CN108542556A - Waist sacrum artificial prosthesis - Google Patents
Waist sacrum artificial prosthesis Download PDFInfo
- Publication number
- CN108542556A CN108542556A CN201810403591.5A CN201810403591A CN108542556A CN 108542556 A CN108542556 A CN 108542556A CN 201810403591 A CN201810403591 A CN 201810403591A CN 108542556 A CN108542556 A CN 108542556A
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- CN
- China
- Prior art keywords
- rumpbone
- screw
- hole
- way
- waist sacrum
- 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.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3085—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
- A61F2002/30995—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for sacro-iliac joints
Abstract
The present invention provides a kind of waist sacrum artificial prosthesis, including:Prosthese ontology;Screw way, in tubular construction, screw way is fixed on prosthese ontology screw way.Technical scheme of the present invention solves in the prior art when carrying out waist sacrum position and performing the operation, and needs the fixation that pedicle screw is carried out from the way of escape, to bring secondary injury and the problem of increase patient suffering.
Description
Technical field
The present invention relates to artificial prosthesis technical fields, in particular to a kind of waist sacrum artificial prosthesis.
Background technology
Vertebral tumor, serious splintered fracture and certain infectious diseases such as tuberculosis etc., often cause the destruction of centrum, and
May cause spinal cord, nervous lesion or occur vertebra section collapse and the angulation deformity of backbone.Neurological dysfunction or angulation deformity
Apparent person often needs row Vertebrae resection.
The appearance of artificial vertebral body is tumor of spine, tuberculosis of spine and traumatic patient provide a more reliable treatment side
Method.Current artificial vertebral body substitute is broadly divided into filled-type (bone cement), support type (titanium net) and support fixed.Due to
The difference of design, biomechanical stability are also different.And the operation of waist sacrum part needs more preferable there are operating difficulty is big
The requirements such as structural stability.Especially when needing to carry out anterior approach, often still need the pedicle of vertebral arch of the cooperation way of escape
Screw is fixed, and brings secondary injury and the pain of patient, surgery cost that can also increase more.
Invention content
The main purpose of the present invention is to provide a kind of waist sacrum artificial prosthesis, to solve carrying out waist sacrum position in the prior art
When setting operation, the fixation that pedicle screw is carried out from the way of escape is needed, to bring secondary injury and the problem of increase patient suffering.
To achieve the goals above, the present invention provides a kind of waist sacrum artificial prosthesis, including:Prosthese ontology;Screw way, screw way
In tubular construction, screw way is fixed on prosthese ontology.
Further, prosthese ontology includes spinal prosthesis, and screw way includes pedicle screw trajectory, and pedicle screw trajectory is fixed at
On spinal prosthesis.
Further, pedicle screw trajectory is two, has predetermined angle between two pedicle screw trajectories.
Further, first through hole is provided on spinal prosthesis, pedicle screw trajectory is threaded through in first through hole, and vertebral arch
Root screw way is fixed in first through hole.
Further, spinal prosthesis includes upper soleplate layer and lower soleplate layer, and upper soleplate layer coordinates with adjacent vertebra, lower end
Plate layer coordinates with rumpbone, wherein is provided with porous structure on the surface of soleplate layer above and/or under the surface of upper soleplate layer.
Further, bone grafting hole is provided on spinal prosthesis, bone grafting hole penetrates through spinal prosthesis along the vertical direction.
Further, prosthese ontology further includes the preceding road plate of rumpbone, and one end of the preceding road plate of rumpbone is connected to the side of spinal prosthesis
On wall, the other end of the preceding road plate of rumpbone extends along lower section.
Further, screw way further includes the rumpbone screw way being fixed on the preceding road plate of rumpbone.
Further, rumpbone screw way is two, has predetermined angle between two rumpbone screw ways.
Further, it is provided with the second through-hole on the preceding road plate of rumpbone, rumpbone screw way is threaded through in the second through-hole, and rumpbone
Screw way is fixed in the second through-hole.
Apply the technical scheme of the present invention, by prosthese ontology be fixedly installed tubulose screw way so that into
When row operation, screw can penetrate the roads Bing Congqian out of screw way and carry out playing screw operation, from without performing the operation again from the way of escape,
Reduce the pain of patient.Therefore technical scheme of the present invention solves in the prior art when carrying out waist sacrum position and performing the operation, and needs
The fixation that pedicle screw is carried out from the way of escape, to bring secondary injury and the problem of increase patient suffering.
Description of the drawings
The accompanying drawings which form a part of this application are used to provide further understanding of the present invention, and of the invention shows
Meaning property embodiment and its explanation are not constituted improper limitations of the present invention for explaining the present invention.In the accompanying drawings:
Fig. 1 shows the structural schematic diagram of the embodiment of waist sacrum artificial prosthesis according to the present invention;
Fig. 2 shows the structural schematic diagrams at another visual angle of waist sacrum artificial prosthesis in Fig. 1;And
Fig. 3 shows the structural schematic diagram of the porous structure of waist sacrum artificial prosthesis in Fig. 1.
Wherein, above-mentioned attached drawing includes the following drawings label:
10, prosthese ontology;11, spinal prosthesis;111, first through hole;112, upper soleplate layer;113, lower soleplate layer;114, it plants
Bone hole;12, the preceding road plate of rumpbone;121, the second through-hole;20, screw way;21, pedicle screw trajectory;22, rumpbone screw way;30, porous knot
Structure.
Specific implementation mode
It should be noted that in the absence of conflict, the features in the embodiments and the embodiments of the present application can phase
Mutually combination.The present invention will be described in detail below with reference to the accompanying drawings and embodiments.
Below in conjunction with the attached drawing in the embodiment of the present application, technical solutions in the embodiments of the present application carries out clear, complete
Site preparation describes, it is clear that described embodiments are only a part of embodiments of the present application, instead of all the embodiments.Below
Description only actually at least one exemplary embodiment is illustrative, is never used as to the application and its application or makes
Any restrictions.Based on the embodiment in the application, those of ordinary skill in the art are not making creative work premise
Lower obtained every other embodiment, shall fall in the protection scope of this application.
It should be noted that term used herein above is merely to describe specific implementation mode, and be not intended to restricted root
According to the illustrative embodiments of the application.As used herein, unless the context clearly indicates otherwise, otherwise singulative
It is also intended to include plural form, additionally, it should be understood that, when in the present specification using term "comprising" and/or " packet
Include " when, indicate existing characteristics, step, operation, device, component and/or combination thereof.
Vertebral tumor, serious splintered fracture and certain infectious diseases such as tuberculosis etc., often cause the destruction of centrum, and
May cause spinal cord, nervous lesion or occur vertebra section collapse and the angulation deformity of backbone.Neurological dysfunction or angulation deformity
Apparent person often needs row Vertebrae resection.
The appearance of artificial vertebral body is tumor of spine, tuberculosis of spine and traumatic patient provide a more reliable treatment side
Method.Current artificial vertebral body substitute is broadly divided into filled-type (bone cement), support type (titanium net) and support fixed.Due to
The difference of design, biomechanical stability are also different.Wherein, support type (titanium net) fixed form use scope is done mostly most
Extensively;Titanium net is positioned over removed centrum position, plays a supportive role, and steel plate screw fixing system is used for removed centrum is adjacent
Two centrums up and down be fixedly connected.It is separated from each other between titanium net and steel plate screw fixing system in this fixed form, titanium
Net only leans on the centrum at its both ends to clamp, thus fixes loosely, easy run-off the straight, or even falls off.And due to anthropotomical special
Property, the specification of conventional centrum prosthese is required very much, titanium net needs to cut temporarily in art, and the centrum of standard needs to be equipped with more
Kind specifications and models, bring cumbersome and stock amount the increase of surgical procedure.
And the operation of waist sacrum part needs the requirements such as better structural stability there are operating difficulty is big.Especially work as hair
When life needs to carry out anterior approach, the pedicle screw for often still needing the cooperation way of escape is fixed, and secondary injury and patient are brought
Pain, surgery cost can also increase more.In order to solve the problem above-mentioned, this application provides a kind of waist sacrum artificial prosthesis,
Concrete structure is as follows:
As depicted in figs. 1 and 2, the waist sacrum artificial prosthesis of the present embodiment includes prosthese ontology 10 and screw way 20.Wherein, screw way
20 in tubular construction, and screw way 20 is fixed on prosthese ontology 10.
Using the technical solution of the present embodiment, by the way that the screw way 20 of tubulose is fixedly installed on prosthese ontology 10, and then make
It obtains when being performed the operation, screw can penetrate the roads Bing Congqian out of screw way 20 and carry out playing screw operation, from without again from the way of escape
It performs the operation, reduces the pain of patient.Therefore the technical solution of the present embodiment solves is carrying out waist sacrum position in the prior art
When operation, the fixation that pedicle screw is carried out from the way of escape is needed, to bring secondary injury and the problem of increase patient suffering.
As depicted in figs. 1 and 2, in the technical solution of the present embodiment, prosthese ontology 10 includes spinal prosthesis 11, screw way 20
Including pedicle screw trajectory 21, pedicle screw trajectory 21 is fixed on spinal prosthesis 11.Specifically, spinal prosthesis 11 is for replacing
The removed vertebra of lesion.Pedicle screw trajectory 21 is cylindrical, and the screw for fixed pedicle of vertebral arch positions.Due to
Provided with pedicle screw trajectory 21 so that screw can be operated from preceding road, to reduce the pain of patient.
As depicted in figs. 1 and 2, in the technical solution of the present embodiment, pedicle screw trajectory 21 is two, two pedicle nails
There is predetermined angle between road 21.Specifically, the rear end of two pedicle screw trajectories 21 is arranged in a crossed manner.
As depicted in figs. 1 and 2, in the technical solution of the present embodiment, first through hole 111 is provided on spinal prosthesis 11,
Pedicle screw trajectory 21 is threaded through in first through hole 111, and pedicle screw trajectory 21 is fixed in first through hole 111.Specifically
Ground, first through hole transversely passes through the side of spinal prosthesis 11, and first through hole 111 is two.Before two first through hole 111
It being mutually isolated between side, rear side interconnects, so that after two pedicle screw trajectories 21 are inserted into two first through hole,
The rear side of two pedicle screw trajectories 21 is arranged in a crossed manner.Preferably, pedicle screw trajectory 21 can be by being integrally formed or being bonded
Mode is fixed in first through hole 111.
As shown in Figure 1 to Figure 3, in the technical solution of the present embodiment, spinal prosthesis 11 includes upper soleplate layer 112 and lower end
Plate layer 113, upper soleplate layer 112 coordinate with adjacent vertebra, and lower soleplate layer 113 coordinates with rumpbone.Wherein, upper soleplate layer 112
Porous structure 30 is provided with above and/or under surface on the surface of soleplate layer 113.Specifically, the plate of the upper surface of spinal prosthesis 11
Body is upper soleplate layer 112.The plate body of the lower surface of spinal prosthesis 11 is lower soleplate layer 113.In this implementation, upper soleplate layer
112 and lower soleplate layer 113 on be both provided with porous structure 30, porous structure can make after operation between bone and prosthese preferably
Fusion.
As shown in Fig. 2, in the technical solution of the present embodiment, bone grafting hole 114, bone grafting hole are provided on spinal prosthesis 11
114 penetrate through spinal prosthesis 11 along the vertical direction.Specifically, bone grafting hole 114 operates convenient for subsequent bone grafting.
As shown in Figure 1 to Figure 3, in the technical solution of the present embodiment, prosthese ontology 10 further includes the preceding road plate 12 of rumpbone, sacrum
One end of the roads Gu Qian plate 12 is connected on the side wall of spinal prosthesis 11, and the other end of the preceding road plate of rumpbone 12 extends along lower section.Rumpbone
Preceding road plate 12 matches to merge with rumpbone plays the role of that spinal prosthesis 11 is fixed.Wherein, the preceding road plate 12 of rumpbone is in bending
Platy structure.Specifically, on the side wall for the downside that the upper end of the preceding road plate of rumpbone 12 is connected to spinal prosthesis 11, the preceding road plate of rumpbone
12 middle part bends towards the outside of spinal prosthesis 11 and protrudes, and the lower section of lower end towards the spinal prosthesis 11 of the preceding road plate of rumpbone 12 is prolonged
It stretches.
As depicted in figs. 1 and 2, in the technical solution of the present embodiment, screw way 20 further includes being fixed at the preceding road of rumpbone
Rumpbone screw way 22 on plate 12.Specifically, rumpbone screw way 22 is for positioning sacral screw.Rumpbone screw way 22 is equally in pipe
Shape structure, sacral screw are being squeezed into after can penetrating rumpbone screw way 22 to rumpbone.
As depicted in figs. 1 and 2, in the technical solution of the present embodiment, rumpbone screw way 22 is two, two rumpbone screw ways 22
Between have predetermined angle.Specifically, the rear end of two rumpbone screw ways 22 is arranged in a crossed manner.
As depicted in figs. 1 and 2, in the technical solution of the present embodiment, the second through-hole is provided on the preceding road plate of rumpbone 12
121, rumpbone screw way 22 is threaded through in the second through-hole 121, and rumpbone screw way 22 is fixed in the second through-hole 121.Specifically
Ground, the second through-hole 121 is two, and the center line of two the second through-holes 121 is obliquely installed, and then ensures two sacroiliac screws
After road 22 is threaded through in the second through-hole 121, the rear end of two rumpbone screw ways 22 is arranged in a crossed manner.Further, due to the preceding road of rumpbone
The thinner thickness of plate 12, therefore abutment sleeve is provided at the position of the second through-hole 121, and then ensure that rumpbone screw way 22 can
It is fixed on obliquity.
According to above structure, the waist sacrum artificial prosthesis of the application has the characteristics that:
The application provides a kind of waist designed by CT data customizations to overcome above the shortcomings of the prior art
Sacrum merges prosthese, this Lumbosacral fusion prosthese can be realized in the case where ensureing centrum stability, realizes anatomical data and structure
Variation, and can with cross CT data preoperative planning, Dan Qianlu realize posterior Pedicle screw fixation to realize higher
Procedure efficiency.This Lumbosacral fusion prosthese is manufactured using 3D printing technique, and the porous structure of class bone trabecula can be preferably real
Existing postoperative bone fusion effect.
The application is realized by the following technical solution:One sacrum artificial prosthesis, by upper soleplate layer 112, lower soleplate layer 113,
Spinal prosthesis 11, the preceding road plate 12 of rumpbone, pedicle screw trajectory 21 and rumpbone screw way 22 are constituted;Upper soleplate layer 112 and lower soleplate layer 113
Dissection surface structure design is all used, can realize and be exactly matched with the bone interface of lumbar vertebrae and rumpbone.Upper soleplate layer 112 and prosthese
Top adjacent segment lumbar vertebra connection, lower soleplate layer 113 are connect with the rumpbone of adjacent segment below prosthese, upper and lower soleplate layer
There are many angle and diameter designs, and synosteosis face is designed using anatomic form.Upper soleplate, lower soleplate and adjacent spinal centrum
The faying face of segment uses the porous structure of class bone trabecula and is covered with pyramidal projections, increases initial stage fixed stability, bone at a specified future date
Reach long-term fixation after growing into.For spinal prosthesis 11 using the porous structure of outer category bone trabecula, inside uses entity reinforcing rib knot
Structure designs, and can form the Integrated implant of porous structure and provide good axial compression stiffness.Spinal prosthesis 11 and pedicle of vertebral arch
Screw way 21 is processed using being integrally formed, and the preceding road plate of spinal prosthesis 11 and rumpbone 12 is connected directly, rumpbone screw way 22 and the preceding road of rumpbone
Plate 12 is integrally formed, and not only can guarantee good accuracy, but also can provide better stability.There are plants among Lumbosacral fusion prosthese
Bone hole 114 can carry out bone grafting fusion, realize preferably stability at a specified future date.
The waist sacrum artificial prosthesis of the application can design four nail hole, squeeze into pedicle screw from the front to the back, fix respectively
1 bilateral pedicle of vertebral arch of 5 bilateral pedicle of vertebral arch of waist and sacrum once can be completed to fix in preceding road, the way of escape is avoided to make notch implantation pedicle of vertebral arch again
Nail is fixed.
The structural scheme of mechanism of the application Lumbosacral fusion prosthese is shown in Fig. 1 and Fig. 2.The Lumbosacral fusion prosthese is by seven parts
Composition, upper soleplate layer 112, spinal prosthesis 11, lower soleplate layer 113, the preceding road plate 12 of rumpbone, pedicle screw trajectory 21,114 He of bone grafting hole
22 three parts of rumpbone screw way form;And upper and lower soleplate layer can adjust the anatomic form of different human body by CT data scannings
And size, to adapt to different anatomic physiological data, and realize the Using prosthesis of small wound and small notch.Upper soleplate layer 112, lower end
Plate layer 113 and the faying face of adjacent vertebral use the porous structure of class bone trabecula and are covered with pyramidal projections, and it is fixed to increase initial stage
Stability reaches long-term fixation after Bone Ingrowth at a specified future date.11 part of spinal prosthesis uses external trabecular bone structure, inside to use entity
Reinforcing rib structure designs, and can form the perforation porous structure of Integrated implant and provide axial compression stiffness.Spinal prosthesis 11
With pedicle screw trajectory 21 using being integrally formed, screw way is by corresponding with the anatomical position of CT scan data and structure, Ji Nengbao
The case where demonstrate,proving good stability, and can provide the channel of accurately pedicle screw, reducing injured nerve in art occurs.Rumpbone
Preceding road plate 12 is connected with spinal prosthesis 11, and its structure and moulding meet the physiology anatomical position of CT scan data, in preceding road plate
Anatomical requirements are complied fully with rumpbone binding face.The preceding road plate 12 of rumpbone screw way 22 and rumpbone is integrally formed, the direction of screw way and
Position is determined by the anatomical position of CT scan data completely, it is ensured that accuracy of the sacral screw into nail position.Waist sacrum
There are bone grafting holes 114 among fusion prosthese, can carry out bone grafting fusion, realize preferably stability at a specified future date.Further, in sacrum
The roads Gu Qian plate 12 is provided with location hole, and location hole is used to coordinate with the locating pin stamped in operation temporarily.Locating pin is in bone
After interface posts, Lumbosacral fusion prosthese is fixed temporarily, it is ensured that when pedicle screw trajectory 21 and rumpbone screw way 22 are into nail
Stability and veracity.
In actually coordinating, upper and lower soleplate layer is fitted closely the Lumbosacral fusion prosthese of the application with lumbar vertebrae and rumpbone,
It ensure that stability of strutting system of enough early periods to backbone.The preceding road plate 12 of rumpbone and the leading edge of rumpbone are coordinated, and by fixed
Position nail is fixed.Ensure the stability of prosthese and the accuracy of pedicle screw trajectory 21 and rumpbone screw way 22.
The Lumbosacral fusion prosthese of the application, which can be realized from anterior lumbar, beats pedicle screw and sacral screw, can also realize logical
The fixation for crossing pedicle screw retains the stability of prosthese and the mobility of backbone adjacent segment, to realize with steady
Fixed initial fixed and preservation spinal to greatest extent mobility;And the regression for reducing adjacent segment occurs.
The waist sacrum artificial prosthesis of the application in the course of surgery can be with matching used positioning guide plate, and guide plate is with spinal vertebral
Positioning datum is done on leading edge surface and bottom edge surface, is by fixing glue resting guide position, then with the osteotomy line of guide plate
Benchmark precisely cuts off the centrum of lesion.It is solid on the preceding road plate 12 of rumpbone that its fixing glue nail hole has corresponded to Lumbosacral fusion prosthese
Nail hole is determined, to ensure the precision of mutual corresponding position.
Fig. 3 shows fusion face surface and the outer profile of center pillar of the upper and lower soleplate layer of the application Lumbosacral fusion prosthese
Face is equipped with the microcellular structure grown into convenient for osteocyte, which is a kind of interconnected multidirectional micro hole structure, hole
A diameter of 800 μm, which, which is conducive to osteocyte, creeps and grows into, and postoperative elasticity artificial vertebral body faying face will be sent out with physiology bone structure
Raw bone fusion is to reach steady in a long-term.
The application Lumbosacral fusion prosthese, is made of medical metal, and the medical metal includes but is not limited to titanium and titanium
Alloy, cobalt alloy, stainless steel and tantalum metal, magnesium alloy, this metalloid material have in ISO-5830 series international standards
Regulation, the practice that biocompatibility has obtained both at home and abroad the application of orthopaedics implantation for many years confirm.
According to the Lumbosacral fusion prosthese of the application, have the advantages that:It dimensionally can be by according to different CT
Scan data forms the Lumbosacral fusion prosthese of more anatomic dimensions, ensures that surrounding tissue keeps original location status, Lumbosacral fusion false
The fusion face of body with close on centrum physiological joint face good agreement.It will be chimeric with surrounding physiological bone structure after Using prosthesis human body
And bone fusion is formed to reach steady in a long-term.Adjacent segment lumbar vertebra connect above upper soleplate layer and prosthese, lower soleplate layer and
The rumpbone connection of adjacent segment below prosthese, there are many angle and diameter designs for upper and lower soleplate layer, and synosteosis face is using solution
Form Design is cutd open, upper soleplate, lower soleplate use the porous structure and cloth of class bone trabecula with the faying face of adjacent spinal centrum segment
Full pyramidal projections increase initial stage fixed stability, reach long-term fixation after Bone Ingrowth at a specified future date.Main body uses outer category bone trabecula
Porous structure, inside designed using entity reinforcing rib structure, can form the Integrated implant and the good axis of offer of porous structure
To compression stiffness;Main body is connected directly using processing, main body is integrally formed with the preceding road plate of rumpbone with pedicle screw trajectory, sacroiliac screws
Road and the preceding road version of rumpbone are integrally formed, and not only can guarantee good accuracy, but also can provide better stability.Lumbosacral fusion prosthese
There are bone grafting holes for centre, can carry out bone grafting fusion, realize preferably stability at a specified future date.
Unless specifically stated otherwise, positioned opposite, the digital table of the component and step that otherwise illustrate in these embodiments
Up to the unlimited scope of the present application processed of formula and numerical value.Simultaneously, it should be appreciated that for ease of description, attached each portion shown in the drawings
The size divided not is to be drawn according to actual proportionate relationship.For technology, side known to person of ordinary skill in the relevant
Method and equipment may be not discussed in detail, but in the appropriate case, and the technology, method and apparatus should be considered as authorizing explanation
A part for book.In shown here and discussion all examples, any occurrence should be construed as merely illustrative, and
Not by way of limitation.Therefore, the other examples of exemplary embodiment can have different values.It should be noted that:Similar label
Similar terms are indicated in following attached drawing with letter, therefore, once it is defined in a certain Xiang Yi attached drawing, then subsequent attached
It need not be further discussed in figure.
In the description of the present application, it is to be understood that the noun of locality such as " front, rear, top, and bottom, left and right ", " laterally, vertical,
Vertically, the orientation or positional relationship indicated by level " and " top, bottom " etc. is normally based on orientation or position shown in the drawings and closes
System is merely for convenience of description the application and simplifies to describe, and in the absence of explanation to the contrary, these nouns of locality do not indicate that
Signified device or element must have a particular orientation or with specific azimuth configuration and operations with hint, therefore cannot manage
Solution is the limitation to the application protection domain;The noun of locality " inside and outside " refers to inside and outside the profile relative to each component itself.
For ease of description, herein can with use space relative terms, as " ... on ", " in ... top ",
" ... upper surface ", " above " etc., for describing such as a device shown in the figure or feature and other devices or spy
The spatial relation of sign.It should be understood that spatially relative term is intended to comprising the orientation in addition to device described in figure
Except different direction in use or operation.For example, if the device in attached drawing is squeezed, it is described as " in other devices
It will be positioned as " under other devices or construction after part or construction top " or the device of " on other devices or construction "
Side " or " under other devices or construction ".Thus, exemplary term " ... top " may include " ... top " and
" in ... lower section " two kinds of orientation.The device can also other different modes positioning (be rotated by 90 ° or be in other orientation), and
And respective explanations are made to the opposite description in space used herein above.
Furthermore, it is necessary to which explanation, limits parts, it is only for be convenient for using the words such as " first ", " second "
Corresponding parts are distinguished, do not have Stated otherwise such as, there is no particular meanings for above-mentioned word, therefore should not be understood as to this
Apply for the limitation of protection domain.
The foregoing is only a preferred embodiment of the present invention, is not intended to restrict the invention, for the skill of this field
For art personnel, the invention may be variously modified and varied.All within the spirits and principles of the present invention, any made by repair
Change, equivalent replacement, improvement etc., should all be included in the protection scope of the present invention.
Claims (10)
1. a kind of waist sacrum artificial prosthesis, which is characterized in that including:
Prosthese ontology (10);
Screw way (20), in tubular construction, the screw way (20) is fixed on the prosthese ontology (10) screw way (20).
2. waist sacrum artificial prosthesis according to claim 1, which is characterized in that the prosthese ontology (10) includes spinal prosthesis
(11), the screw way (20) includes pedicle screw trajectory (21), and the pedicle screw trajectory (21) is fixed at the spinal prosthesis
(11) on.
3. waist sacrum artificial prosthesis according to claim 2, which is characterized in that the pedicle screw trajectory (21) be two, two
There is predetermined angle between a pedicle screw trajectory (21).
4. waist sacrum artificial prosthesis according to claim 2 or 3, which is characterized in that be provided on the spinal prosthesis (11)
First through hole (111), the pedicle screw trajectory (21) is threaded through in the first through hole (111), and the pedicle screw trajectory
(21) it is fixed in the first through hole (111).
5. waist sacrum artificial prosthesis according to claim 2, which is characterized in that the spinal prosthesis (11) includes upper soleplate layer
(112) coordinate with adjacent vertebra with lower soleplate layer (113), the upper soleplate layer (112), the lower soleplate layer (113) and sacrum
Bone coordinates, wherein is provided on the surface of the upper soleplate layer (112) and/or on the surface of the lower soleplate layer (113) porous
Structure (30).
6. waist sacrum artificial prosthesis according to claim 2, which is characterized in that be provided with bone grafting on the spinal prosthesis (11)
Hole (114), the bone grafting hole (114) penetrate through the spinal prosthesis (11) along the vertical direction.
7. waist sacrum artificial prosthesis according to claim 2, which is characterized in that before the prosthese ontology (10) further includes rumpbone
One end of road plate (12), the preceding road plate (12) of rumpbone is connected on the side wall of the spinal prosthesis (11), the preceding road of rumpbone
The other end of plate (12) extends along lower section.
8. waist sacrum artificial prosthesis according to claim 7, which is characterized in that the screw way (20) further includes being fixed at
Rumpbone screw way (22) on the preceding road plate (12) of rumpbone.
9. waist sacrum artificial prosthesis according to claim 8, which is characterized in that the rumpbone screw way (22) is two, two
There is predetermined angle between the rumpbone screw way (22).
10. waist sacrum artificial prosthesis according to claim 7 or 8, which is characterized in that be arranged on the preceding road plate (12) of rumpbone
There is the second through-hole (121), the rumpbone screw way (22) is threaded through in second through-hole (121), and the rumpbone screw way
(22) it is fixed in second through-hole (121).
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