipe 9 and setting of casing 10 and the dentalation 523 adjusting oncomelania silk 52 are positioned at a vertical plane, and dentalation 523 is engaged with two vertebra nails simultaneously.The dentalation of the ring toothing 623 and setting of casing 10 of heightening screw 62 is positioned at a vertical plane.
Upper main board 1 and lower main board 2 place plane are drawn in opposite side from side, meet the mechanics structure of intervertebral disc.The upper main board 1 of Invasive lumbar fusion device and the upper and lower surface of lower main board 2 are provided with detent projection, increase the friction between Invasive lumbar fusion device and vertebra, it is prevented that the slippage of Invasive lumbar fusion device.
Upper main board 1 is provided with vertebra nail 4, and upper vertebra nail 4 is followed closely 11 corresponding with the vertebra in setting of casing 10, during vertebra nail 11 motion in setting of casing 10, hammers into epipyramis by upper vertebra nail 4.As in figure 2 it is shown, lower main board 2 is provided with lower vertebra nail 12, lower vertebra nail 12 is followed closely 11 corresponding with the vertebra in upper sleeve pipe 9, during vertebra nail 11 motion in upper sleeve pipe 9, hammers into lower vertebra through lower vertebra nail 12.
Adjusting oncomelania silk 52 and heighten screw 62 except dentalation, also including hexagon and the baffle structure of front end, baffle structure is positioned at inside Invasive lumbar fusion device, and its surface area is more than the surface area of screw hole, thus preventing from adjusting oncomelania silk 52 or heightening screw 62 outwards slipping.
Upper main board 1 is also equipped with retention device 8, retention device 8 is elastic piece structure and is provided with switch on the front side wall of upper main board 1, when the height adjustment of Invasive lumbar fusion device is complete, opens retention device 8, eject shell fragment to be stuck between the sawtooth heightening screw 62, it is prevented that heighten screw 62 and rotate.
2 one kinds of adjustment height anchors of embodiment go out formula Invasive lumbar fusion device
A kind of adjustment height anchor goes out formula Invasive lumbar fusion device as shown in figures 1 and 3, including upper main board 1, lower main board 2, it is positioned at the bone grafting hole 3 on main board, it is positioned at the upper sleeve pipe 9 on main board 1, it is positioned at the setting of casing 10 on lower main board 2, it is positioned at the vertebra nail 11 of sleeve pipe, upper main board 1 front side wall is tightened up a screw hole 51 and lower screw hole 61, tighten up a screw hole 51 is inserted and adjust oncomelania silk 52, lower screw hole 61 inserts and heightens screw 62, adjust and oncomelania silk 52 has dentalation 523, follow closely 11 phases to be engaged with vertebra, oncomelania silk 52 is adjusted to drive vertebra nail 11 motion by rotating, adjusting oncomelania silk 52 to follow closely the 11 phase places of occlusion with vertebra is the without hindrance partition window of upper sleeve pipe 91 and the without hindrance partition window 101 of setting of casing, heighten screw 62 to be engaged with sawtooth 102 phase on setting of casing 10, heightening screw 62 by rotation drives sleeve pipe to move, thus changing disc height, it is hollow structure 7 by the part of screw when lower main board 2 moves.Vertebra nail 11 in upper sleeve pipe 9 and setting of casing 10 and the dentalation 523 adjusting oncomelania silk 52 are positioned at a vertical plane, and dentalation 523 is engaged with two vertebra nails simultaneously.The dentalation of the ring toothing 623 and setting of casing 10 of heightening screw 62 is positioned at a vertical plane.
Upper main board 1 and lower main board 2 place plane are drawn in opposite side from side, meet the mechanics structure of intervertebral disc.The upper main board 1 of Invasive lumbar fusion device and the upper and lower surface of lower main board 2 are provided with detent projection, increase the friction between Invasive lumbar fusion device and vertebra, it is prevented that the slippage of Invasive lumbar fusion device.
Upper main board 1 is provided with vertebra nail 4, and upper vertebra nail 4 is followed closely 11 corresponding with the vertebra in setting of casing 10, during vertebra nail 11 motion in setting of casing 10, hammers into epipyramis by upper vertebra nail 4.As in figure 2 it is shown, lower main board 2 is provided with lower vertebra nail 12, lower vertebra nail 12 is followed closely 11 corresponding with the vertebra in upper sleeve pipe 9, during vertebra nail 11 motion in upper sleeve pipe 9, hammers into lower vertebra through lower vertebra nail 12.
Upper main board 1 is also equipped with retention device 8, retention device 8 is clip structure and is provided with switch on the front side wall of upper main board 1, when the height adjustment of Invasive lumbar fusion device is complete, opens retention device 8, clip is made to be stuck between the sawtooth heightening screw 62, it is prevented that to heighten screw 62 and rotate.
Adjusting oncomelania silk 52 is hollow-core construction, upper main board 1 rear wall is with to adjust the corresponding position of oncomelania silk 52 be sky helicitic texture, when the altitude mixture control of vertebra nail 11 is complete, the screw agreed with mutually with empty helicitic texture is screwed in from adjusting oncomelania silk 52, precession is tightened in main board 1 hollow thread structure, thus preventing from adjusting oncomelania silk 52 to rotate, stablize vertebra nail 11 further.
The explanation of above-described embodiment is used only to understand technical scheme.It should be pointed out that, for the person of ordinary skill of the art, under the premise without departing from the principles of the invention, it is possible to the present invention carries out some improvement and modification, these improve and modify also by the protection domain falling into the claims in the present invention.

Claims (9)

1. an adjustment height anchor goes out formula Invasive lumbar fusion device, it is characterized in that, including upper main board (1), lower main board (2), it is positioned at the bone grafting hole (3) on main board, it is positioned at the upper sleeve pipe (9) on main board (1), it is positioned at the setting of casing (10) on lower main board (2), it is positioned at vertebra nail (11) of sleeve pipe, described upper main board (1) front side wall is tightened up a screw hole (51) and lower screw hole (61), described hole of tightening up a screw (51) is inserted and adjusts oncomelania silk (52), described lower screw hole (61) is inserted and heightens screw (62), described tune oncomelania silk (52) there is dentalation (523), follow closely (11) with vertebra to be engaged mutually, oncomelania silk (52) is adjusted to drive vertebra nail motion by rotating, described heightening has ring toothing (623) on screw (62), it is engaged mutually with the sawtooth (102) on setting of casing (10), heightening screw (62) by rotation drives sleeve pipe to move.
2. adjustment height anchor according to claim 1 goes out formula Invasive lumbar fusion device, it is characterised in that upper main board (1) and lower main board (2) place plane are drawn in opposite side from side.
3. adjustment height anchor according to claim 2 goes out formula Invasive lumbar fusion device, it is characterised in that the upper main board (1) of described Invasive lumbar fusion device and the upper and lower surface of lower main board (2) are provided with detent projection.
4. adjustment height anchor according to claim 3 goes out formula Invasive lumbar fusion device, it is characterized in that, upper main board (1) is provided with vertebra nail (4), and it is corresponding that described upper vertebra nail (4) follows closely (11) with cased vertebra.
5. adjustment height anchor according to claim 3 goes out formula Invasive lumbar fusion device, it is characterized in that, lower main board (2) is provided with lower vertebra nail (12), and it is corresponding that described lower vertebra nail (12) follows closely (11) with the vertebra of upper sleeve pipe.
6. adjustment height anchor according to claim 1 goes out formula Invasive lumbar fusion device, it is characterized in that, upper main board (1) is provided with retention device (8), and described retention device (8) can stop the rotation heightening screw (62).
7. the adjustment height anchor according to any one of claim 1-6 goes out formula Invasive lumbar fusion device, it is characterised in that described tune oncomelania silk (52) also includes interior catch (522).
8. the adjustment height anchor according to any one of claim 1-6 goes out formula Invasive lumbar fusion device, it is characterised in that described tune oncomelania silk (52) is hollow-core construction.
9. the adjustment height anchor according to any one of claim 1-6 goes out formula Invasive lumbar fusion device, it is characterised in that described in heighten screw (62) and include catch (622).
CN201610265741.1A 2016-04-26 2016-04-26 Adjustment height anchor goes out formula Invasive lumbar fusion device Active CN105708536B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110141403A (en) * 2019-05-24 2019-08-20 中南大学湘雅三医院 Telescopic vertebrae mixer

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Publication number Priority date Publication date Assignee Title
CN2829650Y (en) * 2005-07-08 2006-10-25 王建华 Adjusting microwound spondylodesis appliance and opening holder thereof
US20110295327A1 (en) * 2005-04-12 2011-12-01 Moskowitz Ahmnon D Bi-directional fixating transvertebral body screws and posterior cervical and lumbar interarticulating joint calibrated stapling devices for spinal fusion
CN102740788A (en) * 2009-11-24 2012-10-17 21脊椎有限公司 Spinal fusion cage having post-operative adjustable dimensions
US20120323329A1 (en) * 2009-07-22 2012-12-20 Jimenez Omar F Methods and apparatuses for vertebral body distraction and fusion employing a coaxial screw gear sleeve mechanism
CN203280474U (en) * 2013-01-16 2013-11-13 天津市威曼生物材料有限公司 Adjustable porous fusion device with lock

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110295327A1 (en) * 2005-04-12 2011-12-01 Moskowitz Ahmnon D Bi-directional fixating transvertebral body screws and posterior cervical and lumbar interarticulating joint calibrated stapling devices for spinal fusion
CN2829650Y (en) * 2005-07-08 2006-10-25 王建华 Adjusting microwound spondylodesis appliance and opening holder thereof
US20120323329A1 (en) * 2009-07-22 2012-12-20 Jimenez Omar F Methods and apparatuses for vertebral body distraction and fusion employing a coaxial screw gear sleeve mechanism
CN102740788A (en) * 2009-11-24 2012-10-17 21脊椎有限公司 Spinal fusion cage having post-operative adjustable dimensions
CN203280474U (en) * 2013-01-16 2013-11-13 天津市威曼生物材料有限公司 Adjustable porous fusion device with lock

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110141403A (en) * 2019-05-24 2019-08-20 中南大学湘雅三医院 Telescopic vertebrae mixer

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