CN110101447A - A kind of special fixing device meeting cervical spine chest section anatomy and biomethanics - Google Patents

A kind of special fixing device meeting cervical spine chest section anatomy and biomethanics Download PDF

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Publication number
CN110101447A
CN110101447A CN201910428689.0A CN201910428689A CN110101447A CN 110101447 A CN110101447 A CN 110101447A CN 201910428689 A CN201910428689 A CN 201910428689A CN 110101447 A CN110101447 A CN 110101447A
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chest
neck
hole
section
screw
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CN110101447B (en
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贺宝荣
郝定均
曾文
贺园
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Xian Honghui Hospital
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Xian Honghui Hospital
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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
    • A61B17/7059Cortical plates
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • A61B17/8057Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms

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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)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses a kind of special fixing devices for meeting cervical spine chest section anatomy and biomethanics, including titanium plate ontology, titanium plate ontology one end is neck end, the titanium plate ontology other end is chest end, chest end width is greater than neck end width, it is several linkage sections between chest end and neck end, chest end, neck end and linkage section are structure as a whole and chest end, linkage section and neck end constitute smooth S type, meet the anatomic form of neck chest section backbone, make titanium plate ontology that there is good adhesion, chest end, neck end is provided with a pair of screws hole, it is equipped with screw thread in screw hole and is combined with matching screw, a pair of screws is also provided with locking nail hole between hole, pinning is equipped in locking nail hole, locking nail hole is located in a straight line with a pair of screws hole, the head of a nail of pinning can block the screw head of a nail, it is bone grafting form between pinning.The present invention solves the problems, such as at home and abroad still to lack the anatomical form Special fixing plate at this position at present.

Description

A kind of special fixing device meeting cervical spine chest section anatomy and biomethanics
Technical field
The invention belongs to internal fixation device of spine technical fields, and in particular to one kind meets cervical spine chest section anatomy and life The special fixing device of material resources.
Background technique
Cervical spine chest section (Cervicothoracic Junction) is often referred to cervical vertebra to the region of thoracic vertebrae gradually transition, and one As refer to neck 6 to 2 segment of chest.The segment is anatomically more special, and specifically the physiological camber of cervical vertebra is lordosis, the life of thoracic vertebrae Manage curvature be it is rear convex, therefore, which is the region that shape is gradually moved from cervical lordosis to thoracic kyphosis.In biomethanics On, cervical spine chest section is located between the maximum cervical vertebra of mobility and the smallest thoracic vertebrae of mobility, is the portion that backbone stress is most concentrated One of position.The fracture dislocation of neck chest section is clinically much, accounts for about the 9% of fracture of cervical spine.According to statistics, China falls ill every year Number is about 1,130,000 person-times.However, the particularity due to neck chest section in dissection and biomethanics, damage rear stability is very poor, Prognosis is bad, and about 60%~80% patient can merge spinal cord or root compression simultaneously, corresponding irritation occurs.Neck chest section bone Folding dislocation often results in serious neurological dysfunction and mechanical stability is lost, main reason is that: 1. neck chest section is located at human body The stability of the region of stress concentration that cervical vertebra and thoracic vertebrae have a common boundary, fracture backfin necking chest section is severely impacted;2. neck chest section Intraspinal tube has cervical enlargement (neck marrow Section 4 to chest marrow Section 1) to exist, the gap relative narrowness in front of endorchis, in addition such damage Wound merges serious intervertebral disk injury or disc herniation mostly, easily causes serious compression in front of spinal cord, causes to paralyse;3. thoracic vertebrae Since there is the influence such as thorax and nerve in front, no matter appearing from operation or performing the operation fixed all extremely difficult;4. at present not By being international or at home still lack a kind of anatomical form Special fixing plate for fixing this privileged sites.
The Surgical treatment of surgical intervention is abundant decompression, correct deformity, recovery and rebuilds the anatomic morphological of canalis spinalis, promotes The stability of neurological functional recovery and neck chest section.Clinic is frequently with preceding road, the way of escape and Anterior-posterior operation mode.So And 95% or more neck chest section damage be front vertebral fracture or dislocation caused by, before backbone center pillar be maintain backbone The main part of stability, this is just determined, and to be that neck thoracic fracture is optimal through neck chest section anterior decompression, interbody bone graft control Treatment method.Therefore, most neck chest section injured patients need row result of anterior route.Anterior lateral cervical approach wound is small, can not only release Spinal compression, and the stability of backbone can be rebuild.Decompression bone grafting is carried out from preceding road, fixed plate fixation can correct neck chest section Deformity of spine, the physiological camber and canalis spinalis internal volume for restoring neck chest section backbone, prevent plant bone mass from falling off, poor healing and vacation Joint is formed.The stability of neck chest section backbone at once can be improved in fixation in reliable, is conducive to patient exercise and rehabilitation, reduces and cuts The related complication of paralysis.
When the preceding road of neck chest section progress is fixed, need to be fixed using fixed plate to rebuild the stability of neck chest section backbone. However, a kind of anatomical form Special fixing plate of the current international and national still without this position, is by anterior cervical vertebrae both at home and abroad Fixed plate is applied to this position.However vertebrae front fixing plate and not applicable neck chest section backbone is fixed, mainly have following Reason: 1. neck chest section includes Cervical vertebra and Upper thoracic, and the physiological camber of Cervical vertebra is lordosis, after dot therein is located at backbone Side.The physiological camber of thoracic vertebrae be it is rear convex, dot therein is located at the front of backbone.I.e. this position shows as cervical lordosis to chest It is convex after vertebra to migrate region.We have found after the curvature by measurement normal adult neck chest section: 6~neck of neck, 7 segment (including neck 7 centrum of 6 centrums, 6.7 interverbebral disc of neck and neck) forward curvature is 13~15 °, 1~chest of chest, 2 segment (including 1 centrum of chest, chest 1.2 2 centrum of interverbebral disc and chest) curvature backward is 10~13 °.However, fixed plate applied by clinic is the list to lordosis at present The cervical vertebra fixed plate of one curvature, this fixed plate are not particularly suited for this privileged sites of neck chest section, and therefore, it is necessary to by right in art Fixed plate, which carries out bending, can just be fixed, and otherwise fixed plate cannot attach neck chest section backbone completely, lead to the screw of fixed plate Hole and corresponding cone shape in an angle, do not have fixed function, are unfavorable for the reconstruction of neck chest section spinal stability;2. neck chest section In neck 6,7 centrum transverse diameter of neck be 24~28mm, chest 1,2 centrum transverse diameter of chest be 30~34mm, the centrum of thoracic vertebrae is relative to cervical vertebra The transverse diameter of centrum is wide, and vertebrae front fixing plate is a rectangular configuration at present, does not meet the anatomic morphological of neck chest section centrum, And there are the unstable characteristic of parallelogram, the fastness after fixing is poor;3. dedicated due to lacking this regional anatomic type Fixed plate, operative doctor usually select relatively long cervical vertebra fixed plate to carry out live bending, thus bring own shortcomings: the One: fixed plate is too long, postoperative to accelerate the risk for closing on segment regression, and the upper end of fixed plate increases Cervical Disk Herniation, neck The lower end of the risk of vertebra disease, fixed plate increases the risk of thoracic intervertebral disc protrution;Second: the screw hole in bending rear fixed plate becomes Shape, fixing glue cannot tighten completely or cannot use fixing glue at all, cause fixed plate to be easy to appear loosening, fracture etc., draw The severe complications such as esophageal rupture, thoracic cavity infection are played, so as to cause death.
Summary of the invention
The object of the present invention is to provide a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics, solutions It has determined the problem of at home and abroad still lacking the anatomical form Special fixing plate at this position at present.
The technical scheme adopted by the invention is that a kind of dedicated fixation for meeting cervical spine chest section anatomy and biomethanics Device, including titanium plate ontology, titanium plate ontology one end are neck end, and the titanium plate ontology other end is chest end, and the width at chest end is greater than neck end Width, titanium plate ontology is gradually broadening from neck end to chest end, between chest end and neck end be several linkage sections, chest end, neck end with And linkage section is structure as a whole and chest end, linkage section and neck end constitute smooth S type, meets the anatomy shape of neck chest section backbone State makes titanium plate ontology have good adhesion;Chest end, neck end are provided with a pair of screws hole, and screw thread is equipped in screw hole and is matched Conjunction has matching screw, and locking nail hole is also provided between a pair of screws hole, pinning, locking nail hole are equipped in locking nail hole It is located in a straight line with a pair of screws hole, the head of a nail of pinning can block the head of a nail of screw by rotation.
The features of the present invention also characterized in that
Also it is provided with a pair of screws hole on linkage section, screw thread is equipped in screw hole and is combined with matching screw, it is a pair of It is also provided with locking nail hole between screw hole, pinning is equipped in locking nail hole, locking nail hole and a pair of screws hole are located at one directly On line, the head of a nail of pinning can block the screw head of a nail.
The head of a nail of pinning is similar round structure, and the head of a nail diameter of pinning is greater than the spacing between a pair of screws hole, pinning nail The both ends of cap wherein central axes are symmetrically recessed notch, and notch radian is consistent with the screw hole radian of respective side, pinning The head of a nail be rotated by 90 ° achieve the purpose that lock screw or unclamp screw.
Linkage section quantity is 0~2.
The ontology of titanium plate between adjacent pinning is the bone grafting form of engraved structure, and bone grafting form is used to observe the position of bone grafting It sets and bone grafting situation.
The edge at chest end and neck end is rounding corner structure.
The width at chest end is 20~23mm, and the width at neck end is 16~18mm.
The length at neck end to chest end is 24~66mm.
Angle is 10~13 ° between chest end and circular arc section.
Angle is 12~15 ° between neck end and circular arc section.
Present invention has the advantages that a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics, titanium Plate is non-wide trapezoidal design, such to design the physiology anatomical features for more meeting neck chest section backbone, firstly, because lower cervical part of esophagus Centrum be significantly less than the centrum of upper thoracic section, trapezoidal form has better biomechanical stability compared with traditional rectangular form, increases The stability and intensity for having added fixed plate prevent the loosening of fixed plate from deviating from;Secondly, compared with traditional titanium plate, titanium plate of the present invention Surface neck end and circular arc section between angle be 12~15 °, " S " type that angle is 10~13 ° between chest end and circular arc section Titanium plate meets the physiological camber of neck chest section backbone, have better adhesion, prevent the screw being fixed on spinal vertebral due to Adhesion is poor, and the loosening of screw is caused to be extracted;Finally, can lock screw when pinning is locking state, prevent from exiting, when It is then releasing orientation, pinning can exit when pinning is rotated by 90 ° counterclockwise.
Detailed description of the invention
Fig. 1 is that a kind of sagittal plain for the special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention is cutd open Face structural schematic diagram (1 linkage section);
Fig. 2 is a kind of top view for the special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention (no pinning and screw);
Fig. 3 is a kind of cut-away view for the special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention;
Fig. 4 is a kind of top view for the special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention (having pinning);
Fig. 5 is a kind of loxosis figure for the special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention;
Fig. 6 is a kind of top view for the special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention (having pinning and screw);
Fig. 7 is a kind of side bitmap for the special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention (having pinning and screw).
In figure, 1. neck ends, 2. chest ends, 3. linkage sections, 4. screws, 5. pinnings, 6. screw holes, 7. locking nail holes, 8. bone graftings view Window.
Specific embodiment
The following describes the present invention in detail with reference to the accompanying drawings and specific embodiments.
A kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention, structure such as Fig. 1~7 institute Show, including titanium plate ontology, titanium plate ontology one end is neck end 1, and the titanium plate ontology other end is chest end 2, and 2 width of chest end is greater than neck end 1 Width, between chest end 2 and neck end 1 be several linkage sections 3, chest end 2, neck end 1 and linkage section 3 are structure as a whole and chest end 2, Linkage section 3 and neck end 1 constitute smooth " S " type, meet the anatomic form of neck chest section backbone, and titanium plate ontology is made to have good patch Attached property, chest end 2, neck end 1 are provided with a pair of screws hole 6, are equipped with screw thread in screw hole 6 and are combined with matching screw 4, and one To locking nail hole 7 is also provided between screw hole 6, pinning 5, locking nail hole 6 and 7, a pair of screws hole are equipped in locking nail hole 7 In on straight line, the head of a nail of pinning 5 can block 4 head of a nail of screw.Also a pair of screws hole 6, screw hole 6 are provided on linkage section 3 It is interior to be equipped with screw thread and be combined with matching screw 4, it is also provided with locking nail hole 7 between a pair of screws hole 6, matches in locking nail hole 7 Conjunction is provided with pinning 5, and locking nail hole 6 is located in a straight line with a pair of screws hole 7, and the head of a nail of pinning 5 can block the nail of screw 4 Cap.
The head of a nail of pinning 5 is similar round structure, and the head of a nail diameter of pinning 5 is greater than the spacing between a pair of screws hole, pinning 5 The both ends of the head of a nail wherein central axes are symmetrically recessed notch, and notch radian is consistent with the screw hole radian of respective side, lock The head of a nail of nail 5, which is rotated by 90 °, achievees the purpose that lock screw 4 or release screw 4.
3 quantity of linkage section is 0~2.
Titanium plate ontology between adjacent pinning 5 is the bone grafting form 8 of engraved structure, can directly be seen by bone grafting form 8 Examine position and the bone grafting situation of bone grafting.
The edge at chest end 2 and neck end 1 is rounding corner structure.
The width at chest end 2 is 20~23mm.
The width at neck end 1 is 16~18mm.
The length at neck end 1 to chest end 2 is 24~66mm.
Angle is 10~13 ° between chest end 2 and circular arc section.
Angle is 12~15 ° between neck end 1 and circular arc section.
A kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics of the present invention, it is first when using fixing The neck end 1 of titanium plate ontology is first placed on Cervical vertebra, the chest end 2 of titanium plate ontology is placed in Upper thoracic, the radian of the titanium plate ontology It can be made sufficiently to be attached on the spinal vertebral of neck chest section;Screw 4 is passed through to the chest end 2 and neck end at titanium plate ontology both ends respectively 1 screw hole is vertically screwed into the centrum of Upper thoracic and Cervical vertebra, enhances the holding power of screw 4;Pinning 5 is finally rotated, makes to lock The screw 4 that 5 two sides circular arc portions fix two sides respectively is followed closely, enhances the stability of titanium plate ontology, while preventing screw 4 from skidding off.When When needing to dismantle, 90 degree of rotation pinnings 5, the part for making pinning 5 be recessed notch goes to ipsilateral 4 edge of screw just, in this way Pinning 5 just loses locking function, at this point, screw 4 is back-outed.
In the present invention, the wide determination basis of fixed plate plate: neck 6,7 centrum transverse diameter of neck in Chinese compatriots' neck chest section be 24~ 28mm, chest 1,2 centrum transverse diameter of chest are 30~34mm, wide with plate 2/3 or more centrum of wide covering according to clinical use safety needs Degree is design principle, and the neck end width design of titanium plate is 16~18mm, and chest end is 20~23mm.Sagittal plain curvature: neck end 1 and circle Angle is 12~15 ° between arc section, and angle is 10~13 ° between chest end 2 and circular arc section.Therefore, fixed plate is designed as Angle is 12~15 ° between neck end 1 and circular arc section, and angle is 10~13 ° between chest end 2 and circular arc section.According to interverbebral disc Highly 5~6mm is calculated.According to clinical use safety needs, the neck end of fixed plate covers upper vertebral height 1/2, fixed plate To cover the next vertebral height 1/2 be design principle at chest end, according to compatriots' neck chest section vertebral height, single segmental titanium plate (includes 2 Centrum and 1 interverbebral disc) Design of length be 24~30mm, later every 2mm is the fixed plate that a system is made into different length, Wherein the Design of length of two segment fixed plate (including 3 centrums and 2 interverbebral discs) is 40~46mm, three segment fixed plates (are wrapped Containing 4 centrums and 3 interverbebral discs) Design of length be 60~66mm.It is shown in Table 1
The average value and standard value of 1 each measurement item of Chinese Adult centrum of table

Claims (10)

1. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics, which is characterized in that including titanium plate sheet Body, titanium plate ontology one end are neck end (1), and the titanium plate ontology other end is chest end (2), and chest end (2) width is greater than neck end (1) width, It is several linkage sections (3) between chest end (2) and neck end (1), chest end (2), neck end (1) and linkage section (3) are structure as a whole And chest end (2), linkage section (3) and the smooth S type of neck end (1) composition, meet the anatomic form of neck chest section backbone, makes titanium plate ontology With good adhesion, chest end (2), neck end (1) are provided with a pair of screws hole (6), and screw thread is equipped in screw hole (6) and is cooperated Have matching screw (4), be also provided between a pair of screws hole (6) locking nail hole (7), is equipped in locking nail hole (7) Pinning (5), locking nail hole (7) are located in a straight line with a pair of screws hole (6), and the head of a nail of pinning (5) can block screw (4) nail Cap.
2. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 1, It is characterized in that, is also provided with a pair of screws hole (6) on the linkage section (3), screw thread is equipped in screw hole (6) and is combined with therewith The screw (4) matched is also provided with locking nail hole (7) between a pair of screws hole (6), is equipped with pinning (5) in locking nail hole (7), Locking nail hole (7) is located in a straight line with a pair of screws hole (6), and the head of a nail of pinning (5) can block screw (4) head of a nail.
3. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 1, It is characterized in that, the head of a nail of the pinning (5) is similar round structure, and the head of a nail diameter of pinning (5) is greater than between a pair of screws hole (6) Spacing, the both ends of pinning (5) head of a nail wherein central axes are symmetrically recessed notch, the screw of notch radian and respective side Hole (6) radian is consistent, and the head of a nail of pinning (5), which is rotated by 90 °, to be achieved the purpose that lock screw (4) or unclamp screw (4).
4. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 1, It is characterized in that, linkage section (3) quantity is 0~2.
5. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 1, It is characterized in that, the titanium plate ontology between adjacent pinning (5) is the bone grafting form (8) of engraved structure, and bone grafting form (8) is for observing The position of bone grafting and bone grafting situation.
6. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 1, It is characterized in that, the edge of the chest end (2) and neck end (1) is rounding corner structure.
7. described in any item according to claim 1~6 a kind of meet the dedicated solid of cervical spine chest section anatomy and biomethanics Determine device, which is characterized in that the width of the chest end (2) is 20~23mm, and the width of the neck end (1) is 16~18mm.
8. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 7, It is characterized in that, the length of the neck end (1) to chest end (2) is 24~66mm.
9. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 7, It is characterized in that, angle is 10~13 ° between the chest end (2) and circular arc section.
10. a kind of special fixing device for meeting cervical spine chest section anatomy and biomethanics according to claim 7, It is characterized in that, angle is 12~15 ° between the neck end (1) and circular arc section.
CN201910428689.0A 2019-05-22 2019-05-22 Special fixing device who accords with backbone cervicothorax section anatomy and biomechanics Expired - Fee Related CN110101447B (en)

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CN110801272A (en) * 2019-11-10 2020-02-18 迪恩医疗科技有限公司 Internal fixing plate for anterior cervical and thoracic regions

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