CN209236471U - A kind of bone slot fusion device for cervical vertebral body vancement - Google Patents
A kind of bone slot fusion device for cervical vertebral body vancement Download PDFInfo
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- CN209236471U CN209236471U CN201821194707.0U CN201821194707U CN209236471U CN 209236471 U CN209236471 U CN 209236471U CN 201821194707 U CN201821194707 U CN 201821194707U CN 209236471 U CN209236471 U CN 209236471U
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- fusion device
- device ontology
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- fusion
- bone slot
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Abstract
The utility model relates to a kind of bone slot fusion devices for cervical vertebral body vancement, and the fusion device includes fusion device ontology;The fusion device ontology is equipped with fusion hole, which runs through fusion device ontology up and down;The fusion device ontology integrally trapezoidal shape, including upper top, lower bottom part, left lumbar region, right lumbar region, fusion device ontology are successively enclosed by upper top, lower bottom part, left lumbar region, right lumbar region;The upper top lateral surface of the fusion device ontology is equipped with baffle;The width of the baffle is greater than the thickness of fusion device ontology, and baffle extends outwardly in width direction two sides relative to fusion device ontology;The length of the baffle is greater than the length of fusion device ontology;The upper surface and lower surface of the fusion device ontology is equipped with fixed tooth.Its advantage is shown: being suitable for preceding road centrum art, amalgamation is good, and fixed effect is definite, can prevent entire bone slot fusion device from falling into gap, and the spinal cord and nerve root to centrum depth face generate extruding.
Description
Technical field
The utility model relates to the field of medical instrument technology, specifically, being a kind of bone for cervical vertebral body vancement
Slot fusion device.
Background technique
Cervical ossified posterior longitudinal ligament (OPLL) refers to that the posterior longitudinal ligament because of cervical vertebra ossify, to oppress spinal cord and mind
Through root, the feeling of limbs and the illness of dyskinesia and internal organ vegetative nerve functional disturbance are generated.
Have in the prior art about the common operative treatment of cervical ossified posterior longitudinal ligament: posterior cervical decompression technology, neck
Vertebra anterior decompression technology etc..
Posterior cervical decompression technology includes En bloc laminoplasty and laminectomy, and the advantage of posterior cervical decompression technology is:
Do not cut bone compound, and operation is comparatively safe, and pressure relief ranges are wide, and stability is destroyed less, and long segment OPLL can be handled, and can retain certain
Mobility, but existing disadvantage is: cervical curvature and ossification object size are required, K-line (-) effect is poor, C5 radiculopathy
Incidence is high, and ossification object may continue to growth and cause to oppress again, postoperative generation neck portion's pain and cervical kyphosis.
Anterior cervical decompression art includes Subtotal vertebrectomy for treatment, floating method;The advantage of anterior cervical decompression art is: cutting bone
Compound, effect of easing stress is good, and treats serious OPLL effect and be better than posterior decompression.And existing disadvantage is: difficulty is high, easily
Neurotrosis is caused, leakage of cerebrospinal incidence is high, and long segment OPLL rebuilds difficulty, and operating time is long, and amount of bleeding is big.
In order to take into account effect+posterior approach safety of preceding road technique, professor Shi Jiangang depressurizes theory in situ
Guidance issues a kind of anterior cervical vertebrae vertebral bone compound complex Forward technology (ACAF technology) is illustrated, for this is technically simple, just
Implantation lifting titanium plate, preceding road centrum is lifted outward on preceding road centrum, to avoid compressing spinal cord and nerve root.Wherein, because
The characteristics of human physiological structure, preceding road centrum are composed in free centrum, are not monoblock type, between adjacent vertebral
Gap can use traditional Invasive lumbar fusion device, and free two side seam slot of centrum is temporarily available without corresponding fusion device.Because fusion device needs
It is placed in two side seam slots, is not moved under the premise of cervical vertebra moving, and need amalgamation good, this is the difficult point of design, fusion device relationship
The success or failure entirely performed the operation, have extremely important effect.
Chinese patent literature CN201010519973.8, the applying date 20101026, patent name are as follows: a kind of adjustable ACAF
Technology-specific bone slot fusion device, including main structure and sliding latch device, main structure by separate setting upper and lower main board and
The polyester tension ligament for being coated on upper and lower main board surrounding is constituted, and bone slot, upper and lower main board are held in setting in the middle part of main structure
Two sides in the middle part of be symmetrical arranged I-shaped support universal driving shaft, support universal driving shaft upper axis and lower axle respectively through liner with it is upper and lower
Main board rotation connection, the sliding latch device are located at one end of main structure.
The angle regulating function of the Invasive lumbar fusion device of above patent document makes whole system more meet organization of human body, not only side
System placement, the support construction for more making system incorporate backbone meets body mechanics, and postoperative good fusion is also reduced
The risk factor that Neck dissection and screw fracture, pull out.But it is suitable for ACAF technology about one kind, amalgamation is good, Gu
The technical solution of definite effect is determined then without corresponding open.
In conclusion one kind is needed to be suitable for ACAF technology, amalgamation is good, the exact bone slot fusion device of fixed effect, and
It yet there are no report about this bone slot fusion device.
Summary of the invention
The purpose of this utility model is to provide one kind and is suitable for ACAF technology, and amalgamation is good, the exact bone slot of fixed effect
Fusion device.
To achieve the above object, the technical scheme adopted by the utility model is that:
A kind of bone slot fusion device for cervical vertebral body vancement, the fusion device includes fusion device ontology;Described
Fusion device ontology is equipped with fusion hole, which runs through fusion device ontology up and down;The fusion device ontology is integrally trapezoidal
Shape, including upper top, lower bottom part, left lumbar region, right lumbar region, fusion device ontology by upper top, lower bottom part, left lumbar region, right lumbar region according to
It is secondary to enclose;The upper top lateral surface of the fusion device ontology is equipped with baffle;The width of the baffle is greater than fusion device sheet
The thickness of body, and baffle extends outwardly in width direction two sides relative to fusion device ontology;The length of the baffle is greater than fusion
The length of device ontology;The upper surface and lower surface of the fusion device ontology is equipped with fixed tooth.
As a kind of perferred technical scheme, the fusion device is made using polyetheretherketonematerials materials.
As a kind of perferred technical scheme, the baffle is equipped with bone slot inner sidewall fixinig plate and bone slot lateral wall is solid
Stator.
As a kind of perferred technical scheme, on the baffle there are two screw way, the oblique inside of the screw way, and in screw way
There are two degradable screws for middle assembly.
The utility model advantage is:
1, a kind of bone slot fusion device for cervical vertebral body vancement of the invention is suitable for ACAF technology, and amalgamation is good,
Fixed effect is definite, can prevent entire bone slot fusion device from falling into gap, and the spinal cord and nerve root to centrum depth face, which generate, to be squeezed
Pressure;Fusion device is made using PEEK material, is had good bio-intermiscibility, will not be generated rejection.
2, fusion device ontology is equipped with fusion hole, and the setting of fusion hole, the purpose is to enable bone groove face to give birth to fused hole
Growth fusion.In addition, by fusion hole so that between bone slot can arterial-venous transit, do not influence blood flow transport.
3, the trapezoidal shape of fusion device ontology, the design method are designed mainly for human cervical spine gap, and people is met
Body physiological structure is stablized immediately after realizing insertion.
4, the upper top lateral surface of fusion device ontology is equipped with baffle, and baffle has position-limiting action, prevents entire fusion device from inserting
To the marrow in slot.
5, it is equipped with bone slot inner sidewall fixinig plate and bone slot lateral wall fixinig plate, fusion device is capable of fixing in two pleurocentrum of bone slot
On, it prevents fusion device from skidding off outward, improves the stability of adjacent Fusion levels, maintains disc height and physiological camber.
6, there are two screw way, the oblique insides of the screw way on baffle, and there are two degradable screw, this realities for assembly in screw way
It applies example and is fixed on bone slot fusion device by degradable screw and be conducive on centrum inner sidewall.
Detailed description of the invention
Attached drawing 1 is a kind of bone slot fusion device structural schematic diagram for cervical vertebral body vancement of the invention.
Attached drawing 2 is the bone slot fusion device structural schematic diagram for cervical vertebral body vancement of the embodiment of the present invention 2.
Specific embodiment
The utility model is further described below with reference to embodiment and referring to attached drawing.
Appended drawing reference involved in attached drawing and component part are as follows:
1. 11. upper top of fusion device ontology
12. 13. left lumbar region of lower bottom part
14. right lumbar region 2. merges hole
3. fixed 4. bone slot inner sidewall fixinig plate of tooth
5. 6. screw way of bone slot lateral wall fixinig plate
7. degradable 9. baffle of screw
Embodiment 1
Fig. 1 is please referred to, Fig. 1 is a kind of bone slot fusion device structural schematic diagram for cervical vertebral body vancement of the invention.
A kind of bone slot fusion device of cervical vertebral body vancement, the fusion device includes fusion device ontology 1;The fusion device ontology 1
It is equipped with fusion hole 2, which runs through fusion device ontology 1;The whole trapezoidal shape of the fusion device ontology 1, including
Upper top 11, lower bottom part 12, left lumbar region 13, right lumbar region 14, fusion device ontology 1 by upper top 11, lower bottom part 12, left lumbar region 13,
Right lumbar region 14 successively encloses;11 lateral surface of upper top of the fusion device ontology 1 is equipped with baffle 9;The width of the baffle 9
Degree is greater than the thickness of fusion device ontology 1, and baffle 9 extends outwardly in width direction two sides relative to fusion device ontology 1;The gear
The length of plate 9 is greater than the length of fusion device ontology 1;The upper surface and lower surface of the fusion device ontology 1 is equipped with fixation
Tooth 3.As a preference, fixed tooth 3 is arranged in the upper and lower surface in left lumbar region 13, right lumbar region 14 and lower bottom part 12.
The embodiment it should be understood that
The fusion device is made using PEEK material, has good bio-intermiscibility, and it is anti-will not to generate rejection
It answers.
The fusion device ontology 1 is equipped with fusion hole 2, and fusion hole 2 is arranged, and the purpose is to make bone slot two sides organize energy
The enough fused growth of hole 2 fusions.In addition, enabling bone slot two sides arterial-venous transit by fusion hole 2, blood flow transport is not influenced.
The upper surface and lower surface of the fusion device is equipped with fixed tooth 3, the 3 one upper cervical spine body of fixation tooth of upper surface
Lower end surface match, and the fixation tooth 3 of lower surface matches with the upper surface of Cervical vertebra body, i.e., is designed by fixed tooth 3, energy
Enough to increase friction to a certain extent, fixed effect is definite.
The trapezoidal shape of fusion device ontology 1, which designed mainly for human cervical spine gap, symbol
Human physiological structure is closed, is stablized immediately after realizing insertion.
11 lateral surface of upper top of the fusion device ontology 1 is equipped with baffle 9, and baffle 9 has position-limiting action, prevents from entirely melting
Clutch is inserted into bone slot.
For the technical solution of more intuitive understanding bone slot fusion device of the invention, below to cervical vertebral body vancement
The brief step of method is described below:
Step 1: processing ossification segment intervertenral space, specifically includes: removing corresponding segment interverbebral disc, remove soleplate front and rear edge
Spur, except both ends, the posterior longitudinal ligament for segment of ossify are not necessarily to processing end to end.
Step 2: removal part centrum front sclerotin, specifically includes: according to corresponding segmental compound size, removing centrum
Front part sclerotin;Titanium plate is pre-installed, whether abundant is removed using O arm evaluation front sclerotin in detector or art.
Step 3: centrum two sides are slotted, specifically include: on the basis of the width for the object that ossify, slotting, use in centrum two sides
Ultrasonic bone conduction or abrasive drilling cut off cancellous bone, are stung using 1mm rifle pincers except trench bottom cortex bone, and in two sides, vertebral bone compound of dissociating is multiple
Close object.
Step 4: in fusion device insertion interbody space, and lifting titanium plate and screw are installed.
Step 5: vertebral bone compound compound controllably moves forward, specifically include: synchronously slowly tightening each centrum nail, it is seen that
Centrum is slowly lifted, and if centrum is not raised, is stopped operation and is checked whether centrum surrounding is completely free.
Step 6: bone slot fusion device filling autologous bone is mixed into artificial bone postposition slot to the marrow.
Embodiment 2
Referring to figure 2., Fig. 2 is the bone slot fusion device structural representation for cervical vertebral body vancement of the embodiment of the present invention 2
Figure.The present embodiment is substantially the same manner as Example 1, the difference is that, 4 He of bone slot inner sidewall fixinig plate is equipped in the present embodiment
Bone slot lateral wall fixinig plate 5, fusion device is capable of fixing on two pleurocentrum of bone slot, prevents fusion device from skidding off outward, is improved adjacent
The stability of Fusion levels maintains disc height and physiological camber;In addition on the baffle 9 in the present embodiment there are two screw way 6,
The oblique inside of screw way 6, and there are two degradable screw 7, the present embodiment passes through degradable screw 7 for bone for assembly in screw way 6
Slot fusion device, which is fixed on, to be conducive on centrum inner sidewall.
A kind of bone slot fusion device for cervical vertebral body vancement of the invention is suitable for ACAF technology, and amalgamation is good, Gu
Determine definite effect, can prevent entire bone slot fusion device from falling into gap, the spinal cord and nerve root to centrum depth face generate extruding;
Fusion device is made using PEEK material, is had good bio-intermiscibility, will not be generated rejection;Fusion device ontology 1
It is equipped with fusion hole 2, fusion hole 2 is arranged, and the purpose is to enable bone slot two sides to give birth to the fused growth of hole 2 fusion.In addition, logical
Fusion hole 2 is crossed, enables bone slot two sides arterial-venous transit, does not influence blood flow transport;The trapezoidal shape of fusion device ontology 1, the design
Mode is designed mainly for human cervical spine gap, and human physiological structure is met, and is stablized immediately after realizing insertion;Fusion device
11 lateral surface of upper top of ontology 1 is equipped with baffle 9, and baffle 9 has position-limiting action, prevents in entire fusion device insertion bone slot;If
There are bone slot inner sidewall fixinig plate 4 and bone slot lateral wall fixinig plate 5, fusion device is capable of fixing on two pleurocentrum of bone slot, prevents from melting
Clutch skids off outward, improves the stability of adjacent Fusion levels, maintains disc height and physiological camber;There are two on baffle 9
Screw way 6, the oblique inside of screw way 6, and there are two degradable screws 7, the present embodiment to pass through degradable screw for assembly in screw way 6
Bone slot fusion device is fixed on and is conducive on centrum inner sidewall by 7.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art
Art personnel can also make several improvement and supplement without departing from the principle of this utility model, these are improved and supplement
Also it should be regarded as the protection scope of the utility model.
Claims (4)
1. a kind of bone slot fusion device for cervical vertebral body vancement, which is characterized in that the fusion device includes fusion device sheet
Body;The fusion device ontology is equipped with fusion hole, which runs through fusion device ontology up and down;The fusion device ontology is whole
The trapezoidal shape of body, including upper top, lower bottom part, left lumbar region, right lumbar region, fusion device ontology by upper top, lower bottom part, left lumbar region,
Right lumbar region successively encloses;The upper top lateral surface of the fusion device ontology is equipped with baffle;The width of the baffle is greater than
The thickness of fusion device ontology, and baffle extends outwardly in width direction two sides relative to fusion device ontology;The length of the baffle
Greater than the length of fusion device ontology;The upper surface and lower surface of the fusion device ontology is equipped with fixed tooth.
2. the bone slot fusion device according to claim 1 for cervical vertebral body vancement, which is characterized in that the fusion
Device is made using polyetheretherketonematerials materials.
3. the bone slot fusion device according to claim 1 for cervical vertebral body vancement, which is characterized in that the baffle
It is equipped with bone slot inner sidewall fixinig plate and bone slot lateral wall fixinig plate.
4. the bone slot fusion device according to claim 1 for cervical vertebral body vancement, which is characterized in that the baffle
Upper there are two screw way, the oblique insides of the screw way, and there are two degradable screws for assembly in screw way.
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CN201821194707.0U CN209236471U (en) | 2018-07-26 | 2018-07-26 | A kind of bone slot fusion device for cervical vertebral body vancement |
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CN201821194707.0U CN209236471U (en) | 2018-07-26 | 2018-07-26 | A kind of bone slot fusion device for cervical vertebral body vancement |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113693697A (en) * | 2021-07-22 | 2021-11-26 | 首都医科大学宣武医院 | Bone block lifting system, bone block lifting auxiliary instrument and vertebral body fixing plate |
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2018
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113693697A (en) * | 2021-07-22 | 2021-11-26 | 首都医科大学宣武医院 | Bone block lifting system, bone block lifting auxiliary instrument and vertebral body fixing plate |
CN113693697B (en) * | 2021-07-22 | 2024-04-30 | 首都医科大学宣武医院 | Bone block lifting system, bone block lifting auxiliary instrument and vertebral body fixing plate |
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GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20190813 Termination date: 20200726 |