CN108498155B - Self-locking anti-rotation pedicle screw and use method thereof - Google Patents

Self-locking anti-rotation pedicle screw and use method thereof Download PDF

Info

Publication number
CN108498155B
CN108498155B CN201810385391.1A CN201810385391A CN108498155B CN 108498155 B CN108498155 B CN 108498155B CN 201810385391 A CN201810385391 A CN 201810385391A CN 108498155 B CN108498155 B CN 108498155B
Authority
CN
China
Prior art keywords
screw
boss
blind hole
self
rod
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN201810385391.1A
Other languages
Chinese (zh)
Other versions
CN108498155A (en
Inventor
邵高海
张红军
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Yongchuan Hospital of Chongqing Medical University
Original Assignee
Yongchuan Hospital of Chongqing Medical University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Yongchuan Hospital of Chongqing Medical University filed Critical Yongchuan Hospital of Chongqing Medical University
Priority to CN201810385391.1A priority Critical patent/CN108498155B/en
Publication of CN108498155A publication Critical patent/CN108498155A/en
Application granted granted Critical
Publication of CN108498155B publication Critical patent/CN108498155B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • A61B17/7034Screws or hooks with U-shaped head or back through which longitudinal rods pass characterised by a lateral opening
    • 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
    • A61B17/864Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • 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
    • A61B2017/8655Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Landscapes

  • 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)

Abstract

The invention belongs to the technical field of medical equipment, and particularly relates to a self-locking anti-rotation pedicle screw and a use method thereof. The axial anti-extraction device has the advantages of remarkably improving the stability of the fixation of the pedicle screw, improving the axial anti-extraction force of the pedicle screw, ensuring that the screw is not easy to loosen and withdraw, and having low incidence of broken nails and broken rods.

Description

Self-locking anti-rotation pedicle screw and use method thereof
Technical Field
The invention belongs to the technical field of medical equipment, and particularly relates to a self-locking anti-rotation pedicle screw and a using method thereof.
Background
Osteoporosis (OP) is a systemic, metabolic skeletal system disease characterized by low bone mass, broken bone microstructure, increased bone fragility, decreased bone strength, and susceptibility to fracture. The OP prevalence of women over 50 years old in us in 2004 is 13% -18%, 3% -6%, and the prevalence of women over 50 years old in europe in 2010 is 21%, 6%. At the end of 2014, the total prevalence rate of OPs over 50 years old in China is 20.7% for females and 14.4% for males. 57.6% of men and 64.6% of women with low bone mass above 50 years old. OP characteristics: (1) the fracture risk is obviously increased, (2) the internal fixation is easy to loosen, deviate from or break the nail and the rod, (3) the fracture healing time is long or does not heal, (4) the bone grafting is easy to absorb, (5) the activity is reduced, the bone absorption is accelerated, the OP is aggravated, (6) the reduction is difficult after the fracture part, and the fracture risk is high again. Literature reports that the failure rate of fixation in OP is as high as 18% -63%.
The death rate of the conservative treatment of the osteoporosis vertebral fracture is increased by 23 percent, and the surgical treatment comprises the following steps: (1) and (3) fixing by common screws: the diameter and the length of the implanted screw are increased, the fixed section is increased, the wound is large, the operation risk is increased, the screw is loosened and withdrawn, and the occurrence rate of broken nails and broken rods is obviously increased; (2) percutaneous vertebroplasty (pvp) is widely used for treating compression fracture of osteoporotic vertebral bodies, minimally invasive, with definite analgesic effect, but with lost healing opportunities for fracture, suitable for advanced patients; (3) the bone cement pedicle screw can be instantly stabilized, and still has the influence on fracture healing opportunities and obviously prolonged operation time; (4) the expansion pedicle screw cannot be instantly stabilized, and the anti-rotation and anti-pull-out capability is low. It is imperative to design a new pedicle screw for fixation of osteoporotic or reduced bone mass vertebral bodies.
Disclosure of Invention
The purpose of the invention is that: aims at providing a self-locking anti-rotation pedicle screw and a use method thereof, which have the advantages of obviously improving the stability of fixation of the pedicle screw and improving the axial anti-extraction force of the pedicle screw. The screw is not easy to loosen and withdraw, and the occurrence rate of broken nails is low.
In order to achieve the technical purpose, the invention adopts the following technical scheme:
the utility model provides a self-locking anti-rotation pedicle of vertebral arch screw, includes integrated into one piece's screw afterbody and screw main part, the U-shaped groove has been seted up on screw afterbody upper portion, first blind hole has been seted up to screw afterbody up end, first blind hole inner wall is equipped with first internal thread, screw main part outer wall is equipped with first external screw thread, the screw main part is equipped with the second blind hole in first blind hole bottom, be equipped with the well pole in the second blind hole, well pole and screw main part threaded connection, well pole lower extreme is big-end-up's toper structure, screw main part lower part radial symmetry is equipped with two breach, the inboard high dimension in breach is greater than the high dimension in the breach outside, wear to have the staple in the breach, the staple outer end exposes screw main part outer wall, staple up end inboard is equipped with the second boss.
Further limited, the screw main part is equipped with the annular groove in second blind hole upper portion edge, the annular groove inner wall is equipped with the second internal thread, well pole up end is equipped with the first boss with annular groove assorted, first boss outer wall is equipped with the second external screw thread with second internal thread assorted, first boss up end is equipped with first interior hexagonal blind hole. By means of the structural design, the first boss is installed in the annular groove, the first boss is sunk into the annular groove on the basis of finishing threaded connection of the middle rod and the screw main body and mutual fixation, and the use of the first internal threads affecting the inner wall of the first blind hole is avoided.
Further defined, the upper end surface of the second boss gradually slopes downwards from outside to inside. By means of the structural design, the second boss is matched with the conical structure at the lower end of the middle rod, so that the tail end of the middle rod can be clamped between two clamping nails more easily, and the use is more convenient.
Further defined, the staple inner end is arcuate. By adopting the structural design, a gap is formed between the two clamping nails, and the tail end of the middle rod can be inserted between the two clamping nails more easily.
Further defined, the pedicle screw further comprises a placement rod, a handle is arranged at the upper end of the placement rod, a threaded column is arranged at the lower end of the placement rod, and a threaded hole matched with the threaded column is vertically formed in the upper end face of the second boss. When the structure design is used, the clamp nails are connected through the threaded columns of the placing rods and the threaded holes in a matched mode, the clamp nails are placed into the gaps through the placing rods, then the placing rods are rotated reversely, the placing rods are taken out, and then the other clamp nails are placed, so that the structure design is more convenient to use.
Further limited, the pedicle screw further comprises a clamping rod, a third boss matched with the annular groove is arranged on the upper end face of the clamping rod, a third external thread matched with the second internal thread is arranged on the outer wall of the third boss, a third inner hexagonal blind hole is formed in the upper end face of the third boss, and a circular groove with a longitudinal section in a trapezoid structure with a narrow upper part and a wide lower part is formed in the lower end face of the clamping rod. After the clamp is placed into the notch through the placement rod, a clamping rod is placed in the screw main body, a second boss of the clamp is clamped through a circular groove of the clamping rod, then the screw main body is implanted into a bone, after implantation is completed, the clamping rod is removed, and a middle rod is installed; by means of the structural design, the outer end of the clamping nail protrudes out of the screw body in the implantation process of the screw body, and damage to bones is avoided.
Further defined, the second boss lateral surface is arc-shaped matched with the circular groove. The outer side of the second boss is matched with the inner wall of the circular groove, the second boss is in surface contact with the clamping rod in the rotating process of the clamping rod, the damage to the clamping rod caused by water caltrop of the second boss can be avoided, and the practicability is higher.
Further defined, the first external thread is a double thread. The structural design not only can obtain faster nail feeding speed, but also has better anti-pulling force relative to single threads, and can avoid complications such as loosening and pulling out of the screw to a certain extent.
The invention also discloses a using method of the self-locking anti-rotation pedicle screw, which comprises the following steps:
s1, assembling a clamp: installing a clamp on the placing rod, then placing the placing rod with the clamp into the screw main body, operating the placing rod to enable the clamp to pass through the notch, enabling the tail end of the clamp to be positioned on the outer side of the screw main body, then taking out the placing rod, and repeating the steps to install the other clamp at the notch position of the screw main body; at the moment, the outer end of the clamping nail is blocked by the notch, and the placing rod is reversely rotated, so that the threaded column can be separated from the threaded hole, and the use is convenient;
s2, installing and clamping rods: pressing the two clamping nails until the tail ends of the clamping nails are hidden in the screw main body, and then installing a clamping rod in the screw main body; the sum of the length dimensions of the two clamping nails is slightly smaller than the outer diameter dimension of the screw main body, when the clamping rod is installed, the outer ends of the clamping nails are not protruded out of the screw main body, and the clamping nails can be prevented from scratching human bones in the process of implanting the screw main body;
s3, implanting bones: implanting the screw body with the clamp pin and the clamping rod into the human skeleton; at the moment, the outer ends of the two staples are blocked by bones, so that the staples cannot fall off;
s4, reinforcing and fixing: the tool is used for clamping the tail part of the screw, then the clamping rod is reversely rotated, the clamping rod is separated from the screw main body, the tool is continuously used for clamping the tail part of the screw, the middle rod is installed in the screw main body, and the middle rod pushes the clamping nail to horizontally move towards two sides in the downward moving process, so that the clamping nail is clamped into the human skeleton, and the screw main body is not easy to loosen and withdraw.
By adopting the technical scheme, the screw main body is of a hollow structure, and the middle rod is arranged in the screw main body, so that the middle rod and the screw main body bear radial shearing force together, the structural strength of the screw main body can be improved, and the conditions of broken nails and broken rods are prevented; the clamping nails extending to the two sides are arranged at the lower end of the screw main body, along with the movement of the middle rod, the clamping nails horizontally move to the two sides and are clamped into human bones, the stability of fixing the pedicle screws is improved, the axial anti-extraction force of the pedicle screws is improved, the screws are not easy to loosen and withdraw, and in addition, the other places of the bones are not damaged.
Drawings
The invention can be further illustrated by means of non-limiting examples given in the accompanying drawings;
FIG. 1 is a schematic illustration of a self-locking anti-rotation pedicle screw and method of use according to an embodiment of the invention;
FIG. 2 is a schematic cross-sectional view of an embodiment of a self-locking anti-rotation pedicle screw and method of use;
FIG. 3 is an enlarged schematic view of FIG. 2A;
FIG. 4 is a schematic cross-sectional view of a screw body of an embodiment of a self-locking anti-rotation pedicle screw and method of use of the invention;
FIG. 5 is an enlarged schematic view of the structure shown at B in FIG. 4;
FIG. 6 is a schematic illustration of the structure of a self-locking anti-rotation pedicle screw and staple in an embodiment of a method of use of the screw;
FIG. 7 is a schematic illustration of a self-locking anti-rotation pedicle screw and its use in a rod and staple arrangement;
FIG. 8 is a schematic view of a self-locking anti-rotation pedicle screw and method of use of the same, illustrating the construction of a clamping rod in an embodiment of the invention;
FIG. 9 is a schematic illustration of a self-locking anti-rotation pedicle screw and method of use of the invention, in use with a clamping rod;
FIG. 10 is an enlarged schematic view of FIG. 9C;
the main reference numerals are as follows:
screw tail 1, first blind hole 11, screw main part 2, annular groove 21, second blind hole 22, middle pole 3, first boss 31, first hexagon socket 32, breach 4, staple 5, second boss 51, placement pole 6, handle 61, screw thread post 62, screw hole 620, clamping pole 7, third boss 71, third hexagon socket 72, circular recess 73.
Detailed Description
In order that those skilled in the art will better understand the present invention, the following technical scheme of the present invention will be further described with reference to the accompanying drawings and examples.
As shown in fig. 1 to 10, the self-locking anti-rotation pedicle screw comprises a screw tail 1 and a screw main body 2 which are integrally formed, wherein a U-shaped groove is formed in the upper portion of the screw tail 1, a first blind hole 11 is formed in the upper end face of the screw tail 1, first internal threads are formed in the inner wall of the first blind hole 11, first external threads are formed in the outer wall of the screw main body 2, a second blind hole 22 is formed in the bottom of the first blind hole 11 in the screw main body 2, a middle rod 3 is arranged in the second blind hole 22, the middle rod 3 is in threaded connection with the screw main body 2, the lower end of the middle rod 3 is in a conical structure with a large upper portion and a small lower portion, two notches 4 are symmetrically arranged in the lower portion of the screw main body 2 in a radial direction, the height dimension of the inner side of each notch 4 is larger than the height dimension of the outer side of each notch 4, a clamp 5 is penetrated in each notch 4, the outer end of each clamp 5 is exposed out of the outer wall of the screw main body 1, and a second boss 51 is arranged in the inner side of the upper end face of each clamp 5.
The screw main body 2 is provided with an annular groove 21 at the upper edge of the second blind hole 22, the inner wall of the annular groove 21 is provided with a second internal thread, the upper end face of the middle rod 3 is provided with a first boss 31 matched with the annular groove 21, the outer wall of the first boss 31 is provided with a second external thread matched with the second internal thread, and the upper end face of the first boss 31 is provided with a first inner hexagonal blind hole 32. By means of the structural design, the first boss 31 is installed in the annular groove 21, and on the basis that the middle rod 3 is in threaded connection with the screw main body 2 and fixed with each other, the first boss 31 is sunk into the annular groove 21, so that the use of the first internal threads on the inner wall of the first blind hole 11 is avoided.
The upper end surface of the second boss 51 gradually slopes downward from the outside to the inside. By means of the structural design, the second boss 51 is matched with the conical structure at the lower end of the middle rod 3, so that the tail end of the middle rod 3 can be clamped between the two clamping nails 5 more easily, and the use is more convenient.
The inner end of the clip 5 is arc-shaped. The design is such that a gap is formed between the two staples 5, and the end of the middle rod 3 can be more easily inserted between the two staples 5.
The pedicle screw further comprises a placement rod 6, a handle 61 is arranged at the upper end of the placement rod 6, a threaded column 62 is arranged at the lower end of the placement rod 6, and a threaded hole 620 matched with the threaded column 62 is vertically formed in the upper end face of the second boss 51. In the structural design, when the clamp 5 is used, the clamp 5 is connected through the matching of the threaded column 62 of the placing rod 6 and the threaded hole 620, the clamp 5 is placed into the notch 4 through the placing rod 6, then the placing rod 6 is reversely rotated, the placing rod 6 is taken out, and then another clamp is placed, so that the clamp is more convenient to use.
The pedicle screw further comprises a clamping rod 7, a third boss 71 matched with the annular groove 21 is arranged on the upper end face of the clamping rod 7, a third external thread matched with the second internal thread is arranged on the outer wall of the third boss 71, a third inner hexagonal blind hole 72 is arranged on the upper end face of the third boss 71, and a circular groove 73 with a longitudinal section in a trapezoid structure with a narrow upper part and a wide lower part is arranged on the lower end face of the clamping rod 7. After the clamp 5 is placed into the notch 4 through the placement rod 6, a clamping rod 7 is placed in the screw main body 2, the second boss 51 of the clamp 5 is clamped through the circular groove 73 of the clamping rod 7, then the screw main body 2 is implanted into a bone, after implantation is completed, the clamping rod 7 is removed, and the middle rod 3 is installed; by means of the structural design, the outer end of the clamping nail 5 protrudes out of the screw body 2 in the implantation process of the screw body 2, and damage to bones is avoided.
The outer side surface of the second boss 51 is arc-shaped to match the circular groove 73. By means of the structural design, the outer side face of the second boss 51 is matched with the inner wall of the circular groove 73, in the rotation process of the clamping rod 7, the contact between the second boss 51 and the clamping rod 7 is surface contact, the damage to the clamping rod 7 caused by water caltrop of the second boss 51 can be avoided, and the practicability is higher.
The first external thread is a double thread. The structural design not only can obtain faster nail feeding speed, but also has better anti-pulling force relative to single threads, and can avoid complications such as loosening and pulling out of the screw to a certain extent.
The invention also discloses a using method of the self-locking anti-rotation pedicle screw, which comprises the following steps:
s1, assembling a clamp: mounting the clamp 5 on the placement rod 6, then placing the placement rod 6 provided with the clamp 5 into the screw main body 2, operating the placement rod 6 to enable the clamp 5 to pass through the notch 4, enabling the tail end of the clamp 5 to be positioned outside the screw main body 2, then taking out the placement rod 6, and repeating the steps to mount the other clamp 6 at the notch 4 of the screw main body 2; at this time, the outer end of the clip 5 is blocked by the notch 4, and the placement rod 6 is rotated reversely, so that the threaded column 62 can be separated from the threaded hole 620, and the use is convenient;
s2, installing and clamping rods: pressing two clamping nails 5 until the tail ends of the clamping nails 5 are hidden in the screw main body 2, and then installing a clamping rod 7 in the screw main body 2; the sum of the length dimensions of the two clamping nails 5 is slightly smaller than the outer diameter dimension of the screw main body 2, when the clamping rod 7 is installed, the outer ends of the clamping nails 5 are not protruded out of the screw main body 2, and the clamping nails 5 can be prevented from scratching human bones in the process of implanting the screw main body 2;
s3, implanting bones: implanting the screw body 2 with the clamp 5 and the clamping rod 7 into the human skeleton; at the moment, the outer ends of the two clamping nails are blocked by bones, so that the clamping nails 5 are prevented from falling off;
s4, reinforcing and fixing: clamping the screw tail 1 by using a tool, then reversely rotating the clamping rod 7 to enable the clamping rod 7 to be separated from the screw main body 2, continuously clamping the screw tail 1 by using the tool, and then installing the middle rod 3 in the screw main body 2; in the process of downward movement of the middle rod 3, the clamp 5 is pushed to horizontally move to two sides, so that the clamp 5 is clamped into the human skeleton, and the screw main body 2 is not easy to loosen and withdraw.
In the embodiment, the screw main body 2 is of a hollow structure, the middle rod 3 is arranged in the screw main body 2, so that the middle rod 3 and the screw main body 2 bear radial shearing force together, the structural strength of the screw main body 2 can be improved, and the occurrence of broken nails and broken bars is prevented; the clamping nails 5 extending to two sides are arranged at the lower end of the screw main body 2, along with the movement of the middle rod 3, the clamping nails 5 horizontally move to two sides and are clamped into human bones, the stability of fixing the pedicle screws is improved, the axial anti-extraction force of the pedicle screws is improved, the screws are not easy to loosen and withdraw, and in addition, the other places of the bones cannot be injured.
The self-locking anti-rotation pedicle screw and the use method thereof provided by the invention are described in detail. The description of the specific embodiments is only intended to aid in understanding the method of the present invention and its core ideas. It should be noted that it will be apparent to those skilled in the art that various modifications and adaptations of the invention can be made without departing from the principles of the invention and these modifications and adaptations are intended to be within the scope of the invention as defined in the following claims.

Claims (6)

1. The utility model provides a pedicle of vertebral arch screw is prevented rotating by auto-lock, includes integrated into one piece's screw afterbody (1) and screw main part (2), U-shaped groove has been seted up on screw afterbody (1) upper portion, first blind hole (11) have been seted up to screw afterbody (1) up end, first blind hole (11) inner wall is equipped with first internal thread, screw main part (2) outer wall is equipped with first external screw thread, screw main part (2) are equipped with second blind hole (22) in first blind hole (11) bottom, its characterized in that: be equipped with well pole (3) in second blind hole (22), well pole (3) and screw main part (2) threaded connection, well pole (3) lower extreme is big-end-up's toper structure, screw main part (2) lower part radial symmetry is equipped with two breach (4), the inboard altitude dimension of breach (4) is greater than the altitude dimension in breach (4) outside, wear to be equipped with staple (5) in breach (4), staple (5) outer end exposes screw main part (1) outer wall, staple (5) up end inboard is equipped with second boss (51), screw main part (2) are equipped with annular groove (21) in second blind hole (22) upper portion edge, annular groove (21) inner wall is equipped with second internal thread, pedicle of vertebral arch screw is still including the card establish pole (7), card establish pole (7) up end be equipped with annular groove (21) assorted third boss (71), third boss (71) outer wall be equipped with second internal thread assorted third boss (73), be equipped with circular boss (73) on the arc-shaped side face under the third boss (73) is the circular boss of second internal thread phase-match.
2. A self-locking anti-rotation pedicle screw as claimed in claim 1, wherein: the upper end face of the middle rod (3) is provided with a first boss (31) matched with the annular groove (21), the outer wall of the first boss (31) is provided with a second external thread matched with a second internal thread, and the upper end face of the first boss (31) is provided with a first inner hexagonal blind hole (32).
3. A self-locking anti-rotation pedicle screw as claimed in claim 1, wherein: the upper end surface of the second boss (51) gradually inclines downwards from outside to inside.
4. A self-locking anti-rotation pedicle screw as claimed in claim 1, wherein: the inner end of the clamping nail (5) is arc-shaped.
5. A self-locking anti-rotation pedicle screw as claimed in claim 1, wherein: the pedicle screw further comprises a placement rod (6), a handle (61) is arranged at the upper end of the placement rod (6), a threaded column (62) is arranged at the lower end of the placement rod (6), and a threaded hole (620) matched with the threaded column (62) is vertically formed in the upper end face of the second boss (51).
6. A self-locking anti-rotation pedicle screw as claimed in claim 1, wherein: the first external thread is a double thread.
CN201810385391.1A 2018-04-26 2018-04-26 Self-locking anti-rotation pedicle screw and use method thereof Active CN108498155B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810385391.1A CN108498155B (en) 2018-04-26 2018-04-26 Self-locking anti-rotation pedicle screw and use method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810385391.1A CN108498155B (en) 2018-04-26 2018-04-26 Self-locking anti-rotation pedicle screw and use method thereof

Publications (2)

Publication Number Publication Date
CN108498155A CN108498155A (en) 2018-09-07
CN108498155B true CN108498155B (en) 2023-06-20

Family

ID=63399346

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201810385391.1A Active CN108498155B (en) 2018-04-26 2018-04-26 Self-locking anti-rotation pedicle screw and use method thereof

Country Status (1)

Country Link
CN (1) CN108498155B (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109276305B (en) * 2018-09-19 2021-11-30 陆焕彪 Orthopedic locking screw

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6476847A (en) * 1987-03-13 1989-03-22 Fuaburikashiyon De Materiel Or Backbone screw for apparatus particulaly for junction of lumber and backbone
CA2523150A1 (en) * 2003-04-23 2004-11-04 Dugal Simon Stewart James A fixation device and method of fixation
CN102133130A (en) * 2010-01-21 2011-07-27 林士斌 Rotating bone nail for orthopaedics
CN104887300A (en) * 2015-05-26 2015-09-09 王欢 Split lengthening pedicle screw
CN204744381U (en) * 2015-06-26 2015-11-11 重庆医科大学附属永川医院 Locking pedicle of vertebral arch screw that takes off
CN204951118U (en) * 2015-06-25 2016-01-13 重庆医科大学附属永川医院 Novel extensive region vertebra cantle hook and subassembly thereof
CN206539577U (en) * 2017-03-10 2017-10-03 瑞安市丰宇标准件有限公司 A kind of wear-resisting screw

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2647255Y (en) * 2003-07-17 2004-10-13 雷伟 Medical expansion type pediculus arcus vertebrac screw
CN2915048Y (en) * 2006-05-18 2007-06-27 雷伟 U-shape expansion type vertebral arch pedicle nail
US9730732B2 (en) * 2006-06-26 2017-08-15 Mi4Spine, Llc Self distracting pedicle screw distraction device
US8968367B2 (en) * 2010-01-05 2015-03-03 The Johns Hopkins University Compression-distraction spinal fixation system and kit
CN203736352U (en) * 2014-03-13 2014-07-30 毛德举 Anti-separation lumbar vertebra interbody fusion cage
CN104173097A (en) * 2014-07-21 2014-12-03 阮玉德 Intramedullary nail
CN205163222U (en) * 2015-10-09 2016-04-20 重庆医科大学附属永川医院 Y shape pedicle of vertebral arch screw
CN106580415A (en) * 2017-01-19 2017-04-26 张衣北 Low-profile bidirectional locking large-angle universal pedicle screw
CN208640864U (en) * 2018-04-26 2019-03-26 重庆医科大学附属永川医院 A kind of self-locking anti-rotation pedicle screw
CN110432964A (en) * 2019-08-30 2019-11-12 都文楠 A kind of middle section Retchet gear type pedicle screw

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6476847A (en) * 1987-03-13 1989-03-22 Fuaburikashiyon De Materiel Or Backbone screw for apparatus particulaly for junction of lumber and backbone
CA2523150A1 (en) * 2003-04-23 2004-11-04 Dugal Simon Stewart James A fixation device and method of fixation
CN102133130A (en) * 2010-01-21 2011-07-27 林士斌 Rotating bone nail for orthopaedics
CN104887300A (en) * 2015-05-26 2015-09-09 王欢 Split lengthening pedicle screw
CN204951118U (en) * 2015-06-25 2016-01-13 重庆医科大学附属永川医院 Novel extensive region vertebra cantle hook and subassembly thereof
CN204744381U (en) * 2015-06-26 2015-11-11 重庆医科大学附属永川医院 Locking pedicle of vertebral arch screw that takes off
CN206539577U (en) * 2017-03-10 2017-10-03 瑞安市丰宇标准件有限公司 A kind of wear-resisting screw

Also Published As

Publication number Publication date
CN108498155A (en) 2018-09-07

Similar Documents

Publication Publication Date Title
US9358055B2 (en) Separable pedicle screw
US5100405A (en) Locking cap for medical implants
ES2523579T3 (en) Bone fixation and manufacturing procedure
DE60032887T2 (en) BIOPSY NEEDLE
JP5931924B2 (en) Augmentable trochanteric femoral nail
US20090254129A1 (en) Bone screw system and method for the fixation of bone fractures
US20090254089A1 (en) Stabilization system and method for the fixation of bone fractures
US20050245933A1 (en) Multi coaxial screw system
CN104287819B (en) The pedicle screw assemblies that a kind of Medical flexible double thread, resistance to plucking go out
US10285745B2 (en) Orthopedic screws
CN108498155B (en) Self-locking anti-rotation pedicle screw and use method thereof
CN209966532U (en) Pressure internal fixer capable of making two ends of fracture position between femur neck and tuberosity tightly combined
CN211633533U (en) Blunt-end pedicle screw for spinal surgery
US20090287220A1 (en) Percutaneous screw extractor
CN2915048Y (en) U-shape expansion type vertebral arch pedicle nail
CN208640864U (en) A kind of self-locking anti-rotation pedicle screw
CN114176749A (en) Anti-pulling percutaneous pedicle screw
CN220001893U (en) Femoral intramedullary nail capable of preventing nail backing
CN213665654U (en) Expansion screw for setting fracture
RU182006U1 (en) Device for fixing femoral neck fractures
CN215937515U (en) Suture anchor assembly with auxiliary positioning function
CN211094606U (en) Bone fixation nail and bone fixation assembly
CN217960265U (en) Combined spicule
CN217118559U (en) Detachable screw and internal fixing device for fixing front ring of pelvic fracture
CN217118557U (en) Screw seat and pedicle screw with same

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant