JPH058011B2 - - Google Patents

Info

Publication number
JPH058011B2
JPH058011B2 JP62101107A JP10110787A JPH058011B2 JP H058011 B2 JPH058011 B2 JP H058011B2 JP 62101107 A JP62101107 A JP 62101107A JP 10110787 A JP10110787 A JP 10110787A JP H058011 B2 JPH058011 B2 JP H058011B2
Authority
JP
Japan
Prior art keywords
receiving
pedicle screw
head
threaded
spherical
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.)
Expired - Lifetime
Application number
JP62101107A
Other languages
English (en)
Other versions
JPS62277954A (ja
Inventor
Harumusu Yurugen
Biidaaman Rutsutsu
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of JPS62277954A publication Critical patent/JPS62277954A/ja
Publication of JPH058011B2 publication Critical patent/JPH058011B2/ja
Granted legal-status Critical Current

Links

Classifications

    • 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
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7037Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7004Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • A61B17/7008Longitudinal elements, e.g. rods with a cross-section which varies along its length with parts of, or attached to, the longitudinal elements, bearing against an outside of the screw or hook heads, e.g. nuts on threaded rods
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7038Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other to a different extent in different directions, e.g. within one plane only

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Pivots And Pivotal Connections (AREA)

Description

【発明の詳細な説明】 [発明の背景] この発明は、脊椎セグメントを安定させるため
の茎ねじに関するものであり、特に、ねじを切ら
れた軸部と、軸部の頭部に配置された受取部とを
有する茎ねじに関するものである。
そのような茎ねじは、脊椎の単一セグメントま
たは複数セグメントを固定するために用いられ
る。この種の茎ねじは、ドイツ特許明細書第
2649042号から公知である。茎ねじは、ねじを切
られた軸部と、この軸部の頭にしつかりと接続さ
れる受取部とを含む。
そのような茎ねじが、たとえば4本用意され
る。各茎ねじの受取部は、その上端から切込まれ
た受けスリツトを有している。受けスリツトは、
ねじ切されたロツドを受入れる。2本の茎ねじと
1本のねじ切りされたロツドとで、1組の固定ユ
ニツトを構成する。
まず、固定しようのする脊椎のセグメントを間
に挟むような位置関係で、2本の茎ねじが脊椎に
捩込まれる。残りの2本の茎ねじも、同様に、固
定しようとする脊椎のセグメントを間に挟むよう
な位置関係で脊椎に捩込まれる。最初の2本の茎
ねじは脊椎の左側部分に捩込まれており、後の2
本の茎ねじは脊椎の右側部分に捩込まれている。
次に、左側に位置している2本の茎ねじの受取
部の受けスリツト内に、ねじ切されたロツドを嵌
め入れる。同様に、右側に位置している2本の茎
ねじの受取部の受けスリツト内にも、ねじ切され
たロツドを嵌め入れる。
最後に、固定ナツトを用いて、各ロツドと各茎
ねじの受取部とを固定する。
[発明が解決しようとする課題] 上述の茎ねじには、次のような問題点があつ
た。上下に位置する2本の茎ねじと、これらの茎
ねじの受取部の受けスリツト内に嵌め入れられる
ロツドとで、1組の固定ユニツトを構成してい
る。ここで重要なことは、ロツドを受入れるため
には、上下の2本の茎ねじの受取部の受けスリツ
トを完全に整列させることである。ここでいう整
列とは、2方向の整列関係を意味する。すなわ
ち、まず第1に、2本の茎ねじの受取部の受けス
リツトは、上面側から見たとき、受入れるロツド
の軸線と平行に整列する必要がある。次に、2本
の茎ねじの受取部の受けスリツトは、側面側から
見たときにおいても、受入れるロツドの軸線と平
行に整列する必要がある。この整列関係が維持さ
れないと、ロツドと茎ねじの受取部とをナツトを
介して固定したとき、ロツドや茎ねじに歪みやね
じれを引起す。しかし、実際問題として、茎ねじ
を脊椎にしつかりと捩込むとき、同時に上述の整
列関係を維持するのは非常に困難である。あるい
は、整列関係を維持するように茎ねじを脊椎に捩
込むには、長時間が必要であり、これは脊椎の手
術に非常に不利である。
上述の整列関係が維持されていない状態でロツ
ドと茎ねじとを固定すれば、ロツドにせん断力が
作用する。その結果、手術後の使用に際しては、
ロツドが破壊したり、または、固定が緩んだりし
てしまう。
[発明の目的] この発明の目的は、上述の欠点を避ける改良さ
れた茎ねじを提供することである。さらに別の目
的は、取付動作を容易にし、かつ同時に後の使用
における危険を減じるか、または避ける茎ねじを
提供することである。
[発明の要約] この発明に従つた脊椎セグメントを安定させる
ための茎ねじは、ねじを切られた軸部と、ねじ切
りされた軸部の一端に設けられた球状の頭部と、
球状の頭部を受入れるための2個のハーフを有す
る受取部と、2個のハーフの回りに配置され、2
個のハーフを球状頭部に係合させるように保持す
る保持リングと、を備えている。
使用時には、まず始めに、ねじ切された軸部が
骨に捩込まれる。その際、受取部の位置を考慮す
る必要がない。ねじ切された軸部を骨に捩込んだ
後、受取部の位置を調整する。受取部が所定の整
列関係を維持したとき、1対の茎ねじを接続する
ためのロツドと受取部とを固定する。こうして、
非常に短時間で茎ねじを装着することができ、な
おかつ、1対の茎ねじを接続するロツドに対して
無理な力を与えない。
[実施例の説明] この発明の一実施例は、第4図〜第11図に示
されている。この実施例を説明するのに先立ち、
第1図〜第3図に示された茎ねじを説明する。第
1図〜第3図に示された茎ねじは、前述した従来
の茎ねじを改良するものであり、本願の発明者が
発明したものである。
第1図〜第3図に示される茎ねじ1は、ねじを
切られた軸部2と受取部3とを含む。
ねじを切られた軸部は背骨に捩込まれるように
適合された従来通りに設計されたねじを切られた
部分4を含む。六角ヘツド5はねじを切られた部
分の頭側端部に設けられる。外部にねじ7を有す
る突起6は、ねじを切られた部分4と反対の側に
延びる。突起6は、ねじを切られた部分4と反対
の側に設けられる球面セグメントの形の凹所8を
有する。ねじを切られた部分4、六角ヘツド5、
突起6および凹所8は第1図に示される態様で互
いに同軸に芯合せされる。
ロツクナツト9は、ねじを切られた軸部2に関
連して設けられる。ロツクナツト9は、内部にね
じ10を有し、ねじを切られた軸部2に向かう側
に設けられている凹所11を含む。内部のねじの
寸法は、内部のねじ10が、突起6とねじ7と嵌
合するように選択される。球状セグメントとして
型取られた部分12は凹所11の底に続く。球状
セグメント12の半径は凹所8の半径に実質的に
対応する。凹所に型取られた球状セグメントの開
放側部は凹所8と反対側にある。穴13は突起6
の反対側で凹所12に続く。内部のねじ10を有
する凹所11と、球状のセグメントの型の凹所1
2と、穴13は互いに同軸に芯合せされる。
接続部材14が提供され、これは、球状部分1
5と、球状部分に続きかつそれと1つの単体部分
を形成する円筒形部分16とを含む。ロツキング
ピン18を受取るように適合された穴17は、円
筒部分の軸に垂直方向に円筒部分に設けられる。
球状部分15の半径は2つの凹所8および12の
半径と非常に近く、わずかにそれよりも小さいだ
けである。円筒形部分16の直径は穴13の直径
より小さく、そのため前方側部で円筒形部分を有
する接続部材14は、凹所11および穴13を突
抜け、穴13から外側に突出する。ねじ7と10
は、凹所8および12と球状部分15の直径の関
数で選択され、そのため接続部材14が装着さ
れ、かつロツクナツト9が捩込まれるとき、球状
部分15を中心として円筒形部分16が一方向に
動くことを可能にする。動きの程度は穴13の大
きさおよび円筒形部分16の外部直径との差によ
つて予め定められる。
ロツクナツト9は、接続部材14と、ねじを切
られた軸部2との間に、固い接続が生じるように
締付けられてもよい。
受取部3は、その対称軸がねじを切られた軸部
2の対称軸と芯合せをされ、円筒形の形態で設計
される。同軸に延在している内部穴19は、ねじ
を切られた軸部2と向い合う面に設けられる。内
部穴19の直径は、円筒形部分16がちようどそ
こに嵌合されるように選択される。交差穴20
は、内部穴19の方向に垂直に設けられ、かつロ
ツキングピンがきちんとそこに嵌合するように選
択された寸法を有する。内部穴19の深さと穴2
0の位置は、第3図に示すように、ロツクナツト
9を締付けたときに、接続部材14の円筒形部分
16が内部穴19にしつかりと嵌り込み、かつ、
ロツキングピン18が穴20と接続部材14の穴
17に挿入され得るように選択される。第2図に
示すように、受取部3は、穴19の反対の端部に
設けられる受けスリツト21を有する。受けスリ
ツト21は、受取部の対称軸に垂直に延在し、か
つその両方の外側に凹所22および23が設けら
れる。受けスリツト21の幅はそこに嵌合される
べきねじを切られたロツドがゆつたりとそこに通
過するように選択される。シリコンのような緩衝
特性を有する材料からなる緩衝ワツシヤ24は、
ロツクナツト9と受取部3との間に設けられる。
1つの例として、凹所8および12および/ま
たは球状部分15の表面は、テフロンのような摩
擦防止手段でコーテイングされ、そのため、ロツ
クナツト9が締付けられている場合でも、接続部
材14のわずかな動きが可能である。さらに別の
例では、表面は平らでないようにされ、したがつ
て、ボールは、ロツクナツト9を締付けたとき、
その位置で動かなくなり、接続部材14とねじを
切られた軸部2との間に実質的に固い接続が得ら
れる。
ロツクナツト9は、茎ねじを背骨に挿入するた
めに、取除かれるか、または緩められる。固定し
ようとする脊椎のセグメントを間に挟むように離
れた位置で背骨に挿入される1対の茎ねじを連結
するねじ切されたロツドが用意される。茎ねじの
挿入後、受取部3の方向は、ねじ切されたロツド
に対してせん断力を作用させないような位置とな
るように位置決めをされる。それと同時にねじ切
されたロツドは、1対の茎ねじの受取部3の受け
スリツト21に嵌め入れられ、それぞれの凹所2
2および23に配置された締付けナツトで固定さ
れる。その後、所望されるようにそれぞれのロツ
クナツト9は接続部材14がほとんどまたは全然
それ以上動かないように締付けられ、こうして受
取部3とねじを切られた軸部2との間の実質的に
固い接続が得られるか、またはそれはそれが2つ
の部分の間の所望された緩衝された動きを可能に
する程度にだけ締付けられる。
次に、本発明の実施例を説明する。
第4図〜第11図に示される実施例において、
茎ねじ25は、ねじを切られた軸部26と受取部
27とを含む。
ねじを切られた軸部26は、背骨に捩込まれる
ように適合されたねじを切られた部分28を含
む。球状の頭部29は、ねじを切られた部分28
の頭側端部に設けられる。球状頭部29は、ねじ
を切られた部分28の軸線に対して垂直に延在す
る平坦な表面30を有する。表面30は球状の部
分を切取ることによつて形成される。切取られた
部分は、球状本体の半径の約半分に対応する。
第6図から分かるように、球状頭部29の平坦
表面30には、ねじを切られた部分28と同軸に
六角穴31が設けられる。六角穴31は、ねじを
切られた軸部26を背骨に捩込むために、六角ソ
ケツトねじキーを受入れる。もちろん、六角穴以
外の他の型が、ねじドライバによつて係合するた
めに設けられてもよい。
受取部27は、2個のヘツドハーフ32および
33と、これらのヘツドハーフを一緒に保持する
保持リング34とを含む。
各ヘツドハーフは、他方のヘツドハーフに向い
合うその内部の側面に、球状凹部35を有する。
球状凹部35の内部半径は、球状頭部29の半径
に対応する。切頭円錐のセグメントの形状を有
し、球状凹部35から外方向に逸れるように設計
されるカラー部分36が、球状凹部35に連なつ
ている。カラー部分36の中心軸線は、球状凹部
35の中心を通過する。各ヘツドハーフ32,3
3は、ねじ切されたロツドを受入れるための受け
スリツト37を有している。受けスリツト37、
カラー部分36の反対側に位置し、カラー部分3
6および球状凹部35の対称軸に対して垂直に延
在する。受けスリツト37は、他方のヘツドハー
フに向き合わない外面に、凹所38を有する。受
けスリツト37の幅は、そこに嵌合されるねじ切
されたロツド39が第4図に示されるようにゆつ
たりとそこを通過し得るように選択される。
ヘツドハーフ32,33は、カラー部分36の
領域に、カラー部分36および球状凹部35の対
称軸に対して垂直に延在している溝型凹所40を
有する。
2つのヘツドハーフ32および33は同一の態
様で形成される。第8図に示すように、球状凹部
35の中心41は、2個のヘツドハーフが向き合
う側面42よりも、1mmの何分の1かだけ外にあ
る。そのため、2つのヘツドハーフ32および3
3が互いに球状頭部29の回りに平行に組立てら
れるとき、両方のハーフの間でギヤツプ43が得
られるようにされる。
保持リング34は、カラー部分36の外部表面
に一致する内部表面44を有する。特に内部表面
44は、突出している帯45と、それに隣接した
端縁部分46および47とを含む。保持リング3
4突出帯45は、ヘツドハーフ32,33のカラ
ー部分36の溝型凹所40に嵌合する。
保持リング34の内部直径、特に、突出帯45
および端縁部分46,47の内部直径は、以下の
動作を達成し得るように選ばれている。第4図
は、ねじ切されたロツド39が挿入されている
が、今、ねじ切されたロツド39が挿入されてい
ない状態を考える。2個のヘツドハーフ32,3
3が球状頭部29の上に取付けられている状態に
おいて、保持リング34から2個のヘツドハーフ
32,33に対して力が作用するが、2個のヘツ
ドハーフ32,33は、カラー部分36のテーパ
の量によつて決定される角度の範囲内で、ねじ切
された部分26の長さ方向軸線の回りを自由に回
動することができる。2個のヘツドハーフ32,
33は、球状頭部29およびねじ切された部分2
6を介して、ある程度しつかりと、互いに接続さ
れている。その状態で、ねじ切されたロツド39
を受入れる。2個のヘツドハーフ32,33がね
じ切されたロツド39を受入れる前においては、
2個のヘツドハーフ32,33の間隔は、保持リ
ング34で囲まれた領域の方が小さく、受けスリ
ツト37の形成された領域の方が大きくなつてい
る。
第4図および第9図で特に見られるように、ね
じ切された軸部26の縦軸線と回りにおける受取
部27の自由な動きの抑制を回避するために、受
けスリツト37の深さは、第4図に示される組立
てられた状態において、球状頭部29の平坦表面
30よりも上方の位置で終端となるようにされ
る。
第4図〜第11図に示される実施例に従つた茎
ねじを骨に取付けるために、ねじ切された軸部2
6の平坦表面30の六角穴に六角ソケツトねじキ
ーを係合させて、ねじを切られた軸部26を背骨
に捩込む。その後、保持リング34によつて一緒
に保持された2個のヘツドハーフ32および33
を有する受取部27を、所定の方向に整列させ
る。ここで、所定の方向とは、ねじ切されたロツ
ド39が受けスリツト37内に嵌め入れられたと
き、このねじ切されたロツド39に対していかな
るせん断力も作用させない方向である。その後、
ねじ切されたロツド39は、受けスリツト37内
に嵌め入れられ、凹所38内に配置された締付け
ナツト48および49によつて固定される。締付
けナツト48および49は、受取部27が球状頭
部29の回り回動することができず、実質的に受
取部27とねじ切された軸部26との間で固い接
続が得られるように締付けられるか、または2つ
の部分の間の所望の緩衝された動きが依然として
可能であるようにのみ締付けられる。
上述した茎ねじの実施例を用いることによつ
て、茎ねじのねじ切された軸部を骨に捩込んだ後
においても、茎ねじの受取部を対称軸線の回りで
自由に動かすことができ、水平および垂直方向に
10°から30°までの角度領域で最適な位置を調整す
ることができる。茎ねじの受取部が最適の位置に
設定されたら、受取部とねじ切されたロツドとを
固定する。特に、この発明の実施例では、茎ねじ
の全体の長さ特に短いことが注目される。
第4図に示した実施例では、保持リング34の
下方角部は、丸められている。第1図に示した茎
ねじにおいて、六角ヘツド5の下方角部も同様に
丸めてもよい。このように丸めておけば、それぞ
れの背骨に向かう表面はその部分でいかなる損傷
も引起し得ない。
この明細書では、特定の具体的な実施例を参照
して発明を記載したが、この発明の範囲は、その
ような具体的な実施例に制約されるものではな
く、特許請求の範囲に記載された範囲内に含まれ
るすべての修正および同等物をも含むことが理解
されるべきである。
【図面の簡単な説明】
第1図は、改良された茎ねじの分解部分断面図
である。第2図は、第1図の茎ねじを90°だけ回
転させた状態に位置する受取部を示す図である。
第3図は、第1図で示した各要素を組立てた状態
の図である。第4図は、この発明の一実施例を示
す部分側面断面図である。第5図は、第4図に示
されているねじの切りされた軸部26を拡大して
示す図である。第6図は、第5図のねじを切られ
た軸部26の平面図である。第7図は、第4図に
示されているヘツドハーフ32を示す図である。
第8図は、第7図のヘツドハーフを90°だけ回転
させた状態の断面図である。第9図は、第7図に
示したヘツドハーフの後ろの部分を示す図であ
る。第10図は、第8図に示されている部分の平
面図である。第11図は、第4図に示されている
保持リング34の断面図である。 図において、25は茎ねじ、26はねじを切ら
れた軸部、27は受取部、28はねじを切られた
部分、29は球状頭部、32および33はヘツド
ハーフ、34は保持リング、35は球状凹部、3
6はカラー部分、37は受けスリツト、38は凹
所、39はねじ切されたロツド、40は溝型凹
所、41は球状凹部の中心、42は側面、43は
ギヤツプ、44は内部表面、45は突出帯、46
および47は端縁部分を示す。

Claims (1)

  1. 【特許請求の範囲】 1 脊椎セグメントを安定させるための茎ねじで
    あつて、 ねじを切られた軸部と、 前記ねじ切りされた軸部の一端に設けられた球
    状の頭部と、 前記球状の頭部を受入れるための2個のハーフ
    を有する受取部と、 前記2個のハーフの回りに配置され、前記2個
    のハーフを前記球状頭部に係合させるように保持
    する保持リングと、 を備えた、茎ねじ。 2 前記受取部のハーフは、前記球状頭部に対応
    した形状を有し、かつ前記球状頭部に係合する球
    状凹部を有している、特許請求の範囲第1項記載
    の茎ねじ。 3 前記受取部の2個のハーフは、それらの間に
    ギヤツプを生じさせるような寸法に作られてい
    る、特許請求の範囲第2項に記載の茎ねじ。 4 前記球状頭部は、ねじドライバに係合する手
    段を備えている、特許請求の範囲第1項に記載の
    茎ねじ。 5 前記受取部のハーフは、その外周上に溝を有
    しており、 前記保持リングは、その内周面に、前記溝に係
    合する突出帯を有している、特許請求の範囲第1
    項に記載の茎ねじ。
JP62101107A 1986-04-25 1987-04-23 茎ねじ Granted JPS62277954A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3614101A DE3614101C1 (de) 1986-04-25 1986-04-25 Pedikelschraube
DE3614101.1 1986-04-25

Publications (2)

Publication Number Publication Date
JPS62277954A JPS62277954A (ja) 1987-12-02
JPH058011B2 true JPH058011B2 (ja) 1993-02-01

Family

ID=6299563

Family Applications (1)

Application Number Title Priority Date Filing Date
JP62101107A Granted JPS62277954A (ja) 1986-04-25 1987-04-23 茎ねじ

Country Status (8)

Country Link
US (1) US4946458A (ja)
EP (1) EP0242708B1 (ja)
JP (1) JPS62277954A (ja)
KR (1) KR950006929B1 (ja)
AT (1) ATE82484T1 (ja)
CA (1) CA1328591C (ja)
DE (2) DE3614101C1 (ja)
ES (1) ES2035826T3 (ja)

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EP0242708A2 (de) 1987-10-28
DE3782678D1 (de) 1992-12-24
KR870010327A (ko) 1987-11-30
ES2035826T3 (es) 1993-05-01
US4946458A (en) 1990-08-07
DE3614101C1 (de) 1987-10-22
ATE82484T1 (de) 1992-12-15
KR950006929B1 (ko) 1995-06-26
CA1328591C (en) 1994-04-19
JPS62277954A (ja) 1987-12-02
EP0242708B1 (de) 1992-11-19

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