CN106377308B - Treatment fixer for protrusion of lumbar vertebral disc - Google Patents

Treatment fixer for protrusion of lumbar vertebral disc Download PDF

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Publication number
CN106377308B
CN106377308B CN201611014178.7A CN201611014178A CN106377308B CN 106377308 B CN106377308 B CN 106377308B CN 201611014178 A CN201611014178 A CN 201611014178A CN 106377308 B CN106377308 B CN 106377308B
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guide plate
screw
connecting column
fixing cap
hole
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CN106377308A (en
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吴爱悯
池永龙
王向阳
林仲可
黄义星
倪文飞
林焱
黄其杉
徐晖
王胜
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Second Hospital Affiliated to Wenzhou Medical College
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Second Hospital Affiliated to Wenzhou Medical College
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    • 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
    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8625Shanks, i.e. parts contacting bone tissue
    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8665Nuts
    • 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • 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

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

A treatment fixer for lumbar disc herniation comprises an upper pedicle screw, a lower pedicle screw, a lateral zygopophysis screw, a triangular fixing frame, a screw guide cylinder and a guide plate, wherein the triangular fixing frame comprises an upper fixing cap, a lower fixing cap, a left oblique fixing cap, an upper transverse connecting column, a lower vertical connecting column and a left oblique connecting column, the left end of the upper transverse connecting column is fixedly connected with the left oblique fixing cap, the right end of the upper transverse connecting column is fixedly connected with the upper fixing cap, the upper end of the lower vertical connecting column is fixedly connected with the upper fixing cap, the lower end of the lower vertical connecting column is fixedly connected with the lower fixing cap, the lower end of the left oblique connecting column is fixedly connected with the lower fixing cap, the upper end of the left oblique connecting column is fixedly connected with the left oblique fixing cap, the upper pedicle screw, the lower pedicle screw and the lateral zygopophysis screw form, the minimally invasive surgery is realized, and the surgery efficiency is greatly improved.

Description

Treatment fixer for protrusion of lumbar vertebral disc
Technical Field
The invention relates to a treatment fixer for lumbar disc herniation.
Background
With the change of life style of modern society, office groups sit for a long time to work, and diseases such as lumbar intervertebral disc protrusion, discogenic lumbago, lumbar instability and the like are more and more. If conservative treatment is ineffective, surgical treatment is required. Lumbar fusion widely uses diseases such as treatment lumbar disc herniation, discogenic lumbago and lumbar vertebrae instability, the fixer that intensity is high needs to be fixed in the treatment process, current fixer comprises two simple screws and a very thin traditional metal rod, this kind of traditional classic fixed mode is not very firm to need all peel off to human both sides muscle, then fix through two sets of fixers respectively, the misery that makes the patient bear is great, can't realize the minimal access surgery, the screw easily wanders away when the screw in is fixed, the rate of accuracy is not high, put by mistake easily, lead to injuries such as spinal cord, nerve root.
Disclosure of Invention
In view of the above technical problems, the present invention provides: the fixation is firm, the fixation can be realized by peeling one side of muscle, the pain born by a patient is less, the accuracy of screw implantation is high, the error implantation is not easy, and the treatment fixator for lumbar disc herniation can realize minimally invasive surgery.
In order to solve the technical problems, the invention adopts the following technical scheme: a treatment fixer for lumbar disc herniation comprises an upper pedicle screw, a lower pedicle screw, a lateral articular process screw, a triangular fixing frame, a screw guide cylinder and a guide plate, wherein the triangular fixing frame comprises an upper fixing cap, a lower fixing cap, a left oblique fixing cap, an upper transverse connecting column, a lower vertical connecting column and a left oblique connecting column, the upper fixing cap, the lower fixing cap and the left fixing cap are distributed in a triangular manner, the left end of the upper transverse connecting column is fixedly connected with the left oblique fixing cap, the right end of the upper transverse connecting column is fixedly connected with the upper fixing cap, the upper end of the lower vertical connecting column is fixedly connected with the upper fixing cap, the lower end of the lower vertical connecting column is fixedly connected with the lower fixing cap, the lower end of the left oblique connecting column is fixedly connected with the lower fixing cap, and the upper end of the left oblique connecting column is fixedly connected with the left oblique fixing, an upper fixing cap external thread is arranged on the outer ring of the upper fixing cap, an upper fixing cap internal thread is arranged on the inner hole of the upper fixing cap, a lower fixing cap external thread is arranged on the outer ring of the lower fixing cap, a lower fixing cap internal thread is arranged on the inner hole of the lower fixing cap, a left oblique fixing cap external thread is arranged on the outer ring of the left oblique fixing cap, a left oblique fixing cap internal thread is arranged on the inner hole of the left oblique fixing cap, the upper vertebral pedicle screw comprises an upper vertebral pedicle screw spongy bone self-tapping section and an upper vertebral pedicle screw fixing section, an upper vertebral pedicle screw countersunk head internal hexagonal hole is arranged at the top of the upper vertebral pedicle screw fixing section, an upper vertebral pedicle screw self-tapping external thread is arranged on the upper vertebral pedicle screw self-tapping section, an upper vertebral pedicle screw fixing external thread is arranged on the upper vertebral pedicle screw fixing section, and, the lower pedicle screw comprises a lower pedicle screw spongy bone self-tapping section and a lower pedicle screw fixing section, a lower pedicle screw countersunk head inner hexagonal hole is arranged at the top of the lower pedicle screw fixing section, a lower pedicle screw self-tapping external thread is arranged on the lower pedicle screw spongy bone self-tapping section, a lower pedicle screw fixing external thread is arranged on the lower pedicle screw fixing section, the lower pedicle screw fixing external thread is matched with the lower fixing cap internal thread, the side articular process screw comprises a side articular process screw self-tapping section and a side articular process screw fixing section, a side articular process screw countersunk head inner hexagonal hole is arranged at the top of the side articular process screw fixing section, a side articular process screw self-tapping external thread is arranged on the side articular process screw spongy bone self-tapping section, and a side articular process screw fixing external thread is arranged on the side articular process screw fixing section, the side articular process screw fixing external thread is matched with the left side oblique fixing cap internal thread, the length of the upper vertebral pedicle screw spongy bone self-tapping section is longer than that of the upper vertebral pedicle screw fixing section, the diameter of the upper vertebral pedicle screw spongy bone self-tapping section is smaller than that of the inner hole of the upper fixing cap, the length of the lower vertebral pedicle screw spongy bone self-tapping section is longer than that of the lower vertebral pedicle screw fixing section, the diameter of the lower vertebral pedicle screw spongy bone self-tapping section is smaller than that of the inner hole of the lower fixing cap, the length of the side articular process screw spongy bone self-tapping section is longer than that of the side articular process screw fixing section, and the diameter of the side articular process screw self-, the diameter of the spongy bone self-tapping section of the side articular process screw is smaller than that of the inner hole of the left oblique fixing cap, the screw guide cylinder comprises a positioning section screw guide cylinder and an installation section screw guide cylinder, the length of the installation section screw guide cylinder is larger than that of the positioning section screw guide cylinder, the diameter of the installation section screw guide cylinder is larger than that of the positioning section screw guide cylinder, an installation section screw guide cylinder internal thread is arranged on the inner hole of the installation section screw guide cylinder, a positioning section screw guide cylinder internal thread is arranged on the inner hole of the positioning section screw guide cylinder, an upper vertebral pedicle screw fixing external thread is matched with an upper fixing cap internal thread, a lower vertebral pedicle screw fixing external thread is matched with a lower fixing cap internal thread, a side articular process screw fixing external thread is matched with a left oblique fixing cap internal thread, an upper vertebral pedicle screw fixing external thread is matched with a, The lower pedicle screw fixing external thread and the side joint protruding screw fixing external thread are matched with the positioning section screw guide cylinder internal thread, the upper fixing cap external thread, the lower fixing cap external thread and the left side oblique fixing cap external thread are matched with the mounting section screw guide cylinder internal thread, the guide plate is provided with a guide plate upper through hole, a guide plate lower through hole and a guide plate left side oblique through hole, the upper pedicle screw spongy bone self-tapping section can pass through the guide plate upper through hole, the lower pedicle screw spongy bone self-tapping section can pass through the guide plate lower through hole, the side joint protruding screw spongy bone self-tapping section can pass through the guide plate left side oblique through hole, the guide plate comprises an upper guide plate, a left lower guide plate and a right lower guide plate, the upper guide plate, the left lower guide plate and the right lower guide plate are detachably connected, and the guide plate upper through hole is positioned at the connecting part among the upper guide, the lower through hole of the guide plate is positioned at the joint between the left lower guide plate and the right lower guide plate, the oblique through hole at the left side of the guide plate is positioned at the joint between the upper guide plate and the left lower guide plate, the bottom of the upper fixing cap is provided with an upper fixing cap convex ring,
the bottom of the lower fixing cap is provided with a convex ring of the lower fixing cap, the upper through hole of the guide plate is provided with a concave ring of the upper through hole of the guide plate, the lower through hole of the guide plate is provided with a concave ring of the lower through hole of the guide plate, the convex ring of the upper fixing cap is matched with the concave ring of the upper through hole of the guide plate, the convex ring of the lower fixing cap is matched with the concave ring of the lower through hole of the guide plate, the left lower guide plate is provided with a first left lower guide plate hook and a second left lower guide plate hook, the right lower guide plate is provided with a right lower guide plate hook, a right lower guide plate hook and a right lower guide plate dismounting hole, the upper guide plate is provided with a first upper guide plate hook hole, a second upper guide plate hook hole, a first upper guide plate dismounting hole and a second upper guide plate dismounting hole, the first left lower guide plate hook is matched with the first upper guide plate hook, the second left lower guide plate hook is matched with, the right lower guide plate clamping hole is communicated with the right lower guide plate dismounting hole, the first upper guide plate clamping hole is communicated with the first upper guide plate dismounting hole, the second upper guide plate clamping hole is communicated with the second upper guide plate dismounting hole, the left side of the upper guide plate is provided with an upper guide plate left side connecting vertical sheet, the upper guide plate left side connecting vertical sheet is provided with an upper guide plate left side connecting vertical sheet sliding groove, the left side of the left lower guide plate is provided with a left lower guide plate left side connecting vertical sheet, the left side connecting vertical sheet of the left lower guide plate is provided with a left lower guide plate left side connecting vertical sheet sliding groove, the upper guide plate left side connecting vertical sheet is connected with the left lower guide plate left side connecting vertical sheet through a left side clamp, the left side clamp can move along the upper guide plate left side connecting vertical sheet sliding groove and the left lower guide plate left side connecting vertical sheet sliding groove, the right side of the upper guide plate is provided with an upper guide plate right side connecting vertical sheet, the upper guide plate right side, the right lower guide plate right side is provided with a right lower guide plate right side connection vertical piece, the right lower guide plate right side is connected and is provided with a right lower guide plate right side connection vertical piece sliding groove, the right side of the upper guide plate is connected and is connected with the vertical piece through a right side clamp, the right side clamp can be connected along the right side of the upper guide plate to connect the vertical piece sliding groove and the right lower guide plate right side to connect the vertical piece sliding groove to move, the left lower guide plate lower side is arranged on the lower side of the left lower guide plate to be connected with the vertical piece sliding groove, the left lower guide plate lower side is connected and is provided with the left lower guide plate lower side connection vertical piece sliding groove, the right lower guide plate lower side connection vertical piece is arranged on the right lower guide plate lower side connection vertical piece to be connected through a lower side clamp, the lower side clamp can move along the left lower guide plate lower side connection vertical piece sliding groove and the right lower connection vertical piece sliding groove.
The treatment fixer for lumbar disc herniation provided by the invention has the beneficial effects that: when in use, the guide plate is placed on a patient, the fitting degree of the guide plate is higher, the positioning is more accurate, the triangular fixing frame is arranged on the guide plate, the convex ring of the upper fixing cap on the triangular fixing frame is inserted into the concave ring of the upper through hole of the guide plate, the convex ring of the lower fixing cap on the triangular fixing frame is inserted into the concave ring of the lower through hole of the guide plate, the positioning of the triangular fixing frame can not be displaced,
when the upper pedicle screw is fixed on the lumbar, a screw guide cylinder is firstly installed on an upper fixing cap, the screw guide cylinder realizes the fixation of the screw guide cylinder by matching the internal thread of the installation section screw guide cylinder with the external thread of the upper fixing cap, then the upper pedicle screw is installed on the screw guide cylinder, the external thread of the upper pedicle screw is matched with the internal thread of the positioning section screw guide cylinder, so as to form that the upper pedicle screw moves downwards along the screw guide cylinder, so that the upper pedicle screw cannot deviate when being screwed in and fixed, the accuracy is greatly improved, the error arrangement is avoided, the injury of spinal cord, nerve root and the like is avoided, after the upper pedicle screw is screwed to the bottom, the external thread of the upper pedicle screw is separated from the internal thread of the positioning section screw guide cylinder and matched with the internal thread of the upper fixing cap, the pedicle screw is fixedly installed on a triangular fixing frame, and finally the, in the same way, the lower pedicle screw and the lateral articular process screw are fixed in the same way, so that deviation is avoided when screwing in and fixing is realized, the accuracy is greatly improved, misplacement is avoided, the arrangement of the upper pedicle screw countersunk head inner hexagonal hole, the lower pedicle screw countersunk head inner hexagonal hole and the lateral articular process screw countersunk head inner hexagonal hole is more convenient to install, the arrangement of the left side clamp, the right side clamp and the lower side clamp ensures that multiple connection is realized among the upper guide plate, the left lower guide plate and the right lower guide plate, the whole guide plate is more stable, the left side clamp, the right side clamp and the lower side clamp are convenient to disassemble, and only sliding disassembly is needed,
after the upper pedicle screw, the lower pedicle screw and the lateral zygopophysis screw are all arranged on the triangular fixing frame, the guide plate is detached, the left clamp, the right clamp and the lower clamp are detached to release the locking when the guide plate is detached, then inserting a fine needle from the first upper guide plate detaching hole to jack the first left lower guide plate hook, releasing the locking between the first left lower guide plate hook and the first upper guide plate clamping hole, inserting a fine needle from the second upper guide plate detaching hole to jack the right lower guide plate hook, so that the right lower guide plate hook and the second upper guide plate clamping hole are unlocked, a fine needle is inserted from the right lower guide plate dismounting hole to jack the second left lower guide plate hook, so that the second left lower guide plate hook and the right lower guide plate clamping hole are unlocked, thereby dividing the guide plate into an upper guide plate, a left lower guide plate and a right lower guide plate for disassembly, thus realizing positioning and avoiding the influence on body health caused by the guide plate remaining in the body of a patient,
it should also be noted that the upper and lower fixation and the lateral fixation can be realized only by peeling one side muscle of the human body, the upper and lower fixation can be realized by the upper pedicle screw and the lower pedicle screw, the lateral fixation can be realized by one lateral side-entering articular process screw, and the upper pedicle screw, the lower pedicle screw and the lateral articular process screw are connected and fixed by the triangular fixing frame to form a triangular stable fixation relation, so that the purpose of firm fixation is achieved, the minimally invasive surgery is realized, the pain born by the patient is greatly reduced, and the surgery efficiency is greatly improved.
Further including last reinforcement nut, consolidate nut and side reinforcement nut down, go up reinforcement nut with, go up reinforcement nut, all be equipped with the hexagon socket in the countersunk head on reinforcement nut and the side reinforcement nut down, it cooperatees with last locking nut to go up reinforcement nut, it cooperatees with lower locking nut to consolidate the nut down, the side is consolidated the nut and is cooperateed with left side slant locking nut for install respectively on last locking nut, locking nut and left side slant locking nut down and consolidate the nut back strength higher with the side.
Furthermore, the upper arc-shaped folded patch and the lower arc-shaped folded patch are arranged on the guide plate, so that the fitting degree of the guide plate is higher, and the positioning effect is better.
Further go up horizontal spliced pole including square horizontal spliced pole and the horizontal spliced pole on the semicircle, the top fixed connection of the bottom of the horizontal spliced pole on the semicircle and square horizontal spliced pole on, vertical spliced pole includes vertical spliced pole under square vertical spliced pole and the semicircle, the bottom of vertical spliced pole and the top fixed connection of the vertical spliced pole under the semicircle, the slant spliced pole in left side includes square left side slant spliced pole and the vertical spliced pole under the semicircle, the bottom of the slant spliced pole in semicircle left side and the top fixed connection of square left side slant spliced pole, this kind of structure makes the bulk strength of triangle-shaped mount higher.
The invention is further described with reference to the following figures and detailed description.
Drawings
FIG. 1 is one of the schematic structural views of the superior pedicle screw, inferior pedicle screw, lateral zygapophysis screw, triangular fixation bracket and guide plate of the fixator for treating lumbar disc herniation provided by the invention;
FIG. 2 is a second schematic structural view of the superior pedicle screw, inferior pedicle screw, lateral zygapophysis screw, triangular fixation frame and guide plate of the fixator for treating lumbar disc herniation provided by the invention;
FIG. 3 is one of the schematic structural diagrams of the superior pedicle screw, inferior pedicle screw, lateral zygapophysis screw, triangular fixation frame, screw guiding cylinder and guide plate of the treatment fixator for lumbar disc herniation provided by the invention;
FIG. 4 is a second schematic structural view of the superior pedicle screw, inferior pedicle screw, lateral zygapophysis screw, triangular fixation frame, screw guiding cylinder and guide plate of the fixator for treatment of lumbar disc herniation provided by the present invention;
fig. 5 is a schematic structural view of an upper pedicle screw, a lower pedicle screw, a lateral zygapophysis screw, a triangular fixing frame, an upper reinforcing nut, a lower reinforcing nut and a lateral reinforcing nut of the fixator for treating lumbar disc herniation provided by the invention;
FIG. 6 is a schematic structural view of a triangular fixing frame of the fixator for treating lumbar disc herniation provided by the present invention;
FIG. 7 is a second schematic structural view of the triangular fixing frame of the fixator for treating lumbar disc herniation provided by the present invention;
FIG. 8 is one of the structural diagrams of the guide plate of the treatment fixture for lumbar disc herniation provided by the present invention;
FIG. 9 is a second schematic structural view of the guide plate of the treatment fixture for lumbar disc herniation provided by the present invention;
FIG. 10 is a view showing the structure of a screw guide cylinder of the treatment fixture for lumbar disc herniation in accordance with the present invention;
FIG. 11 is a second schematic structural view of a screw guiding cylinder of the fixator for treating lumbar disc herniation according to the present invention;
FIG. 12 is a schematic view of the superior pedicle screw of the treatment fixation device for lumbar disc herniation provided by the present invention;
FIG. 13 is a schematic view of the lower pedicle screw of the fixation device for the treatment of lumbar disc herniation provided by the present invention;
figure 14 is a schematic structural view of a lateral articular process screw of the treatment fixator for lumbar disc herniation provided by the invention.
Detailed Description
As shown in fig. 1 to 14, the embodiment of the fixator for treating lumbar disc herniation provided by the present invention comprises an upper pedicle screw 1, a lower pedicle screw 2, a lateral zygopophysis screw 3, a triangular fixator 4, a screw guide cylinder 5 and a guide plate 6, wherein the triangular fixator 4 comprises an upper fixing cap 7, a lower fixing cap 8, a left oblique fixing cap 9, an upper transverse connecting column 10, a lower vertical connecting column 11 and a left oblique connecting column 12, the upper fixing cap 7, the lower fixing cap 8 and the left oblique fixing cap 9 are distributed in a triangular shape, the left end of the upper transverse connecting column 10 is fixedly connected with the left oblique fixing cap 9, the right end of the upper transverse connecting column 10 is fixedly connected with the upper fixing cap 7, the upper end of the lower vertical connecting column 11 is fixedly connected with the upper fixing cap 7, the lower end of the lower vertical connecting column 11 is fixedly connected with the lower fixing cap 8, the lower end of the left oblique connecting column 12 is fixedly connected with a lower fixing cap 8, the upper end of the left oblique connecting column 12 is fixedly connected with a left oblique fixing cap 9, the outer ring of the upper fixing cap 7 is provided with an upper fixing cap external thread 13, the inner hole of the upper fixing cap 7 is provided with an upper fixing cap internal thread 14, the outer ring of the lower fixing cap 8 is provided with a lower fixing cap external thread 15, the inner hole of the lower fixing cap 8 is provided with a lower fixing cap internal thread 16, the outer ring of the left oblique fixing cap 9 is provided with a left oblique fixing cap external thread 17, the inner hole of the left oblique fixing cap 9 is provided with a left oblique fixing cap internal thread 18, the upper pedicle screw 1 comprises an upper pedicle screw spongy bone self-tapping section 19 and an upper pedicle screw fixing section 20, the top of the upper pedicle screw fixing section 20 is provided with an upper pedicle screw countersunk head internal hexagonal, an upper vertebral pedicle screw self-tapping external thread 22 is arranged on the upper vertebral pedicle screw spongy bone self-tapping section 19, an upper vertebral pedicle screw fixing external thread 23 is arranged on the upper vertebral pedicle screw fixing section 20, the upper vertebral pedicle screw fixing external thread 23 is matched with the upper fixing cap internal thread 14, the lower vertebral pedicle screw 2 comprises a lower vertebral pedicle screw spongy bone self-tapping section 24 and a lower vertebral pedicle screw fixing section 25, a lower vertebral pedicle screw countersunk head internal hexagonal hole 26 is arranged at the top of the lower vertebral pedicle screw fixing section 25, a lower vertebral pedicle screw self-tapping external thread 27 is arranged on the lower vertebral pedicle screw spongy bone self-tapping section 24, a lower vertebral pedicle screw fixing external thread 28 is arranged on the lower vertebral pedicle screw fixing section 25, the lower vertebral pedicle screw fixing external thread 28 is matched with the lower fixing cap internal thread 16, the lateral articular process screw 3 comprises a lateral articular process screw spongy bone self-tapping section 29 and a, a side zygopophysis screw countersunk head inner hexagonal hole 31 is arranged at the top of the side zygopophysis screw fixing section 30, a side zygopophysis screw self-tapping external thread 32 is arranged on the side zygopophysis screw self-tapping section 29, a side zygopophysis screw fixing external thread 33 is arranged on the side zygopophysis screw fixing section 30, the side zygopophysis screw fixing external thread 33 is matched with the left oblique fixing cap internal thread 18, the length of the upper vertebral pedicle screw spongy bone self-tapping section 19 is longer than that of the upper vertebral pedicle screw fixing section 20, the diameter of the upper vertebral pedicle screw spongy bone self-tapping section 19 is smaller than that of the inner hole of the upper fixing cap 7, the length of the lower vertebral pedicle screw spongy bone self-tapping section 24 is longer than that of the lower vertebral pedicle screw fixing section 25, and the diameter of the lower vertebral, the diameter of the spongy bone self-tapping section 24 of the lower pedicle screw is smaller than the diameter of the inner hole of the lower fixing cap 8, the length of the spongy bone self-tapping section 29 of the side articular process screw is larger than the length of the spongy bone fixing section 30 of the side articular process screw, the diameter of the spongy bone self-tapping section 29 of the side articular process screw is smaller than the diameter of the inner hole of the inclined left fixing cap 9, the screw guide cylinder 5 comprises a positioning section screw guide cylinder 34 and an installation section screw guide cylinder 35, the length of the installation section screw guide cylinder 35 is larger than the length of the positioning section screw guide cylinder 34, the diameter of the installation section screw guide cylinder 35 is larger than the diameter of the positioning section screw guide cylinder 34, an installation section screw guide cylinder internal thread 36 is arranged on the inner hole of the installation section screw guide cylinder 35, and a positioning section screw guide cylinder internal thread 37 is arranged on the inner hole of the positioning section screw guide cylinder 34, the upper pedicle screw fixing external thread 23 is matched with the upper fixing cap internal thread 14, the lower pedicle screw fixing external thread 28 is matched with the lower fixing cap internal thread 16, the lateral articular process screw fixing external thread 33 is matched with the left oblique fixing cap internal thread 18, the upper pedicle screw fixing external thread 23, the lower pedicle screw fixing external thread 28 and the lateral articular process screw fixing external thread 33 are all matched with the positioning section screw guide cylinder internal thread 37, the upper fixing cap external thread 23, the lower fixing cap external thread 28 and the left oblique fixing cap external thread 33 are all matched with the mounting section screw guide cylinder internal thread 36, the guide plate 6 is provided with a guide plate upper through hole 38, a guide plate lower through hole 39 and a guide plate left oblique through hole 40, the upper pedicle screw spongy bone self-tapping section 19 can pass through the guide plate upper through hole 38, and the lower pedicle screw spongy bone self-tapping section 24 can pass through the guide plate lower through hole 39, the cancellous bone self-tapping section 29 of the side articular process screw can pass through the guide plate left side oblique through hole 40, the guide plate 6 comprises an upper guide plate 41, a left lower guide plate 42 and a right lower guide plate 43, the upper guide plate 41, the left lower guide plate 42 and the right lower guide plate 43 are detachably connected, the guide plate upper through hole 38 is positioned at the joint between the upper guide plate 41, the left lower guide plate 42 and the right lower guide plate 43, the guide plate lower through hole 39 is positioned at the joint between the left lower guide plate 42 and the right lower guide plate 43, the guide plate left side oblique through hole 40 is positioned at the joint between the upper guide plate 41 and the left lower guide plate 42, the bottom of the upper fixing cap 7 is provided with an upper fixing cap convex ring 44, the bottom of the lower fixing cap 8 is provided with a lower fixing cap convex ring 45, the guide plate upper through hole 38 is provided with a guide plate upper through hole concave ring 46, the guide plate lower through hole 39 is provided with a guide, the upper fixing cap convex ring 44 is matched with 46 of the guide plate upper through hole concave ring, the lower fixing cap convex ring 45 is matched with 47 of the guide plate lower through hole concave ring, the left lower guide plate 42 is provided with a first left lower guide plate hook 48 and a second left lower guide plate hook 49, the right lower guide plate 43 is provided with a right lower guide plate hook 50, a right lower guide plate hook hole 51 and a right lower guide plate disassembly hole 52, the upper guide plate 41 is provided with a first upper guide plate hook hole 53, a second upper guide plate hook hole 54, a first upper guide plate disassembly hole 55 and a second upper guide plate disassembly hole 56, the first left lower guide plate hook 48 is matched with the first upper guide plate hook hole 53, the second left lower guide plate hook 49 is matched with the right lower guide plate hook hole 51, the right lower guide plate hook 50 is matched with the second upper guide plate hook hole 54, the right lower guide plate hook hole 51 is communicated with the right lower disassembly plate hole 52, the first upper guide plate hook hole 53 is communicated with the first upper disassembly hole 55, the second upper guide plate clamping hole 54 is communicated with the second upper guide plate dismounting hole 56, the left side of the upper guide plate 41 is provided with an upper guide plate left side connecting upright piece, the upper guide plate left side connecting upright piece is provided with an upper guide plate left side connecting upright piece sliding groove, the left side of the left lower guide plate 42 is provided with a left lower guide plate left side connecting upright piece, the left lower guide plate left side connecting upright piece is provided with a left lower guide plate left side connecting upright piece sliding groove, the upper guide plate left side connecting upright piece and the left lower guide plate left side connecting upright piece are connected through a left side clamp a1, the left side clamp a1 can move along the upper guide plate left side connecting upright piece sliding groove and the left lower guide plate left side connecting upright piece sliding groove, the right side of the upper guide plate 41 is provided with an upper guide plate right side connecting upright piece sliding groove, the right side of the upper guide plate right side connecting upright piece is provided with a right side connecting upright piece sliding groove, the right connecting vertical piece of the right lower guide plate is provided with a right connecting vertical piece chute of the right lower guide plate, the right connecting vertical piece of the upper guide plate is connected with the right connecting vertical piece of the right lower guide plate through a right clamp a2, the right clamp a2 can move along the connecting vertical piece sliding groove on the right side of the upper guide plate and the connecting vertical piece sliding groove on the right side of the right lower guide plate, the lower side of the left lower guide plate 42 is provided with a left lower guide plate lower side connecting vertical sheet, the left lower guide plate lower side connecting vertical sheet is provided with a left lower guide plate lower side connecting vertical sheet sliding groove, the lower side of the right lower guide plate 43 is provided with a right lower guide plate lower side connecting vertical sheet, the right lower guide plate lower side connecting vertical sheet is provided with a right lower guide plate right lower connecting vertical sheet sliding groove, the lower side connecting vertical piece of the left lower guide plate is connected with the lower side connecting vertical piece of the right lower guide plate through a lower side clamp a3, the lower clamp a3 can move along the connecting vertical piece sliding groove at the lower side of the left lower guide plate and the connecting vertical piece sliding groove at the right lower side of the right lower guide plate.
When upper guide 41, left lower guide 42 and right lower guide 43 connect as an organic whole, the upper guide left side is connected and is found the piece and left lower guide left side and be connected between the piece and be connected by left side clip a1 clamp connection, the upper guide right side is connected and is found the piece and right lower guide right side and be connected between the piece and be connected by right side clip a2 clamp connection, left lower guide downside is connected and is found the piece and right lower guide downside is connected and is found the piece and be connected between the piece by downside clip a3 clamp connection.
When the upper guide plate 41, the left lower guide plate 42 and the right lower guide plate 43 need to be detached, the left-side clip a1, the right-side clip a2 and the lower-side clip a3 are slid to be detached.
The reinforcing structure comprises an upper reinforcing nut 57, a lower reinforcing nut 58 and a side reinforcing nut 59, wherein countersunk hexagonal holes are formed in the upper reinforcing nut 57, the lower reinforcing nut 58 and the side reinforcing nut 59, the upper reinforcing nut 57 is matched with an upper fixing cap 7, the lower reinforcing nut 58 is matched with a lower fixing cap 8, the side reinforcing nut 59 is matched with a left oblique fixing cap 9, an upper arc-shaped folded patch 60 and a lower arc-shaped folded patch 61 are arranged on a guide plate 6, an upper transverse connecting column 10 comprises a square upper transverse connecting column 62 and a semicircular upper transverse connecting column 63, the bottom of the semicircular upper transverse connecting column 63 is fixedly connected with the top of the square upper transverse connecting column 62, a lower vertical connecting column 11 comprises a square lower vertical connecting column 64 and a semicircular lower vertical connecting column 65, and the bottom of the semicircular lower vertical connecting column 65 is fixedly connected with the top of the square lower vertical connecting column 64, the left oblique connecting column 12 comprises a square left oblique connecting column 66 and a semicircular lower vertical connecting column 67, and the bottom of the semicircular left oblique connecting column 67 is fixedly connected with the top of the square left oblique connecting column 66.
As required, detailed embodiments of the present invention are disclosed herein, but it is to be understood that the disclosed embodiments are merely exemplary of the invention that may be embodied in various and alternative forms. The figures are not necessarily to scale. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a representative basis for teaching one skilled in the art to variously employ the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Claims (5)

1. The treatment fixer for lumbar disc herniation is characterized in that: comprises an upper pedicle screw (1), a lower pedicle screw (2), a lateral articular process screw (3), a triangular fixing frame (4), a screw guide cylinder (5) and a guide plate (6), wherein the triangular fixing frame (4) comprises an upper fixing cap (7), a lower fixing cap (8), a left oblique fixing cap (9), an upper transverse connecting column (10), a lower vertical connecting column (11) and a left oblique connecting column (12), the upper fixing cap (7), the lower fixing cap (8) and the left oblique fixing cap (9) are distributed in a triangular manner, the left end of the upper transverse connecting column (10) is fixedly connected with the left oblique fixing cap (9), the right end of the upper transverse connecting column (10) is fixedly connected with the upper fixing cap (7), the upper end of the lower vertical connecting column (11) is fixedly connected with the upper fixing cap (7), and the lower end of the lower vertical connecting column (11) is fixedly connected with the lower fixing cap (8), the lower end of the left oblique connecting column (12) is fixedly connected with the lower fixing cap (8), the upper end of the left oblique connecting column (12) is fixedly connected with the left oblique fixing cap (9), the outer ring of the upper fixing cap (7) is provided with an upper fixing cap external thread (13), the inner hole of the upper fixing cap (7) is provided with an upper fixing cap internal thread (14), the outer ring of the lower fixing cap (8) is provided with a lower fixing cap external thread (15), the inner hole of the lower fixing cap (8) is provided with a lower fixing cap internal thread (16), the outer ring of the left oblique fixing cap (9) is provided with a left oblique fixing cap external thread (17), the inner hole of the left oblique fixing cap (9) is provided with a left oblique fixing cap internal thread (18), the upper pedicle screw (1) comprises an upper pedicle screw spongy bone self-tapping section (19) and an upper pedicle screw fixing section (20), an upper pedicle screw countersunk head inner hexagonal hole (21) is arranged at the top of the upper pedicle screw fixing section (20), an upper pedicle screw self-tapping external thread (22) is arranged on the upper pedicle screw spongy bone self-tapping section (19), an upper pedicle screw fixing external thread (23) is arranged on the upper pedicle screw fixing section (20), the upper pedicle screw fixing external thread (23) is matched with the upper fixing cap internal thread (14), the lower pedicle screw (2) comprises a lower pedicle screw spongy bone self-tapping section (24) and a lower pedicle screw fixing section (25), a lower pedicle screw countersunk head inner hexagonal hole (26) is arranged at the top of the lower pedicle screw fixing section (25), a lower pedicle screw self-tapping external thread (27) is arranged on the lower pedicle screw spongy bone self-tapping section (24), and a lower pedicle screw fixing external thread (28) is arranged on the lower pedicle screw fixing section (25), the lower pedicle screw fixing external thread (28) is matched with the lower fixing cap internal thread (16), the side articular process screw (3) comprises a side articular process screw spongy bone self-tapping section (29) and a side articular process screw fixing section (30), a side articular process screw countersunk head internal hexagonal hole (31) is arranged at the top of the side articular process screw fixing section (30), a side articular process screw self-tapping external thread (32) is arranged on the side articular process screw spongy bone self-tapping section (29), a side articular process screw fixing external thread (33) is arranged on the side articular process screw fixing section (30), the side articular process screw fixing external thread (33) is matched with the left oblique fixing cap internal thread (18), the length of the upper pedicle screw spongy bone self-tapping section (19) is greater than that of the upper pedicle screw fixing section (20), and the diameter of the upper pedicle screw spongy bone self-tapping section (19) is smaller than that of the upper pedicle screw fixing section (20), the diameter of the upper vertebral pedicle screw spongy bone self-tapping section (19) is smaller than that of an inner hole of the upper fixing cap (7), the length of the lower vertebral pedicle screw spongy bone self-tapping section (24) is larger than that of the lower vertebral pedicle screw fixing section (25), the diameter of the lower vertebral pedicle screw spongy bone self-tapping section (24) is smaller than that of an inner hole of the lower fixing cap (8), the length of the side articular process screw spongy bone self-tapping section (29) is larger than that of the side articular process screw fixing section (30), the diameter of the side articular process screw spongy bone self-tapping section (29) is smaller than that of the side articular process screw fixing section (30), and the diameter of the side articular process screw spongy bone self-tapping section (29) is smaller than that of an inner hole of the left inclined fixing cap (9), the screw guide cylinder (5) comprises a positioning section screw guide cylinder (34) and an installation section screw guide cylinder (35), the length of the installation section screw guide cylinder (35) is greater than that of the positioning section screw guide cylinder (34), the diameter of the installation section screw guide cylinder (35) is greater than that of the positioning section screw guide cylinder (34), an installation section screw guide cylinder internal thread (36) is arranged on an inner hole of the installation section screw guide cylinder (35), a positioning section screw guide cylinder internal thread (37) is arranged on an inner hole of the positioning section screw guide cylinder (34), an upper pedicle screw fixing external thread (23) is matched with an upper fixing cap internal thread (14), a lower pedicle screw fixing external thread (28) is matched with a lower fixing cap internal thread (16), a side joint protruding screw fixing external thread (33) is matched with a left side oblique fixing cap internal thread (18), go up pedicle screw fixation external screw thread (23), pedicle screw fixation external screw thread (28) and side joint process screw fixation external screw thread (33) all with positioning section screw guide cylinder internal thread (37) phase-match down, go up fixation cap external screw thread (23), down fixation cap external screw thread (28) and left side slant fixation cap external screw thread (33) all with installation section screw guide cylinder internal thread (36) phase-match, be equipped with through-hole (38) under guide plate on guide plate (6), guide plate lower through-hole (39) and guide plate left side slant through-hole (40), go up pedicle screw spongy bone self-tapping section (19) and can pass through-hole (38) on the guide plate, guide plate lower through-hole (39) can be passed in pedicle screw spongy bone self-tapping section (24) down, guide plate left side slant through-hole (40) can be passed in side joint process screw spongy bone self-tapping section (29), guide plate (6) include guide plate (41, A left lower guide plate (42) and a right lower guide plate (43), the upper guide plate (41), the left lower guide plate (42) and the right lower guide plate (43) are detachably connected, the guide plate upper through hole (38) is positioned at the joint between the upper guide plate (41), the left lower guide plate (42) and the right lower guide plate (43), the guide plate lower through hole (39) is positioned at the joint between the left lower guide plate (42) and the right lower guide plate (43), the guide plate left side oblique through hole (40) is positioned at the joint between the upper guide plate (41) and the left lower guide plate (42), the bottom of the upper fixing cap (7) is provided with an upper fixing cap convex ring (44), the bottom of the lower fixing cap (8) is provided with a lower fixing cap convex ring (45), the guide plate upper through hole (38) is provided with a guide plate upper through hole concave ring (46), the guide plate lower through hole (39) is provided with a guide plate lower through hole concave ring (47), the upper fixing cap convex ring (44) is matched with the guide plate upper through hole concave ring (46), the lower fixing cap convex ring (45) is matched with the guide plate lower through hole concave ring (47), the left lower guide plate (42) is provided with a first left lower guide plate hook (48) and a second left lower guide plate hook (49), the right lower guide plate (43) is provided with a right lower guide plate hook (50), a right lower guide plate hook hole (51) and a right lower guide plate dismounting hole (52), the upper guide plate (41) is provided with a first upper guide plate hook hole (53), a second upper guide plate hook hole (54), a first upper guide plate dismounting hole (55) and a second upper dismounting hole (56), the first left lower guide plate hook (48) is matched with the first upper guide plate hook hole (53), the second left lower guide plate (49) is matched with the right lower guide plate hook hole (51), and the right lower guide plate (50) is matched with the second upper guide plate hook hole (54), the right lower guide plate clamping hole (51) is communicated with the right lower guide plate dismounting hole (52), the first upper guide plate clamping hole (53) is communicated with the first upper guide plate dismounting hole (55), the second upper guide plate clamping hole (54) is communicated with the second upper guide plate dismounting hole (56), the left side of the upper guide plate (41) is provided with an upper guide plate left side connecting vertical sheet, the upper guide plate left side connecting vertical sheet is provided with an upper guide plate left side connecting vertical sheet sliding groove, the left side of the left lower guide plate (42) is provided with a left lower guide plate left side connecting vertical sheet, the left lower guide plate left side connecting vertical sheet is provided with a left lower guide plate left side connecting vertical sheet sliding groove, the upper guide plate left side connecting vertical sheet is connected with the left lower guide plate left side connecting vertical sheet through a left side clamp (a1), the left side clamp (a1) can move along the upper guide plate left side connecting vertical sheet sliding groove and the left lower guide plate left side connecting vertical sheet sliding groove, the right side of the upper guide plate (41) is provided with an upper guide plate right side connecting upright piece, the upper guide plate right side connecting upright piece is provided with an upper guide plate right side connecting upright piece sliding groove, the right side of the right lower guide plate (43) is provided with a right lower guide plate right side connecting upright piece, the right lower guide plate right side connecting upright piece is provided with a right lower guide plate right side connecting upright piece sliding groove, the upper guide plate right side connecting upright piece and the right lower guide plate right side connecting upright piece are connected through a right side clamp (a2), the right side clamp (a2) can move along the upper guide plate right side connecting upright piece sliding groove and the right lower guide plate right side connecting upright piece sliding groove, the lower side of the left lower guide plate (42) is provided with a left lower guide plate lower side connecting upright piece sliding groove, the lower side of the left lower guide plate is provided with a right lower guide plate lower side connecting upright piece sliding groove, the lower side of, the right side lower baffle downside is connected and is equipped with right lower baffle right side down on founding the piece and connect and found the piece spout, left side lower baffle downside is connected and is found the piece and be connected through downside clip (a3) with right lower baffle downside, downside clip (a3) can be connected along left lower baffle downside and found piece spout and right lower baffle right side down and connect and found the piece spout and remove.
2. The treatment fixator for lumbar disc herniation according to claim 1, wherein: including last reinforcement nut (57), lower reinforcement nut (58) and side reinforcement nut (59), all be equipped with hexagon socket in the countersunk head on last reinforcement nut (57), lower reinforcement nut (58) and side reinforcement nut (59), it cooperatees with last locking nut (7) to go up reinforcement nut (57), it cooperatees with lower locking nut (8) to consolidate nut (58) down, side reinforcement nut (59) cooperate with left side slant locking nut (9).
3. The treatment fixator for lumbar disc herniation according to claim 1 or 2, wherein: the guide plate (6) is provided with an upper arc-shaped folded patch (60) and a lower arc-shaped folded patch (61).
4. The treatment fixator for lumbar disc herniation according to claim 1 or 2, wherein: the upper transverse connecting column (10) comprises a square upper transverse connecting column (62) and a semicircular upper transverse connecting column (63), the bottom of the semicircular upper transverse connecting column (63) is fixedly connected with the top of the square upper transverse connecting column (62), the lower vertical connecting column (11) comprises a square lower vertical connecting column (64) and a semicircular lower vertical connecting column (65), the bottom of the semicircular lower vertical connecting column (65) is fixedly connected with the top of the square lower vertical connecting column (64), the left oblique connecting column (12) comprises a square left oblique connecting column (66) and a semicircular lower vertical connecting column (67), and the bottom of the semicircular left oblique connecting column (67) is fixedly connected with the top of the square left oblique connecting column (66).
5. The treatment fixator for lumbar disc herniation according to claim 3, wherein: the upper transverse connecting column (10) comprises a square upper transverse connecting column (62) and a semicircular upper transverse connecting column (63), the bottom of the semicircular upper transverse connecting column (63) is fixedly connected with the top of the square upper transverse connecting column (62), the lower vertical connecting column (11) comprises a square lower vertical connecting column (64) and a semicircular lower vertical connecting column (65), the bottom of the semicircular lower vertical connecting column (65) is fixedly connected with the top of the square lower vertical connecting column (64), the left oblique connecting column (12) comprises a square left oblique connecting column (66) and a semicircular lower vertical connecting column (67), and the bottom of the semicircular left oblique connecting column (67) is fixedly connected with the top of the square left oblique connecting column (66).
CN201611014178.7A 2016-11-15 2016-11-15 Treatment fixer for protrusion of lumbar vertebral disc Active CN106377308B (en)

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Application Number Priority Date Filing Date Title
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AU2008275620B2 (en) * 2007-07-11 2012-01-19 Orthohelix Surgical Designs, Inc. Surgical drill guide having keyway for axial alignment of fastener used for an orthopedic plate
CA2927433A1 (en) * 2012-10-15 2014-04-24 Dynamic Spine, Llc Orthopaedic device with orthopaedic plate and rotatable tissue protector
CN206729963U (en) * 2016-11-15 2017-12-12 温州医科大学附属第二医院 The treatment fixator of protrusion of lumber intervertebral disc

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