JPH09108250A - Bone fixing device - Google Patents

Bone fixing device

Info

Publication number
JPH09108250A
JPH09108250A JP7297464A JP29746495A JPH09108250A JP H09108250 A JPH09108250 A JP H09108250A JP 7297464 A JP7297464 A JP 7297464A JP 29746495 A JP29746495 A JP 29746495A JP H09108250 A JPH09108250 A JP H09108250A
Authority
JP
Japan
Prior art keywords
block body
bone
pedicles
groove
block
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.)
Granted
Application number
JP7297464A
Other languages
Japanese (ja)
Other versions
JP2741585B2 (en
Inventor
Hideo Ooto
英雄 一青
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.)
ROBAATO READ SHOKAI KK
Original Assignee
ROBAATO READ SHOKAI KK
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 ROBAATO READ SHOKAI KK filed Critical ROBAATO READ SHOKAI KK
Priority to JP7297464A priority Critical patent/JP2741585B2/en
Publication of JPH09108250A publication Critical patent/JPH09108250A/en
Application granted granted Critical
Publication of JP2741585B2 publication Critical patent/JP2741585B2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • 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
    • A61B17/7041Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
    • 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
    • A61B17/7007Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
    • 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
    • A61B17/701Longitudinal elements with a non-circular, e.g. rectangular, cross-section
    • 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
    • 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

Abstract

PROBLEM TO BE SOLVED: To naturally connect a plurality of pedicles to each other in a bone fixing device. SOLUTION: A block body 20 is formed from a deformable material matched to arrangement of a plurality of pedicles 11 and grooved parts 21 for simplifying the deformation are formed in the block body 20 so that the block body 20 is connected to an engagement element 10 by a ball joint 30.

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【発明の属する技術分野】本発明は脊椎等の骨を所定の
位置関係に保つために、骨に固定した複数個のペディク
ルの配列に沿って配置する方向性を有するブロック体を
具備し、ペディクルとブロック体とを結合子によって一
体化するようにした骨固定装置に関するものである。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention includes a pedicle having a directional block arranged along an array of a plurality of pedicles fixed to a bone in order to maintain a bone such as a spine in a predetermined positional relationship. The present invention relates to a bone anchoring device in which a body and a block body are integrated by a connector.

【0002】[0002]

【従来の技術】例えば脊椎を所望形態に保持するため
に、各椎骨の位置関係を固定する技術は公知であり、例
えば特開平5−2691431号の図3や特開平7−1
6237号の発明にも開示されている。しかしそれらは
棒状又は板状の部材に脊椎に植設したインプラントを結
合しており、そのために棒状又は板状の部材を施術中に
曲げ加工しなければならないという問題があった。
2. Description of the Related Art For example, in order to hold a spine in a desired shape, a technique for fixing a positional relationship between vertebrae is known. For example, FIG. 3 of JP-A-5-2691431 and FIG.
The invention of No. 6237 is also disclosed. However, they have a problem in that the implant implanted in the spine is connected to a rod-shaped or plate-shaped member, so that the rod-shaped or plate-shaped member must be bent during the operation.

【0003】[0003]

【発明が解決しようとする課題】本発明は前記の点に着
目してなされたもので、その課題は骨に固定した複数の
ペディクルの配列にその固定手段を無理なく結合できる
ようにすることである。
SUMMARY OF THE INVENTION The present invention has been made in view of the above point, and an object of the present invention is to enable the fixing means to be easily connected to an array of a plurality of pedicles fixed to a bone. is there.

【0004】[0004]

【課題を解決するための手段】前記課題を解決するため
本発明は、骨固定装置について、複数個のペディクル1
1の配列に合わせて変形可能な材料によってブロック体
20を形成するとともに、前記の変形を容易化するため
の溝状部21をブロック体20に形成し、該ブロック体
20と結合子10を球継手30によって接続するという
手段を講じたものである。
According to the present invention, there is provided a bone anchoring device comprising a plurality of pedicles.
1. The block 20 is formed of a material which can be deformed in accordance with the arrangement of the block 1, and a groove-shaped portion 21 for facilitating the deformation is formed in the block 20. A means of connecting by a joint 30 is taken.

【0005】[0005]

【発明の実施の形態】本発明に係る骨固定装置は、脊椎
や頸椎の椎骨のような複数個の骨に固定した、複数個の
ペディクル11の配列に沿って配置する、比較的細長
い、方向性を有するブロック体20を具備し、各ペディ
クル11をブロック体20に結合子10によって結合し
一体化するための装置である。
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A bone fixation device according to the present invention is a relatively elongated, directional device arranged along an array of a plurality of pedicles 11 fixed to a plurality of bones, such as the vertebrae of the spine or cervical spine. This is a device that includes a block body 20 having a property, and connects and integrates each pedicle 11 with the block body 20 by a connector 10.

【0006】ペディクル11はインプラント或いはスク
リューなどと称される、ねじによって骨に螺入するボル
ト型の定着手段を有する、いわば足状の基礎を形成する
部材である。ペディクル11は、椎骨に例えば1個螺入
するが、その植立角度に個人差があり、そのばらつきを
完全に吸収するために、本発明に係る装置ではブロック
体20と球継手30とを組み合わせるようにした。
The pedicle 11 is a so-called foot-like base member having a bolt-type fixing means called an implant or a screw, which is screwed into a bone by a screw. For example, one pedicle 11 is screwed into the vertebrae, but there are individual differences in the planting angle, and in order to completely absorb the variation, the block body 20 and the ball joint 30 are combined in the device according to the present invention. I did it.

【0007】そのためのブロック体20は複数個分のペ
ディクルをカバーする長さのブロック状であることを基
本とする。しかし曲げ加工即ち塑性変形を容易化するた
めに、溝状部21をブロック体20に形成し、残部を強
度を維持するための維持部22とし、かつ球継手30の
一方を設けている。
The block body 20 for this purpose is basically formed in a block shape having a length covering a plurality of pedicles. However, in order to facilitate bending processing, that is, plastic deformation, a groove-shaped portion 21 is formed in the block body 20, the remaining portion is a maintenance portion 22 for maintaining strength, and one of the ball joints 30 is provided.

【0008】変形容易化手段である溝状部21をどのよ
うに形成するかは、基本的に自由に決めることができ
る。例えば細長いブロック体20の長手方向に対して直
交する方向或いは平行な方向のどちらにも溝状部22を
設定することができる。
[0008] How to form the groove portion 21, which is a means for facilitating deformation, can basically be freely determined. For example, the groove-shaped portion 22 can be set in either a direction perpendicular to the longitudinal direction of the elongated block body 20 or a direction parallel thereto.

【0009】実施例の場合、直方体形を基本形状にする
ブロック体20に、結合子10との接続構造を必要数形
成している。溝状部22は、ブロック本体20の上下又
は前後の面20a、20b、20c、20dのどれに、
どの程度の範囲に形成するかによって変形の容易化を決
定する。
In the case of the embodiment, a required number of connection structures with the connectors 10 are formed in a block body 20 having a basic shape of a rectangular parallelepiped. The groove-shaped portion 22 is formed on any of the upper and lower or front and rear surfaces 20a, 20b, 20c, and 20d of the block body 20,
The ease of deformation is determined depending on the extent of formation.

【0010】図2〜図4に示す実施例1のブロック体2
0は、上面20aから切り下げるように設けた溝状部2
2(図4(b))を有する。各溝状部22間の維持部2
1が本発明の骨固定装置を構成するために必要な強度を
残していことはいうまでもない。溝状部22はブロック
体20を上下方向に曲げ易くする。
The block 2 of the first embodiment shown in FIGS.
0 is a groove portion 2 provided so as to be cut down from the upper surface 20a.
2 (FIG. 4 (b)). Maintainer 2 between each groove 22
It goes without saying that the sample No. 1 retains the strength necessary for constructing the bone fixing device of the present invention. The groove portion 22 facilitates bending the block body 20 in the vertical direction.

【0011】このように各溝状部22はブロック体20
を維持部21の部分で前記各方向へ曲げ易くするもので
あるが、その場合いずれかの溝状部22の幅が狭まる方
向へ曲げる方が良い(勿論その方向にこだわるものでは
なく、任意の方向に曲げ加工可能である。)。またブロ
ック体20は直方体状に限られず、円柱状等、製造の容
易さと、溝状部22の形成の容易さ等から任意の形状を
設置して良い。
As described above, each groove 22 is formed by the block 20
Is easily bent in the above-mentioned directions at the portion of the holding portion 21. In this case, it is better to bend in a direction in which the width of any of the groove portions 22 is narrowed (of course, not limited to the direction, any It can be bent in the direction.). In addition, the block body 20 is not limited to a rectangular parallelepiped shape, and may have an arbitrary shape such as a columnar shape in view of ease of manufacture and ease of forming the groove 22.

【0012】さらに各ペダル11とブロック体20とを
組み合わせる結合子10を用いる。この結合子10には
ペディクル11とブロック体20との位置関係を調節す
る手段が備わっている。そのための手段が球継手30で
ある。球継手30は球状のボール部31とそれを受け入
れるソケット部32とからなる自在継手である。実施例
ではボール部31を結合子10に突設し、ソケット部3
2はブロック体20の内部に形成している。ボール部3
1を挟むソケット部32の両側にボール部31を緊締す
る緊締子33の取り付け口34を形成する。35はすり
割りであり、ソケット部32を上下に2分し緊締子33
による締緊を可能にする。
Further, a connector 10 for combining each pedal 11 and a block body 20 is used. The connector 10 has a means for adjusting the positional relationship between the pedicle 11 and the block body 20. The means for this is the ball joint 30. The ball joint 30 is a universal joint comprising a spherical ball part 31 and a socket part 32 for receiving the ball part. In the embodiment, the ball portion 31 is provided to protrude from the connector 10 and the socket portion 3
2 is formed inside the block body 20. Ball part 3
On both sides of the socket portion 32 sandwiching 1, an attachment port 34 for a tightener 33 for tightening the ball portion 31 is formed. Reference numeral 35 denotes a slot, which divides the socket part 32 into two parts up and down, and
Enables tightening by

【0013】ペディクル11を左右或いは前後方向へず
らして取り付け位置を調節することができるように長孔
13、14を結合子10に形成している。その結果ペデ
ィクル11と結合子10のボール部31は互いに直交位
置を取り得るとともに、3直交軸回りに回転可能にな
る。
Slots 13 and 14 are formed in the connector 10 so that the mounting position can be adjusted by shifting the pedicle 11 in the left-right or front-rear direction. As a result, the pedicle 11 and the ball portion 31 of the connector 10 can take a position orthogonal to each other and can rotate about three orthogonal axes.

【0014】ペディクル11は頂部に形成されたねじ手
段16と螺合可能な螺軸17a、螺環17bとの間で結
合子10を挾むようにしてそれと一体化し、また球継手
30はそのソケット部32の両側のブロック体20に形
成された螺孔34に螺合する緊締子33によって任意の
向きで一体化する。
The pedicle 11 is integrated with a screw means 16 formed on the top thereof by sandwiching the connector 10 between a screw shaft 17a and a screw ring 17b which can be screwed. The fasteners 33 are screwed into screw holes 34 formed in the block bodies 20 on both sides, and are integrated in an arbitrary direction.

【0015】このように構成された本発明に係る装置を
使用するには、例えば脊椎の椎骨(棘)Vに必要数のペ
ディクル11を定法通りに植設し、その幾つかのペディ
クル11(図示の例ではいずれもペディクル3個である
が、2個又は4個以上のもこともある。)の配列に沿っ
た形状のブロック体20をそれらに取り付ける。
In order to use the thus constructed apparatus according to the present invention, for example, a required number of pedicles 11 are implanted in a vertebra (spike) V of a spine in a conventional manner, and some of the pedicles 11 (illustrated in FIG. In each of the examples, three pedicles are used, but there may be two or four or more pedicles).

【0016】故にペディクル列が直線の場合にはブロッ
ク体20を曲げる必要はなく、ペディクル列が僅かに彎
曲しているときも結合子10とブロック体20との位置
関係調節手段である球継手30によって吸収可能であ
る。それらの範囲を越える場合にはブロック体20を自
由に塑性変形させることによってペディクル列に適合さ
せるものである。
Therefore, when the pedicle row is straight, it is not necessary to bend the block body 20, and even when the pedicle row is slightly curved, the ball joint 30 which is a means for adjusting the positional relationship between the connector 10 and the block body 20. Can be absorbed by. If it exceeds the range, the block body 20 is adapted to the pedicle row by freely plastically deforming.

【0017】本発明に係る装置は生体中に埋め込んで使
用するものであり、不要になったときは摘出される。そ
の性質上、生体との親和性の良好な金属や合成樹脂等を
材料として製造する。
The device according to the present invention is used by being implanted in a living body, and is removed when it becomes unnecessary. Due to its properties, it is manufactured using a material such as a metal or a synthetic resin having a good affinity for the living body.

【0018】[0018]

【発明の効果】本発明は以上の如く構成されかつ作用す
るものであるから、骨に固定した複数のペディクル11
の配列に応じて結合子10の方向及び位置関係を調節
し、ブロック体20の形状を正確に適合させることが非
常に容易に行なえるという効果を奏する。従って施術中
にブロック体20の加工に要する手間が少なくなり、ペ
ディクル11とブロック体20との結合部に無理な力も
加わらなくなるという特徴がある。
Since the present invention is constructed and operates as described above, a plurality of pedicles 11 fixed to a bone are provided.
It is very easy to adjust the direction and the positional relationship of the connector 10 in accordance with the arrangement of the blocks 20 and to accurately adjust the shape of the block body 20. Therefore, there is a feature that the labor required for processing the block body 20 during the treatment is reduced, and no unreasonable force is applied to the joint between the pedicle 11 and the block body 20.

【図面の簡単な説明】[Brief description of the drawings]

【図1】本発明に係る骨固定装置の実施例を示す分解斜
視図。
FIG. 1 is an exploded perspective view showing an embodiment of a bone fixing device according to the present invention.

【図2】実施例1のブロック体の平面図。FIG. 2 is a plan view of a block body according to the first embodiment.

【図3】同上の正面図。FIG. 3 is a front view of the same.

【図4】(a)図2のA−A線断面図。 (b)図2のB−B線断面図。 (c)図2のC−C線断面図。FIG. 4A is a sectional view taken along line AA of FIG. 2; FIG. 3B is a sectional view taken along line BB of FIG. 2. (C) The CC sectional view taken on the line of FIG.

【図5】脊椎に取り付けた状態の斜視図。FIG. 5 is a perspective view showing a state of being attached to a spine.

Claims (3)

【特許請求の範囲】[Claims] 【請求項1】 骨に固定した複数個のペディクルの配列
に沿って配置する方向性を有するブロック体を具備し、
ペディクルとブロック体とを結合子によって一体化する
ようにした骨固定装置において、複数個のペディクル1
1の配列に合わせて変形可能な材料によってブロック体
20を形成するとともに、前記の変形を容易化するため
の溝状部21をブロック体20に形成し、該ブロック体
20と係合子10とを球継手30によって接続したこと
を特徴とする骨固定装置。
1. A directional block which is arranged along an array of a plurality of pedicles fixed to a bone,
In a bone fixing device in which a pedicle and a block body are integrated by a connector, a plurality of pedicles 1
1, the block body 20 is formed of a material that can be deformed in accordance with the arrangement, and a groove-shaped portion 21 for facilitating the deformation is formed in the block body 20, and the block body 20 and the engaging element 10 are connected to each other. A bone anchoring device connected by a ball joint 30.
【請求項2】 ブロック体20は直方体状であり、その
上、下、前、後の各面に切り込み状の溝状部21を形成
し、残部を維持部22とした構成を有する請求項第1項
記載の骨固定装置。
2. The block body 20 has a rectangular parallelepiped shape, and has a configuration in which a cut-like groove-like portion 21 is formed on each of the upper, lower, front, and rear surfaces, and the remaining portion is a maintenance portion 22. 2. The bone anchoring device according to claim 1.
【請求項3】 ブロック体20の溝状部21及び維持部
22以外の箇所に、結合子10に設けたボール部31を
嵌合するソケット部32を形成したことを特徴とする請
求項第1項記載の骨固定装置。
3. A socket portion 32 for fitting a ball portion 31 provided on a connector 10 is formed at a portion other than the groove portion 21 and the retaining portion 22 of the block body 20. Item 7. The bone fixation device according to Item 1.
JP7297464A 1995-10-20 1995-10-20 Bone fixation device Expired - Lifetime JP2741585B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP7297464A JP2741585B2 (en) 1995-10-20 1995-10-20 Bone fixation device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP7297464A JP2741585B2 (en) 1995-10-20 1995-10-20 Bone fixation device

Publications (2)

Publication Number Publication Date
JPH09108250A true JPH09108250A (en) 1997-04-28
JP2741585B2 JP2741585B2 (en) 1998-04-22

Family

ID=17846838

Family Applications (1)

Application Number Title Priority Date Filing Date
JP7297464A Expired - Lifetime JP2741585B2 (en) 1995-10-20 1995-10-20 Bone fixation device

Country Status (1)

Country Link
JP (1) JP2741585B2 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004073548A (en) * 2002-08-20 2004-03-11 Showa Ika Kohgyo Co Ltd Intervertebral cage
JP2006142024A (en) * 2004-11-17 2006-06-08 Biedermann Motech Gmbh Elastic element for use in stabilization device for bone or vertebra, and stabilization device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004073548A (en) * 2002-08-20 2004-03-11 Showa Ika Kohgyo Co Ltd Intervertebral cage
JP2006142024A (en) * 2004-11-17 2006-06-08 Biedermann Motech Gmbh Elastic element for use in stabilization device for bone or vertebra, and stabilization device

Also Published As

Publication number Publication date
JP2741585B2 (en) 1998-04-22

Similar Documents

Publication Publication Date Title
US6610062B2 (en) Method and system for spinal fixation
JP5215553B2 (en) Flexible stabilization device for dynamic stabilization of bone or vertebra
AU754652B2 (en) Bone alignment system having variable orientation bone anchors
US7862591B2 (en) Intervertebral prosthetic device for spinal stabilization and method of implanting same
EP1093761B1 (en) Spinal cross connector
US5562661A (en) Top tightening bone fixation apparatus
KR100202329B1 (en) Spine construct with band clamp
US5498263A (en) Transverse connector for spinal column corrective devices
US6752807B2 (en) Transverse rod connector clip
JP4907523B2 (en) Spinal rod system
US7588593B2 (en) Pedicle screw with vertical adjustment
US7722645B2 (en) Pedicle screw spinal fixation device
US20020143330A1 (en) Polyaxial transverse connector
US7131972B2 (en) Vertebral fixing device
US20040210216A1 (en) Spinal fixation system and method
US20110098753A1 (en) Osteosynthetic clamp for attaching a bone anchor to a support rod
JP2000501624A (en) Apparatus for linking adjacent rods in spinal instrumentation
EP2370011B1 (en) A spinal construction assembly comprising an interconnecting device
KR20080072858A (en) Bottom loading multi-axial screw assembly
JP2009511171A (en) Multi-directional moving device for fixing the spine during osteosynthesis surgery
JP2002527137A (en) Vertebral osteosynthesis system with excellent stability
JP2741584B2 (en) Bone fixation device
JP2741585B2 (en) Bone fixation device
JPH11244299A (en) Bone fixing device
JP3424205B2 (en) Rod fixing device