CN109431662B - Lumbar vertebra posterior vertebral plate reconstruction device - Google Patents

Lumbar vertebra posterior vertebral plate reconstruction device Download PDF

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Publication number
CN109431662B
CN109431662B CN201811523054.0A CN201811523054A CN109431662B CN 109431662 B CN109431662 B CN 109431662B CN 201811523054 A CN201811523054 A CN 201811523054A CN 109431662 B CN109431662 B CN 109431662B
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China
Prior art keywords
groove
spinous process
vertebral plate
plate
vertebral
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CN201811523054.0A
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Chinese (zh)
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CN109431662A (en
Inventor
廖琦
万文兵
蔡风
黄加裕
刘浪
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Second Affiliated Hospital to Nanchang University
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Second Affiliated Hospital to Nanchang University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
    • 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
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2002/4435Support means or repair of the natural disc wall, i.e. annulus, e.g. using plates, membranes or meshes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

Abstract

The invention discloses a lumbar vertebra posterior vertebral plate reconstruction device, which comprises an artificial vertebral plate; the upper part of the artificial vertebral plate is configured with an upper protrusion part which is configured with an upper connecting part for connecting the upper spinous process; the lower part of the artificial vertebral plate is configured with a lower protrusion part which is configured with a lower connecting part connected with the lower spinous process; the middle part of the artificial vertebral plate is provided with a left side plate extending towards the left so as to cover the exposed vertebral body part after the left side of the vertebral plate is cut off; the central portion of the artificial lamina is configured with a right side plate extending to the right to cover the portion of the right side of the lamina that is left exposed after the right side has been removed. The invention can reconstruct the lumbar vertebra through the artificial vertebral plate after the vertebral plate is switched, and prevent the soft tissue from extending into the exposed vertebral body and being adhered to nerve roots and the like.

Description

Lumbar vertebra posterior vertebral plate reconstruction device
Technical Field
The invention relates to the field of surgical instruments, in particular to a lumbar vertebra posterior vertebral plate reconstruction device.
Background
Referring to fig. a1, the lumbar surgery generally involves cutting the spinous process b100, lateral cut b130 or both sides of the lamina b. However, after the lumbar vertebra resection, the medical staff does not rebuild the partial vertebral plate of the lumbar vertebra resection, so that the part b130 of the soft tissue which can be resected extends into the exposed vertebral body part to be adhered with nerve roots and the like.
Disclosure of Invention
The embodiment of the invention at least discloses a pedicle nailing device which can perform systematic reconstruction on a vertebral plate after laminectomy and prevent soft tissues from sticking to the exposed vertebral body and nerve roots and the like.
The device comprises a prosthetic lamina;
the upper part of the artificial vertebral plate is configured with an upper protrusion part which is configured with an upper connecting part for connecting the upper spinous process;
the lower part of the artificial vertebral plate is configured with a lower protrusion part which is configured with a lower connecting part connected with the lower spinous process;
the middle part of the artificial vertebral plate is provided with a left side plate extending towards the left so as to cover the exposed vertebral body part after the left side of the vertebral plate is cut off;
the central portion of the artificial lamina is configured with a right side plate extending to the right to cover the portion of the right side of the lamina that is left exposed after the right side has been removed.
In some embodiments of the present disclosure, the upper protrusion is provided with an upper slot which faces upwards and penetrates in a vertical direction;
the upper side walls of the two sides of the upper open groove are respectively provided with an upper thorn protruding groove;
the lower protruding part is provided with a lower groove which is downward and penetrates in the vertical direction;
lower side walls of two sides of the lower open groove are respectively provided with a lower thorn protruding groove.
In some embodiments of the present disclosure, an upper rotating shaft passing through an upper spinous process hole is inserted between two upper spinous process grooves;
a lower rotating shaft penetrating through the lower spinous process hole is arranged between the two lower spinous process grooves in a penetrating manner.
In some embodiments of the present disclosure, the upper spinous process groove is filled with an upper elastomer, and the upper rotating shaft is located at a part of the upper spinous process groove, which is punctured by the upper elastomer;
the lower spinous process groove is filled with a lower elastic body, and the lower rotating shaft is positioned in the lower spinous process groove and partially penetrates through the lower elastic body.
In some embodiments of the present disclosure, the side of the left and right plates facing the vertebral body is configured with a movable groove for accommodating the articular process, and the width dimension of the movable groove is larger than the maximum diameter of any section of the articular process.
In some embodiments of the present disclosure, the artificial lamina is configured with a bottom slot in the middle, on the side facing the vertebral body, for receiving the uncut lamina portion.
In some embodiments of the disclosure, the upper protrusion portion tilts upward relative to the artificial vertebral plate, and the lower protrusion portion tilts downward relative to the artificial vertebral plate.
In some embodiments of the present disclosure, the device comprises a prosthetic lamina;
the upper part of the artificial vertebral plate is configured with an upper protrusion part which is configured with an upper connecting part for connecting the upper spinous process;
the lower part of the artificial vertebral plate is configured with a lower protrusion part which is configured with a lower connecting part connected with the lower spinous process;
the middle part of the artificial vertebral plate is provided with a side plate extending towards one side so as to cover the exposed vertebral body part after one side of the vertebral plate is cut off.
The embodiment of the invention at least discloses a lumbar vertebra posterior vertebral plate reconstruction device.
The device comprises two half vertebral plates with symmetrical structures;
the two half conical plates are fixed through a connecting piece;
the front parts of the two half vertebral plates form an upper protrusion part for connecting the upper spinous process;
the front parts of the two half vertebral plates form a lower protrusion part for connecting the upper spinous process;
the upper protruding part is provided with an upper groove which is upward and penetrates in the vertical direction;
the upper side walls of the two sides of the upper open groove are respectively provided with at least one upper protruding groove;
the lower protruding part is provided with a lower groove which is downward and penetrates in the vertical direction;
the lower side walls of the two sides of the lower open groove are respectively provided with at least one lower protruding groove.
In some embodiments of the disclosure, the connecting member is a rotating shaft, and two ends of the rotating shaft are respectively rotatably connected with the two hemilaminae.
In view of the above, other features and advantages of the disclosed exemplary embodiments will become apparent from the following detailed description of the disclosed exemplary embodiments, which proceeds with reference to the accompanying drawings.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
FIG. a1 is a view of the spinal column structure;
FIG. 1 is a block diagram of an apparatus according to an embodiment;
FIG. 2 is another view of FIG. 1;
FIG. 3 is a side view of FIG. 2;
FIG. 4 is a structural view of an apparatus according to a second embodiment;
FIG. 5 is a structural view of a third apparatus according to an embodiment;
FIG. 6 is a block diagram of the four half lamina of the example embodiment.
The attached drawings are marked as follows:
a100, an upper spinous process;
b110, articular process; b120, articular process; b130, cutting off the part;
c100, the inferior spinous process;
100. artificial vertebral lamina;
200. an upper protrusion portion; 210. an upper groove is formed; 220. an upper sidewall; 221. an upper spinous process groove;
300. a lower protrusion; 310. lower grooving; 320. a lower sidewall; 321. a lower eminence groove;
410. a left side plate; 411. a movable groove; 420. a right side plate; 430. a bottom groove;
500. and the shaft hole.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Example one
This embodiment discloses a lumbar vertebrae way of escape vertebral plate reconstruction device. The device of this embodiment is used to reconstruct the lamina after a complete resection of the lamina.
Referring to fig. 1 and a1, the device of the present embodiment includes a artificial lamina 100, the front part of the artificial lamina 100 is configured with an upper protrusion 200, the upper protrusion 200 is provided with an upper slot 210 facing the upper spinous process a100 and penetrating in the vertical direction; the two upper side walls 220 of the upper slot 210 are respectively provided with an upper spinous process slot 221. The artificial lamina 100 is constructed at the rear part with a lower protrusion 300 having the same structure as the upper protrusion 200, the lower protrusion 300 is provided with a lower slot 310 facing the lower spinous process c100 and penetrating in the vertical direction, the two sides of the lower slot 310 are respectively opened with a lower spinous process slot 321, and the middle part of the artificial lamina 100 has a left lateral plate 410 and a right lateral plate 420 extending at both sides.
In this embodiment, after the laminectomy, the doctor cuts the superior spinous process a100 and the inferior spinous process c100 through the superior spinous process hole aligned with the superior spinous process groove 221 and the inferior spinous process hole aligned with the inferior spinous process groove 321, respectively. The medical staff connects the artificial vertebral lamina 100 with the spinous process of the upper vertebral lamina and the spinous process of the lower vertebral lamina by inserting the upper rotating shaft in the upper spinous process hole and the upper spinous process groove 221 and inserting the lower rotating shaft in the lower spinous process hole and the lower spinous process groove 321.
The structure of the artificial vertebral plate 100 can perform systematic reconstruction of the vertebral plate after the lumbar vertebra is cut off, and medical personnel can couple the upper spinous process a100 and the lower spinous process c100 with the artificial vertebral plate 100 after the vertebral plate is cut off, so that the artificial vertebral plate 100 can be fixedly installed on the spine; meanwhile, the side plates on the two sides can prevent the soft tissue from easily extending into the vertebral plate and being adhered to the nerve roots and the like after being cut.
Preferably, the upper spinous process groove 221 is filled with an upper elastic fibrous body, and a portion of the upper rotation shaft located in the upper spinous process groove 221 is pierced through the elastic fibrous body. The lower spinous process groove 321 is filled with a lower elastic fibrous body, and a portion of the lower rotating shaft located in the lower spinous process groove 321 penetrates through the lower elastic fibrous body. The upper and lower elastic fibers can act as artificial ligaments to move the artificial lamina 100 relative to the upper and lower vertebral plates.
Referring to fig. 2, the left and right side plates 410 and 420 are formed at the bottom with a movable slot 411 for receiving the posterior articular processes (b110 and b120) of the removed portion of the vertebral plate. Since the lamina is removed in a surgical procedure, the slot 411 of this embodiment is sized to receive the articular process to the maximum extent possible, i.e., to have a maximum diameter that is greater than any cross-section of the articular process.
Preferably, the movable slot 411 is filled with elastic fiber bodies, so that the collision of the vertebral bodies in the movable slot 411 is reduced, and the injury possibly borne by a patient is reduced.
Referring to fig. 3, since the spine is accompanied by undesirable forward curvature, the upper protrusion 200 of the present embodiment is tilted upward relative to the artificial vertebral plate 100; the lower protrusion 300 is tilted downward relative to the artificial lamina 100. The artificial lamina 100 has a bottom slot 430 at the west of the middle for receiving the middle of the lamina.
Further, the lower spinous process groove 321 of the present embodiment is configured as a plurality of circular grooves that are connected to each other, so as to increase the range of motion of the artificial vertebral plate 100 relative to the lower vertebral plate and reduce the influence on the daily life of the patient.
Example two
Referring to FIG. 4, the difference between the first and second embodiments is that the device is used to reconstruct the portion of the left lamina after removal of the left lamina. The artificial lamina 100 of this embodiment has only the left side plate 410 extending leftwards for preventing the exposed vertebral body from adhering to the nerve root after the soft tissue is easily inserted into the left side of the lamina and removed.
EXAMPLE III
Referring to FIG. 5, the difference between the first and third embodiments is that the device is used to reconstruct the portion of the lamina on the right side after removal of the lamina on the right side. The artificial vertebral plate 100 of this embodiment has only the right side plate 420 extending rightwards for preventing the exposed vertebral body from adhering to the nerve root after the soft tissue is easily inserted into the right side of the vertebral plate and removed.
Example four
Referring to fig. 6, the present embodiment further discloses a lumbar posterior vertebral plate reconstruction device capable of flexibly performing vertebral plate reconstruction according to the patient condition after completely cutting the vertebral plate.
The device of this embodiment includes two structurally symmetrical half-laminae. The two lamina halves are configured with axial holes 500 on opposite sides. The two half vertebral plates are fixed at both ends of a rotation shaft through the shaft holes 500, respectively.
The front parts of the two hemilaminae constitute an upper protrusion 200 for connection with the superior spinous process a 100; the upper protrusion 200 is opened with an upper slot 210 which is upward and vertically penetrates; the upper side walls 220 of the two sides of the upper slot 210 are respectively provided with three upper spinous process slots 221; the rear parts of the two hemilaminae constitute a lower protrusion 300 for connection with the superior spinous process a 100; the lower protrusion 300 has a lower groove 310 that is downward and vertically penetrates; the lower side walls 321 of both sides of the lower slot 310 are respectively provided with three lower protruding ratchet slots 321.
Through the scheme, medical staff can adjust the relative angle of the two half vertebral plates through the rotating shaft according to the actual state of the spine of a patient after the vertebral plate is cut off, and the two half vertebral plates and the spinous processes are sufficiently fixed by the rotating shaft after the protruded holes are formed on the upper spinous process a100 and the lower spinous process c100, so that the vertebral plate reconstruction is more flexible.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (1)

1. A lumbar posterior vertebral plate reconstruction device, characterized in that the device comprises an artificial vertebral plate; the upper part of the artificial vertebral plate is configured with an upper protrusion part which is configured with an upper connecting part for connecting the upper spinous process; the lower part of the artificial vertebral plate is configured with a lower protrusion part which is configured with a lower connecting part connected with the lower spinous process; the middle part of the artificial vertebral plate is provided with a left side plate extending towards the left so as to cover the exposed vertebral body part after the left side of the vertebral plate is cut off; the middle part of the artificial vertebral plate is provided with a right side plate extending towards the right so as to cover the exposed right part of the cut right side of the vertebral plate;
the upper protruding part is provided with an upper groove which is upward and penetrates in the vertical direction;
the upper side walls of the two sides of the upper open groove are respectively provided with an upper thorn protruding groove;
the lower protruding part is provided with a lower groove which is downward and penetrates in the vertical direction;
lower side walls of two sides of the lower open groove are respectively provided with a lower thorn protruding groove;
an upper rotating shaft penetrating through an upper spinous convex hole is arranged between the two upper spinous process grooves in a penetrating manner;
a lower rotating shaft penetrating through a lower spinous convex hole is arranged between the two lower spinous process grooves in a penetrating manner;
the upper spinous process groove is internally filled with an upper elastic body, and the part of the upper rotating shaft, which is positioned in the upper spinous process groove, penetrates through the upper elastic body;
the lower spinous process groove is internally filled with a lower elastic body, and the part of the lower rotating shaft, which is positioned in the lower spinous process groove, penetrates through the lower elastic body;
one sides of the left side plate and the right side plate facing to the vertebral body are provided with movable grooves for accommodating articular processes, and the width dimension of each movable groove is larger than the maximum diameter of any section of the articular process.
CN201811523054.0A 2018-12-12 2018-12-12 Lumbar vertebra posterior vertebral plate reconstruction device Active CN109431662B (en)

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Application Number Priority Date Filing Date Title
CN201811523054.0A CN109431662B (en) 2018-12-12 2018-12-12 Lumbar vertebra posterior vertebral plate reconstruction device

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CN109431662B true CN109431662B (en) 2021-05-28

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CN101327153A (en) * 2007-06-19 2008-12-24 上海交通大学附属第六人民医院 Thoracic and lumbar vertebral posterior prosthesis
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CN101677862A (en) * 2007-02-06 2010-03-24 先锋外科技术公司 Intervertebral implant devices and insertion method thereof
CN105193524A (en) * 2015-10-21 2015-12-30 李照文 Stabilizer used between spine plates
CN106214238A (en) * 2016-08-15 2016-12-14 李照文 Dynamic fixer between spine
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CN108670506A (en) * 2018-06-01 2018-10-19 苏州市康力骨科器械有限公司 Suspension type customizes the full sacral prosthesis of assembly type and method for customizing

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CN101610725A (en) * 2006-11-30 2009-12-23 帕拉迪格脊骨有限责任公司 Between vertebral plate-the interspinous vertebral stabilisation systems
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CN105193524A (en) * 2015-10-21 2015-12-30 李照文 Stabilizer used between spine plates
CN106214238A (en) * 2016-08-15 2016-12-14 李照文 Dynamic fixer between spine
CN107088086A (en) * 2017-06-23 2017-08-25 吉林大学 A kind of artificial neural plate after spinal lamina resection
CN108670506A (en) * 2018-06-01 2018-10-19 苏州市康力骨科器械有限公司 Suspension type customizes the full sacral prosthesis of assembly type and method for customizing

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