CN100435746C - 用于弹性地稳定椎骨体的装置 - Google Patents

用于弹性地稳定椎骨体的装置 Download PDF

Info

Publication number
CN100435746C
CN100435746C CNB038271117A CN03827111A CN100435746C CN 100435746 C CN100435746 C CN 100435746C CN B038271117 A CNB038271117 A CN B038271117A CN 03827111 A CN03827111 A CN 03827111A CN 100435746 C CN100435746 C CN 100435746C
Authority
CN
China
Prior art keywords
longitudinal axis
spring
turn
described device
axis
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 - Fee Related
Application number
CNB038271117A
Other languages
English (en)
Other versions
CN1838918A (zh
Inventor
S·哈特曼
A·施图德
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.)
AO Technology AG
Synthes GmbH
Original Assignee
Synthes AG Chur
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 Synthes AG Chur filed Critical Synthes AG Chur
Publication of CN1838918A publication Critical patent/CN1838918A/zh
Application granted granted Critical
Publication of CN100435746C publication Critical patent/CN100435746C/zh
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Images

Classifications

    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7026—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form
    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7026—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form
    • A61B17/7028—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form the flexible part being a coil spring
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7011—Longitudinal element being non-straight, e.g. curved, angled or branched

Abstract

本发明涉及一种用于弹性地稳定椎骨体的装置(1)，具有：A)至少两个各具有一个中心轴线(3)和一个头段(4)的骨锚定件(2)；以及B)弹性装置(5)，它们具有一个纵轴线(12)并且可以与两个相邻骨锚定件(2)的头段(4)连接，使得纵轴线(25)横向于中心轴线(3)；其中C)所述弹性装置(5)在受压力载荷时具有一种渐进的弹簧特性曲线(20)；D)所述弹性装置(5)由一种金属材料制成；并且E)包括弹簧圈(19)，其中至少两个弹簧圈(19)具有至少一个相互不同的几何尺寸；以及F)所述弹性装置(5)的弹簧特性曲线(20)在力-变形量曲线图中具有连续渐进的走向。

Description

用于弹性地稳定椎骨体的装置
技术领域
本发明涉及一种用于弹性地稳定椎骨体的装置。
背景技术
在处理受损伤或者肿胀的椎骨体时，通常使用借助于骨锚定件例如椎弓根螺钉或者椎弓根钩锚定在椎骨体上的刚性纵向支架。通过这种方式可以防止被稳定的椎骨体之间的相对运动，从而促进相邻椎骨体的融合。
在FR-A-2799949BENAZZA中公开了一种脊柱固定装置，它由多个郁金香形的椎弓根螺钉组成，这些椎弓根螺钉代替普通的刚性纵向支架与一些单个的螺旋弹簧元件相互连接。虽然螺旋弹簧的长度可以调节，但由此只能实现螺旋弹簧元件预紧力的改变。
在EP-A-0516567NAVAS中公开了另一种脊柱固定装置，它由多个郁金香形的椎弓根螺钉组成，这些椎弓根螺钉代替普通的刚性纵向支架与一些单个的阻尼元件相互连接。这种阻尼元件的缺点是其由生物适应的材料制造，因此阻尼元件具有一条线性的弹簧特性曲线。
在EP 0677277MOREAU中公开了另一种脊柱固定装置，它具有多个椎弓根螺钉和平行于脊柱纵轴线布置在每两个椎弓根螺钉之间的弹性连接件。这种公开的装置包括具有渐进的(progressiv)弹簧特性曲线的弹性连接件。弹性装置包括一个螺旋弹簧，其中心孔填充有一种粘弹性材料。这种公开的装置的缺点是，由于弹性装置的这种带两个具有不同弹簧刚度的元件的构造，这种弹性装置的制造过程是非常昂贵的。
发明内容
本发明在此消除弊病。本发明的任务是提供一种用于稳定椎骨体的装置，它只包括一个由一种金属材料制成的弹簧元件，该弹簧元件具有一条在受压力载荷时渐进的弹簧特性曲线。
本发明通过具有下述特征的用于弹性地稳定椎骨体的装置来解决该任务。
按本发明的用于弹性地稳定椎骨体的装置，具有：
A)至少两个各具有一个中心轴线和一个头段的骨锚定件；以及
B)弹性装置，这些弹性装置具有一个纵轴线并且可以与两个相邻骨锚定件的头段连接，使得纵轴线横向于中心轴线；其中
C)所述弹性装置在受压力载荷时具有一种渐进的弹簧特性曲线；
其特征在于：
D)所述弹性装置由一种金属材料制成；并且
E)包括弹簧圈，其中至少两个弹簧圈具有至少一个相互不同的几何尺寸；以及
F)所述弹性装置的弹簧特性曲线在力-变形量曲线图中具有连续渐进的走向。
通过本发明所实现的优点主要在于，由于本发明的装置：
-在小的压力的情况下保证了足够大的弹性柔韧性和阻尼。由此实现了脊柱在该区域中足够大的运动自由性；
-在高的压力载荷或者冲击载荷的情况下，不必有用于吸收压力的大的弹簧变形量，因此可以避免背部元件的过载；
-使用一个唯一的由一种生物适应的金属材料、例如由钛制造的弹簧元件可以实现一条连续渐进的弹簧特性曲线。
在一种优选的实施方式中，弹性装置的弹簧特性曲线在力-变形量曲线图中具有一个连续渐进的走向。在此，该弹性装置优选构成为具有变化的弹簧圈节距的螺旋弹簧。
所述弹性装置可以设计成可简单制造的蛇曲形。
具有渐进弹簧刚度的螺旋弹簧的其它改进方案例如可以如下实现：
-制造一种螺旋弹簧，该螺旋弹簧平行于纵轴线测量至少在两个相邻的弹簧圈之间具有一个不同的缝隙宽度x；或者
-由一种弹簧材料制造螺旋弹簧，该弹簧材料的正交于纵轴线的横截面平行于纵轴线测量在至少两个相邻的弹簧圈之间具有一个不同的高度h。
在另一种实施方式中，弹性装置构成为平面的、蛇曲形的、具有多个沿着纵轴线依次布置的弹簧圈的弹簧，其中每个弹簧圈具有一个带有一弯曲轴线的弯转环。
根据该实施方式，弯曲轴线和纵轴线之间的距离L在纵轴线的两侧是恒定的，或者弹簧圈可以这样设计，使得在所述至少一个设置在纵轴线左侧的弯曲轴线和纵轴线之间的距离L1与在所述至少一个设置在纵轴线右侧的弯曲轴线和该纵轴线之间的距离L2相比是不同的。
在另一实施方式中，每个弹簧圈包括限动器，所述限动器限制相应弹簧圈的允许的弹簧变形量。优选每个弹簧圈的限动器包括至少一个凸块，所述凸块限制相应弹簧圈的弹簧变形量s。
通过凸块的构造可以使由所述至少一个凸块限制的弹簧变形量s对于至少两个弹簧圈是不同的。
蛇曲形的弹簧可以具有n个弹簧圈，其中每个弹簧圈具有不同的弹簧率(Federrate)i，也就是说例如i1＜ij＜in。
在又一实施方式中，至少两个弯转环的弹簧材料的壁厚是不同的，因此对于这两个弹簧圈来说弹簧率是不同的。
在另一实施方式中，弹性装置在其轴向的外端包括连接件，所述连接件适用于将弹性装置固定在骨锚定件上。例如这两个连接件中的一个可以由与纵轴线同轴的杆构成，而第二连接件可以构成为具有一个与纵轴线同轴的、用于容纳杆形纵向支架的中心孔的套筒。另一方面也可以是至少一个连接件，它借助于一个铰链连接可以与一个例如杆形的纵向支架连接。
附图说明
下面借助多个实施例的部分示意性的视图对本发明以及本发明的改进方案进行详细的说明。附图示出：
图1按本发明的用于稳定多个椎骨体的装置的一个实施例；
图2按本发明装置的一个实施例的弹性装置的纵向剖视图；
图3按本发明装置的另一实施例的弹性装置的视图；
图4在图2中所示的按本发明装置的实施例的弹性装置的以力-变形量图形式的弹簧特性曲线。
具体实施方式
图1中示出了用于稳定相邻椎骨体6的装置1的一个实施例。多个例如构造成椎弓根螺钉的骨锚定件2拧入待连接的椎骨体6的椎弓根中，使其中心轴线3横向于脊柱纵轴线布置。骨锚定件2的头段4与骨锚定件2的中心轴线3同轴布置并且具有横向于中心轴线3延伸的通道7。在这些通道7中可以插入弹性装置5的杆形连接部分8，使得在这里构造成螺旋弹簧的弹性装置5，在其借助于设置在头段4中的螺钉10相对于骨锚定件2被固定之前，可以相对于通道7且平行于脊柱纵轴线移动。弹性装置5关于其纵轴线12可以轴向和弹性弯曲地变形，使得骨锚定件2的弹簧变形量s(图4)同样平行于纵轴线25。两个轴向外侧的弹性装置5配有按图2所示实施例的连接件16a、16b，而中间的弹性装置5包括两个杆状的、同轴的连接件16a(图2)。
在图2中示出了作为螺旋弹簧11的弹性装置5的实施方式，其弹簧材料具有一个与纵轴线12正交的矩形横截面13，其中横截面13平行于纵轴线12测量具有变化的高度h。通过弹簧材料的横截面13的朝螺旋弹簧11的端部14、15逐渐增加的高度h得到同样朝螺旋弹簧11的端部14、15逐渐增加的弹簧圈的节距δ。在这里所示的实施例中，缝隙宽度x在螺旋弹簧11的整个长度上保持恒定。螺旋弹簧11具有与纵轴线12正交的圆环形横截面，并且在其两个与纵轴线12相交的端部14、15分别具有一个用于将螺旋弹簧11固定在骨锚定件2上的连接件16(图1)。设置在螺旋弹簧11第一端部14上的第一连接件16a设计成与纵轴线12同轴的杆8，而设置在螺旋弹簧11第二端部15上的第二连接件16b设计成套筒17并且包括一个与纵轴线12同轴的中心孔18。这两个连接件16与螺旋弹簧11固定连接。通过螺旋弹簧11的弹簧圈19的变化的节距δ实现了渐进的弹簧特性曲线。为了将杆形的部件固定在中心孔18中，设置了一个固定螺钉25，它可以拧入一个具有互补内螺纹27的、具有横向于纵轴线12的孔轴线28的孔26中，并且该固定螺钉25可以以其前端部压在一根插入中心孔18中的杆上(未示出)。
图3示出了弹性装置5的一个实施例，它包括一个弹簧29，该弹簧具有多个位于一个平面中的弹簧圈19。三个圈19a、19b、19c中每一个都具有一个受载弯曲的弯转环21以及限动器22。这里该限动器22分别由两个凸块23构成，这些凸块在每个圈19达到允许的弹簧变形量后相互贴靠并阻止相关圈19的进一步弹性变形。三个弹簧圈19a、19b、19c的弯转环21各具有一个弯曲轴线24a、24b、24c，其中纵轴线12左侧的影响弯曲的杠杆臂的长度L1大于纵轴线12右侧的影响弯曲的杠杆臂的长度L2。代替不同长度的杠杆臂，每个弹簧圈19的由限动器22允许的弹簧变形量si也可以是不同的。类似于图2中所示的实施例，弹簧29在其两个与纵轴线12相交的端部34、35各有一个适用于将弹性装置5固定在骨锚定件2上的连接件16(图1)。设置在弹簧29第一端部34上的第一连接件16a设计成与纵轴线12同轴的杆8，而设置在弹簧29第二端部35上的第二连接件16b设计为套筒17并且包括一个与纵轴线12同轴的中心孔18。这两个连接件16与弹簧29固定连接。为了将杆形部件固定在中心孔18中，设置一个固定螺钉(未示出)，它可以拧入一个具有互补内螺纹27的、具有横向于纵轴线12的孔轴线28的孔26中，并且该固定螺钉可以以其前端部压在一根插入中心孔18的杆上(未示出)。
在图4a中以力-变形量曲线图示出了在图2中所示出的弹性装置5的实施例的弹簧特性曲线20。该弹簧特性曲线20在整个弹簧变形量上都是渐进的。这种弹簧特性曲线20例如可以通过将弹性装置5构造成具有沿着纵轴线12连续变化的节距δ的螺旋弹簧11来实现。
图4b中示出的弹簧特性曲线20可以通过将弹性装置5构成为蛇曲形弹簧29来实现。按图4b的弹簧特性曲线20是不平滑的，并且在弹簧变形量s＝s1时具有一个转折点，它例如可以通过弹簧圈19的限动器22的闭合来实现。

Claims (16)

1.用于弹性地稳定椎骨体的装置(1)，具有：
A)至少两个各具有一个中心轴线(3)和一个头段(4)的骨锚定件(2)；以及
B)弹性装置(5)，这些弹性装置具有一个纵轴线(12)并且可以与两个相邻骨锚定件(2)的头段(4)连接，使得纵轴线(12)横向于中心轴线(3)；其中
C)所述弹性装置(5)在受压力载荷时具有一种渐进的弹簧特性曲线(20)；
其特征在于：
D)所述弹性装置(5)由一种金属材料制成；并且
E)包括弹簧圈(19)，其中至少两个弹簧圈(19)具有至少一个相互不同的几何尺寸；以及
F)所述弹性装置(5)的弹簧特性曲线(20)在力-变形量曲线图中具有连续渐进的走向。
2.按权利要求1所述的装置(1)，其特征在于：所述弹性装置(5)构成为具有变化的弹簧圈(19)节距δ的螺旋弹簧(11)。
3.按权利要求2所述的装置(1)，其特征在于：所述螺旋弹簧(11)平行于纵轴线(12)测量至少在两个相邻的弹簧圈(19)之间具有一个不同的缝隙宽度x。
4.按权利要求2所述的装置(1)，其特征在于：所述螺旋弹簧(11)由一种弹簧材料制成，该弹簧材料的与纵轴线(12)正交的横截面(13)平行于纵轴线(12)测量在至少两个相邻的弹簧圈(19)之间具有一个不同的高度h。
5.按权利要求1所述的装置(1)，其特征在于：所述弹性装置(5)构成为平面的、蛇曲形的、具有多个沿着纵轴线(12)依次布置的弹簧圈(19)的弹簧(29)。
6.按权利要求5所述的装置(1)，其特征在于：每个弹簧圈(19)具有一个带有一弯曲轴线(24)的弯转环(21)。
7.按权利要求6所述的装置(1)，其特征在于：在所述弯曲轴线(24)和纵轴线(12)之间的距离L在纵轴线(12)两侧是恒定的。
8.按权利要求6所述的装置(1)，其特征在于：在所述至少一个设置在纵轴线(12)左侧的弯曲轴线(24a)和纵轴线(12)之间的距离L1与在所述至少一个设置在纵轴线(12)右侧的弯曲轴线(24b)和纵轴线(12)之间的距离L2相比是不同的。
9.按权利要求5至8中任一项所述的装置(1)，其特征在于：每个弹簧圈(19)包括限动器(22)，所述限动器限制相应弹簧圈(19)的允许的弹簧变形量，其中，每个弹簧圈(19)的限动器(22)包括至少一个凸块(23)，所述凸块限制相应弹簧圈(19)的弹簧变形量s。
10.按权利要求9所述的装置(1)，其特征在于：通过所述至少一个凸块(23)限制的弹簧变形量s对于至少两个弹簧圈(19)是不同的。
11.按权利要求5至8中任一项所述的装置(1)，其特征在于：所述蛇曲形弹簧(29)包括n个弹簧圈(19)，并且对于每个弹簧圈(19)具有一个弹簧刚度i，其中i1＜ij＜in。
12.按权利要求6至8中任一项所述的装置，其特征在于：在至少两个弯转环(21)之间的弹簧材料的壁厚是不同的。
13.按权利要求1、2或5所述的装置(1)，其特征在于：所述弹性装置(5)在其端部(3、4)包括连接件(16)，这些连接件(16)适用于将弹性装置(5)固定在骨锚定件(2)上。
14.按权利要求13所述的装置(1)，其特征在于：至少一个连接件(16a)是一个与纵轴线(12)同轴的杆(8)。
15.按权利要求14所述的装置(1)，其特征在于：至少一个连接件(16b)是一个具有一与纵轴线(12)同轴的中心孔(18)的套筒(17)。
16.按权利要求14所述的装置(1)，其特征在于：至少一个连接件(16)包括一个铰链连接。
CNB038271117A 2003-09-29 2003-09-29 用于弹性地稳定椎骨体的装置 Expired - Fee Related CN100435746C (zh)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CH2003/000647 WO2005030066A1 (de) 2003-09-29 2003-09-29 Vorrichtung zur elastischen stabilisieung von wirbelkörpern

Publications (2)

Publication Number Publication Date
CN1838918A CN1838918A (zh) 2006-09-27
CN100435746C true CN100435746C (zh) 2008-11-26

Family

ID=34383939

Family Applications (1)

Application Number Title Priority Date Filing Date
CNB038271117A Expired - Fee Related CN100435746C (zh) 2003-09-29 2003-09-29 用于弹性地稳定椎骨体的装置

Country Status (14)

Country Link
US (1) US8012178B2 (zh)
EP (1) EP1667591B1 (zh)
JP (1) JP4932254B2 (zh)
KR (1) KR101026942B1 (zh)
CN (1) CN100435746C (zh)
AR (1) AR045758A1 (zh)
AT (1) ATE434983T1 (zh)
AU (1) AU2003264224B2 (zh)
BR (1) BR0318489B1 (zh)
CA (1) CA2540591C (zh)
DE (1) DE50311676D1 (zh)
ES (1) ES2325989T3 (zh)
NZ (1) NZ546110A (zh)
WO (1) WO2005030066A1 (zh)

Families Citing this family (82)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2812185B1 (fr) 2000-07-25 2003-02-28 Spine Next Sa Piece de liaison semi-rigide pour la stabilisation du rachis
US7833250B2 (en) 2004-11-10 2010-11-16 Jackson Roger P Polyaxial bone screw with helically wound capture connection
US8876868B2 (en) 2002-09-06 2014-11-04 Roger P. Jackson Helical guide and advancement flange with radially loaded lip
US7377923B2 (en) 2003-05-22 2008-05-27 Alphatec Spine, Inc. Variable angle spinal screw assembly
US8926670B2 (en) 2003-06-18 2015-01-06 Roger P. Jackson Polyaxial bone screw assembly
US7967850B2 (en) 2003-06-18 2011-06-28 Jackson Roger P Polyaxial bone anchor with helical capture connection, insert and dual locking assembly
US7776067B2 (en) 2005-05-27 2010-08-17 Jackson Roger P Polyaxial bone screw with shank articulation pressure insert and method
US7766915B2 (en) 2004-02-27 2010-08-03 Jackson Roger P Dynamic fixation assemblies with inner core and outer coil-like member
US8366753B2 (en) 2003-06-18 2013-02-05 Jackson Roger P Polyaxial bone screw assembly with fixed retaining structure
US7799082B2 (en) 2003-08-05 2010-09-21 Flexuspine, Inc. Artificial functional spinal unit system and method for use
US7909869B2 (en) 2003-08-05 2011-03-22 Flexuspine, Inc. Artificial spinal unit assemblies
US7753958B2 (en) 2003-08-05 2010-07-13 Gordon Charles R Expandable intervertebral implant
US8979900B2 (en) 2003-09-24 2015-03-17 DePuy Synthes Products, LLC Spinal stabilization device
US7763052B2 (en) 2003-12-05 2010-07-27 N Spine, Inc. Method and apparatus for flexible fixation of a spine
US20050203513A1 (en) 2003-09-24 2005-09-15 Tae-Ahn Jahng Spinal stabilization device
US20050065516A1 (en) 2003-09-24 2005-03-24 Tae-Ahn Jahng Method and apparatus for flexible fixation of a spine
US7815665B2 (en) 2003-09-24 2010-10-19 N Spine, Inc. Adjustable spinal stabilization system
DE102004048938B4 (de) 2004-10-07 2015-04-02 Synthes Gmbh Vorrichtung zur dynamischen Stabilisierung von Rückenwirbelkörpern
US8025680B2 (en) 2004-10-20 2011-09-27 Exactech, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8267969B2 (en) 2004-10-20 2012-09-18 Exactech, Inc. Screw systems and methods for use in stabilization of bone structures
US7935134B2 (en) 2004-10-20 2011-05-03 Exactech, Inc. Systems and methods for stabilization of bone structures
US8162985B2 (en) 2004-10-20 2012-04-24 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8226690B2 (en) 2005-07-22 2012-07-24 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for stabilization of bone structures
US8926672B2 (en) 2004-11-10 2015-01-06 Roger P. Jackson Splay control closure for open bone anchor
US9168069B2 (en) 2009-06-15 2015-10-27 Roger P. Jackson Polyaxial bone anchor with pop-on shank and winged insert with lower skirt for engaging a friction fit retainer
US9216041B2 (en) 2009-06-15 2015-12-22 Roger P. Jackson Spinal connecting members with tensioned cords and rigid sleeves for engaging compression inserts
US8444681B2 (en) 2009-06-15 2013-05-21 Roger P. Jackson Polyaxial bone anchor with pop-on shank, friction fit retainer and winged insert
US9393047B2 (en) 2009-06-15 2016-07-19 Roger P. Jackson Polyaxial bone anchor with pop-on shank and friction fit retainer with low profile edge lock
US7901437B2 (en) 2007-01-26 2011-03-08 Jackson Roger P Dynamic stabilization member with molded connection
US7604654B2 (en) 2005-02-22 2009-10-20 Stryker Spine Apparatus and method for dynamic vertebral stabilization
US20060229608A1 (en) * 2005-03-17 2006-10-12 Foster Thomas A Apparatus and methods for spinal implant with dynamic stabilization system
US7828825B2 (en) * 2005-06-20 2010-11-09 Warsaw Orthopedic, Inc. Multi-level multi-functional spinal stabilization systems and methods
US8523865B2 (en) 2005-07-22 2013-09-03 Exactech, Inc. Tissue splitter
US8105368B2 (en) 2005-09-30 2012-01-31 Jackson Roger P Dynamic stabilization connecting member with slitted core and outer sleeve
US8137385B2 (en) 2005-10-31 2012-03-20 Stryker Spine System and method for dynamic vertebral stabilization
US8118869B2 (en) 2006-03-08 2012-02-21 Flexuspine, Inc. Dynamic interbody device
US8449576B2 (en) 2006-06-28 2013-05-28 DePuy Synthes Products, LLC Dynamic fixation system
US7806913B2 (en) 2006-08-16 2010-10-05 Depuy Spine, Inc. Modular multi-level spine stabilization system and method
FR2905847B1 (fr) * 2006-09-14 2009-03-27 Warsaw Orthopedic Inc Element d'un dispositif de stabilisation du rachis,et dispositif comprenant une paire de tels elements.
US8096996B2 (en) 2007-03-20 2012-01-17 Exactech, Inc. Rod reducer
FR2910267B1 (fr) * 2006-12-21 2009-01-23 Ldr Medical Soc Par Actions Si Dispositif de soutien vertebral
US9066811B2 (en) 2007-01-19 2015-06-30 Flexuspine, Inc. Artificial functional spinal unit system and method for use
US10383660B2 (en) 2007-05-01 2019-08-20 Roger P. Jackson Soft stabilization assemblies with pretensioned cords
US20080312694A1 (en) * 2007-06-15 2008-12-18 Peterman Marc M Dynamic stabilization rod for spinal implants and methods for manufacturing the same
FR2917287B1 (fr) * 2007-06-15 2010-09-03 Ldr Medical Prothese intervertebrale
US8523912B2 (en) 2007-10-22 2013-09-03 Flexuspine, Inc. Posterior stabilization systems with shared, dual dampener systems
US8182514B2 (en) 2007-10-22 2012-05-22 Flexuspine, Inc. Dampener system for a posterior stabilization system with a fixed length elongated member
US8157844B2 (en) 2007-10-22 2012-04-17 Flexuspine, Inc. Dampener system for a posterior stabilization system with a variable length elongated member
US8187330B2 (en) 2007-10-22 2012-05-29 Flexuspine, Inc. Dampener system for a posterior stabilization system with a variable length elongated member
US8267965B2 (en) 2007-10-22 2012-09-18 Flexuspine, Inc. Spinal stabilization systems with dynamic interbody devices
US8162994B2 (en) 2007-10-22 2012-04-24 Flexuspine, Inc. Posterior stabilization system with isolated, dual dampener systems
US9232968B2 (en) 2007-12-19 2016-01-12 DePuy Synthes Products, Inc. Polymeric pedicle rods and methods of manufacturing
JP2012529969A (ja) 2008-08-01 2012-11-29 ロジャー・ピー・ジャクソン スリーブ付き張力付与りコードを備える長手方向接続部材
EP2373236B1 (en) 2008-12-17 2014-05-21 Synthes GmbH Posterior spine dynamic stabilizer
US8641734B2 (en) 2009-02-13 2014-02-04 DePuy Synthes Products, LLC Dual spring posterior dynamic stabilization device with elongation limiting elastomers
US9668771B2 (en) 2009-06-15 2017-06-06 Roger P Jackson Soft stabilization assemblies with off-set connector
EP2757988A4 (en) 2009-06-15 2015-08-19 Jackson Roger P POLYAXIAL BONE ANCHORING DEVICE WITH PRESSURE-INPUT ROD AND FRICTION-ADJUSTING COMPRESSION-SIZE CLAMP FIN
US11229457B2 (en) 2009-06-15 2022-01-25 Roger P. Jackson Pivotal bone anchor assembly with insert tool deployment
US8998959B2 (en) 2009-06-15 2015-04-07 Roger P Jackson Polyaxial bone anchors with pop-on shank, fully constrained friction fit retainer and lock and release insert
US9320543B2 (en) 2009-06-25 2016-04-26 DePuy Synthes Products, Inc. Posterior dynamic stabilization device having a mobile anchor
US8657856B2 (en) * 2009-08-28 2014-02-25 Pioneer Surgical Technology, Inc. Size transition spinal rod
US9445844B2 (en) 2010-03-24 2016-09-20 DePuy Synthes Products, Inc. Composite material posterior dynamic stabilization spring rod
CN103040510B (zh) * 2011-02-17 2015-01-21 上海微创骨科医疗科技有限公司 一种脊柱动态连接棒
US8388687B2 (en) 2011-03-25 2013-03-05 Flexuspine, Inc. Interbody device insertion systems and methods
US9526627B2 (en) 2011-11-17 2016-12-27 Exactech, Inc. Expandable interbody device system and method
CN103356275B (zh) * 2012-03-29 2016-06-01 董健文 一种微动腰椎椎弓根钉棒弹性固定系统
US10327818B2 (en) 2012-06-18 2019-06-25 Bruce Francis Hodgson Method and apparatus for the treatment of scoliosis
CN102783999B (zh) * 2012-07-16 2015-08-26 顾军 骨科微动式三维外固定支架系统
EP2887892A1 (de) * 2012-08-21 2015-07-01 Montavon, Lorraine Feder und vorrichtung zur stabilisierung von menschlichen oder tierischen knochen
US8911478B2 (en) 2012-11-21 2014-12-16 Roger P. Jackson Splay control closure for open bone anchor
TWM456793U (zh) * 2013-01-11 2013-07-11 Paonan Biotech Co Ltd 一種線圈桿件連接脊椎連結裝置
US10058354B2 (en) 2013-01-28 2018-08-28 Roger P. Jackson Pivotal bone anchor assembly with frictional shank head seating surfaces
US8852239B2 (en) 2013-02-15 2014-10-07 Roger P Jackson Sagittal angle screw with integral shank and receiver
US9492288B2 (en) 2013-02-20 2016-11-15 Flexuspine, Inc. Expandable fusion device for positioning between adjacent vertebral bodies
US9566092B2 (en) 2013-10-29 2017-02-14 Roger P. Jackson Cervical bone anchor with collet retainer and outer locking sleeve
US9717533B2 (en) 2013-12-12 2017-08-01 Roger P. Jackson Bone anchor closure pivot-splay control flange form guide and advancement structure
US9451993B2 (en) 2014-01-09 2016-09-27 Roger P. Jackson Bi-radial pop-on cervical bone anchor
US10398565B2 (en) 2014-04-24 2019-09-03 Choice Spine, Llc Limited profile intervertebral implant with incorporated fastening and locking mechanism
US9517144B2 (en) 2014-04-24 2016-12-13 Exactech, Inc. Limited profile intervertebral implant with incorporated fastening mechanism
US10064658B2 (en) 2014-06-04 2018-09-04 Roger P. Jackson Polyaxial bone anchor with insert guides
US9597119B2 (en) 2014-06-04 2017-03-21 Roger P. Jackson Polyaxial bone anchor with polymer sleeve
EP3897414A4 (en) 2018-12-21 2022-09-28 Paradigm Spine, LLC. MODULAR SPINE STABILIZATION SYSTEM AND ASSOCIATED INSTRUMENTS

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0667127A1 (en) * 1994-02-10 1995-08-16 Acromed B.V. Device for implantation for the purpose of limiting the movements between two vertebrae
US6206882B1 (en) * 1999-03-30 2001-03-27 Surgical Dynamics Inc. Plating system for the spine
US6267764B1 (en) * 1996-11-15 2001-07-31 Stryker France S.A. Osteosynthesis system with elastic deformation for spinal column
US6440169B1 (en) * 1998-02-10 2002-08-27 Dimso Interspinous stabilizer to be fixed to spinous processes of two vertebrae
CN2529612Y (zh) * 2002-02-25 2003-01-08 谭明生 脊柱弹力人工关节系统
GB2382304A (en) * 2001-10-10 2003-05-28 Dilip Kumar Sengupta An assembly for soft stabilisation of vertebral bodies of the spine
WO2003047442A1 (de) * 2001-12-07 2003-06-12 Mathys Medizinaltechnik Ag Dämpfungselement und vorrichtung zur stabilierung benachbarter wirbelkorper

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5927555Y2 (ja) * 1979-11-07 1984-08-09 東洋ゴム工業株式会社 円筒型防振ゴム
JPS5671539A (en) 1979-11-16 1981-06-15 Shoji Minagawa Inlaying method of pattern piece to metallic product
JPH0732242U (ja) * 1991-06-28 1995-06-16 東洋電機製造株式会社 不等ピッチコイルばね
JPH0914316A (ja) * 1995-06-27 1997-01-14 Ishikawajima Harima Heavy Ind Co Ltd 横変形防止用コイルバネ
JP2741584B2 (ja) * 1995-10-20 1998-04-22 株式会社ロバート・リード商会 骨固定装置
US5827328A (en) * 1996-11-22 1998-10-27 Buttermann; Glenn R. Intervertebral prosthetic device
JPH10184750A (ja) * 1996-12-26 1998-07-14 Nhk Spring Co Ltd 圧縮コイルばね
US5984925A (en) * 1997-07-30 1999-11-16 Cross Medical Products, Inc. Longitudinally adjustable bone plates and method for use thereof
JPH11159551A (ja) * 1997-11-27 1999-06-15 Tama Spring:Kk 非線形異形コイルばね
JP3055670U (ja) * 1998-07-08 1999-01-22 昇 斉藤 ソフトコイルスプリング
JP2000046084A (ja) * 1998-07-27 2000-02-15 Kgm:Kk コイルばね
JP2000337415A (ja) * 1999-05-24 2000-12-05 Tama Spring:Kk 非線形異形コイルばねおよびその製造方法
US6293949B1 (en) * 2000-03-01 2001-09-25 Sdgi Holdings, Inc. Superelastic spinal stabilization system and method
FR2819169A1 (fr) * 2001-01-09 2002-07-12 Brice Edouard Dispositif d'osteosynthese pour colonne vertebrale
US6966910B2 (en) * 2002-04-05 2005-11-22 Stephen Ritland Dynamic fixation device and method of use
US20030220643A1 (en) * 2002-05-24 2003-11-27 Ferree Bret A. Devices to prevent spinal extension

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0667127A1 (en) * 1994-02-10 1995-08-16 Acromed B.V. Device for implantation for the purpose of limiting the movements between two vertebrae
US6267764B1 (en) * 1996-11-15 2001-07-31 Stryker France S.A. Osteosynthesis system with elastic deformation for spinal column
US6440169B1 (en) * 1998-02-10 2002-08-27 Dimso Interspinous stabilizer to be fixed to spinous processes of two vertebrae
US6206882B1 (en) * 1999-03-30 2001-03-27 Surgical Dynamics Inc. Plating system for the spine
GB2382304A (en) * 2001-10-10 2003-05-28 Dilip Kumar Sengupta An assembly for soft stabilisation of vertebral bodies of the spine
WO2003047442A1 (de) * 2001-12-07 2003-06-12 Mathys Medizinaltechnik Ag Dämpfungselement und vorrichtung zur stabilierung benachbarter wirbelkorper
CN2529612Y (zh) * 2002-02-25 2003-01-08 谭明生 脊柱弹力人工关节系统

Also Published As

Publication number Publication date
JP4932254B2 (ja) 2012-05-16
US8012178B2 (en) 2011-09-06
JP2007506458A (ja) 2007-03-22
US20060260483A1 (en) 2006-11-23
AU2003264224B2 (en) 2008-12-04
KR101026942B1 (ko) 2011-04-04
AR045758A1 (es) 2005-11-09
BR0318489B1 (pt) 2012-05-02
WO2005030066A1 (de) 2005-04-07
DE50311676D1 (de) 2009-08-13
NZ546110A (en) 2009-04-30
EP1667591B1 (de) 2009-07-01
CN1838918A (zh) 2006-09-27
BR0318489A (pt) 2006-09-12
ES2325989T3 (es) 2009-09-28
EP1667591A1 (de) 2006-06-14
CA2540591A1 (en) 2005-04-07
AU2003264224A1 (en) 2005-04-14
KR20060101461A (ko) 2006-09-25
ATE434983T1 (de) 2009-07-15
CA2540591C (en) 2011-06-28

Similar Documents

Publication Publication Date Title
CN100435746C (zh) 用于弹性地稳定椎骨体的装置
CN101416901B (zh) 用于脊柱稳定的杆组件和模块化杆系统
EP2116205B1 (en) Rod-shaped implant, in particular for the dynamic stabilization of the spine
EP2174610B1 (en) Elongated implant device and vertebral stabilization device
CN101716096B (zh) 骨部分或椎骨用骨锚固装置及包括该骨锚固装置的稳定装置
US7833256B2 (en) Elastic element for the use in a stabilization device for bones and vertebrae and method for the manufacture of such elastic element
EP2160988B1 (en) Rod-shaped implant in particular for stabilizing the spinal column and stabilization device including such a rod-shaped implant
CN1897884B (zh) 骨锚定元件和包括这种类型的骨锚定元件的用于骨或脊椎骨的稳定装置
US8388658B2 (en) Dynamic spinal stabilization assembly with sliding collars
KR100766580B1 (ko) 척추 수술 또는 외상 수술에 사용하기 위한 로드 형상 삽입물 및 이 로드 형상 삽입물을 구비한 안정화 장치
JP4220389B2 (ja) 隣接した椎体を安定化するための減衰要素および装置
US8137385B2 (en) System and method for dynamic vertebral stabilization
EP1281361A1 (en) Device to prevent intervertebral disk degeneration
JP2005511133A5 (zh)
US20120035662A1 (en) Rod screw dynamic implant for stabilizing a vertebral column
ZA200602370B (en) Device for elastically stabilising vertebral bodies

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20081126

Termination date: 20150929

EXPY Termination of patent right or utility model