CN107854197B - Cervical vertebra interbody fusion cage - Google Patents

Cervical vertebra interbody fusion cage Download PDF

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Publication number
CN107854197B
CN107854197B CN201711061323.1A CN201711061323A CN107854197B CN 107854197 B CN107854197 B CN 107854197B CN 201711061323 A CN201711061323 A CN 201711061323A CN 107854197 B CN107854197 B CN 107854197B
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China
Prior art keywords
bone grafting
interbody fusion
support body
inner cavity
window
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CN201711061323.1A
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Chinese (zh)
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CN107854197A (en
Inventor
孟阳
刘浩
洪瑛
王贝宇
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Priority to CN201711061323.1A priority Critical patent/CN107854197B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention relates to a cervical vertebra interbody fusion cage, which comprises a support body and a supporting sliding block, wherein a bone grafting inner cavity is arranged in the support body, a bone grafting window is respectively arranged on the left side and the right side of the support body, and the bone grafting window is communicated with the bone grafting inner cavity; the opening sliding block is arranged in the bone grafting inner cavity; two opening sliding blocks are arranged, and the two opening sliding blocks can respectively slide unidirectionally towards one bone grafting window; a baffle is arranged at the rear of the bone grafting window; the end face of the opening slide block facing the bone grafting window is provided with an X-ray-proof developing mark. According to the invention, the sliding block is spread so that bone grafting materials can be tightly combined with the uncinate joint, thereby effectively improving the interbody fusion effect; the supporting body is also provided with a bone grafting channel which is penetrated up and down and can be used for grafting bone between the upper end plate, the lower end plate and the two sides of uncinate vertebral joints, so that surrounding bone grafting is carried out in an operation gap, the contact area between bone grafting materials and a bone grafting bed is increased, and the interbody fusion effect is further enhanced; the baffle at the rear of the bone grafting window can prevent bone grafting materials from entering the vertebral canal, and reduce the risk of operation.

Description

Cervical vertebra interbody fusion cage
Technical Field
The invention relates to the technical field of medical appliances, in particular to a cervical interbody fusion cage.
Background
Anterior cervical decompression fusion (Anterior cervical decompression and fusion, ACDF) is an important surgical approach for treating cervical spondylosis, and early effective interbody fusion is an important factor affecting the clinical efficacy of ACDF. The prior commonly used interbody fusion cage obtains interbody fusion through the inter-endplate bone grafting, but clinical observation shows that the early fusion rate is not optimistic. The lateral cervical vertebra and uncinate joint area has a short distance between the upper bone surface and the lower bone surface, and the peripheral blood circulation is rich, so clinical observation shows that the healing effect of bone grafting in the area is better. Adequate contact and intimate bonding between the bone graft material and the bone graft bed is the basis for achieving satisfactory bone healing.
Patent literature (CN 203291002U) discloses a cervical vertebra uncinate joint fusion cage, but the bone grafting material of the fusion cage cannot be in close contact with uncinate joints, which is unfavorable for bone grafting fusion. In addition, the interbody fusion cage has the potential for posterior migration of bone graft material into the spinal canal, thereby increasing the risk of surgery.
Furthermore, the prior disclosed interbody fusion cage is single bone grafting in the area between end plates or at the side, so that the contact between bone grafting materials and a bone grafting bed is less, and the bone grafting fusion effect is affected.
Disclosure of Invention
The invention aims to provide a cervical interbody fusion cage which has a pushing and pressing function, can tightly combine bone grafting materials with joints or bone surfaces, and can effectively improve the interbody fusion effect.
In order to achieve the above purpose, the invention adopts the following technical scheme:
the cervical vertebra interbody fusion cage comprises a support body and a supporting sliding block, wherein a bone grafting inner cavity is formed in the support body, a bone grafting window is respectively arranged on the left side and the right side of the support body, and the bone grafting window is communicated with the bone grafting inner cavity; the opening sliding block is arranged in the bone grafting inner cavity and can slide in the bone grafting inner cavity; the front surface of the support body is provided with a sliding groove which is horizontally arranged and communicated with the bone grafting inner cavity; the opening sliding block is provided with a straight arm which extends out of the sliding groove, and the straight arm is provided with external threads; the number of the opening sliding blocks is two, and the support body is provided with a fixed nail channel for installation and fixation.
Further, the opening sliding block positioned at the left side slides leftwards in one way to the bone grafting window; the opening slide block positioned at the right side slides unidirectionally to the bone grafting window at the right side.
Further, a baffle is arranged at the rear of the bone grafting window on the outer wall of the support body, and the baffle is parallel to the chute.
Further, a separation block is vertically arranged in the center of the support body, the separation block divides the bone grafting inner cavity into a left independent cavity and a right independent cavity, and the two opening sliding blocks are respectively arranged in one of the cavities.
Further preferably, the separation block is provided with a vertically arranged bone grafting channel in the center, and the bone grafting channel penetrates through the top surface and the bottom surface of the support body.
Further, the device also comprises a lock nut which is matched with the straight arm.
Wherein, the number of the fixed nail paths is two, and one fixed nail path starts from the front surface of the support body and ends at the top surface of the support body; the other fixing nail channel starts from the front surface of the supporting body and ends at the bottom surface of the supporting body.
Further, the utility model also comprises a fixing nail which is matched with the fixing nail channel.
Preferably, two groups of inclined elastic pieces are arranged on the bottom surface or the front and rear side walls of the bone grafting inner cavity, one group of elastic pieces incline to the right, and the other group of elastic pieces incline to the left.
Further, an X-ray-proof developing mark is arranged in the rear side wall of the support body, and an X-ray-proof developing mark is arranged on the end face of the opening sliding block, which faces the bone grafting window.
Compared with the prior art, the invention has the following beneficial effects:
1. the expanding slide block can tightly combine the bone grafting material with the uncinate joint, thereby effectively improving the interbody fusion effect;
2. the supporting body is also provided with a bone grafting channel which is penetrated up and down and can be used for grafting bone between the upper end plate, the lower end plate and the two sides of uncinate vertebral joints, so that surrounding bone grafting is carried out in an operation gap, the contact area between bone grafting materials and a bone grafting bed is increased, and the interbody fusion effect is further enhanced;
3. the two opening sliding blocks can slide to one bone grafting window in one direction respectively, so that the operation is more convenient;
4. the baffle plates are arranged at the rear parts of the bone grafting windows at the two sides to prevent the bone grafting materials from shifting backwards, so that the bone grafting materials are prevented from entering the vertebral canal, and the operation risk is reduced.
Drawings
FIG. 1 is a three-dimensional view of example 1;
FIG. 2 is a front view of FIG. 1;
FIG. 3 is a front cross-sectional view of FIG. 1;
FIG. 4 is a top cross-sectional view of FIG. 1;
FIG. 5 is a schematic illustration of example 1 without compression after placement of bone graft material within the bone graft cavity;
FIG. 6 is a schematic illustration of example 1 after extrusion after placement of bone graft material within the bone graft cavity;
FIG. 7 is a schematic view of the mounting of the staples on the support;
FIG. 8 is a schematic view of example 1 with staples installed;
fig. 9 is a schematic structural view of embodiment 2 when the spreader-slider is not spread;
fig. 10 is a schematic structural view of embodiment 2 after the spreader-slider is spread;
FIG. 11 is a three-dimensional view of example 3;
FIG. 12 is a front sectional view of embodiment 3;
FIG. 13 is a top sectional view of example 3;
FIG. 14 is a schematic illustration of example 3 without compression after placement of bone graft material within the bone graft cavity;
FIG. 15 is a schematic view of example 3 after the bone graft material is placed in the cavity of the bone graft and then compressed;
fig. 16 is a schematic structural view of embodiment 4;
FIG. 17 is a schematic view showing the structure of a spreader slider in example 5;
FIG. 18 is a schematic view of the structure of example 6 when the spreader slider is not spread;
FIG. 19 is a schematic view showing the structure of example 6 after the spreader slide is spread;
fig. 20 is a schematic structural view of embodiment 7;
in the figure: 1-supporting body, 2-stretching slide block, 3-bone grafting window, 4-chute, 5-straight arm, 6-fixed nail way, 7-bone grafting inner cavity, 8-lock nut, 9-bone grafting material, 10-bone grafting channel, 11-baffle, 12-fixed nail, 13-developing mark, 14-separation block, 15-shrapnel, 16-slide rail, 71-cavity.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings, in order to make the objects, technical solutions and advantages of the present invention more apparent.
Example 1
As shown in fig. 1, 2 and 3, the cervical vertebra interbody fusion cage disclosed in the embodiment comprises a support body 1 and a supporting sliding block 2, wherein a bone grafting inner cavity 7 is arranged in the support body 1, a bone grafting window 3 is respectively arranged on the left side and the right side of the support body 1, and the bone grafting window 3 is communicated with the bone grafting inner cavity 7; the opening sliding block 2 is arranged in the bone grafting inner cavity 7 and can slide in the bone grafting inner cavity 7; the front surface of the supporting body 1 is provided with a sliding groove 4 which is horizontally arranged, and the sliding groove 4 is communicated with a bone grafting inner cavity 7. As shown in fig. 4, the opening slide block 2 is provided with a straight arm 5, the straight arm 5 extends out of the chute 4, and the straight arm 5 is provided with external threads; the number of the opening slide blocks 2 is two, and the fixed nail paths 6 for installation and fixation are arranged on the supporting body 1. The position and configuration of the staple channel 6 will vary depending on the location of the installation. The support body 1 is in an anatomical design, the shape of the support body is matched with the shape of the upper and lower end plates and the uncinate joint, the support body is in tight contact with the end plates, and the support body 1 is made of polyether-ether-ketone (PEEK) material and has good biological compatibility.
In the embodiment, two fixing nail paths 6 are arranged, wherein one fixing nail path 6 starts from the front surface of the support body 1 and ends at the top surface of the support body 1; the other staple channel 6 starts from the front surface of the support body 1 and ends at the bottom surface of the support body 1.
As shown in fig. 6, 7 and 8, the cervical interbody fusion cage further includes a staple 12 fitted with the staple channel 6, and a lock nut 8 fitted with the straight arm 5. The fixing nails 12 can fix the uncinate joint fusion device on the upper and lower vertebral bodies, and the locking nuts 8 are matched with external threads on the straight arms 5 and are used for locking and fixing the position of the opening sliding block 2. The expanding slide block 2 can be directly in sliding fit with the bone grafting inner cavity 7, and two slide rails matched with the expanding slide block 2 can be arranged in the bone grafting inner cavity 7, and the expanding slide block 2 is embedded between the two slide rails.
When in use, as shown in fig. 5, before bone grafting, two opening slide blocks 2 are positioned at the center of the bone grafting inner cavity 7, then bone grafting materials 9 are put into the bone grafting inner cavity 7 from two bone grafting windows 3, and when the opening slide blocks 2 are not opened, the bone grafting materials 9 are positioned in the bone grafting windows 3; after the support body 1 is placed in the intervertebral space and the position is proper, as shown in fig. 6, the two opening slide blocks 2 are opened by an opening device, the two opening slide blocks 2 slide towards one bone grafting window 3 respectively, then bone grafting materials 9 are pushed out from the bone grafting window 3, and the bone grafting materials 9 are compacted, so that the bone grafting materials 9 are tightly attached to the hooked vertebral joints at two sides, and the intervertebral fusion effect can be effectively improved. Finally, the opening slide block is locked by a locking nut 8, and the support body 1 is fixed on the upper and lower vertebral bodies by a fixing nail 12.
Example 2
This embodiment differs from embodiment 1 in that: the two opening slide blocks 3 can respectively slide unidirectionally towards one bone grafting window 3, and specifically, the opening slide block 3 positioned at the left side slides unidirectionally towards the bone grafting window 3 at the left side; the opening sliding block 3 positioned on the right side slides unidirectionally to the bone grafting window 3 on the right side. The unidirectional sliding structure is various, for example, two groups of unidirectional teeth are arranged on the bottom surface of the bone grafting cavity 7, the two groups of unidirectional teeth face to the left side and the right side respectively, and elastic sheets corresponding to the unidirectional teeth are arranged on the stretching slide block 3. As shown in fig. 9 and 10, two groups of inclined elastic pieces 15 are arranged on the bottom surface of the bone grafting cavity 7, one group of elastic pieces 15 is inclined towards the right, and the other group of elastic pieces 15 is inclined towards the left. When the stretching slide block 3 is stretched, the elastic sheet 15 can be pressed down in a proper direction to slide towards the bone grafting window 3; however, when the opening slider 3 slides over a certain elastic sheet 15, the elastic sheet 15 is sprung under the self elastic force to block the opening slider 3 from sliding reversely.
Example 3
This embodiment differs from embodiment 1 or 2 in that: as shown in fig. 11, 12 and 13, a separation block 14 is vertically arranged in the center of the support body 1, the separation block 14 divides the bone grafting inner cavity 7 into a left independent cavity 71 and a right independent cavity 71, and the two opening slide blocks 2 are respectively arranged in one cavity 71. The center of the separation block 14 is provided with a vertically arranged bone grafting channel 10, and the bone grafting channel 10 penetrates through the top surface and the bottom surface of the support body 1.
When in use, as shown in fig. 14 and 15, the implant can be provided between the upper and lower end plates and the two sides uncinate joints, thereby surrounding the implant in the operation space, increasing the contact area between the implant material and the implant bed and further enhancing the interbody fusion effect.
Example 4
This embodiment differs from the previous three embodiments in that: as shown in fig. 16, a baffle 11 is arranged at the rear of the bone grafting window 3 on the outer wall of the support body 1, and the baffle 11 is parallel to the chute 4. The baffle plates are arranged at the rear parts of the bone grafting windows 3 at the two sides to prevent the bone grafting materials from shifting backwards, so that the bone grafting materials are prevented from entering the vertebral canal, and the operation risk is reduced.
Example 5
This embodiment differs from the previous four embodiments in that: as shown in fig. 17, a developing mark (not shown in the drawing) which is not transparent to X-rays is provided in the rear side wall of the support body 1, and a developing mark 13 which is not transparent to X-rays, such as a developing needle, is provided on the end surface of the spreader slider 2 facing the bone grafting window 3. The distance between the two opening sliding blocks 2 and the position of the supporting body 1 are convenient to observe after operation.
Example 6
This embodiment differs from embodiment 2 in that: as shown in fig. 18 and 19, the elastic pieces 15 are disposed on the front and rear walls of the bone grafting cavity 7, one group of elastic pieces 15 is inclined to the right, and the other group of elastic pieces 15 is inclined to the left. When the stretching slide block 3 is stretched, the elastic sheet 15 can be pressed down in a proper direction to slide towards the bone grafting window 3; however, when the opening slider 3 slides over a certain elastic sheet 15, the elastic sheet 15 is sprung under the self elastic force to block the opening slider 3 from sliding reversely.
Example 7
As shown in fig. 20, in this embodiment, two sliding rails 16 adapted to the spreader slide block 2 are disposed in the bone grafting cavity 7, the spreader slide block 2 is embedded between the two sliding rails 16, and the sliding rails 16 are made of titanium alloy. When the slide 15 is provided, the slide 15 may be provided on the slide rail 16.
The expanding slide block can tightly combine the bone grafting material with the uncinate joint, thereby effectively improving the interbody fusion effect; the supporting body is also provided with a bone grafting channel which is penetrated up and down and can be used for grafting bone between the upper end plate, the lower end plate and the two sides of uncinate vertebral joints, so that surrounding bone grafting is carried out in an operation gap, the contact area between bone grafting materials and a bone grafting bed is increased, and the interbody fusion effect is further enhanced; the two opening sliding blocks can slide to one bone grafting window in one direction respectively, so that the operation is more convenient; the baffle plates are arranged at the rear parts of the bone grafting windows at the two sides to prevent the bone grafting materials from shifting backwards, so that the bone grafting materials are prevented from entering the vertebral canal, and the operation risk is reduced. Is especially suitable for cervical vertebra uncinate joints.
There are, of course, many other embodiments of the invention that can be made by those skilled in the art in light of the above teachings without departing from the spirit or essential scope thereof, but that such modifications and variations are to be considered within the scope of the appended claims.

Claims (9)

1. The cervical intervertebral fusion device is characterized by comprising a support body (1) and a stretching sliding block (2), wherein a bone grafting inner cavity (7) is arranged in the support body (1), a bone grafting window (3) is respectively arranged on the left side and the right side of the support body (1), and the bone grafting window (3) is communicated with the bone grafting inner cavity (7); the opening sliding block (2) is arranged in the bone grafting inner cavity (7) and can slide in the bone grafting inner cavity (7); the front surface of the supporting body (1) is provided with a sliding groove (4) which is horizontally arranged, and the sliding groove (4) is communicated with the bone grafting inner cavity (7); a straight arm (5) is arranged on the opening sliding block (2), the straight arm (5) extends out of the sliding groove (4), and external threads are arranged on the straight arm (5); two opening sliding blocks (2) are arranged, and fixing nail channels (6) for mounting and fixing are arranged on the supporting body (1);
the bone grafting window (3) positioned at the left side of the opening sliding block (2) at the left side slides unidirectionally; the opening sliding block (2) positioned at the right side slides in a unidirectional way to the bone grafting window (3) at the right side.
2. The cervical interbody fusion cage of claim 1, wherein: a baffle (11) is arranged at the rear of the bone grafting window (3) on the outer wall of the supporting body (1), and the baffle (11) is parallel to the chute (4).
3. The cervical interbody fusion cage of claim 1 or 2, wherein: the center of the supporting body (1) is vertically provided with a separation block (14), the separation block (14) divides the bone grafting inner cavity (7) into a left independent cavity (71) and a right independent cavity (71), and the two opening sliding blocks (2) are respectively arranged in one of the cavities (71).
4. The cervical interbody fusion cage of claim 3, wherein: the center of the separation block (14) is provided with a vertically arranged bone grafting channel (10), and the bone grafting channel (10) penetrates through the top surface and the bottom surface of the support body (1).
5. The cervical interbody fusion cage of claim 1, wherein: the device also comprises a lock nut (8) matched with the straight arm (5).
6. The cervical interbody fusion cage of claim 1, wherein: the number of the fixed nail paths (6) is two, and one fixed nail path (6) starts from the front surface of the support body (1) and ends at the top surface of the support body (1); the other fixing nail channel (6) starts from the front surface of the supporting body (1) and ends at the bottom surface of the supporting body (1).
7. The cervical interbody fusion cage of claim 1 or 6, wherein: also comprises a fixing nail (12) which is matched with the fixing nail channel (6).
8. The cervical interbody fusion cage of claim 1, wherein: two groups of inclined elastic pieces (15) are arranged on the bottom surface or the front side wall and the rear side wall of the bone grafting inner cavity (7), one group of elastic pieces (15) incline to the right, and the other group of elastic pieces (15) incline to the left.
9. The cervical interbody fusion cage of claim 1, wherein: the rear side wall of the support body (1) is provided with an X-ray-proof developing mark (13), and the end face of the opening sliding block (2) facing the bone grafting window (3) is provided with the X-ray-proof developing mark (13).
CN201711061323.1A 2017-11-01 2017-11-01 Cervical vertebra interbody fusion cage Active CN107854197B (en)

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CN107854197B true CN107854197B (en) 2023-08-04

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CN111938880B (en) * 2020-08-18 2022-11-11 四川大学华西医院 Artificial cervical intervertebral disc device and cover film suitable for same
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