SU1107854A1 - Spine fixative - Google Patents

Spine fixative

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Publication number
SU1107854A1
SU1107854A1 SU833570386A SU3570386A SU1107854A1 SU 1107854 A1 SU1107854 A1 SU 1107854A1 SU 833570386 A SU833570386 A SU 833570386A SU 3570386 A SU3570386 A SU 3570386A SU 1107854 A1 SU1107854 A1 SU 1107854A1
Authority
SU
USSR - Soviet Union
Prior art keywords
spine
support
fixative
connecting plate
retainer
Prior art date
Application number
SU833570386A
Other languages
Russian (ru)
Inventor
Алексей Александрович Корж
Станислав Дмитриевич Шевченко
Николай Иванович Хвисюк
Геннадий Харлампиевич Грунтовский
Евгений Михайлович Маковоз
Ирина Борисовна Тимченко
Алла Георгиевна Голухова
Владимир Александрович Куценко
Original Assignee
Харьковский Научно-Исследовательский Институт Ортопедии И Травматологии Им.Проф.М.И.Ситенко
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.)
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Application filed by Харьковский Научно-Исследовательский Институт Ортопедии И Травматологии Им.Проф.М.И.Ситенко filed Critical Харьковский Научно-Исследовательский Институт Ортопедии И Травматологии Им.Проф.М.И.Ситенко
Priority to SU833570386A priority Critical patent/SU1107854A1/en
Application granted granted Critical
Publication of SU1107854A1 publication Critical patent/SU1107854A1/en

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Abstract

ФИКСАТОР ПОЗВОНОЧНИКА, содержащий опору с элементами фиксации, отличающийс тем, что, с целью обеспечени возможности коррекции и стабильной фиксации позвонков за счет исключени ротации во фронтальной и сагиттальной плоскост х, опора выполнена в виде клина и снабжена соединительной пластиной с зубцами. SPINE LATCH comprising a support with locking elements, characterized in that in order to permit correction of vertebral and stable fixation by avoiding the rotation in the frontal and sagittal planes, the support is formed as a wedge and is provided with a connecting plate with teeth. (Л | оо сд (N | oo sd

Description

Изобретение относитс к медицине, а именно к ортопедии и травматологии и может быть использовано дл хирургической коррекции деформаций-и стабилизации межпозвонковых сочленений при сколиозах, кифозах , остеохондрозах и других заболевани х позвоночника. The invention relates to medicine, namely to orthopedics and traumatology and can be used for the surgical correction of deformities and stabilize the intervertebral-junctions with scoliosis, kyphosis, low back pain and other diseases of the spine.

Известен фиксатор позвоночника, содержащий опору в виде параллелепипеда, снабженный элементами фиксации в виде выступов параболической формы с режущими кромками, ориентированными под углом к продольной оси параллелепипеда. Known spine fixator, comprising a support as a parallelepiped, provided with locking elements in the form of parabolic shape projections with cutting edges oriented at an angle to the longitudinal axis of the parallelepiped.

Однако это устройство не может произвести коррекпию деформации, заключающейс в нарушении угловых взаимоотношений между телами смежных позвонков, что имеет место при сколиозах, кифозах и остеохондрозах позвоночника. However, this device can not produce korrekpiyu deformation to a treatment tackle angular relationship between adjacent vertebral bodies, which occurs when scoliosis, kyphosis and osteochondrosis. Это обусловлено выполнением устройства в виде параллелепипеда. This is due to execution units in the form of a parallelepiped. Кроме того из-за конструктивных особенностей элементов вправлени и стабилизации устройство может эффективно иротивосто ть только сдвигаюп1им нагрузкам в сагиттальной плоскости, но не обладает стабилизирующим эффектом в отношении моментов сил, ротирующих позвонки во фронтальной и сагиттальной плоскост х, т. е. не позвол ет создать полностью неподвижный контакт .между артродезируемыми позвонками. Also due to the design of the elements reposition and stabilize the device can effectively irotivosto be only sdvigayup1im loads in the sagittal plane but has no stabilizing effect against torques, rotating the vertebrae in the frontal and sagittal planes so on. E. Does not allow to create completely fixed contact .mezhdu artrodeziruemymi vertebrae.

Цель изобретени - обеспечение возможности коррекции и стабильной фиксации fio3BOHKOB за счет исключени ротации во фронтальной и сагиттальной плоскост х. The purpose of the invention - providing correction capability and stable fixation fio3BOHKOB by eliminating the rotation in the frontal and sagittal planes.

Поставленна цель достигаетс тем, что в фиксаторе позвоночника, содержащем опору с элементами фиксации, опора выполнена в виде клина и снабжена соединительной пластиной с зубцами. This aim is achieved in that the retainer of the spine, comprising a support with locking elements, the support is formed as a wedge and is provided with a connecting plate with teeth.

На фиг. FIG. 1 показано устройство, общий вид; 1 shows an apparatus, general view; на фиг. FIG. 2 - межтеловой промежуток, вид после установки фиксатора (переднезадн проекци ); 2 - interbody gap appearance after installation fastener (anteroposterior); на фиг. FIG. 3 - межтеловой промежуток, вид после установки фиксатора (бокова проекци ). 3 - interbody gap appearance after installation fastener (side view).

Фиксатор позвоночника имеет .межтеловую опору 1, выполненную клинообразно, на несущих поверхност х которой выполнены стабилизирующие элементы 2 в виде «елочки, и снабжен соединительной пластиной 3 в виде швеллера, кра полок которого вл ютс режупхими и снабжены зубцами 4. На полках соединительной пластины 3 имеютс отверсти 5 дл прорастани костной ткани. Retainer .mezhtelovuyu spine has a support 1 made wedge-shaped, on bearing surfaces which formed the stabilizing elements 2 as a "herringbone, and provided with a connecting plate 3 in the form of a channel, the edges of shelves which are provided with teeth rezhuphimi and shelves 4. At the connecting plate 3 there are openings 5 ​​for germination bone.

Применение предлагаемого корректорафиксатора позвоночника показано на конкретном примере при оперативном вмещательстве у больного с кифосколиотической деформацией межпозвонкового сочленени между четвертым и п тым по сничными позвонка .ми. The application of the spine korrektorafiksatora shows a specific example in surgical vmeschatelstve patient with intervertebral kifoskolioticheskoy deformation articulation between the fourth and fifth lumbar vertebrae .mi.

0 В операционной больного интубируют и обеспечивают эндотрахеальный наркоз. 0 In operating the patient is intubated and provide endotracheal anesthesia. Положение больного - на спине. The patient's position - on the back. Типичным реберно-паховым забрющинным доступом производ т обнажение переднего отдела четвертого по сничного межпозвонкового A typical edge-inguinal zabryuschinnym the access is so exposure of the anterior part of the fourth lumbar intervertebral

5 диска и тел четвертого и п того по сничных позвонков. 5 disc and the bodies of the fourth and fifth lumbar vertebrae. Производ т удаление тканей пульпозного дра и внутренних отделов фиброзного кольца четвертого межпозвонкового диска, но без резекции замыкательных пласQ тинок. Manufact.:WEEKE m pulposus tissue removal sections and inner core of the fourth annulus fibrosus of an intervertebral disk, but without the resection of the closing plasQ Tinoco. Дл облегчени последующей установки фиксатора делают просечку кортикаль.ного сло смежных позвонков в поперечном направлении на рассто нии от краев тел, соответствующем рассто нию от опорной поверхности корректора-фиксатора до полки To facilitate the subsequent installation of the retainer make perforation kortikal.nogo layer adjacent vertebrae laterally spaced from the edges of the body corresponding to the distance from the supporting surface to the corrector latch flange

5 соединительной пластины. 5, the connecting plate.

Затем в межтеловой про.межуток с помощью импактора и .молотка внедр ют фиксатор , что приводит к изменению взаимного расположени смежных позвонков в соответствии со взаимны.м расположением несу0 щих поверхностей и соотношением высот переднего и заднего отделов .межтеловой опоры. Then interbody pro.mezhutok via impactor and .molotka embedded dissolved retainer, which leads to a change in relative position of the adjacent vertebrae, in accordance with vzaimny.m location nesu0 boiling surfaces and the ratio of the heights of the front and rear sections .mezhtelovoy support. Внедрение полок соединительной пластины 3 в тела позвонков приводит к образованию надежной св зи .между фиксатором и смежными позвонками. Introduction of shelves connecting plate 3 in the vertebral bodies results in the formation of reliable communication .mezhdu retainer and adjacent vertebrae.

5 five

Таким образом,предлагаемый корректорфиксатор позвоночника за счет новых конструктивных элементов (межтелова опора в форме клина и соединительный элемент в виде швеллера) обеспечивает оптимальные Thus, the proposed korrektorfiksator spine due to the new structural elements (interbody support wedge-shaped and a connecting element in the form of channel bars) provides optimal

0 анатомические взаимоотношени между телами смежных позвонков с одновременной стабилизацией артродезируемого сегмента. 0 anatomical relationship between the bodies of adjacent vertebrae with simultaneous stabilization artrodeziruemogo segment. Как материал дл фиксатора может быть использована керамика. As the material for the retainer may be used ceramics. В институте изготовлены 15 корректоров-фиксаторов, которые The institute made 15 proofreaders latches that

5 прошли экспери.ментальную проверку и будут применены в показанных случа х. Eksperi.mentalnuyu 5 were tested and shown to be applied in cases.

SU833570386A 1983-03-30 1983-03-30 Spine fixative SU1107854A1 (en)

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Cited By (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4917704A (en) * 1987-07-09 1990-04-17 Sulzer Brothers Limited Intervertebral prosthesis
US4955908A (en) * 1987-07-09 1990-09-11 Sulzer Brothers Limited Metallic intervertebral prosthesis
US5443514A (en) * 1993-10-01 1995-08-22 Acromed Corporation Method for using spinal implants
US5443515A (en) * 1994-01-26 1995-08-22 Implex Corporation Vertebral body prosthetic implant with slidably positionable stabilizing member
US5658335A (en) * 1995-03-09 1997-08-19 Cohort Medical Products Group, Inc. Spinal fixator
US5713899A (en) * 1995-04-27 1998-02-03 Societe Jbs Sa Cervical cage designed for the performance of intersomatic arthrodesis
US5716415A (en) * 1993-10-01 1998-02-10 Acromed Corporation Spinal implant
US5904719A (en) * 1997-07-24 1999-05-18 Techsys Medical, Llc Interbody fusion device having partial circular section cross-sectional segments
WO1999052473A1 (en) * 1998-04-15 1999-10-21 Stone Kevin R Osteotomy wedge device, kit and methods for realignment of a varus angulated knee
US5980572A (en) * 1997-04-15 1999-11-09 Asahi Kogaku Kogyo Kabushiki Kaisha Artificial spines
US6080155A (en) * 1988-06-13 2000-06-27 Michelson; Gary Karlin Method of inserting and preloading spinal implants
US6096038A (en) 1988-06-13 2000-08-01 Michelson; Gary Karlin Apparatus for inserting spinal implants
US6120503A (en) * 1994-03-28 2000-09-19 Michelson; Gary Karlin Apparatus instrumentation, and method for spinal fixation
US6149650A (en) 1988-06-13 2000-11-21 Michelson; Gary Karlin Threaded spinal implant
US6210412B1 (en) 1988-06-13 2001-04-03 Gary Karlin Michelson Method for inserting frusto-conical interbody spinal fusion implants
US6224595B1 (en) 1995-02-17 2001-05-01 Sofamor Danek Holdings, Inc. Method for inserting a spinal implant
US6302914B1 (en) * 1995-06-07 2001-10-16 Gary Karlin Michelson Lordotic interbody spinal fusion implants
US6447547B1 (en) 1988-06-28 2002-09-10 Sofamor Danek Group, Inc. Artificial spinal fusion implants
US6547823B2 (en) * 1999-01-22 2003-04-15 Osteotech, Inc. Intervertebral implant
US6730127B2 (en) 2000-07-10 2004-05-04 Gary K. Michelson Flanged interbody spinal fusion implants
US6770074B2 (en) 1988-06-13 2004-08-03 Gary Karlin Michelson Apparatus for use in inserting spinal implants
US6972019B2 (en) 2001-01-23 2005-12-06 Michelson Gary K Interbody spinal implant with trailing end adapted to receive bone screws
US7051417B2 (en) 1999-12-08 2006-05-30 Sdgi Holdings, Inc. Method for forming an orthopedic implant surface configuration
US7056342B2 (en) 1998-10-30 2006-06-06 Sdgi Holdings, Inc. Self-broaching, rotatable, push-in interbody spinal fusion implant and method for deployment thereof
US7166129B2 (en) 1999-12-08 2007-01-23 Warsaw Orthopedic, Inc. Method for forming a spinal implant surface configuration
US7662185B2 (en) 1999-12-30 2010-02-16 Osteotech, Inc. Intervertebral implants
US7691148B2 (en) 1995-06-07 2010-04-06 Warsaw Orthopedic, Inc. Frusto-conical spinal implant
US7726002B2 (en) 2001-12-05 2010-06-01 Osteotech, Inc. Processes for making spinal intervertebral implant, interconnections for such implant
US7780708B2 (en) 2000-10-20 2010-08-24 Osteotech, Inc. Implant retaining device
US7828800B2 (en) 1995-06-07 2010-11-09 Warsaw Orthopedic, Inc. Threaded frusto-conical interbody spinal fusion implants
US7887565B2 (en) 1993-06-10 2011-02-15 Warsaw Orthopedic, Inc. Apparatus and method for sequential distraction
US8066705B2 (en) 1988-06-13 2011-11-29 Warsaw Orthopedic, Inc. Instrumentation for the endoscopic correction of spinal disease
US8333985B2 (en) 2004-01-27 2012-12-18 Warsaw Orthopedic, Inc. Non-glycerol stabilized bone graft
US8372157B2 (en) 2007-02-12 2013-02-12 Warsaw Orthopedic, Inc. Joint revision implant
RU2621949C1 (en) * 2016-06-02 2017-06-08 Общество с ограниченной ответственностью "Медико-инженерный центр сплавов с памятью формы" Combined implant and instruments for its installation

Cited By (76)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4917704A (en) * 1987-07-09 1990-04-17 Sulzer Brothers Limited Intervertebral prosthesis
US4955908A (en) * 1987-07-09 1990-09-11 Sulzer Brothers Limited Metallic intervertebral prosthesis
US8758344B2 (en) 1988-06-13 2014-06-24 Warsaw Orthopedic, Inc. Spinal implant and instruments
US6264656B1 (en) 1988-06-13 2001-07-24 Gary Karlin Michelson Threaded spinal implant
US8066705B2 (en) 1988-06-13 2011-11-29 Warsaw Orthopedic, Inc. Instrumentation for the endoscopic correction of spinal disease
US8734447B1 (en) 1988-06-13 2014-05-27 Warsaw Orthopedic, Inc. Apparatus and method of inserting spinal implants
US6270498B1 (en) 1988-06-13 2001-08-07 Gary Karlin Michelson Apparatus for inserting spinal implants
US8353909B2 (en) 1988-06-13 2013-01-15 Warsaw Orthopedic, Inc. Surgical instrument for distracting a spinal disc space
US6210412B1 (en) 1988-06-13 2001-04-03 Gary Karlin Michelson Method for inserting frusto-conical interbody spinal fusion implants
US7722619B2 (en) 1988-06-13 2010-05-25 Warsaw Orthopedic, Inc. Method of maintaining distraction of a spinal disc space
US8251997B2 (en) 1988-06-13 2012-08-28 Warsaw Orthopedic, Inc. Method for inserting an artificial implant between two adjacent vertebrae along a coronal plane
US6080155A (en) * 1988-06-13 2000-06-27 Michelson; Gary Karlin Method of inserting and preloading spinal implants
US6096038A (en) 1988-06-13 2000-08-01 Michelson; Gary Karlin Apparatus for inserting spinal implants
US7686805B2 (en) 1988-06-13 2010-03-30 Warsaw Orthopedic, Inc. Methods for distraction of a disc space
US7914530B2 (en) 1988-06-13 2011-03-29 Warsaw Orthopedic, Inc. Tissue dilator and method for performing a spinal procedure
US6149650A (en) 1988-06-13 2000-11-21 Michelson; Gary Karlin Threaded spinal implant
US6770074B2 (en) 1988-06-13 2004-08-03 Gary Karlin Michelson Apparatus for use in inserting spinal implants
US6478823B1 (en) 1988-06-28 2002-11-12 Sofamor Danek Holdings, Inc. Artificial spinal fusion implants
US6733535B2 (en) 1988-06-28 2004-05-11 Sdgi Holdings, Inc. Spinal fusion implant having a trailing end adapted to engage an insertion device
US7066961B2 (en) 1988-06-28 2006-06-27 Gary Karlin Michelson Spinal implant
US6447547B1 (en) 1988-06-28 2002-09-10 Sofamor Danek Group, Inc. Artificial spinal fusion implants
US7887565B2 (en) 1993-06-10 2011-02-15 Warsaw Orthopedic, Inc. Apparatus and method for sequential distraction
US7993347B1 (en) 1993-06-10 2011-08-09 Warsaw Orthopedic, Inc. Guard for use in performing human interbody spinal surgery
US5443514A (en) * 1993-10-01 1995-08-22 Acromed Corporation Method for using spinal implants
US5716415A (en) * 1993-10-01 1998-02-10 Acromed Corporation Spinal implant
US5443515A (en) * 1994-01-26 1995-08-22 Implex Corporation Vertebral body prosthetic implant with slidably positionable stabilizing member
US6364880B1 (en) 1994-03-28 2002-04-02 Gary Karlin Michelson Spinal implant with bone screws
US6136001A (en) * 1994-03-28 2000-10-24 Michelson; Gary Karlin Apparatus and method for linking spinal implants
US7914554B2 (en) 1994-03-28 2011-03-29 Warsaw Orthopedic, Inc. Spinal implant containing multiple bone growth promoting materials
US8343188B2 (en) 1994-03-28 2013-01-01 Warsaw Orthopedic, Inc. Device and method for locking a screw with a bendable plate portion
US6120503A (en) * 1994-03-28 2000-09-19 Michelson; Gary Karlin Apparatus instrumentation, and method for spinal fixation
US7976566B2 (en) 1994-03-28 2011-07-12 Warsaw Orthopedic, Inc. Apparatus for insertion into an implantation space
US6224595B1 (en) 1995-02-17 2001-05-01 Sofamor Danek Holdings, Inc. Method for inserting a spinal implant
US5658335A (en) * 1995-03-09 1997-08-19 Cohort Medical Products Group, Inc. Spinal fixator
US5713899A (en) * 1995-04-27 1998-02-03 Societe Jbs Sa Cervical cage designed for the performance of intersomatic arthrodesis
US8021430B2 (en) 1995-06-07 2011-09-20 Warsaw Orthopedic, Inc. Anatomic spinal implant having anatomic bearing surfaces
US7789914B2 (en) 1995-06-07 2010-09-07 Warsaw Orthopedic, Inc. Implant having arcuate upper and lower bearing surfaces along a longitudinal axis
US7942933B2 (en) 1995-06-07 2011-05-17 Warsaw Orthopedic, Inc. Frusto-conical spinal implant
US8858638B2 (en) 1995-06-07 2014-10-14 Warsaw Orthopedic, Inc. Spinal implant
US7503933B2 (en) 1995-06-07 2009-03-17 Warsaw Orthopedic, Inc. Lordotic interbody spinal fusion implants
US6447544B1 (en) 1995-06-07 2002-09-10 Gary Karlin Michelson Lordotic interbody spinal fusion implants
US8226652B2 (en) 1995-06-07 2012-07-24 Warsaw Orthopedic, Inc. Threaded frusto-conical spinal implants
US7691148B2 (en) 1995-06-07 2010-04-06 Warsaw Orthopedic, Inc. Frusto-conical spinal implant
US6302914B1 (en) * 1995-06-07 2001-10-16 Gary Karlin Michelson Lordotic interbody spinal fusion implants
US8679118B2 (en) 1995-06-07 2014-03-25 Warsaw Orthopedic, Inc. Spinal implants
US7828800B2 (en) 1995-06-07 2010-11-09 Warsaw Orthopedic, Inc. Threaded frusto-conical interbody spinal fusion implants
US8057475B2 (en) 1995-06-07 2011-11-15 Warsaw Orthopedic, Inc. Threaded interbody spinal fusion implant
US8409292B2 (en) 1995-06-07 2013-04-02 Warsaw Orthopedic, Inc. Spinal fusion implant
US5980572A (en) * 1997-04-15 1999-11-09 Asahi Kogaku Kogyo Kabushiki Kaisha Artificial spines
US5904719A (en) * 1997-07-24 1999-05-18 Techsys Medical, Llc Interbody fusion device having partial circular section cross-sectional segments
WO1999052473A1 (en) * 1998-04-15 1999-10-21 Stone Kevin R Osteotomy wedge device, kit and methods for realignment of a varus angulated knee
US6008433A (en) * 1998-04-23 1999-12-28 Stone; Kevin R. Osteotomy wedge device, kit and methods for realignment of a varus angulated knee
US7056342B2 (en) 1998-10-30 2006-06-06 Sdgi Holdings, Inc. Self-broaching, rotatable, push-in interbody spinal fusion implant and method for deployment thereof
US7396365B2 (en) 1998-10-30 2008-07-08 Warsaw Orthopedic, Inc. Method for inserting a fusion cage having a height substantially the same as the height between adjacent vertebral endplates
US6547823B2 (en) * 1999-01-22 2003-04-15 Osteotech, Inc. Intervertebral implant
US7166129B2 (en) 1999-12-08 2007-01-23 Warsaw Orthopedic, Inc. Method for forming a spinal implant surface configuration
US7244275B2 (en) 1999-12-08 2007-07-17 Warsaw Orthopedic, Inc. Orthopedic implant surface configuration with a projection having a back cut
US7051417B2 (en) 1999-12-08 2006-05-30 Sdgi Holdings, Inc. Method for forming an orthopedic implant surface configuration
US7972381B2 (en) 1999-12-08 2011-07-05 Warsaw Orthopedic, Inc. Spinal implant surface configuration with a projection having a back cut
US7115143B1 (en) 1999-12-08 2006-10-03 Sdgi Holdings, Inc. Orthopedic implant surface configuration
US7662185B2 (en) 1999-12-30 2010-02-16 Osteotech, Inc. Intervertebral implants
US7163561B2 (en) 2000-07-10 2007-01-16 Warsaw Orthopedic, Inc. Flanged interbody spinal fusion implants
US8882843B2 (en) 2000-07-10 2014-11-11 Warsaw Orthopedic, Inc. Interbody spinal fusion implant having a trailing end with at least one stabilization element
US6730127B2 (en) 2000-07-10 2004-05-04 Gary K. Michelson Flanged interbody spinal fusion implants
US8323343B2 (en) 2000-07-10 2012-12-04 Warsaw Orthopedic, Inc. Flanged interbody spinal fusion implants
US8672980B2 (en) 2000-10-20 2014-03-18 Warsaw Orthopedic, Inc. Implant retaining device
US7780708B2 (en) 2000-10-20 2010-08-24 Osteotech, Inc. Implant retaining device
US7442209B2 (en) 2001-01-23 2008-10-28 Warsaw Orthopedic, Inc. Implant with trailing end adapted to receive bone screws
US8668741B2 (en) 2001-01-23 2014-03-11 Warsaw Orthopedic, Inc. Implant with openings adapted to receive bone screws
US8167946B2 (en) 2001-01-23 2012-05-01 Warsaw Orthopedic, Inc. Implant with openings adapted to receive bone screws
US7794502B2 (en) 2001-01-23 2010-09-14 Warsaw Orthopedic, Inc. Implant with openings adapted to receive bone screws
US6972019B2 (en) 2001-01-23 2005-12-06 Michelson Gary K Interbody spinal implant with trailing end adapted to receive bone screws
US7726002B2 (en) 2001-12-05 2010-06-01 Osteotech, Inc. Processes for making spinal intervertebral implant, interconnections for such implant
US8333985B2 (en) 2004-01-27 2012-12-18 Warsaw Orthopedic, Inc. Non-glycerol stabilized bone graft
US8372157B2 (en) 2007-02-12 2013-02-12 Warsaw Orthopedic, Inc. Joint revision implant
RU2621949C1 (en) * 2016-06-02 2017-06-08 Общество с ограниченной ответственностью "Медико-инженерный центр сплавов с памятью формы" Combined implant and instruments for its installation

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