CN106821477A - The biological clad steel plate of cervical vertebra - Google Patents

The biological clad steel plate of cervical vertebra Download PDF

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Publication number
CN106821477A
CN106821477A CN201710162513.6A CN201710162513A CN106821477A CN 106821477 A CN106821477 A CN 106821477A CN 201710162513 A CN201710162513 A CN 201710162513A CN 106821477 A CN106821477 A CN 106821477A
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CN
China
Prior art keywords
steel plate
biological
cervical vertebra
fixation steel
backing plate
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Granted
Application number
CN201710162513.6A
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Chinese (zh)
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CN106821477B (en
Inventor
史建刚
孔庆捷
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Second Affiliated Hospital Army Medical University
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Second Affiliated Hospital Army Medical University
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Priority to CN201710162513.6A priority Critical patent/CN106821477B/en
Publication of CN106821477A publication Critical patent/CN106821477A/en
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Publication of CN106821477B publication Critical patent/CN106821477B/en
Expired - Fee Related legal-status Critical Current
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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
    • A61B17/7059Cortical plates
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8028Cushions, i.e. elements forming interface between bone plate and bone
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical 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
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties

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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)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a kind of biological clad steel plate of cervical vertebra, the clad steel plate includes fixation steel plate, backing plate, the fixation steel plate is provided with fixation steel plate main body, nail, form, locking device, locking device groove, hole clipping, described nail is arranged on the corner of every sections steel plate, described form is arranged on the middle part of every sections steel plate, the locking device groove is arranged on nail side, the locking device is arranged on locking device groove, the hole clipping is arranged on fixation steel plate back body edge, the backing plate is provided with backing plate main body, standing groove, fixture block, form, described form is arranged on the middle part of every sections steel plate, the fixture block is arranged on placement groove edge, the fixation steel plate is arranged in standing groove.Advantage is to solve single or two neighboring intervertenral space neck marrow compressing, recovers cervical vertebra normal physiological curvature;Avoid multi-segmental from merging, wound is reduced, without sacrificing normal intervertenral space;Using resorbable material, material degradation in postoperative a year, beneficial to patient's long term prognosis.

Description

The biological clad steel plate of cervical vertebra
Technical field
It is a kind of biological clad steel plate of cervical vertebra specifically the present invention relates to technical field of medical instruments.
Background technology
At present, clinically conventional anterior cervical vertebrae pegboard systems are Skyline anterior cervical vertebrae fixed systems, and the system is applicable In mono cortex screw in vertebral body fixation made above, so as to stablize C2 to C7 sections cervical vertebras.Specific clinical indication includes:1、 By wound cause it is unstable;2 is related to cervical lordosis and cervical kyphosis reparation unstable;3 and previous cervical vertebra hand Related unstable of art the formed pseudarthrosis of failure;4 and treatment primary tumo(u)r and metastatic malignant tumour carried out it is large-scale Related unstable of reconstruction operation;5 and be treatment late period Degenerative disc disease, spinal canal stenosis and myeloid form cervical vertebra The single segmental that is carried out of disease or related unstable of multi-segmental vertebral resection.
But protruded in face of single or two neighboring intervertebral disc of cervical vertebra and merge the trouble that cervical curvature straightens even contrary flexure Person, the selection of fusion surgery sections is always the presence of dispute.If releasing the front compressing of single sections cervical spinal merely, After do the fixed fusion in front, then the problem of cervical curvature is difficult to solutions that improve, and research confirmation cervical curvature is straightened very To the patient of contrary flexure, intervertebral mobility is significantly reduced and reallocation occurs, while the Minor articulus of Cervical vertebra, unciform process joint, intervertebral Disk stress is concentrated, and torsional buckling state occurs, forms cervical spine instabily, accelerates cervical spine degeneration;If in order to recover normal cervical vertebra life Manage curvature and increase Fusion levels, can not only sacrifice more normal cervical intervertebral dish structure, increase wound, and because fusion is saved The increase of section, also changes the stress distribution of whole cervical vertebra, Fusion levels adjacent interspinous gap, Minor articulus, hook to a certain extent Tip out festival-gathering adds the hazards for accelerating regression because of stress concentration, increased the incidence of adjacent vertebra disease, Fusion levels More fusion rates can also decline, and be unfavorable for the prognosis at a specified future date of patient.
Additionally, a kind of absorbability anterior cervical vertebrae pegboard systems, bone piece is maintained with respect to position for Cervical anterior fusion operation Put, steel plate screw used is general interior by local absorption in 1-2, reduces traditional nail-plate fixed system loose shift, stress and hides Gear and the incidence of iconography interference, and swelling, dysphagia will not be produced because nail-plate is degraded, with biomethanics higher Stabilization is learned and value bone fusion rate.But its is degradable to need the time of 2-4, the Inion S-1 for clinically applyingTMAnterior cervical vertebrae The indication of pegboard systems is often confined to single or two fixations of intervertenral space.Therefore, it still can not solve single or adjacent Two intervertebral disc of cervical vertebra are protruded and merge the double-barreled question that cervical curvature straightens even contrary flexure patient.
Chinese utility model patent CN201520303069.1, authorized announcement date is 2015.11.18, discloses a kind of neck Zhui Qian roads Combined steel plate.Can be by combining control steel plate width but this anterior cervical vertebrae Combined steel plate is only, it is impossible to Play a part of clad steel plate of the present invention.
Therefore, need badly one kind can be used in single or two neighboring Cervical Disk Herniation merge cervical curvature straighten it is even anti- The steel plate that bent anterior cervical vertebrae is fixed, and had not been reported on this steel plate at present.
The content of the invention
The purpose of the present invention is directed to deficiency of the prior art, there is provided a kind of biological clad steel plate of cervical vertebra.
To achieve the above object, the present invention is adopted the technical scheme that:
A kind of biological clad steel plate of cervical vertebra, the clad steel plate includes fixation steel plate, backing plate, described fixation steel plate, Backing plate is flat board, and the fixation steel plate is provided with fixation steel plate main body, nail, form, locking device, locking device groove, hole clipping, Described nail is arranged on the corner of every sections steel plate, and described form is arranged on the middle part of every sections steel plate, the locking dress Put groove and be arranged on nail side, the locking device is arranged on locking device groove, after the hole clipping is arranged on fixation steel plate main body Portion edge, the backing plate is provided with backing plate main body, standing groove, fixture block, form, and described form is arranged in every sections steel plate Portion, the fixture block is arranged on placement groove edge, is corresponded with hole clipping, and the fixation steel plate is arranged in standing groove.
Described standing groove is hollow.
Described backing plate is additionally provided with nail, and described nail is arranged on the corner of every sections steel plate.
Described fixation steel plate material is metal.
Described backing plate material is biological absorbable material.
Described biological absorbable material is memory material.
Described backing plate is in arc-shaped.
Described metal is composite alloy metal, including titanium alloy.
Described biological absorbable material is selected from D-lactic acid, one kind of meso lactic acid.
Described fixation steel plate is single-segment fixation steel plate, and the standing groove of described backing plate is the placement of single-segment fixation steel plate Groove.
Described fixation steel plate is binodal section fixation steel plate, and the standing groove of described backing plate is binodal section fixation steel plate placement Groove.
The invention has the advantages that:
1st, while the single or two neighboring thorough decompression of intervertebral disc of cervical vertebra protrusion is completed and front fixes, additional cervical vertebra Biological clad steel plate, to recover cervical vertebra normal physiological curvature;
2nd, avoid the multi-segmental for being done because recovering cervical curvature in the past from merging, reduce neighbouring centrum and accelerate regression Hazards, reduce wound, and the normal intervertenral space of surgical indication is not up to without sacrificing.
3rd, backing plate uses absorbable material, can be degraded substantially in postoperative 1 year, so as to farthest protect patients with cervical The independence of activity, is conducive to patient's long term prognosis;
4th, flexible configuration, can select steel plate combination according to fixed-segment;
5th, after backing plate is absorbed, fixation steel plate still plays fixation;
Brief description of the drawings
Accompanying drawing 1 is the top view of the first fixation steel plate of the invention.
Accompanying drawing 2 is the upward view of the first fixation steel plate of the invention.
Accompanying drawing 3 is the top view of the first backing plate of the invention.
Accompanying drawing 4 is the stereogram after the first backing plate pre-bending of the invention.
Accompanying drawing 5 is the side view after the first backing plate pre-bending of the invention.
Accompanying drawing 6 is the installation diagram of the biological clad steel plate of the first cervical vertebra of the invention.
Accompanying drawing 7 is the use process schematic of the biological clad steel plate of the first cervical vertebra of the invention.
Accompanying drawing 8 is the top view of the other forms of the first backing plate of the invention.
Accompanying drawing 9 is the top view of second fixation steel plate of the invention.
Accompanying drawing 10 is the upward view of second fixation steel plate of the invention.
Accompanying drawing 11 is the top view of second backing plate of the invention.
Accompanying drawing 12 is the top view of the other forms of second backing plate of the invention.
Accompanying drawing 13 is the top view of the third backing plate of the invention.
Accompanying drawing 14 is the top view of the 4th kind of backing plate of the invention
Accompanying drawing 15 is the top view of the 4th kind of fixation steel plate of the invention
Accompanying drawing 16 is the upward view of the 4th kind of fixation steel plate of the invention.
Accompanying drawing 17 is the top view of the 5th kind of backing plate of the invention.
Accompanying drawing 18 is the use process schematic of the 5th kind of biological clad steel plate of cervical vertebra of the invention.
Specific embodiment
The specific embodiment that the present invention is provided is elaborated below in conjunction with the accompanying drawings.
The reference and part being related in accompanying drawing are as follows:
1. the backing plate of fixation steel plate 2.
The nail of 11. fixation steel plate main body 12.
The locking device of 13. form 14.
The hole clipping of 15. locking device groove 16.
The standing groove of 21. backing plate main body 22.
The nail of 23. fixture block 24.
25. forms
Embodiment 1
The biological clad steel plate of the first cervical vertebra of the invention, as shown in figure 1, the clad steel plate include fixation steel plate 1, Backing plate 2, described fixation steel plate 1, backing plate 2 are flat board, and as shown in Figure 2,3, the fixation steel plate 1 is provided with fixation steel plate main body 11st, nail 12, form 13, locking device 14, locking device groove 15, hole clipping 16, described fixation steel plate 1 are single-segment fixation steel Plate, described fixation steel plate main body 11 is in butterfly, and described nail 12 is distributed in 1 four jiaos of fixation steel plate main body, described nail 12 is 4, and described form 13 is arranged on the middle part of fixation steel plate main body 11, and the described side of nail 12 is provided with locking device Groove 15, the locking device 14 is arranged on locking device groove 15, and the hole clipping 16 is arranged on the rear part edge of fixation steel plate main body 11 Place, described hole clipping has 6, as shown in figure 4, the backing plate 2 be provided with backing plate main body 21, standing groove 22, fixture block 23, nail 24, Form 25, described backing plate 2 is four sections steel plates, and butterfly is per sections steel plate, and described standing groove 22 is arranged on backing plate 2 3rd sections, the fixture block 23 is arranged on the edge of standing groove 22, and is corresponded with hole clipping 16, and the fixation steel plate 1 is arranged on In standing groove 22, described nail 24 is arranged on the corner of every sections steel plate, and described form 25 is arranged on every sections steel plate Middle part, the described material of fixation steel plate 1 is titanium alloy, and the described material of backing plate 2 is biological absorbable material, including left-handed breast Acid, meso lactic acid, the standing groove 22 of described backing plate 2 is single-segment fixation steel plate standing groove, described fixation steel plate thickness It is 2.5mm, described plate thickness is 1-2mm.
The application method of the biological clad steel plate of the first cervical vertebra of the invention is, to needing to carry out C5-6 segment surgeries Patient, cervical spinal is oppressed firstly for C5/6 Cervical Disk Herniations, has been routinely accomplished anterior approach thoroughly decompression and intervertebral fusion;So Pre-bending is carried out to fixation steel plate 1 and backing plate 2 afterwards, the backing plate 2 after pre-bending is as shown in Figure 5,6;Backing plate 2 after pre-bending is meeting human body just Normal cervical curvature;As shown in fig. 7, the backing plate 2 after pre-bending is fixed on C3-7 sections using backing plate screw, for correcting neck The abnormal physiological camber of vertebra, fixation steel plate 1 is put into standing groove 22, fixture block 23 is corresponded with hole clipping 16, is then utilized Fixation steel plate 1 is fixed on C5-6 sections by fixation steel plate screw, and locking device 14 is rotated, and being locked steel plate screw and is allowed to It is not moved, backing plate 2 and backing plate screw are absorbed after postoperative three months, remaining fixation steel plate 1 remains secured to C5-6 sections Section, plays fixation.
The backing plate of the biological clad steel plate of the first cervical vertebra of the invention also has other forms, reference picture 8, putting on backing plate Putting groove location can be arranged as required in the optional position of backing plate.
The advantage of the biological clad steel plate of cervical vertebra of the invention is to be dashed forward single or two neighboring intervertebral disc of cervical vertebra is completed While going out thoroughly decompression and front fixation, the additional biological clad steel plate of cervical vertebra, to recover cervical vertebra normal physiological curvature;Backing plate Using absorbable material, can degrade substantially within postoperative three months, so that the farthest independence of protection patients with cervical activity, has Beneficial to patient's long term prognosis;Flexible configuration, can select steel plate combination according to fixed-segment;After backing plate is absorbed, fixation steel plate Still play fixation;Avoid the multi-segmental for being done because recovering cervical curvature in the past from merging, reduce neighbouring centrum and accelerate The hazards of regression, reduce wound, and the normal intervertenral space of surgical indication is not up to without sacrificing.
Embodiment 2
The biological clad steel plate of second cervical vertebra of the invention, the clad steel plate includes fixation steel plate 1, backing plate 2, described Fixation steel plate 1, backing plate 2 be flat board, as shown in Fig. 9,10, the fixation steel plate 1 is provided with fixation steel plate main body 11, nail 12nd, form 13, locking device 14, locking device groove 15, hole clipping 16, described fixation steel plate 1 are binodal section fixation steel plate, described Fixation steel plate main body 11 be in butterfly, described nail 12 is distributed in 1 four jiaos of fixation steel plate main body, and described nail 12 is 6, Described form 13 is arranged on the middle part of every sections steel plate, and the described side of nail 12 is provided with locking device groove 15, the lock Tight device 14 is arranged on locking device groove 15, and the hole clipping 16 is arranged at the rear part edge of fixation steel plate main body 11, described card Hole has 6, and as shown in figure 11, the backing plate 2 is provided with backing plate main body 21, standing groove 22, fixture block 23, nail 24, form 25, described Backing plate 2 be four sections steel plates, be butterfly per sections steel plate, described standing groove 22 is arranged on second and third section of backing plate 2 Section, the fixture block 23 is arranged on the edge of standing groove 22, and is corresponded with hole clipping 16, and the fixation steel plate 1 is arranged on standing groove In 22, described nail 24 is arranged on the corner of every sections steel plate, and described form 25 is arranged on the middle part of every sections steel plate, institute The material of fixation steel plate 1 stated is composite alloy metal, and the described material of backing plate 2 is biological absorbable material, including left-handed breast Acid, meso lactic acid, the standing groove 22 of described backing plate 2 is single-segment fixation steel plate standing groove, described fixation steel plate thickness It is 2.5mm, described plate thickness is 1-2mm.
The application method of the biological clad steel plate of second cervical vertebra of the invention is, to needing to carry out C4-6 segment surgeries Patient, oppresses cervical spinal to C4/5, C5/6 Cervical Disk Herniation first, has been routinely accomplished anterior approach and thoroughly melts between decompression and centrum Close;Then pre-bending is carried out to fixation steel plate 1 and backing plate 2;Backing plate 2 after pre-bending meets human normal cervical curvature;Utilize Backing plate 2 after pre-bending is fixed on C3-7 sections by backing plate screw, and fixation steel plate 1 is put into standing groove 22, makes fixture block 23 with card Hole 16 is corresponded, and fixation steel plate 1 then is fixed on into C4-6 sections using fixation steel plate screw, and locking device 14 is rotated, It is locked and steel plate screw and is allowed to not be moved, backing plate 2 and backing plate screw is absorbed after postoperative three months, remaining fixation Steel plate 1 remains secured to C4-6 sections, plays fixation.
Embodiment 3
The biological clad steel plate of the third cervical vertebra of the invention, reference picture 13, the difference with embodiment 1 is:Backing plate 2 does not have There is nail 24, the material of backing plate 2 is memory material.
The application method of the biological clad steel plate of the third cervical vertebra of the invention is, to needing to carry out C5-6 segment surgeries Patient, cervical spinal is oppressed firstly for C5/6 Cervical Disk Herniations, has been routinely accomplished anterior approach thoroughly decompression and intervertebral fusion;So Pre-bending is carried out to fixation steel plate 1 afterwards;Backing plate 2 belongs to memory material, and (before entering high-temperature water, the radian of backing plate 2 meets human normal Cervical curvature, enters after high-temperature water in 5 minutes, and backing plate can be moulding by hardness, and after 30 minutes, backing plate can voluntarily recover to rectifying Radian before shape), put it into high-temperature water and soak 5 minutes, it is then that radian is orthopedic to the cervical curvature for meeting patient at that time;Will Fixation steel plate 1 is put into standing groove 22, fixture block 23 is corresponded with hole clipping 16, then using fixation steel plate screw by steel plate 1 C5-6 sections is fixed on, locking device 14 is rotated, being locked steel plate screw and is allowed to not be moved.Then observe backing plate After 2 slow recovery to moulding preceding radians, recover patient's normal physiological curvature, finally successively close otch.Postoperative 1 year or so Backing plate 2 is absorbed, and remaining fixation steel plate 1 remains secured to C5-6 sections, plays fixation.
Advantage of this embodiment is that, backing plate 2 does not set nail 24, it is to avoid the destruction to cervical vertebra anterior longitudinal ligament integrality, has Beneficial to the stability, the improvement patient's long term prognosis that keep cervical vertebra;Protruded single or two neighboring intervertebral disc of cervical vertebra is completed While thoroughly decompression and front are fixed, the additional biological clad steel plate of cervical vertebra, to recover cervical vertebra normal physiological curvature;Backing plate is adopted With absorbable material, can degrade substantially within postoperative 1 year, so that the farthest independence of protection patients with cervical activity, is conducive to Patient's long term prognosis;Flexible configuration, can select steel plate combination according to fixed-segment;After backing plate is absorbed, fixation steel plate still rises To fixation;Avoid the multi-segmental for being done because recovering cervical curvature in the past from merging, reduce neighbouring centrum and accelerate regression Hazards, reduce wound, without sacrifice be not up to surgical indication normal intervertenral space.
Embodiment 4
The 4th kind of biological clad steel plate of cervical vertebra of the invention, reference picture 14-16, the difference with embodiment 1 is:It is described Backing plate 2 standing groove 22 be hollow, described fixation steel plate 1 can be completely embedded into backing plate 2, the i.e. bottom of fixation steel plate 1 with The bottom of backing plate 2 is in same level.
The application method of the 4th kind of biological clad steel plate of cervical vertebra of the invention is, to needing to carry out C5-6 segment surgeries Patient, cervical spinal is oppressed firstly for C5/6 Cervical Disk Herniations, has been routinely accomplished anterior approach thoroughly decompression and intervertebral fusion;So Pre-bending is carried out to fixation steel plate 1 and backing plate 2 afterwards;Backing plate 2 after pre-bending meets human normal cervical curvature;Using backing plate spiral shell Backing plate 2 after pre-bending is fixed on C3-7 sections by nail, the physiological camber abnormal for correcting cervical vertebra, and fixation steel plate 1 is put into Put in groove 22, fixture block 23 is corresponded with hole clipping 16, fixation steel plate 1 then is fixed on into C5-6 using fixation steel plate screw saves Section, locking device 14 is rotated, and being locked steel plate screw and is allowed to not be moved, backing plate 2 and backing plate after postoperative three months Screw is absorbed, and remaining fixation steel plate 1 remains secured to C5-6 sections, plays fixation.
Advantage of this embodiment is that, because the standing groove 22 of backing plate 2 is hollow, the insertion standing groove 22 of fixation steel plate 1 Afterwards, the bottom of fixation steel plate 1 is in same level with the bottom of backing plate 2, and can fit patients with cervical completely, treat that backing plate 2 absorbs Afterwards, fixation steel plate 1 is fitted with cervical vertebra, is not interspaced, in case fixation steel plate 1 loosens, shifts.
Embodiment 5
The 5th kind of biological clad steel plate of cervical vertebra of the invention, reference picture 17, with differing only in for embodiment 3:Backing plate 2 The width of backing plate main body 21 less than standing groove 22 width, backing plate 2 be in the strip with flank, backing plate 2 be in arc-shaped, backing plate 2 It is made up of memory material.
The application method of the 5th kind of biological clad steel plate of cervical vertebra of the invention is, reference picture 18, to needing to carry out C5-6 The patient of segment surgery, cervical spinal is oppressed firstly for C5/6 Cervical Disk Herniations, has been routinely accomplished anterior approach thoroughly decompression and vertebra Merged between body;Then pre-bending is carried out to fixation steel plate 1;Backing plate 2 belongs to memory material, and (before entering high-temperature water, the radian of backing plate 2 is accorded with Human normal cervical curvature is closed, is entered after high-temperature water in 5 minutes, backing plate can be moulding by hardness, after 30 minutes, backing plate can be from Row recovers to orthopedic preceding radian), put it into and soak in high-temperature water 5 minutes, it is then that radian is orthopedic to meeting patient's at that time Cervical curvature;Fixation steel plate 1 is put into standing groove 22, fixture block 23 is corresponded with hole clipping 16, then using fixation steel plate Steel plate 1 is fixed on C5-6 sections by screw, and locking device 14 is rotated, and being locked steel plate screw and is allowed to not be moved. Then observation backing plate 2 slowly recovers to moulding preceding radian, recovers patient's normal physiological curvature, finally successively closes otch. Backing plate 2 is absorbed within postoperative 1 year or so, and remaining fixation steel plate 1 remains secured to C5-6 sections, plays fixation.
Advantage of this embodiment is that, backing plate 2 does not set nail 24, it is to avoid the destruction to cervical vertebra anterior longitudinal ligament integrality, has Beneficial to the stability, the improvement patient's long term prognosis that keep cervical vertebra;Protruded single or two neighboring intervertebral disc of cervical vertebra is completed While thoroughly decompression and front are fixed, the additional biological clad steel plate of cervical vertebra, to recover cervical vertebra normal physiological curvature;Backing plate is adopted With absorbable material, can degrade substantially within postoperative 1 year, so that the farthest independence of protection patients with cervical activity, is conducive to Patient's long term prognosis;Flexible configuration, can select steel plate combination according to fixed-segment;After backing plate is absorbed, fixation steel plate still rises To fixation;Avoid the multi-segmental for being done because recovering cervical curvature in the past from merging, reduce neighbouring centrum and accelerate regression Hazards, reduce wound, without sacrifice be not up to surgical indication normal intervertenral space.
The above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art Member, on the premise of the inventive method is not departed from, can also make some improvement and supplement, and these are improved and supplement also should be regarded as Protection scope of the present invention.

Claims (10)

1. the biological clad steel plate of a kind of cervical vertebra, it is characterised in that the clad steel plate includes fixation steel plate, backing plate, described Fixation steel plate, backing plate are flat board, and the fixation steel plate is provided with fixation steel plate main body, nail, form, locking device, locking dress Groove, hole clipping are put, described nail is arranged on the corner of every sections steel plate, and described form is arranged on the middle part of every sections steel plate, The locking device groove is arranged on nail side, and the locking device is arranged on locking device groove, and the hole clipping is arranged on fixation Steel plate back body edge, the backing plate is provided with backing plate main body, standing groove, fixture block, form, and described form is arranged on every sections The middle part of steel plate, the fixture block is arranged on placement groove edge, is corresponded with hole clipping, and the fixation steel plate is arranged on standing groove It is interior.
2. the biological clad steel plate of cervical vertebra according to claim 1, it is characterised in that described standing groove is hollow.
3. the biological clad steel plate of cervical vertebra according to claim 1, it is characterised in that described backing plate is additionally provided with nail, Described nail is arranged on the corner of every sections steel plate.
4. the biological clad steel plate of cervical vertebra according to claim 1, it is characterised in that described fixation steel plate material is multiple Close alloying metal.
5. the biological clad steel plate of cervical vertebra according to claim 1, it is characterised in that described backing plate material is biological Absorbable material.
6. the biological clad steel plate of cervical vertebra according to claim 5, it is characterised in that described biological absorbable material Selected from the one kind in D-lactic acid, meso lactic acid.
7. the biological clad steel plate of cervical vertebra according to claim 5, it is characterised in that described biological absorbable material It is memory material.
8. the biological clad steel plate of cervical vertebra according to claim 7, it is characterised in that described backing plate is in arc-shaped.
9. according to any described biological clad steel plates of cervical vertebra of claim 1-8, it is characterised in that described fixation steel plate is Single-segment fixation steel plate, the standing groove of described backing plate is single-segment fixation steel plate standing groove.
10. according to any described biological clad steel plates of cervical vertebra of claim 1-8, it is characterised in that described fixation steel plate It is binodal section fixation steel plate, the standing groove of described backing plate is binodal section fixation steel plate standing groove.
CN201710162513.6A 2017-03-18 2017-03-18 The biological clad steel plate of cervical vertebra Expired - Fee Related CN106821477B (en)

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Application Number Priority Date Filing Date Title
CN201710162513.6A CN106821477B (en) 2017-03-18 2017-03-18 The biological clad steel plate of cervical vertebra

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Application Number Priority Date Filing Date Title
CN201710162513.6A CN106821477B (en) 2017-03-18 2017-03-18 The biological clad steel plate of cervical vertebra

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CN106821477A true CN106821477A (en) 2017-06-13
CN106821477B CN106821477B (en) 2019-08-02

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