Summary of the invention
First purpose of the present invention provides a kind of deformation of spinal column apparatus for correcting, and this deformation of spinal column apparatus for correcting can conveniently carry out the deformation of spinal column corrective operations.
In addition, another object of the present invention provides a kind of using method of above-mentioned deformation of spinal column apparatus for correcting.
For realizing above-mentioned first purpose, deformation of spinal column apparatus for correcting provided by the present invention comprises pedicle nail, vertical pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame;
The nail body of described pedicle nail is implanted in the vertebral body that needs corrigent spinal column, and the groove of described vertical pitman and described pedicle nail is pegged graft, and described pressure bar device is placed in the outside of described pedicle nail, the screw-internal thread fit of described locking nut and described pedicle nail; Lateral connector is connected with the afterbody pipe that is positioned at same epicentral two pedicle nails respectively; Being positioned at a plurality of longitudinally lateral connectors of spinal column connects by vertical connecting frame.
Preferably, described pedicle nail comprises nail body, the nail seat that is connected with the nail body, described nail seat is provided with groove, described groove medial wall is provided with female thread, the breech face of described nail seat is provided with the afterbody pipe, the bearing of trend of described afterbody pipe is opposite with the bearing of trend of described nail body, described afterbody pipe is provided with along the described vertical pitman of the axially extended confession of afterbody pipe along the afterbody caliber to the slotted hole that inserts, this slotted hole is communicated with described groove, and the internal diameter of described afterbody pipe is not less than the external diameter of described female thread.
Preferably, that the tube wall of described afterbody pipe is provided with is relative, communicate with centre bore respectively two wear excellent groove, two described wears excellent groove and forms described slotted hole; Described outer end sealing of wearing excellent groove.
Preferably, described pressure bar device is a tubular structure, and the internal diameter of described pressure bar device is not less than the external diameter of described afterbody pipe, and the inwall of described pressure bar device is provided with the locking mechanism that is used for one-way locking.
Preferably, described locking mechanism is the latch that matches with pawl on the described afterbody pipe sidewall.
Preferably, the sidewall of described pressure bar device is provided with groove, is provided with shell fragment in this groove, and the medial surface of this shell fragment is provided with the slope round platform that matches with knuckle-tooth on the described afterbody pipe sidewall.
Deformation of spinal column apparatus for correcting provided by the present invention comprises pedicle nail, vertical pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame; The nail body of described pedicle nail is implanted in the vertebral body that needs corrigent spinal column, and the groove of described vertical pitman and described pedicle nail is pegged graft, and described pressure bar device is placed in the outside of described pedicle nail, the screw-internal thread fit of described locking nut and described pedicle nail; Lateral connector is connected with the afterbody pipe that is positioned at same epicentral two pedicle nails respectively; Being positioned at a plurality of longitudinally lateral connectors of spinal column connects by vertical connecting frame.
The deformation of spinal column apparatus for correcting of this structure, only adopt pedicle nail, vertically pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame can be realized the deformation of spinal column corrective procedure, can make that the deformation of spinal column corrective procedure is simple to operate, easy operating, operation accurately, dangerous little.
In order to realize above-mentioned second purpose, the present invention also provides a kind of using method of above-mentioned deformation of spinal column apparatus for correcting, and this method is carried out according to the following steps:
S101 implants the nail body of pedicle nail in the vertebral body;
S102 inserts vertical pitman in the slotted hole of afterbody pipe of pedicle nail;
S103 is sleeved on the outside of the afterbody pipe of described pedicle nail with the pressure bar device, moves described pressure bar device and presses a vertically pitman of institute, in the groove of the nail seat that described vertical pitman is pressed into described pedicle nail;
S104 enters locking nut in the described nail seat by described afterbody pipe, with the screw-internal thread fit of described nail seat, forms locking temporarily;
S105 carries out the restoring backbone operation;
S106 locks described vertical pitman;
S107 removes the afterbody pipe of pedicle nail.
Preferably, described step S105 is specially, and adopts lateral connector, vertical adapter to carry out the restoring backbone operation.
The specific embodiment
First core of the present invention provides a kind of deformation of spinal column apparatus for correcting, and this deformation of spinal column apparatus for correcting can conveniently carry out the deformation of spinal column corrective operations.Another core of the present invention provides a kind of using method of above-mentioned deformation of spinal column apparatus for correcting.
In order to make those skilled in the art person understand the present invention program better, the invention will be described in further detail below in conjunction with the drawings and specific embodiments.
Deformation of spinal column apparatus for correcting provided by the invention comprises pedicle nail, vertical pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame.
The nail body of described pedicle nail is implanted in the vertebral body that needs corrigent spinal column, and the groove of described vertical pitman and described pedicle nail is pegged graft, and described pressure bar device is placed in the outside of described pedicle nail, the screw-internal thread fit of described locking nut and described pedicle nail; Lateral connector is connected with the afterbody pipe that is positioned at same epicentral two pedicle nails respectively; Being positioned at a plurality of longitudinally lateral connectors of spinal column connects by vertical connecting frame.
The deformation of spinal column apparatus for correcting of this structure, only adopt pedicle nail, vertically pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame can be realized the deformation of spinal column corrective procedure, can make that the deformation of spinal column corrective procedure is simple to operate, easy operating, operation accurately, dangerous little.
Wherein, as Fig. 2-shown in Figure 4, pedicle nail 100 comprises nail body 8 and nail seat 7, and the afterbody of nail seat 7 is provided with the groove 72 at its breech face opening, and groove 72 medial walls are provided with female thread 71.The breech face of nail seat 7 is provided with afterbody pipe 4, and afterbody pipe 4 has predetermined length, and its bearing of trend is opposite with the bearing of trend of nail body 8.Afterbody pipe 4 is a tubular structure, and its inner diameter d 1 is not less than the outside diameter d 2 (situation about equating for both shown in the figure) of female thread 71.That the tube wall of afterbody pipe 4 is provided with is relative, communicate with the centre bore 11 of afterbody pipe 4 respectively two wear excellent groove 10; Wear excellent groove 10 and extend at the centerline direction of described afterbody pipe 4, and innerly communicate with groove 72, wear excellent groove 10 for two and form for described vertical pitman 40 along the slotted hole of afterbody caliber to insertion, this slotted hole is a centre bore 11; The outer surface of tube wall of afterbody pipe 4 is provided with the card seam towards its inner pawl 5.
Described vertical pitman 40 is pegged graft with described groove, and pressure bar device 20 is placed in the outside of described pedicle nail 100, and above-mentioned locking nut 30 matches with described female thread.
The deformation of spinal column apparatus for correcting of this structure, when adorning clubs and do, owing to have the afterbody pipe 4 of predetermined length, after nail body 8 is implanted spinal column, the implantation point of pedicle nail 100 can be departed from the outer end of the afterbody pipe 4 of a plurality of pedicle nails 100, and then the outer end arrangement position of afterbody pipe 4 that makes a plurality of pedicle nails 100 is with vertically pitman 40 bearing of trends are more approaching; Like this, wearing during clubs does, can more easily vertical pitman 40 passed successively the wearing in the excellent groove 10 of afterbody pipe 4 of a plurality of pedicle nails 100.
In the pressure bar operation, utilize pressure bar device 20 described later to make rod along wearing excellent groove 10 to afterbody pipe 4 inner moving; Because the groove 72 of the inner of wearing excellent groove 10 and nail 7 communicates, therefore, vertical pitman 40 successfully can be pressed onto in the groove 72 of nail seat 7 of pedicle nail 100.
When utilizing pressure bar device 20 to carry out pressure bar, vertically pitman 40 is when wearing excellent groove 10 and move, and vertically pitman 40 can also drive pedicle nail 100 and moves, and realizes certain orthopedic resetting.Wear rod and pressure bar the operation finish after, because the internal diameter of afterbody pipe 4 is not less than the external diameter of female thread 71, locking nut 30 can be passed from the centre bore 11 of afterbody pipe 4, arrive female thread 71 places, lock locking nut 30 again, make the maintenance relative fixed of vertical pitman 40 and pedicle nail 100.Therefore, this pedicle nail 100 can conveniently be adorned rod and pressure bar operation.
The deformation of spinal column apparatus for correcting of this structure can conveniently be adorned rod and pressure bar operation.Simultaneously, in carrying out the pressure bar operation, can make pedicle nail 100 with vertical pitman 40 swings, thereby can realize certain resetting orthopedic, for follow-up resetting orthopedic operation provides good prerequisite.
The card seam of pawl 5 is towards the inner of afterbody pipe 4, and pawl 5 matches with the latch of pressure bar device 20, like this, when vertical pitman 40 is pressed into groove 72 or is pressed onto the precalculated position, pawl 5 matches with the latch of pressure bar device 20 and can make pressure bar device 20 and afterbody pipe 4 keep relative fixed, make rod keep temporary transient locking, thereby provide prerequisite for fixing vertical pitman 40 or other operations.
In addition, on the afterbody pipe 4, the quantity of pawl 5 and position can be selected according to actual needs.When being provided with a plurality of pawl 5, a plurality of pawls 5 can be worn the outward flange setting of excellent groove 10 along one or two, as shown in Figure 4; A plurality of pawls 5 are provided with and can make pressure bar more convenient to operate along wearing excellent groove 10.Certainly, pawl 5 also can be arranged on other positions of the outer surface of tube wall of afterbody pipe 4.
In the pedicle nail 100 in a kind of specific embodiment provided by the invention, wear the outer end sealing of excellent groove 10, can avoid wearing in the rod motion so on the one hand, vertically pitman 40 skids off and wears excellent groove 10, can also increase simultaneously the intensity of afterbody pipe, to reach better fixed effect.
When enclosed construction is adopted in the outer end of wearing excellent groove 10, two relative U type openings 9 can be set in the outer end portion of afterbody pipe 4; It is interlaced on the centrage vertical plane of afterbody pipe 4 that two U type openings 9 and two wear excellent groove 10; Vertical first snap slot 3 of centrage of bearing of trend and afterbody pipe 4 is set at the outer surface of tube wall of afterbody pipe 4 simultaneously; Wherein, the distance L 2 between the outer end of first snap slot 3 and afterbody pipe 4 is less than the distance L 1 between the outer end of the bottom of U type opening 9 and afterbody pipe 4, and greater than the distance L 3 between the outer end of outer end of wearing excellent groove 10 and afterbody pipe 4.After operation is finished, the part of two U type opening 9 both sides can be fractureed along first snap slot 3 like this, and then make and wear excellent groove 10 outer ends and convert hatch frame to, the two side portions of wearing excellent groove 10 facilitates in order further to fracture.
Wear the two side portions of excellent groove 10 for the ease of fractureing, further, be provided with distance L between the outer end of centrage vertical second snap slot 6, the second snap slots 6 of bearing of trend and afterbody pipe 4 and afterbody pipe 4 at the outer surface of tube wall of afterbody pipe 4 greater than the distance L 2 between the outer end of first snap slot 3 and afterbody pipe 4; After the pressure bar operation is finished, can fracture along second snap slot 6 and wear excellent groove 10 two side portions, and then shorten the length of pedicle nail 100.
Second snap slot 6 can be arranged between the inner of first snap slot 3 and afterbody pipe 4.Preferred embodiment, be that second snap slot 6 is arranged on afterbody pipe 4 and the junction of following closely seat 7, and make the bearing of trend of second snap slot 6 vertical with the centrage of afterbody pipe 4.Like this, when fractureing operation, can fully afterbody pipe 4 be removed, only keep the nail body 8 and the nail seat 7 of pedicle nail 100, reduce operation back pedicle nail 100 occupation space.
Distance L 2 between the outer end of distance L 1, first snap slot 3 and afterbody pipe 4 between the bottom of the distance L between the outer end of second snap slot 6 and afterbody pipe 4, U type opening 9 and the outer end of afterbody pipe 4 and wear the outer end of excellent groove 10 and the outer end of afterbody pipe 4 between the numerical range of distance L 3 be equipped with, be that afterbody pipe 4 adopts different length, wears the different length of excellent groove 10 employings, above-mentioned distance all can change to some extent, can select according to actual needs.
The setting of above-mentioned first snap slot 3 and second snap slot 6 is not that what only define snap slot is two, and the quantity of snap slot and position can be selected according to practical operation, certainly, under afterbody tube material situation easy to break, snap slot can be set yet.
Under specific circumstances, the outer end that also can wear excellent groove 10 is set to hatch frame.When adopting hatch frame, after operation fractureing of afterbody pipe 4 being operated also can be more convenient.When wearing excellent groove 10 for hatch frame, the outer surface of tube wall of afterbody pipe 4 also can be provided with the vertical snap slot of centrage of bearing of trend and afterbody pipe 4, for the postoperative operation that fractures is provided convenience, and the quantity of snap slot can be provided with according to the needs of reality processing.
The above outer end and the inner all are for nail body 8, and promptly the end near nail body 8 is inner, is the outer end away from an end of following closely body 8.
Afterbody pipe 4 and nail seat 7 can be set to integrative-structure, even afterbody pipe 4 and nail seat 7 are one-body molded.With respect to nail seat 7,, the female thread 71 of nail seat 7 added relatively difficulty of trade union because afterbody pipe 4 is longer; For the ease of processing, afterbody pipe 4 also can be set to the branch body structure with nail seat 7, promptly after processing respectively, adopts welding or other modes fixedly connected again.When adopting welding manner, note that will stagger with the position of second snap slot 6 in the welding position in order not influence the setting of second snap slot 6.
Please refer to Fig. 5 and Fig. 6, Fig. 5 is the structural representation that the afterbody pipe of pedicle nail provided by the present invention is connected with the split of nail seat, and the structural representation of a kind of specific embodiment of the afterbody pipe split processing of the pedicle nail that provides of the present invention is provided Fig. 6.
Described 4 splits of afterbody pipe are processed is meant, at first, the part of afterbody pipe 4 and nail seat 7 are processed as one, another part of afterbody pipe 4 is separately after the processing, with two parts welding of afterbody pipe 4, and then structures such as excellent groove 10, U type opening 9 and pawl 5 are worn in processing.Certainly, also can change machining process according to actual needs.
Please refer to Fig. 7, Fig. 7 is the cutaway view of pressure bar device provided by the present invention.
As shown in Figure 7, this pressure bar device 20 is a tubular structure, and the inside diameter D 2 of pressure bar device 20 is not less than the outer diameter D 1 of above-mentioned afterbody pipe 4, also is provided with the latch 12 that matches with above-mentioned pawl 5 on the inwall of pressure bar device 20.Latch 12 can be by flexure strip or other elastomeric elements and pressure bar device 20 the linking to each other of inwall; Like this, in carrying out the pressure bar operating process, can make latch 12 outwards swing under the effect of pawl 5 tops, to make things convenient for pressure bar device 20 to lower slider; Elastomeric element can keep latch 12 to move inward trend, to keep at preposition and the cooperating of pawl 5.
In addition, bigger at the internal diameter of pressure bar device 20, and when having suitable dimension, latch 12 and pressure bar device 20 inwalls are maintained fixed; Under this situation, when pressure bar, need make the centrage of pressure bar device 20 depart from the centrage of afterbody pipe 4, make latch 12 keep separating, after pressure bar device 20 arrives precalculated positions, make 20 translations of pressure bar device again, latch 12 is cooperated with pawl 5 maintenances with pawl 5.
When carrying out the pressure bar operation,, therefore, pressure bar device 20 can be set to outside the pedicle nail 100 afterbody pipes 4 because the inside diameter D 2 of pressure bar device 20 is not less than the outer diameter D 1 of afterbody pipe 4.Pressure bar device 20 is pressed down, vertical pitman 40 is moved along wearing excellent groove direction, when needs are located, latch 12 is cooperated, with pawl 5 temporarily with excellent locking.Under the situation that latch 12 and pawl 5 match, just can realize the location of pressure bar device 20 and the vertical temporary transient locking of pitman 40, therefore, pressure bar device 20 goes for the above-mentioned pedicle nail 100 of the external diameter of afterbody pipe 4 less than the different model of its internal diameter.
In addition, be provided with two relative excellent draw-in grooves 13 in a side end face of pressure bar device 20.In the operating process, excellent draw-in groove 13 is used to be stuck in the side of vertical pitman 40, and vertical pitman 40 is moved along wearing excellent groove 10.
The latch 12 of pressure bar device 20 can only be provided with one, and when pressure bar device 20 carried out pressure bar, along with moving down of pressure bar device 20, the pawl 5 that latch 12 can be different with position on pressure bar device 20 centerline directions cooperated, equally can be at preposition with the temporary transient locking of rod.Certainly, latch 12 can also be set to a plurality of.
In the foregoing description, the locking mechanism that is used for one-way locking pressure bar device 20, adopt the structure of the latch that matches with pawl on the described afterbody pipe sidewall, described locking device can also adopt following structure: the sidewall at pressure bar device 20 is provided with groove, being provided with in this groove can be along the shell fragment of pressure bar device 20 radial elastics distortion, the medial surface of this shell fragment is provided with the slope round platform, and can match with the knuckle-tooth that is provided with on the afterbody pipe sidewall in the side of this slope round platform, with one-way locking pressure bar device 20; When withdrawing from pressure bar device 20, can press down shell fragment, make the slope round platform break away from and cooperate with knuckle-tooth.
When vertical pitman 40 is pressed in the groove on the nail seat of pedicle nail 100, for fixing vertical pitman 40, can adopt female thread on locking nut 30 and the groove to form cooperates, as shown in Figure 8, locking nut 30 passes from the centre bore 11 of afterbody pipe 4, arrive female thread 71 places, lock locking nut 30 again, make the maintenance relative fixed of vertical pitman 40 and pedicle nail 100.
In the concrete scheme, the structure of described lateral connector as shown in figure 14, lateral connector 50 can be connected with same epicentral two pedicle nails 100, can be used for adjusting two angles between the pedicle nail 100.
In the concrete scheme, the structure of described vertical connecting frame as shown in figure 15, vertically connecting frame comprises horizontal connecting rod and two vertical connecting rods that are arranged side by side, vertically connecting rod connects a plurality of lateral connectors 50, laterally connecting rod connects two vertical connecting rods, and laterally connecting rod is provided with and the draw-in groove structure distance between two vertical connecting rods of movable adjusting, but and one-way locking, to play fixation.
The present invention also provides a kind of using method of above-mentioned deformation of spinal column apparatus for correcting, and following examples are simply introduced it in conjunction with the accompanying drawings.
Please referring to Fig. 9, Fig. 9 is the flow chart of deformation of spinal column apparatus for correcting using method provided by the present invention.
As shown in Figure 9, the using method of this deformation of spinal column apparatus for correcting may further comprise the steps.
Step 101 is implanted the nail body of pedicle nail 100 in the vertebral body.As shown in figure 10, as required, select to have the pedicle nail 100 of appropriate length, diameter, on cone, select suitable to go into to follow closely angle, go into to follow closely a little, go into the nail body that the nail point is implanted pedicle nail 100 described; As shown in figure 11, respectively along A1, A2 direction, on a plurality of cones, implant a plurality of pedicle nails 100 in the both sides of spinal column.
Step 102 is inserted vertical pitman 40 in the centre bore 11 of afterbody pipe 4 of pedicle nails 100.Vertical pitman 40 is inserted in the centre bore 11 of afterbody pipe 4 of pedicle nails 100, vertical pitman 40 inserts in the centre bore 11 of afterbody pipe 4 of a plurality of pedicle nails 100 of spinal column the same side successively.
Step 103, as shown in figure 12, pressure bar device 20 is sleeved on the outside of the afterbody pipe 4 of pedicle nail 100, and mobile pressure bar device 20 makes the vertical pitman 40 of base abuts of pressure bar device 20, to pressing down vertical pitman 40, in the groove of the nail seat 7 that vertical pitman 40 is pressed into pedicle nail 100, as shown in figure 13, vertically pitman 40 passes a plurality of pedicle nails 100, when vertically pitman 40 passes a plurality of pedicle nail 100, can be to the spinal column adjustment that tentatively resets.
Step 104 enters locking nut 30 in the nail seat by afterbody pipe 4, and locking nut 30 forms with the female thread 71 of nail seat 7 and cooperates, and can form interim locking to vertical pitman 40.
Step 105 is carried out the restoring backbone operation.Spinal column is carried out rectification and recovery, can adopt lateral connector 50, as shown in figure 14, lateral connector 50 is connected with same epicentral two pedicle nails 100, can adjust two angles between the pedicle nail 100, can carry out the rectification and recovery operation by lateral connector 50 and 60 pairs of spinal columns of vertical connecting frame.
Step 106, spinal column carried out the rectification and recovery end of operation after, screw locking nut 30, with vertical pitman 40 lockings.
Step 107, the afterbody pipe 4 of the pedicle nail 100 that fractures.After locking vertical pitman 40, remove afterbody pipe 4, specifically remove afterbody pipe 4 by the mode that fractures, the rectification and recovery operation of spinal column is finished.
The using method of this deformation of spinal column apparatus for correcting can conveniently be adorned the operation of rod and pressure bar, can more easily realize the rectification and recovery operation of spinal column.
Used specific embodiment herein principle of the present invention and embodiment are set forth, the explanation of above embodiment just is used for excellent assistant and separates method of the present invention and core concept thereof.Should be pointed out that for those skilled in the art, under the prerequisite that does not break away from the principle of the invention, can also carry out some improvement and modification to the present invention, these improvement and modification also fall in the protection domain of claim of the present invention.