CN108635034A - A kind of structure for anterior cervical decompression - Google Patents
A kind of structure for anterior cervical decompression Download PDFInfo
- Publication number
- CN108635034A CN108635034A CN201810806424.5A CN201810806424A CN108635034A CN 108635034 A CN108635034 A CN 108635034A CN 201810806424 A CN201810806424 A CN 201810806424A CN 108635034 A CN108635034 A CN 108635034A
- Authority
- CN
- China
- Prior art keywords
- support column
- filling slot
- anterior cervical
- fastening
- mounting hole
- 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B2017/7073—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with intervertebral connecting element crossing an imaginary spinal median surface
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a kind of structures for anterior cervical decompression, including support column and fixation kit.Fixation kit includes that two fastenings are followed closely.Upper and lower two positioning region of support column is fixed with adjacent centrum respectively, plays the role of bone plate, so without using bone plate.Support column is in the column structure to match with the curvature of cervical vertebra, that is, is protruded to the direction for implementing operation, neither influences the existing curvature of cervical vertebra in this way, and can conveniently tighten fastening nail.The both ends of support column all have the positioning region that can be embedded in adjacent vertebral, that is, the cross sectional dimensions of support column is less than upper and lower two centrum, and other organs such as tracheae, oesophagus that will not thus rub outside centrum reduce postoperative complications.Support column is fixed by fastening nail with upper hypocentrum, fixed, and only needs two fastening nails, saves surgery cost.
Description
Technical field
The present invention relates to treatment of cervical spondylopathy field more particularly to a kind of structures for anterior cervical decompression.
Background technology
The patient of Cervical Disk Herniation, cervical vertebra bursting fracture often oppresses spinal cord and nerve with diseased region, can lead
Compressing position sensorimotor function obstacle below is caused, its treatment means are often taken with the operation of anterior cervical decompression.Now
The decompression operation for carrying out anterior cervical vertebrae mostly uses greatly after taking out the interverbebral disc of lesion, fills broken bone and places titanium cage, then peripheral
The neighbouring centrum of plate fixation pathological interspinal disk, other devices such as tracheae, oesophagus and bone plate may rub are set
Official, and bone plate and titanium cage are not fixed, it is two interpyramidal extruding up and down that titanium cage, which fixes rely on, and there are dislocation wind
Danger increases risk and the financial burden of patient once dislocation needs to carry out second operation.
Invention content
Technical problem to be solved by the invention is to provide a kind of without bone plate and fixed is used for anterior cervical vertebrae
The structure of decompression.
In order to solve the above technical problems, the technical solution used in the present invention is：
A kind of structure for anterior cervical decompression, it is characterised in that：Including support column and fixation kit；Support column is in
The column structure to match with the curvature of cervical vertebra offers the filling slot being recessed inwardly on the side of the support column, described to fill out
Cross central line symmetrical above and below setting of the slot about support column is filled, the both ends of the support column, which all have, can be embedded in adjacent vertebral
Interior positioning region offers mounting hole on the positioning region, and the mounting hole is to be threaded the through-hole of structure, and one end is opened
Mouthful it is located in filling slot, and towards outside filling slot；Fixation kit includes being followed closely with the fastening of mounting hole screw-thread fit, the fastening
Nail fixes corresponding positioning region and adjacent centrum.
Further it is technically characterized in that：The cross section of the support column is circle.
Further it is technically characterized in that：The cross-sectional diameter of the support column is 6~15mm, the height of the support column
For 20~50mm.
Further it is technically characterized in that：The groove depth of the filling slot is 2~3mm.
Further it is technically characterized in that：The cross section of the filling slot is arc-shaped groove.
Further it is technically characterized in that：The mounting hole has 30~60 ° of angle β with vertical direction.
Further it is technically characterized in that：The fixed hole position is equipped with groove in one end of filling slot, the fastening nail
The head of a nail is located in groove.
It is using advantageous effect caused by above-mentioned technical proposal：
Upper and lower two positioning region of support column is fixed with adjacent centrum respectively, plays the role of bone plate, so not having to
Use bone plate.
Support column protrudes, in this way in the column structure that the curvature with cervical vertebra matches, that is, to the direction for implementing operation
The existing curvature of cervical vertebra is neither influenced, and can conveniently tighten fastening nail.The both ends of support column, which all have, can be embedded in adjacent vertebra
Internal positioning region, that is, the cross sectional dimensions of support column are less than upper and lower two centrum, the gas that will not thus rub outside centrum
Other organs such as pipe, oesophagus, reduce postoperative complications.
Support column is fixed by fastening nail with upper hypocentrum, fixed, and only needs two fastening nails, saves Operation Fee
With.
Description of the drawings
The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
Fig. 1 is the sectional view schematic diagram of the present invention；
Fig. 2 is that the present invention fixes schematic diagram with centrum；
Fig. 3 is the axonometric drawing of the support column in the present invention.
Specific implementation mode
With reference to the attached drawing in the embodiment of the present invention, technical solution in the embodiment of the present invention carries out clear, complete
Ground describes, it is clear that described embodiment is only a part of the embodiment of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, the every other implementation that those skilled in the art are obtained without making creative work
Example, shall fall within the protection scope of the present invention.
Many details are elaborated in the following description to facilitate a thorough understanding of the present invention, still the present invention can be with
Implemented different from other manner described here using other, those skilled in the art can be without prejudice to intension of the present invention
In the case of do similar popularization, therefore the present invention is not limited by following public specific embodiment.
As shown in Figures 1 to 3, a kind of structure for anterior cervical decompression, including support column 1 and fixation kit.Support column
1, in the column structure that the curvature with cervical vertebra matches, according to medical knowledge, 1 entirety of support column is in 5~10 ° of arc, described
The filling slot 11 being recessed inwardly is offered on the side of support column 1, on cross central line of the filling slot 11 about support column 1
Lower to be symmetrical arranged, the both ends of the support column 1 all have the positioning region 13 that can be embedded in adjacent vertebral 3, the positioning region 13
On offer mounting hole 12, the mounting hole 12 is to be threaded the through-hole of structure, and one end opening is located in filling slot 11,
And towards outside filling slot 11.Fixation kit includes that will be corresponded to the fastening of 12 screw-thread fit of mounting hole nail 21, the fastening nail 21
Positioning region 13 fixed with adjacent centrum 3.
Steps are as follows for use of this structure in anterior cervical decompression fusion：
The first step takes out pathological interspinal disk and other broken bones；
Second step, in two adjacent vertebrals 3 up and down of pathological interspinal disk according to 1 shape of support column process respectively one it is recessed
Slot；
Third walks, and the top of upper and lower two positioning region 13 of support column 1 is respectively implanted in the groove of upper and lower two centrums 3；
4th step is followed closely 21 with two fastenings and is respectively put into two mounting holes 12 up and down of support column 1, by tightening fastening
Nail 21 links together upper and lower two positioning region 13 of support column 1 with adjacent centrum 3 respectively.
Preferably, the cross section of support column 1 is round, this easy processing simple in structure, and is also reduced in disease in performing the operation
Become the difficulty that the groove of support column 1 is placed in processing in two adjacent vertebrals 3 up and down of interverbebral disc.Further, according to medical practice,
The cross-sectional diameter of support column 1 is 6~15mm, and the height of the support column 1 is 20~50mm, this can meet the overwhelming majority
Patient uses.
Preferably, the groove depth of filling slot 11 is 2~3mm, and the head of a nail that fastening is followed closely can be made not leak out filling slot 11 in this way.
In order to ensure that the support strength of support column 1, the thickness range that support column 1 corresponds to 11 bottom of filling slot are 4~12mm.
Preferably, the cross section of filling slot 11 is arc-shaped groove, this shape can meet broken bone filling space and
The influence to 1 intensity of support column can be reduced.
Preferably, mounting hole 12 has 30~60 ° of angle β with vertical direction, can extend mounting hole 12 and vertebra in this way
The reach of body 3 keeps fixation more firm, and this angle is also convenient for the use of installation tool when installation.
Preferably, mounting hole 12 be located at filling slot 11 one end be equipped with groove, it is described fastening nail 21 the head of a nail be located at groove
Interior, the head of a nail of fastening nail 21 in this way will not spill influence and fill broken bone, will not more leak out support column 1 and rub other organs, and
It can prevent fastening nail 21 from loosening after broken bone uptake, keep this structure more firm.
It the above is only presently preferred embodiments of the present invention, anyone content according to the present invention makes the present invention a little
Simple modification, deformation and equivalent replacement each fall within protection scope of the present invention.
Claims (7)
1. a kind of structure for anterior cervical decompression, it is characterised in that：Including support column (1) and fixation kit；
Support column (1) offers inwardly in the column structure that the curvature with cervical vertebra matches on the side of the support column (1)
The filling slot (11) of recess, cross central line symmetrical above and below setting of the filling slot (11) about support column (1), the support
The both ends of column (1) all have the positioning region (13) that can be embedded in adjacent vertebral (3), and fixation is offered on the positioning region (13)
Hole (12), the mounting hole (12) are to be threaded the through-hole of structure, and one end opening is located in filling slot (11), and direction
Filling slot (11) is outside；
Fixation kit includes following closely (21) with the fastening of mounting hole (12) screw-thread fit, and the fastening follows closely (21) by corresponding positioning
Portion (13) is fixed with adjacent centrum (3).
2. a kind of structure for anterior cervical decompression according to claim 1, it is characterised in that：The support column (1)
Cross section is circle.
3. a kind of structure for anterior cervical decompression according to claim 2, it is characterised in that：The support column (1)
Cross-sectional diameter is 6~15mm, and the height of the support column (1) is 20~50mm.
4. a kind of structure for anterior cervical decompression according to claim 1, it is characterised in that：The filling slot (11)
Groove depth is 2~3mm.
5. a kind of structure for anterior cervical decompression according to claim 1, it is characterised in that：The filling slot (11)
Cross section is arc-shaped groove.
6. a kind of structure for anterior cervical decompression according to claim 1, it is characterised in that：The mounting hole (12) with
Vertical direction has 30~60 ° of angle β.
7. a kind of structure for anterior cervical decompression according to claim 1, it is characterised in that：Mounting hole (12) position
It is equipped with groove in one end of filling slot (11), the head of a nail of the fastening nail (21) is located in groove.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810806424.5A CN108635034B (en) | 2018-07-20 | 2018-07-20 | Structure for anterior cervical decompression |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810806424.5A CN108635034B (en) | 2018-07-20 | 2018-07-20 | Structure for anterior cervical decompression |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108635034A true CN108635034A (en) | 2018-10-12 |
| CN108635034B CN108635034B (en) | 2020-03-17 |
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ID=63759852
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810806424.5A Active CN108635034B (en) | 2018-07-20 | 2018-07-20 | Structure for anterior cervical decompression |
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| Country | Link |
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| CN (1) | CN108635034B (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202136406U (en) * | 2011-06-21 | 2012-02-08 | 王靖 | Anterior cervical surgery implant |
| CN202198659U (en) * | 2011-04-18 | 2012-04-25 | 牛云飞 | Novel safety sunk-anterior-cervical approach-preventing titanium mesh |
| US20130023936A1 (en) * | 2011-07-19 | 2013-01-24 | Moti Altarac | Anterior cervical plate |
| CN203591315U (en) * | 2013-09-30 | 2014-05-14 | 上海市第一人民医院 | Low-profile locking type cervical vertebra titanium mesh device |
| US20150305783A1 (en) * | 2008-09-04 | 2015-10-29 | Bullard Spine, Llc | Anterior cervical instrumentation systems, methods and devices |
| CN205126398U (en) * | 2015-11-19 | 2016-04-06 | 上海昕健医疗技术有限公司 | Individuation pedicle of vertebral arch location baffle |
| CN208958296U (en) * | 2018-07-20 | 2019-06-11 | 河北医科大学第三医院 | A kind of structure for anterior cervical decompression |
-
2018
- 2018-07-20 CN CN201810806424.5A patent/CN108635034B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20150305783A1 (en) * | 2008-09-04 | 2015-10-29 | Bullard Spine, Llc | Anterior cervical instrumentation systems, methods and devices |
| CN202198659U (en) * | 2011-04-18 | 2012-04-25 | 牛云飞 | Novel safety sunk-anterior-cervical approach-preventing titanium mesh |
| CN202136406U (en) * | 2011-06-21 | 2012-02-08 | 王靖 | Anterior cervical surgery implant |
| US20130023936A1 (en) * | 2011-07-19 | 2013-01-24 | Moti Altarac | Anterior cervical plate |
| CN203591315U (en) * | 2013-09-30 | 2014-05-14 | 上海市第一人民医院 | Low-profile locking type cervical vertebra titanium mesh device |
| CN205126398U (en) * | 2015-11-19 | 2016-04-06 | 上海昕健医疗技术有限公司 | Individuation pedicle of vertebral arch location baffle |
| CN208958296U (en) * | 2018-07-20 | 2019-06-11 | 河北医科大学第三医院 | A kind of structure for anterior cervical decompression |
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| Publication number | Publication date |
|---|---|
| CN108635034B (en) | 2020-03-17 |
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