CN108606827B - Elastic connecting assembly for vertebra condyle - Google Patents

Elastic connecting assembly for vertebra condyle Download PDF

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Publication number
CN108606827B
CN108606827B CN201810669760.XA CN201810669760A CN108606827B CN 108606827 B CN108606827 B CN 108606827B CN 201810669760 A CN201810669760 A CN 201810669760A CN 108606827 B CN108606827 B CN 108606827B
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China
Prior art keywords
elastic
shaped
expanding
spinal
elements
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CN201810669760.XA
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CN108606827A (en
Inventor
潘文明
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Changshu No2 People's Hospital
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Changshu No2 People's Hospital
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Priority to CN201810669760.XA priority Critical patent/CN108606827B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • 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
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B2017/681Alignment, compression, or distraction mechanisms
    • 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
    • A61B2017/7073Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with intervertebral connecting element crossing an imaginary spinal median surface

Abstract

An elastic connecting component for a spinal condyle comprises a spinal spinous process expanding device and a spinal facet joint interface filling device, wherein the spinal facet joint interface filling device comprises an upper side plate, a lower side plate, a pointed cone and an elastic body arranged between the upper side plate and the lower side plate; the spine spinous process expanding device comprises a first expanding element, a second expanding element and an elastic bandage, wherein the U-shaped connecting parts of the first expanding element and the second expanding element are oppositely arranged; the tops of the U-shaped supporting legs of the first stretching element and the second stretching element are provided with notches, and the elastic bandage is sleeved on the notches or connected with the notches. The elastic spine condyle connecting component provides elasticity and has better use effect and experience.

Description

Elastic connecting assembly for vertebra condyle
Technical Field
The invention relates to an elastic connection assembly for a spinal condyle.
Background
A significant proportion of the traditional spinal disorders are those in which the intervertebral disc is subject to pathological atrophy, which results in a reduced intervertebral space, and the nerve foramina between the intervertebral joints (i.e., the intervertebral foramina) are also relatively reduced, thereby compressing against the spinal nerve roots and causing paralysis or pain to the patient. The existing treatment modes for the problems mainly comprise the steps of implanting pedicle screws to pull open intervertebral spaces or implanting artificial intervertebral disc fillers to fill the intervertebral spaces, thereby heightening the intervertebral spaces and pulling open nerve hole spaces. As shown in fig. 1, wherein a spinal spinous process distraction device 7 is provided between the upper spinal condyle 1 and the lower spinal condyle 2 to distract the spinous processes 3, 4 of the upper spinal condyle 1 and the lower spinal condyle 2; at the same time, the facet joint filling device 6 of the vertebral body is arranged in the facet gap 5 at the left side and the right side of the upper vertebral column condyle 1 and the lower vertebral column condyle 2, and can be inserted into the facet gap between vertebral bodies of the human body. The spine spinous process opening device 7 and the vertebral facet joint interface filling device 6 can effectively realize the opening and stabilization between two adjacent vertebral body condyles, and realize the effective treatment of the spine diseases. However, on one hand, the volume of the existing spine spinous process expanding device is usually relatively large, and the spine spinous process expanding device does not have elasticity or deformability after the locking device is locked, so that the using effect on patients is poor; in addition, the opening receiving end of the expanding element and the spinous process of the spinal condyle are also easy to wear, further damage to the spinal spinous process expanding device and more serious damage to the spinous process. On the other hand, the existing vertebral facet joint interface filling device also has no deformability and has poor use effect.
Disclosure of Invention
The invention aims to provide an elastic connecting component for a vertebra condyle, which comprises a vertebra spinous process expanding device and a vertebra facet joint interface filling device, wherein the vertebra facet joint interface filling device comprises an upper side plate, a lower side plate, a pointed cone and an elastic body arranged between the upper side plate and the lower side plate; the spine spinous process expanding device comprises a first expanding element, a second expanding element and an elastic bandage, wherein the first expanding element and the second expanding element are of a U-shaped plate structure, the U-shaped plate structure comprises two isolated supporting legs and a U-shaped connecting part for connecting the two supporting legs, and the U-shaped connecting parts of the first expanding element and the second expanding element are oppositely arranged; the tops of the U-shaped supporting legs of the first stretching element and the second stretching element are provided with notches, and the elastic bandage is sleeved on the notches or connected with the notches.
Preferably, the outer side surfaces of the first spreading element and the second spreading element are respectively provided with a first groove and a second groove, the elastic bandage is provided with a first sleeve element and a second sleeve element, the first sleeve element is sleeved in the first groove of the first spreading element, the second sleeve element is sleeved in the second groove of the second spreading element, the first sleeve element and the second sleeve element are intersected, one part of the elastic bandage is provided with a through hole, and the other part of the elastic bandage is provided with a smaller width than the whole of the bandage, so that the elastic bandage passes out of the through hole.
Preferably, the U-shaped connection of the first and second distracting elements has an overlap; wherein, the two sides of the U-shaped connecting part of the second stretching element are respectively provided with a through groove, and the U-shaped supporting legs of the first stretching element respectively penetrate into the through grooves; the overlapping part is provided with a cavity, an elastic element is arranged in the cavity, and two ends of the elastic element are respectively connected with the first opening element and the second opening element; the two U-shaped support legs of the first supporting element are respectively hinged with a rigid guide plate, and the other end part of the guide plate opposite to the hinged end is provided with a guide rod; the outer side surfaces of the two U-shaped supporting legs of the second supporting element are provided with guide grooves; the guide rod can slide in the guide groove.
The elastic spine condyle connecting component provides elasticity and has better use effect and experience.
Drawings
FIG. 1 is a schematic view of a prior art spinal joint with a connection assembly mounted therebetween;
FIG. 2 is a schematic view of a facet joint interface filling device according to the present invention;
fig. 3 is a schematic view of one embodiment of a spinal spinous process distraction device in accordance with the invention;
FIG. 4 is a schematic view of the recess in the embodiment of FIG. 3;
FIG. 5 is a partial schematic view of the embodiment of FIG. 3 where the elastic bandages intersect;
fig. 6 is a schematic view of another embodiment of a spinal spinous process distraction device in accordance with the invention.
Detailed Description
The elastic spinal condyle connection assembly according to the present invention includes a spinal spinous process distraction device and a facet joint interface filling device. Referring to fig. 2, the facet joint interface filling device according to the present invention includes an upper side plate 11, a lower side plate 12, a pointed cone 13, and an elastic body 14 between the upper side plate 11 and the lower side plate 12. The upper side plate 11, the lower side plate 12 and the pointed cone 13 are preferably formed by folding and pressing a whole plate. The pointed cone 13 can facilitate insertion of the facet joint filling device. The elastic body 14 may be made of, for example, a resin material or a rubber material, and may be a cylinder or a rectangular block; the elastic body 14 is attached to the inner surfaces of the upper and lower side plates 11, 12, and may be bonded or mechanically attached, such as riveted. The outer surfaces of the superior and inferior side plates 11, 12 may be provided with protrusions that may be utilized to stably maintain the facet joint filling device in the facet joint space between the vertebral bodies of the spine. Other accessories, such as threaded bushings, etc., may also be provided with the facet joint filling device.
Referring to fig. 3 (wherein the two distracting elements are separated for ease of description of the elastic bandage, in actual use, the two distracting elements are brought together) one embodiment of a spinal spinous process distraction device of the spinal condyle connection assembly in accordance with the present invention is shown. See also figures 4 and 5. The spinous process distraction device according to the present invention includes a first distraction element 810 and a second distraction element 820, the first distraction element 810 and the second distraction element 820 being generally of a U-shaped plate structure including two spaced apart legs and a U-shaped connection connecting the two legs, i.e., between the two legs; the U-shaped connection portions (i.e., away from the U-shaped open ends) of the first and second distracting elements 810, 820 are disposed opposite each other; the outer side surfaces of the first and second distraction elements 810 and 820 have first and second grooves 813 and 814, respectively, and the tops of the U-shaped legs of the first and second distraction elements 810 and 820 also have notches 818; the spinous process distraction device according to the present invention further comprises an elastic bandage 815, the elastic bandage 815 having an overall shape of an "8" (fig. 3), the elastic bandage 815 having a first set of elements 816 and a second set of elements 817, the first set of elements 816 being nested in the first groove 813 of the first distraction element 810, the second set of elements 817 being nested in the second groove 814 of the second distraction element 820; the first 816 and second 817 sets are also received in notches 818 in the tops of the U-shaped legs of the first 810 and second 820 spreader members, respectively. The elastic bandage 815 can be integrally formed, or formed by connecting multiple sections, or formed by connecting the ends. Where the first 816 and second 817 sets intersect, one portion of the elastic bandage 815 has a through hole 819 and another portion of the elastic bandage 815 has a smaller width than the whole of the bandage so as to pass out through said through hole 819. Preferably, the elastic bandage 815 may be made of a medical grade thermoplastic resin material. In the installation of the spinous process distraction device according to the present invention, firstly, the spinous process distraction device before use is substantially in the same line due to the elastic force of the elastic bandage 815, and when the use is started, the first distraction element 810 and the second distraction element 820 are bent against the restoring force of the elastic bandage, the openings of the first distraction element 810 and the second distraction element 820 are respectively received in the spinous processes of the upper and lower spinal bone segments, and then the first distraction element 810 and the second distraction element 820 are straightened to restore them to the same line, because the spinous processes of the upper and lower spinal bone segments are respectively pressed against the elastic bandage portions at the openings of the first distraction element 810 and the second distraction element 820, and thus the elastic bandage portions at the openings are pressed into the U-shaped interior of the distraction element until the first distraction element 810 and the second distraction element 820 are restored to the same line; meanwhile, as the length of the whole elastic bandage is obviously increased due to the propping of the spinous process, the elastic force of the elastic bandage after being installed in place is also obviously increased, at the moment, the first stretching element 810 and the second stretching element 820 are difficult to bend each other, the effective stretching of the upper spinal bone section and the lower spinal bone section is realized, on the other hand, under the action of external force (such as twisting, etc.), the elastic restoring force of the elastic bandage allows the first stretching element 810 and the second stretching element 820 to bend each other, thereby providing elasticity for the use of the spinous process stretching device, and simultaneously, the first stretching element 810 and the second stretching element 820 can be restored to the same straight line after the external force of a human body disappears. The spinal spinous process distraction device according to the present invention thus provides greater flexibility in use relative to prior art devices. Meanwhile, the spine spinous process is abutted against the elastic bandage, the elastic bandage can effectively buffer the action of the spine spinous process, abrasion of the spine spinous process can be prevented, and the spine spinous process is effectively protected. Preferably, protrusions are further provided at the corresponding positions of both sides of the U-shaped connection parts of the first and second stretching members 810 and 820, respectively, the protrusions covering the aforementioned grooves 813 and 814, so that the protrusions can function to prevent the elastic bandage from jumping out of the grooves. The middle parts of the U-shaped connecting parts of the first and second propping elements 810 and 820 are also respectively provided with a concave hole and a convex key, and the cooperation of the concave holes and the convex keys can further position the first and second propping elements 810 and 820 to prevent dislocation from occurring when in use. Preferably, both the recess and the tab have an arcuate shape, so that the flexing of the first and second distracting elements 810, 820 relative to each other is not significantly limited. Protrusions are further provided at corresponding positions of two sides of the U-shaped connection portion of the first and second stretching elements 810 and 820, respectively, so that the first and second stretching elements 810 and 820 can be prevented from being bent at an excessive angle, and a large elastic bandage restoring force needs to be overcome when the protrusions are passed. More preferably, guide grooves and sliding rails are further provided on two protrusions at corresponding positions of both sides of the U-shaped connection portion of the first and second spreader members 810 and 820, respectively, the sliding rails being in the guide grooves, so that guiding of the bending process of the first and second spreader members 810 and 820 with respect to each other can also be achieved, and the first and second spreader members 810 and 820 are prevented from being twisted with each other in directions different from the aforementioned bending directions. Preferably, the projection is adjustably mounted on the distracting element such that the projection can be positioned relatively close to the foot prior to installation, and can be moved to a position close to the U-shaped connection (i.e., closer to the central axis) and locked after installation. The arrangement is beneficial to the installation of the invention, and can more effectively prevent the situation that the two expanding elements are mutually bent beyond the limit and cannot be reset under special conditions. In this embodiment, the aforementioned arrangement of mating fittings further enhances the safety of the invention in use.
Fig. 6 illustrates one embodiment of a spinal spinous process distraction device of the spinal condyle connection assembly in accordance with the present invention. The first and second spreader members 910, 920 are generally U-shaped plate structures including two spaced apart legs and a U-shaped connection connecting the two legs, i.e., between the two legs; the two U-shaped legs are parallel to each other and are substantially perpendicular to a tangent to the lowest point (or apex) of the U-shaped connection. The U-shaped connection parts (namely, far away from the U-shaped open end) of the first stretching element 910 and the second stretching element 920 are arranged opposite to each other, and the U-shaped connection parts of the first stretching element 910 and the second stretching element 920 have overlapping parts; wherein, the two sides of the U-shaped connection portion of the second stretching element 920 are respectively provided with a through slot, and the U-shaped legs of the first stretching element 910 respectively penetrate into the through slots, which results in that the first stretching element 910 and the second stretching element 920 are partially overlapped. Similarly, a through slot may be provided in the first distracting element 910. The overlap is formed with a cavity 930 in which a resilient element 940, e.g. a spring or a rubber stud with elasticity, is arranged, the ends of which are connected to the first and second spreader elements 910, 920, respectively, e.g. glued or mechanically connected (e.g. riveted). The two U-shaped legs of the first spreader element 910 are each hinged with a rigid guide plate 950 having a guide bar opposite the other end of the hinged end; the outer side surfaces of the two U-shaped legs of the second stay element 920 are provided with guide grooves in the same extending direction as the U-shaped legs; the guide bar of the guide plate can slide in the guide groove. The U-shaped board leg tops of the first and second spreader members 910, 920 have notches, the first and second spreader members 910, 920 are respectively provided with an elastic bandage 60, and both ends of the elastic bandage are respectively disposed in the notches of the two leg tops of the aforementioned U-shaped board. Preferably, the elastic bandage may be made of a medical thermoplastic resin material. When the spine spinous process expanding device in the embodiment is installed, the two expanding elements are firstly extruded to enable the spinous processes of the corresponding bone segments to enter the U-shaped opening of the expanding elements, and then the expanding elements are released to enable the expanding elements to enter a natural state. Preferably, a limiting block is further arranged in the guide groove, the position of the limiting block in the guide groove is adjustable, and the limiting block can limit the sliding range of the guide rod, so that the limiting block can protect the elastic element in the cavity and cannot be damaged due to overlarge stretching. Since an elastic element is arranged between the two distracting elements, it allows a moderate variation of the distance between two adjacent condyles and is able to cushion this variation; at the same time, the spreading device can also allow slight dislocation between two adjacent bone segments (caused by human body twisting, for example), so the spine spinous process spreading device has good flexibility. Meanwhile, the spine spinous process is abutted against the elastic bandage, the elastic bandage can effectively buffer the action of the spine spinous process, abrasion of the spine spinous process can be prevented, and the spine spinous process is effectively protected.
When the elastic spine condyle connecting component is used, the spine spinous process expanding device is firstly installed, and then the facet joint interface filling device is installed. The elastic spine condyle connecting component provides elasticity and has better use effect and experience.
The foregoing has shown and described the basic principles, principal features and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and that the above embodiments and descriptions are merely illustrative of the principles of the present invention, and various changes and modifications may be made without departing from the spirit and scope of the invention, which is defined in the appended claims. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (3)

1. An elastic connecting component for a spinal condyle comprises a spinal spinous process expanding device and a spinal facet joint interface filling device, and is characterized in that the spinal facet joint interface filling device comprises an upper side plate, a lower side plate, a pointed cone and an elastic body arranged between the upper side plate and the lower side plate; the spine spinous process expanding device comprises a first expanding element, a second expanding element and an elastic bandage, wherein the first expanding element and the second expanding element are of a U-shaped plate structure, the U-shaped plate structure comprises two isolated supporting legs and a U-shaped connecting part for connecting the two supporting legs, and the U-shaped connecting parts of the first expanding element and the second expanding element are oppositely arranged; the tops of the U-shaped support legs of the first stretching element and the second stretching element are provided with notches, and the elastic bandage is sleeved on the notches or connected with the notches;
the U-shaped connecting parts of the first expanding element and the second expanding element are provided with overlapping parts, the overlapping parts are provided with cavities, and elastic elements are arranged in the cavities; two ends of the elastic element are respectively connected with the first opening element and the second opening element;
rigid guide plates are respectively hinged on the two U-shaped support legs of the first stretching element, and the guide plates are provided with guide rods relative to the other end parts of the hinged ends; the outer side surfaces of the two U-shaped supporting legs of the second supporting element are provided with guide grooves, and the extension directions of the guide grooves and the U-shaped supporting legs are the same; the guide rod of the guide plate slides in the guide groove, a limiting block is arranged in the guide groove, the position of the limiting block in the guide groove is adjustable, and the limiting block limits the sliding range of the guide rod.
2. The elastic connection assembly for a spinal condyle of claim 1, wherein the outer side surfaces of the first distracting element and the second distracting element have a first groove and a second groove, respectively, the elastic bandage has a first set of elements and a second set of elements, the first set of elements is sleeved in the first groove of the first distracting element, the second set of elements is sleeved in the second groove of the second distracting element, a portion of the elastic bandage has a through hole where the first set of elements and the second set of elements intersect, and another portion of the elastic bandage has a smaller width than the whole of the bandage so as to pass out through the through hole.
3. The elastic connection assembly for a spinal condyle as recited in claim 1, wherein the second distracting member has a U-shaped connecting portion having a pair of through slots at both sides thereof, and the U-shaped legs of the first distracting member are respectively inserted into the through slots.
CN201810669760.XA 2018-06-26 2018-06-26 Elastic connecting assembly for vertebra condyle Active CN108606827B (en)

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CN108606827B true CN108606827B (en) 2024-03-22

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101404958A (en) * 2006-01-27 2009-04-08 华沙整形外科股份有限公司 Intervertebral implants and methods of use
KR20090118364A (en) * 2008-05-13 2009-11-18 주식회사 지에스메디칼 Inter laminal spacer
CN201591613U (en) * 2009-09-22 2010-09-29 株式会社我立得脊柱健康研究所 Vertebra inset
CN209474770U (en) * 2018-06-26 2019-10-11 潘文明 A kind of elastic connecting component for vertebral segments

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080262619A1 (en) * 2007-04-18 2008-10-23 Ray Charles D Interspinous process cushioned spacer
US8246655B2 (en) * 2009-01-09 2012-08-21 Pioneer Surgical Technology, Inc. Intervertebral implant devices and methods for insertion thereof

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101404958A (en) * 2006-01-27 2009-04-08 华沙整形外科股份有限公司 Intervertebral implants and methods of use
KR20090118364A (en) * 2008-05-13 2009-11-18 주식회사 지에스메디칼 Inter laminal spacer
CN201591613U (en) * 2009-09-22 2010-09-29 株式会社我立得脊柱健康研究所 Vertebra inset
CN209474770U (en) * 2018-06-26 2019-10-11 潘文明 A kind of elastic connecting component for vertebral segments

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