Summary of the invention
The purpose of this invention is to provide a kind of spinal column deformation correction device, this spinal column deformation correction device can conveniently carry out the deformation of spinal column corrective operations.
For achieving the above object, spinal column deformation correction device provided by the present invention comprises pedicle nail, vertical pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame;
The rivet nut of described pedicle nail is implanted in the vertebral body of the spinal column that needs rectification, 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; Be positioned at spinal column longitudinally a plurality of lateral connectors connect by vertical connecting frame;
That the tube wall of described afterbody pipe is provided with is relative, communicate with the centre bore of described afterbody pipe respectively two wear excellent groove; Described outer end sealing of wearing excellent groove, outer surface at described afterbody pipe is provided with the bearing of trend first fold fault trough vertical with the centrage of described afterbody pipe and the second snap slot, and the distance of the outer end of described first fold fault trough and described afterbody pipe is greater than the described outer end of excellent groove and the distance between the described afterbody pipe outer end of wearing; Distance between described the second snap slot and the described afterbody pipe outer end is greater than the distance between the outer end of described first fold fault trough and described afterbody pipe.
Preferably, described pedicle nail comprises rivet nut, the nail seat that is connected with rivet nut, be provided with groove on the described nail seat, 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 rivet nut, 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, described pressure bar device is 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 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.
Spinal column deformation correction device provided by the present invention comprises pedicle nail, vertical pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame; The rivet nut of described pedicle nail is implanted in the vertebral body of the spinal column that needs rectification, 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; Be positioned at spinal column longitudinally a plurality of lateral connectors connect by vertical connecting frame.
The spinal column deformation correction device 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 so that the deformation of spinal column corrective procedure is simple to operate, easy operating, operation accurately, dangerous little.
The specific embodiment
Core of the present invention provides a kind of spinal column deformation correction device, and this spinal column deformation correction device can conveniently carry out the deformation of spinal column corrective operations.
In order to make those skilled in the art person understand better the present invention program, the invention will be described in further detail below in conjunction with the drawings and specific embodiments.
Spinal column deformation correction device provided by the invention comprises pedicle nail, vertical pitman, pressure bar device, locking nut, lateral connector and vertical connecting frame.
The rivet nut of described pedicle nail is implanted in the vertebral body of the spinal column that needs rectification, 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; Be positioned at spinal column longitudinally a plurality of lateral connectors connect by vertical connecting frame.
The spinal column deformation correction device 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 so that the deformation of spinal column corrective procedure is simple to operate, easy operating, operation accurately, dangerous little.
Wherein, such as Fig. 2-shown in Figure 4, pedicle nail 100 comprises rivet nut 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 rivet nut 8.Afterbody pipe 4 is tubular structure, and its inner diameter d 1 is not less than situation about equating for both shown in the outside diameter d 2(figure of female thread 71).Be provided with on the tube wall of afterbody pipe 4 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 centre bore 11; The outer surface of tube wall of afterbody pipe 4 is provided with and locks mouth 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 spinal column deformation correction device of this structure, when filling clubs and do, owing to have the afterbody pipe 4 of predetermined length, after rivet nut 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 inner mobile to afterbody pipe 4 along wearing excellent groove 10; Because the inner of wearing excellent groove 10 communicates with the groove 72 of nail seat 7, 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 again locking nut 30, make vertical pitman 40 relative with the maintenance of pedicle nail 100 fixing.Therefore, this pedicle nail 100 can conveniently fill rod and pressure bar operation.
The spinal column deformation correction device of this structure can conveniently fill rod and pressure bar operation.Simultaneously, in carrying out the pressure bar operation, pedicle nail 100 is swung with vertical pitman 40, thereby can realize certain resetting orthopedic, for follow-up resetting orthopedic operation provides good prerequisite.
The locking mouth 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 fixing, make rod keep temporary transient locking, thereby provide prerequisite for being fixed 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 arranged 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-shaped 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-shaped openings 9 and two wear excellent groove 10; Simultaneously, the outer surface of tube wall at afterbody pipe 4 arranges the bearing of trend first fold fault trough 3 vertical with the centrage of afterbody pipe 4; Wherein, the distance L 2 between the outer end of first fold fault trough 3 and afterbody pipe 4 is less than the distance L 1 between the outer end of the bottom of U-shaped opening 9 and afterbody pipe 4, and greater than the distance L 3 between the outer end of the outer end of wearing excellent groove 10 and afterbody pipe 4.After operation is finished, the part of two U-shaped opening 9 both sides can be fractureed along first fold fault trough 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 for further fractureing facilitates.
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 bearing of trend the second snap slot 6, the second snap slots 6 vertical with the centrage of 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 fold fault trough 3 and afterbody pipe 4; After the pressure bar operation is finished, can fracture along the second snap slot 6 and wear excellent groove 10 two side portions, and then shorten the length of pedicle nail 100.
The second snap slot 6 can be arranged between the inner of first fold fault trough 3 and afterbody pipe 4.Preferred embodiment, be the second snap slot 6 to be arranged on the junction of afterbody pipe 4 and nail seat 7, and make the bearing of trend of the 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 rivet nut 8 and the nail seat 7 of pedicle nail 100, reduce the space that the rear pedicle nail 100 of operation takies.
Distance L 2 between the outer end of distance L 1, first fold fault trough 3 and afterbody pipe 4 between the outer end of the distance L between the outer end of the second snap slot 6 and afterbody pipe 4, the bottom of U-shaped opening 9 and 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 fold fault trough 3 and the 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, in 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 arrange the bearing of trend snap slot vertical with the centrage of afterbody pipe 4, for the postoperative operation that fractures is provided convenience, and the quantity of snap slot can arrange according to the needs of reality processing.
The above outer end and the inner all are for rivet nut 8, be the inner near an end of rivet nut 8 namely, are the outer end away from an end of rivet nut 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, because afterbody pipe 4 is longer, the female thread 71 of nail seat 7 added relatively difficulty of trade union; For the ease of processing, afterbody pipe 4 also can be set to Split type structure with nail seat 7, namely after processing respectively, adopts welding or other modes to be fixedly connected with again.When adopting welding manner, should be noted that will stagger with the position of the second snap slot 6 in the welding position in order not affect the setting of the 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 nail seat split, and the structural representation of a kind of specific embodiment of the afterbody pipe parts processing of the pedicle nail that provides of the present invention is provided Fig. 6.
Described afterbody pipe 4 parts processings are referred to, at first, a part and the nail seat 7 of afterbody pipe 4 is processed as one, another part of afterbody pipe 4 is separately after the processing, with two parts welding of afterbody pipe 4, and then the structures such as excellent groove 10, U-shaped opening 9 and pawl 5 are worn in processing.Certainly, also can change according to actual needs machining process.
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 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, latch 12 is outwards swung, to make things convenient for pressure bar device 20 down slidings under the effect of pawl 5 tops; Elastomeric element can keep latch 12 to move inward trend, to keep at preposition and the cooperating of pawl 5.
In addition, larger at the internal diameter of pressure bar device 20, and when having suitable dimension, also can make latch 12 and pressure bar device 20 inwalls keep fixing; In this situation, when pressure bar, need to make the centrage of pressure bar device 20 depart from the centrage of afterbody pipe 4, make latch 12 keep separating with pawl 5, after pressure bar device 20 arrives precalculated positions, make again 20 translations of pressure bar device, latch 12 is cooperated with pawl 5 maintenances.
When carrying out the pressure bar operation, because the inside diameter D 2 of pressure bar device 20 is not less than the outer diameter D 1 of afterbody pipe 4, therefore, pressure bar device 20 can be set to outside the pedicle nail 100 afterbody pipes 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, temporarily with excellent locking with pawl 5.In 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 external diameter of afterbody pipe 4 less than the above-mentioned pedicle nail 100 of 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 for being 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 arrange 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 from 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 above-described embodiment, 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 arranges 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, so that breaking away from knuckle-tooth, the slope round platform cooperates.
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 again locking nut 30, make vertical pitman 40 relative with the maintenance of pedicle nail 100 fixing.
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 notch the 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 spinal column deformation correction device, and following examples are simply introduced it by reference to the accompanying drawings.
Please referring to Fig. 9, Fig. 9 is the flow chart of spinal column deformation correction device using method provided by the present invention.
As shown in Figure 9, the using method of this spinal column deformation correction device may further comprise the steps.
Step 101 is implanted the rivet nut 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, select suitable to enter to follow closely angle, enter to follow closely a little in cone, enter the rivet nut that the nail point is implanted pedicle nail 100 described; As shown in figure 11, respectively along A1, A2 direction, implant a plurality of pedicle nails 100 in a plurality of cones 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 is so that the vertical pitman 40 of the base abuts of pressure bar device 20, to pressing down vertical pitman 40, until vertical pitman 40 is pressed in the groove of nail seat 7 of 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, angle between two pedicle nails 100 of capable of regulating 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 spinal column deformation correction device can conveniently fill the operation of rod and pressure bar, can realize relatively easily 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.