KR950010861A - 척추 삽입물 및 이를 이용한 근접 척추골 결합방법 - Google Patents

척추 삽입물 및 이를 이용한 근접 척추골 결합방법 Download PDF

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KR950010861A
KR950010861A KR1019940025218A KR19940025218A KR950010861A KR 950010861 A KR950010861 A KR 950010861A KR 1019940025218 A KR1019940025218 A KR 1019940025218A KR 19940025218 A KR19940025218 A KR 19940025218A KR 950010861 A KR950010861 A KR 950010861A
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South Korea
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spinal
insert
spinal insert
proximal
surface means
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KR1019940025218A
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English (en)
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KR0153410B1 (ko
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디. 스테피 아서
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케롤린 루츠
애크로메드 코오포레이숀
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Priority claimed from US08/130,288 external-priority patent/US5443514A/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/447—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
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    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/28—Bones
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    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30138—Convex polygonal shapes
    • A61F2002/30158—Convex polygonal shapes trapezoidal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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    • A61F2002/30199—Three-dimensional shapes
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
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    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30904—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
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    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
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    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4622—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof having the shape of a forceps or a clamp
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
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    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
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    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
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    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4628—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
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    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0017—Angular shapes
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    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0082—Three-dimensional shapes parallelepipedal

Abstract

본 발명은 척추 디스크의 높이를 유지시키고 편향시키는 한편 척추의 근접 척추골과의 결합율 촉진시키는데 사용되고 서로 거의 평행하게 연장되는 제1 및 제2 측면을 포함하는 척추 삽입물에 관한 것이다. 상기 근접 척추골과 맞물리는 상부 및 하부 표면은 상기 제1 및 제2 측면사이로 연장되고 척추 삽입물의 제1 끝부분으로 부터 제2 끝부분으로 연장된다. 상기 척추 삽입물은 상기 제1 및 제2 측면에 상기 척추 삽입물을 회전시키기 위한 기구를 수용하는 함몰 부분을 포함한다. 상기 척추 삽입물을 사용하여 상기 근접 척추골을 함께 결합시키는 방법은 상기 근접 척추골 사이의 척추 디스크의 적어도 일부를 제거하는 단계를 포함한다. 상기 척추 삽입물은 상기 근접 척추골 사이에 삽입되어 상기 평행한 제1 및 제2 측면은 상기 근접 척추골과 면한다. 상기 척추 삽입물은 상기 평행한 측면이 상기 근접 척추골중 하나로 부터 다른 근접 척추골로 연장되어 상기 상부 및 하부 표면이 상기 근접 척추골과 맞물리는 위치로 회전된다.

Description

척추 삽입물 및 이를 이용한 근접 척추골 결합방법
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
제1도는 척추 중간에 위치한 본 발명에 의한 척추 삽입물의 제1실시예를 나타내는 인간의 척추를 도시한 입면도이며,
제2도는 제도의 척추 삽입물을 도시한 사시도이며,
제3도는 제2도의 척추 삽입물 측면의 일부를 도시한 확대도이며,
제4도는 근접한 척추골 사이에 척추 삽입물의 삽입과 그 척추 삽입물의 회전을 용이하게 하기 위하여 제2도의 척추 삽입물을 잡기 위한 기구를 도시한 단면도이며,
제5도는 제4도의 기구의 중간 부분을 도시 한 단면도이며,
제6도는 제4도의 기구의 손잡이를 도시한 평면도이며,
제7도는 제4도의 기구의 클램프(clamp) 부분을 도시한 단면도이다

Claims (23)

  1. 서로 거의 평행하게 연장되는 제1 및 제2 측면 : 상기 제1 및 제2 측면 사이로 연장하는 근접 척추골과 맞물리는 상부 및 하부 표면 수단; 제1 및 제2단부; 및 상기 제1 및 제2측면이 근접 척추골고 면하는 위치로부터 상기 상부 및 하부표면 수단이 근접 척추골과 맞물리는 위치까지 척추 삽입물을 회전시키기 위한 기구와 맞물리는 수단을 구비하는 것을 특징으로 하는 척추의 근접 척추골을 함께 결합하는데 사용하는 척추 삽입물.
  2. 제1항에 있어서, 상기 상부 및 하부표면 수단은 상기 제1 끝부분으로부터 상기 제2 끝부분까지 연장하고, 상기 제1 끝부분에 근접한 상기 상부 및 하부표면 수단은 제1거리 만큼 이격되어 있고 상기 제2 끝부분에 근접한 상기 상부 및 하부표면 수단은 제1거리보다 큰 제2거리만큼 이격되어 있는 것을 특징으로 하는 척추 삽입물.
  3. 제1항에 있어서, 상기 척추 삽입물을 관통하여 연장되는 적어도 하나의 구멍을 또한 포함하는 것을 특징으로 하는 척추 삽입물.
  4. 제3항에 있어서, 상기 구멍은 상기 상부표면 수단으로 부터 상기 하부포면 수단까지 연장하는 것을 특징으로 하는 척추 삽입물.
  5. 제3항에 있어서, 상기 구멍은 상기 제1측면으로 부터 상기 제2 측면으로 연장되는 것을 특징으로 하는 척추 삽입물.
  6. 제5항에 있어서, 상기 제1측면으로 부터 상기 제2측면까지 연장하는 다수의 구멍을 또한 포함하는 것을 특징으로 하는 척추 삽입물.
  7. 제6항에 있어서, 상기 구멍은 상기 제1 및 제2 측면에 대해 거의 수직으로 연장하는 것을 특징으로 하는 척추 삽입물.
  8. 제5항에 있어서, 상기 상부표면 수단으로부터 상기 하부표면 수단까지 연장하는 구멍을 또한 포함하는 것을 특징으로 하는 척추 삽입물.
  9. 제8항에 있어서, 상기 상부표면 수단으로부터 상기 하부표면 수단까지 연장하는 상기 구멍이 상기 제1측면으로부터 상기 제2측면까지 연장하는 구멍과 교차하는 것을 특징으로 하는 척추 삽입물.
  10. 제1항에 있어서, 상기 상부 및 하부표면 수단은 근접 척추골과 맞물리는 톱니를 포함하는 것을 특징으로 하는 척추 삽입물.
  11. 제10항에 있어서, 상기 상부 및 하부표면 수단위의 상기 톱니는 삼각형 형상인 것을 특징으로 하는 척추 삽입물.
  12. 제11항에 있어서, 상기 각각의 톱니는 상기 제1 끝부분을 향해 면한 제1표면 및 상기 톱니의 상기 제1표면으로 부터 연장되어 상기 제2끝부분과 면한 제2표면을 포함하며, 상기 톱니의 상기 제1 및 제2 표면은 서로 교차하여 모서리부를 형성하며, 상기 제1 및 제2 표면이 교차되어 형성된 상기 모서리부 반대편의 상기 제1 표면의 모서리부와 상기 제1 및 제2 표면이 교차되어 형성된 상기 모서리부의 반대편의 상기 제2 표면의 모서리부를 지니는 평면에 대해 상기 제1표면은 예각으로 연장되며, 상기 제1 표면이 상기 평면으로부터 연장하는 예각과 동일한 예각으로 표면은 상기 제2 평면에 대해 연장하는 것을 특징으로 하는 척추 삽입물.
  13. 제12항에 있어서, 상기 제1 표면은 상기 제2 표면에 대해 수직으로 연장하는 것을 특징으로 하는 척추 삽입물.
  14. 제1항에 있어서, 상기 척추 삽입물을 회전시키기 위한 기구와 맞물리는 상기 수단은 상기 척추 삽입물을 잡고 회전시키기 위한 공구를 수용하는 함몰부분을 상기 제1 및 제2 측면에 구비하는 것을 특징으로 하는 척추 삽입물.
  15. 제2항에 있어서, 상기 척추 삽입물을 회전시키기 위한 기구와 맞물리는 상기 수단은 상기 척추 삽입물의 상기 제1 끝부분에 근접하여 위치된 함몰부분을 구비하는 것을 특징으로 하는 척추 삽입물.
  16. 근접 척추골 사이에서 디스크의 적어도 일부를 제거하는 단계; 상기 제1 및 제2 측면 사이로 상부 및 하부표면 수단이 연장하고 제1 및 제2 측면이 서로 거의 평행하게 척추 삽입물을 제공하는 단계; 상기 척추 삽입물의 거의 평행한 상기 제1 및 제2 측면이 상기 근접 척추골과 면하도록 근접 척추골 사이로 척추삽입물을 삽입하는 단계 ; 및 상기 척추 삽입물의 상기 평행한 측면들이 상기 근접 척추골중 하나로부터 다른 근접 척추골로 연장하고 상기 상부 및 하부표면 수단이 상기 근접 척추골과 맞물리는 위치로 상기 척추 삽입물을 회전시키는 단계를 포함하는 것을 특징으로 하는 척추의 근접 척추골을 함께 결합하는 방법.
  17. 제16항에 있어서, 제1 및 제2 끝부분을 척추 삽입물에 형성하는 단계를 또한 포함하며, 상기 상부 및 하부표면 수단은 상게 제1 단부에 근접하여 제1 거리만큼 이격되어 있고 상기 제2 끝부분에 근접하여 제1 거리보다 큰 제2거리 만큼 이격되어 있는 것을 특징으로 하는 방법.
  18. 제17항에 있어서, 상기 척추 삽입물을 삽입하는 상기 단계는 상기 척추의 후방 측부로부터, 상기 척추 삽입물의 상기 제1 끝부분이 상기 척추의 상기 후방 측부에 근접하여 위치되고 상기 척루 삽입물의 상기 제1 끝부분이 상기 척추의 전방 측부에 근접하여 위치되는 위치에 척추 삽입물을 삽입하는 단계를 포함하는 것을 특징으로 하는 방법.
  19. 제16항에 있어서, 상기 척추 삽입물을 삽입하는 상기 단계는 2개의 척추 삽입물을 나란히 삽입하는 단계를 포함하는 것을 특징으로 하는 방법.
  20. 제16항에 있어서, 상기 척추 삽입물을 회전시킨 후에 상기 척추 삽입물 둘레에 뼈 이식조직을 채우는 단계를 포함하는 것을 특징으로 하는 방법.
  21. 제16항에 있어서, 상기 근접 척추골을 소정의 공간 관계로 유지시키기 위해 척추에 장치를 부착시키는 단계를 포함하는 것을 특징으로 하는 방법.
  22. 제16항에 있어서, 척추 디스크의 적어도 일부를 제거하기 위한 상기 단계는 상기 근접 척추골의 외주 둘레에 체환 디스크를 남겨 두는 단계를 포함하는 것을 특징으로 하는 방법.
  23. 제16항에 있어서, 척추 삽입물을 관통하여 연장되는 구멍내로 뼈 이식조직을 채워넣는 단계를 또한 포함하는 것을 특징으로 하는 방법.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019940025218A 1993-10-01 1994-10-01 척추 삽입물 및 이를 이용한 근접 척추골 결합방법 KR0153410B1 (ko)

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US130,288 1993-10-01
US130.288 1993-10-01
US08/130,288 US5443514A (en) 1993-10-01 1993-10-01 Method for using spinal implants
US28709694A 1994-08-08 1994-08-08
US287.096 1994-08-08
US287,096 1994-08-08

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KR950010861A true KR950010861A (ko) 1995-05-15
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