WO1995005783A1 - Orthese vertebrale implantee dynamique - Google Patents
Orthese vertebrale implantee dynamique Download PDFInfo
- Publication number
- WO1995005783A1 WO1995005783A1 PCT/FR1994/000886 FR9400886W WO9505783A1 WO 1995005783 A1 WO1995005783 A1 WO 1995005783A1 FR 9400886 W FR9400886 W FR 9400886W WO 9505783 A1 WO9505783 A1 WO 9505783A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- rod
- vertebrae
- anchoring elements
- vertebra
- relative
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B17/702—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other having a core or insert, and a sleeve, whereby a screw or hook can move along the core or in the sleeve
-
- 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
- A61B17/7044—Screws or hooks combined with longitudinal elements which do not contact vertebrae also having plates, staples or washers bearing on the vertebrae
-
- 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7067—Devices bearing against one or more spinous processes and also attached to another part of the spine; Tools therefor
-
- 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
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
- A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
- A61B17/7077—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
-
- 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
- A61B17/7008—Longitudinal elements, e.g. rods with a cross-section which varies along its length with parts of, or attached to, the longitudinal elements, bearing against an outside of the screw or hook heads, e.g. nuts on threaded rods
-
- 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
- A61B17/7046—Screws or hooks combined with longitudinal elements which do not contact vertebrae the screws or hooks being mobile in use relative to the longitudinal element
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
Definitions
- the present invention relates to a dynamic implanted vertebral orthosis making it possible to perform and maintain a correction of the relative position of the vertebrae and / or static and dynamic forces exerted on the vertebrae for the treatment of a deformation of the spine, congenital or acquired, in particular idiopathic or other, such as kyphoscoliosis, or post-traumatic, tumor, infectious, degenerative, or other instability of the spine.
- the known osteosynthesis devices still pose numerous problems with regard to the positioning and the reliability of the anchoring elements which support high stresses taking into account the subsequent rigidity, and during the fixing of the rods, plates or frames, to the anchoring elements which must be carried out simultaneously with the reduction of deformation.
- Various semi-rigid osteosynthesis devices have thus been proposed to solve these drawbacks by preserving a certain elasticity favoring the fusion of the subsequent bone graft and facilitating the positioning of the anchoring elements or reducing the stresses transmitted to the anchoring elements.
- FR-A-2 689 750 proposes such an osteosynthesis device in which the rods have flexibility with a high elastic limit. The elasticity thus preserved in the arthrodesis area promotes the fusion of the bone graft.
- the curvature of the stems essentially determined according to the lateral deviation to be corrected does not necessarily correspond to an appropriate correction of the kyphosis or lordosis.
- these devices are considered to be among the most sophisticated and rigid. As a result, the installation is extremely delicate and the bone structure is sometimes too fragile to withstand the mechanical stresses generated. Whether these devices are rigid or semi-rigid, they are in all cases associated with a graft and therefore result in the suppression of any movement: this results in a concentration of forces at the ends of the instrumented area with development at these levels of disco-ligament degeneration or arthritis overload.
- Cotrel-Dubousset devices two other types of osteosynthesis devices are used to treat deformities of the spine. These are, on the one hand, Roy-Camille's plates and pedicle screw devices and their improvements, and, on the other hand, Luque devices with sub-lamar wires and their improvements.
- the Roy-Camille devices are reserved for small amplitude corrections concerning a limited number of vertebrae, and do not allow efficient derotation. Luque devices can cause serious neurological complications given the passage wires passing under the vertebral lamina near the spinal cord.
- None of the known osteosynthesis devices allows correction of a deformation while at least partly preserving the natural physiological mobility of the vertebrae and the subsequent possibilities of growth.
- the invention therefore aims to overcome the drawbacks of all known devices by proposing a new implanted vertebral orthosis preserving at least in part the natural physiological mobility of the vertebrae and allowing, without osteosynthesis, grafting or arthrodesis, to perform and maintain a correction of the relative position of the vertebrae and / or reduce the forces exerted on the vertebrae for the treatment of a congenital or acquired deformation of the spine, in particular idiopathic or other, such as kyphoscoliosis, or post-spinal instability traumatic, tumor, infectious, degenerative, or other.
- the invention aims to propose a new category of implanted dynamic vertebral orthosis which, unlike known osteosynthesis devices, can be subsequently modified or even removed, and preserves the natural physiological mobility of the vertebrae not only when it is implanted, but also after its subsequent removal.
- the invention also aims to provide an implanted vertebral orthosis which preserves the growth potential of the spine.
- the invention also aims to propose an implanted vertebral orthosis which can subsequently be removed, in particular at the end of the growth period when the risks of worsening or recurrence of the deformation or instability have disappeared.
- the invention also aims to propose an implanted vertebral orthosis which can be applied with the least possible risk of damage to the nervous system.
- the invention also aims to propose an implanted vertebral orthosis transmitting to the anchoring elements fixed on the vertebrae the lowest possible mechanical stresses, and in particular mechanical stresses the value of which is strictly limited to that necessary for maintaining the correction of deformation and / or application of the desired forces on the vertebrae.
- the invention also aims to propose an implanted vertebral orthosis whose characteristics can be adjusted during installation, and after implantation by transcutaneous or percutaneous adjustments, as required.
- the orthosis comprises at least one retaining rod which is movably associated with the anchoring elements of at least one vertebra by coupling means which prevent any relative movement of sliding in horizontal translation (that is i.e. in the lateral and anteroposterior directions relative to the vertebra) but allow, after placement, a relative movement according to at least one other degree of freedom.
- 1 vertebral orthosis implanted according to the invention is not an osteosynthesis device carrying out a stiffening of the spinal column.
- it constitutes a dynamic system generating correction forces for the vertebrae with respect to each other.
- the mobile links made by means of coupling allowing relative movements according to at least one degree of freedom makes it possible to preserve the natural physiological mobility of the vertebrae with respect to each other.
- the only sources of rigidity induced by the orthosis according to the invention are those which are necessary to effect and maintain a correction of the relative positions of the vertebrae. It has in fact been determined that these mobility limitations are in fact necessary and sufficient to treat the majority of deformations and instabilities.
- the orthosis according to the invention is placed without a bone graft.
- the number, nature, orientation and value of the elastic restoring forces and the degrees of freedom authorized by the means for coupling the retaining rods to the anchoring elements are determined as a function of the degree and the rigidity of the deformation or spinal instability.
- each retaining rod is associated with the anchoring elements of a vertebra by coupling means preventing any relative movement between the retaining rod and the d : anchoring elements.
- the means for coupling this retaining rod to all the anchoring elements of the other vertebrae allow, after fitting, a relative movement according to at least one degree of freedom.
- the retaining rods are preferably rigidly associated with a median vertebra by coupling means preventing any relative movement, and associated in a mobile manner according to the minus a degree of freedom relative to the anchoring elements of the other vertebrae, in particular of the end vertebrae of the deformation to be corrected.
- the degree of freedom authorized by the means for coupling the retaining rods to the anchoring elements can be a relative longitudinal translation along a vertical axis and / or a relative rotation about an axis perpendicular to a plane. frontal and / or a relative rotation around a vertical axis and / or a relative rotation around an axis perpendicular to a sagittal plane. In particular, rotations around any horizontal axis are allowed.
- the authorized degrees of freedom in the case of the treatment of lumbar instability, can be a relative longitudinal translation along a vertical axis, a relative rotation around an axis perpendicular to a frontal plane, and relative rotation about a vertical axis.
- the elastic return means are associated with the anchoring elements of the vertebrae with a shape distinct from their shape at rest, that is to say from their shape before their installation, so as to exert forces when the vertebrae are in the corrected position and to maintain this position
- the holding means comprise at least one flexible and elastic curved holding rod in flexion associated with anchoring elements of at least two distinct vertebrae and able, after installation, to exert elastic forces to maintain the vertebrae in the corrected position while allowing physiological movements from the corrected position of the vertebrae, and the means for coupling this rod to the anchoring elements of at least one vertebra has a cylindrical bore through which the rod passes and in which it can slide in translation.
- this bore is formed in a member rotatably mounted relative to the anchoring elements around an axis perpendicular to the frontal plane and / or around an axis perpendicular to the sagittal plane of the corresponding vertebra.
- This member may be a sphere pierced with the cylindrical bore, and this sphere is enclosed in a spherical housing integral with the anchoring elements allowing it complete freedom of rotation around all the axes located in the horizontal plane.
- the means for coupling the rod 1 to the anchoring elements of at least one vertebra allow a proper rotation of the rod around its axis relative to the anchoring elements.
- each rod is placed in a lateral position relative to the spinous processes in the paravertebral gutters.
- the orthosis according to the invention can comprise a single rod on one side of the spinous processes or two rods, one on each side.
- Each of the rods is bent at the time of manufacture, so that its shape at rest is curved.
- the curvature of each of the rods is modified so that it exerts elastic bending stresses on the anchoring elements.
- the material and dimensions of each rod are determined so that subsequent voluntary elastic flexions of the spine are possible, after placement and from the corrected position of the vertebrae.
- the holding means comprise at least one spring acting on the anchoring elements of at least one vertebra.
- a spring may be a spring with contiguous or non-contiguous turns, one end of which is associated with the anchoring elements of one vertebra and the other end of which is associated with the anchoring elements of another vertebra.
- Such a coil spring can be a compression or tension spring surrounding a retaining rod connecting the anchoring elements of the various instrumented vertebrae. The rod then acts as a guide for the spring.
- the holding means comprise on the concave side of a deformation to be corrected and / or on the side convex of a deformation to be corrected, a rod and at least one compression spring, and / or respectively, of traction surrounding the rod.
- the two ends of a spring can be locked in rotation relative to the anchoring elements of two vertebrae so as to impart a torque to these vertebrae.
- the coils of the spring are wound or unwound relative to their shape at rest after the association and before the fixing of the ends of this spring to the anchoring elements.
- Such a torsional torque imparted by a spring surrounding a rod makes it possible to exert a rotational torque of the vertebrae with respect to one another - and in particular with respect to the central vertebra.
- the same spring is then a compression or tension spring and a torsion spring.
- An orthosis according to the invention further comprises means for adjusting the value of the elastic restoring forces exerted at least by part of the elastic restoring means.
- adjustment means make it possible to vary, in the corrected position of the vertebrae, the elastic elongation (that is to say the elastic variation in length or in shape) of the elastic return means with respect to their rest form.
- These adjustment means may comprise at least one electronic micromotor and / or at least one position of the manual adjusting device of a support abutment of the elastic return means by 'relative to anchoring elements of a vertebra.
- the adjustment means comprise transcutaneous or percutaneous control means after implantation of the orthosis, for example in the form of an electromagnetic control.
- the adjustment means comprise at least part of the holding means and / or elastic return means which is formed from a metal alloy with shape memory. Therefore, the adjustment can be made by heating this part so as to restore all or part of its shape to use its elasticity as needed.
- the rods and / or the springs can be made wholly or partly of a metal alloy with shape memory.
- the invention also relates to an implanted vertebral orthosis comprising in combination all or part of the characteristics mentioned above or below.
- FIG. 3 is a schematic view in vertical section of detail of the means for locking in rotation of a spring end of an orthosis according to the invention
- FIG. 4 is a schematic sectional view along the line IV-IV of FIG. 3,
- FIG. 5 is a schematic view in vertical section of detail of a manual adjustment device of the elastic return means of an orthosis according to the invention
- - Figure 6 is a schematic sectional view along line VI- VI of Figure 5
- FIG. 10 is a schematic posterior view of a fourth embodiment of an orthosis according to the invention, more particularly intended for the treatment of degenerative lumbar instability,
- FIG. 11 is a schematic posterior view illustrating a first step of fitting the orthosis of FIG. 1
- FIG. 12 is a schematic posterior view illustrating a second step of fitting the orthosis of FIG. 1
- FIG. 14 is a diagrammatic rear view illustrating a fourth step of fitting the orthosis of FIG. 1,
- FIG. 15 is a schematic sectional view through a horizontal plane of the anchoring elements of a vertebra of an orthosis according to a fifth embodiment of the invention.
- FIG. 16 is a diagrammatic rear view of a clamp of ancillary equipment for fitting an orthosis according to the invention.
- FIG. 17 is a schematic view in section along the line XVII-XVII of FIG. 16,
- FIG. 18 is a theoretical diagram in section in a horizontal plane making it possible to determine the characteristics of a support and elastic return rod of an orthosis according to the invention
- FIG. 19 is a theoretical diagram in section in a sagittal plane for determining the characteristics of a support rod and elastic return of an orthosis according to the invention.
- the term “vertical” designates the axial direction of the spine which does not correspond to the absolute vertical direction since the spine has a curvature (kyphosis and lordosis).
- the term “horizontal” designates any direction contained in the plane perpendicular to the vertical direction
- the term “sagittal” designates any plane containing the vertical and horizontal anteroposterior directions
- the term “frontal” designates any plane containing the vertical directions and horizontal lateral.
- FIG. 1 represents a first embodiment of a vertebral orthosis implanted according to the invention which makes it possible to carry out and maintain a correction of the relative position of five dorsal vertebrae for the treatment of a deformation of scoliotic type.
- the vertebrae Before the installation of 1 Orthosis, the vertebrae have a lateral deviation such as a curvature with convexity oriented to the right ( Figure 11).
- the orthosis according to the invention comprises an anchoring element 1 fixed on the extreme upper vertebra, an anchoring element 2 fixed on the lower extreme vertebra, and an anchoring element 3 fixed on the median vertebra located in the center of the original natural curvature of scoliosis.
- LOrthesis further comprises two holding rods 4a, 4b extending laterally on each side of the spinous processes, namely a left rod 4a placed on the side of the concavity of the deformation to be corrected, and a right rod 4b placed on the side of the convexity of the deformation to be corrected.
- Each rod 4a, 4b is a curved rod, flexible and elastic in bending made of biocompatible material such as a metal alloy (stainless steel or titanium) and / or of composite material.
- Each rod 4a, 4b is associated with the anchoring elements 1, 2, 3 of the vertebrae by coupling means 5a, 5b, 6a, 6b, 7a, 7b.
- the rods 4a, 4b therefore constitute in themselves elastic return means exerting elastic return forces which are determined to maintain the vertebrae in the corrected position against the natural forces of deformation.
- the dimensional and mechanical characteristics of the rods 4a, 4b are determined in such a way that these rods 4a, 4b have a residual elasticity from the corrected position of the vertebrae. In this way, the rods 4a, 4b do not oppose the natural physiological movements of the vertebrae with respect to each other from the corrected position.
- These physiological movements are also made possible by the coupling means 5a, 5b, 6a, 6b, 7a, 7b which are designed for this purpose.
- the means 5a for coupling the left rod 4a to the upper anchoring element 1 of the upper instrumented vertebra comprise a sphere 8 freely rotatably mounted and enclosed in a spherical housing 9 of a cylinder 10 integral with the anchoring element 1 so as to form a ball joint liaison.
- the sphere 8 is pierced with a cylindrical bore 11 through which the rod 4a passes, and in which this rod 4a can slide in longitudinal axial translation in the vertical direction.
- the width of the bore 11 corresponds to the width of the rod 4a and the sphere 8 is engaged in the housing 9 without the possibility of relative movements in horizontal translation, and in particular in the lateral and anteroposterior directions of the vertebra.
- the bore 11 is cylindrical of revolution and the rod 4a is provided with ribs 12 regularly distributed around its axis and extending along the rod 4a projecting from its outer face to come into contact along the face inner 13 of the bore 11.
- ribs 12 are provided in the example shown.
- the constituent materials of the sphere 8 and of the cylinder 10 are chosen to allow the rotations of this sphere 8 in the housing 9 as indicated above.
- the sphere 8 is made of high-quality surface metal alloy or ceramic and the cylinder 10 consists of a block of synthetic material such as polyethylene or the like.
- the sphere 8 and / or the cylinder 10 can be made of a self-lubricating material or include a coating of this material.
- the cylinder 10 has upper 14 and lower 15 openings allowing the passage of the rod 4a and whose width dimensions are greater than those of the rod 4a to allow tilting movements of the rod 4a relative to the axis of the cylinder under the effect of the aforementioned rotational movements.
- the dimensions of the openings 14 and 15 are such that they allow an amplitude of inclination of at least 45 degrees of the rod 4a relative to the vertical axis of the cylinder 10.
- the sphere 8 is engaged in the housing spherical 9 during the fitting of the rod 4a.
- a threaded crown 16 is mounted at the upper end of the cylinder 10 which comprises a housing for receiving this crown 16 provided with a corresponding thread.
- the crown 16 has an axial bore which determines the upper opening 14 of the cylinder 10 opening into the spherical housing 9.
- the dimensions of the reception housing of the crown 16 are defined to allow the insertion of the sphere 8 from above into the spherical housing 9.
- the underside of the crown 16 has a concave shape as a portion of a sphere so that it comes as an extension of the spherical internal face of the housing 9 by enclosing the sphere 8 in this housing 9 (FIG. 3) without the block.
- FIG. 3 As a variant (FIG.
- the cylinder is formed from a block of synthetic material and the upper opening 14 has a diameter slightly smaller than that of the sphere 8 which can be forcefully engaged in the housing 9 through this opening 14 which then retains the sphere 8 in the housing 9.
- the rod 4a is introduced inside the cylinder 10. To do this, this cylinder 10 is provided over its entire height d '' a slot 17 communicating with the
- This slot 17 can be placed on the inside of the cylinder 10 opposite the spinous processes, as shown in FIG. 15, or on the opposite side, or even on the posterior side. Preferably, this slot 17 is nevertheless formed in a portion of the cylinder 10 which undergoes the least stresses in the horizontal radial direction.
- the sphere 8 is engaged around the rod 4a by introducing this rod 4a through the bore 11, the rod 4a is introduced into the housing 9 through the slot 17 while maintaining the sphere 8 at above the cylinder 10, then the sphere 8 is engaged in the housing 9.
- the crown 16 is then screwed into the corresponding housing of the cylinder 10. If applicable, this crown 16 will have been previously engaged around the rod 4a above the sphere 8.
- the diameter of the rods 4a, 4b adaptable to the same anchoring elements can thus vary, the adaptation being carried out using spheres 8 whose bore 11 corresponds the diameter of the rods 4a, 4b. In a variant not shown, the sphere 8 can also be engaged in the housing 9 from below.
- the crown 16 is then disposed at the lower end of the cylinder 10.
- the means 6a for coupling the rod 4a relative to the lower anchoring element 2 of the lower extreme vertebra are identical to the means 5a for coupling this rod 4a to the upper anchoring element 1 of the upper extreme vertebra previously described.
- the means 7a for coupling the rod 4a to the median anchoring element 3 of the median vertebra are rigid association means preventing any relative movement of the rod 4a relative to the anchoring element 3
- these coupling means 7a consist of a cylinder 18 mounted integral with the anchoring element 3 and provided with a cylindrical bore 19 over its entire height traversed by the rod 4a.
- This bore 19 is similar to the bore 11 of the coupling means 5a beforehand. described, and therefore has shapes and dimensions corresponding to those of the rod 4a.
- the bore 19 can be provided in an adaptation cylinder whose internal diameter can vary and which is mounted concentrically in the cylinder 18.
- the cylinder 18 carries one or more screws 20 for transversely locking the rod 4a.
- the screw 20 is engaged in a corresponding tapping of the cylinder 18 which opens out into the bore 19.
- the screw 20 presses on the rod 4a and blocks it in translation relative to the bore 19.
- the rod 4a can be provided with one or more horizontal peripheral grooves.
- the cylinder 18 is provided with a slot over its entire height for mounting the rod 4a in the bore 19.
- the rod 4a is blocked by the coupling means 7a relative to the anchoring element of the median vertebra according to each degree of freedom for which the rod 4a is associated movable relative to the anchoring elements 1, 2 of other vertebrae. It is important indeed that the rod 4a is blocked by coupling means with respect to the anchoring elements of at least one vertebra according to at least one - notably each - degree of freedom for which this rod 4a is associated S- _ movable by coupling means relative to the anchoring elements of at least one other vertebra.
- the blockages of the rod 4a, according to the different degrees of freedom may not be gathered on the same vertebra.
- the rod 4a can be blocked according to one or more degrees of freedom with respect to several distinct vertebrae.
- the rod 4a is blocked according to all the degrees of freedom relative to the anchoring elements 3 of a single vertebra and associated movable according to the different degrees of freedom provided by relative to all the anchoring elements 1, 2 of the other vertebrae.
- the rod 4a is blocked by coupling means relative to the anchoring elements 3 one of the vertebrae and associated movable by coupling means to all the anchoring elements 1, 2 of the other vertebrae which allow. after installation, a relative movement according to at least one degree of freedom.
- the rod 4b placed to the right of the spinous processes ( Figure 1) is associated with the anchoring elements 1, 2, 3 by coupling means 5b, 6b, 7b similar to the coupling means 5a, 6a, 7a, previously described for the left stem 4a.
- the right rod 4b is rigidly fixed to the same vertebra as the left rod 4a, that is to say to the median vertebra.
- Each rod 4a, 4b thus mounted on the anchoring elements 1, 2, 3 of the vertebrae provides a means for front and sagittal support of the vertebrae with respect to each other. It also achieves, to a certain extent, a means for holding the vertebrae in the vertical direction.
- these rods 4a, 4b exert elastic restoring forces on the anchoring elements against the natural forces of deformation.
- the corrected position corresponds in fact to the equilibrium position between the natural forces of deformation of the spine and the elastic restoring forces exerted by the orthosis according to the invention. Taking into account ( the flexibility of the rods 4a, 4b and the degrees of freedom authorized by the various coupling means, natural physiological movements are possible at least to a certain extent with respect to the corrected position.
- 1 Orthosis includes for each rod 4a, 4b, a coil spring 21a, 21b interposed between the anchoring elements 1, 3 of the upper vertebra and the median vertebra, a coil spring 22a, 22b interposed between the anchoring elements 2, 3 of the lower vertebra and the median vertebra, a coil spring 23a, 23b interposed between the anchoring element 1 of the upper vertebra and a free end 25a, 25b of the upper rod 4a, 4b, and a coil spring 24a, 24b interspersed between the anchoring element 2 of the lower vertebra and the free end 26a, 26b of the lower rod 4a, 4b.
- Each coil spring 21a, 21b, 22a, 22b is interposed between the anchoring elements 1, 3 and 3, 2 of two distinct vertebrae and has one end associated with the anchoring element 1 or 3 of a vertebra and the other end associated with the anchoring element 3 or 2 of another vertebra.
- the springs 21a, 22a, 23a, 24a surround the rod 4a placed on the concave side of the deformation to be corrected and are compression springs.
- the springs 21b, 22b, 23b, 24b surround the rod 4b placed on the convex side of the deformation to be corrected and are tension springs.
- the ends of the springs are mounted relative to the anchoring element 1 so to print a torque on the corresponding vertebra.
- the free end 27 of the spring which is folded to extend radially is introduced into a radial bore 28 of a ring 29.
- the last turn of the spring is welded to the ring 29.
- This ring 29 has an external circumferential groove 30.
- the cylinders 10 have an external flange 31 surrounding the crown 29.
- This flange 31 carries screws 32 for radial locking engaged in threads of the flange 31 and the ends of which penetrate into the groove 30 of the crown 29 to block it axially with respect to the cylinder 10 then, after twisting the spring, in 21 rotation with respect to the cylinder 10.
- the crown 29 has blind holes 33 allowing it to rotate around the axis of the spring. When the desired twist is obtained, the screws 32 are finally tightened to block the crown 29 relative to the flange 31 of the cylinder 10.
- Such a crown 29 blocked by screws 32 can be provided not only at each end of a spring taking support on anchoring elements comprising a cylinder 10 or 18, but also at the end of a spring bearing on a nut 34 fixed at the end 25a, 25b, 26a, 26b of a rod 4a, 4b.
- the orthosis also comprises means 29, 35, 36 for adjusting the value of the elastic return forces exerted by at least part of the elastic return means, namely the rods 4a, 4b and / or the springs.
- These means 29, 35, 36 are means making it possible to vary, in the corrected position of the vertebrae, the initial elastic elongation (that is to say the initial elastic variation in compression or traction of length or shape) elastic return relative to their shape at rest.
- both the rods 4a, 4b and the springs are placed and associated with the anchoring elements 1, 2, 3 with a shape which is distinct from their shape at rest so as to exert elastic forces against it. 'natural forces of deformation, and to maintain the vertebrae in the corrected relative position with respect to each other.
- said adjustment means may consist of a shim of variable height interposed between one end of the spring which it is desired to be able to adjust, and the corresponding support element, to namely a cylinder 10 or 18 or a rod end nut 34.
- a shim 35, 36 of variable height may consist of an electronic micromotor 35 (FIG. 7) of one to two centimeters in height having a rotor 38 pierced axially.
- the rotor 38 is provided with a thread 42 which cooperates with an external thread 43 of an internal cylinder 44 carrying a movable plate 40.
- the plate 40 is locked in rotation relative to the stator 39 of the micromotor by vertical rails 140 integral with the plate 40 sliding in external vertical slides 141 secured to the stator 39.
- the plate 40 which bears on the end of the spring slides in axial translation relative to the stator 39 of the micromotor which bears on the cylinder 10 or 18 or on the corresponding nut 34.
- the stator 39 of the micromotor 35 can be mounted on the cylinder 10 or 18 or the corresponding nut 34 in the same way as the crown 29 previously described for adjusting the torsion of the springs.
- the stator of the micromotor 35 has a circular peripheral groove in which screws such as 32 for radial locking are tightened.
- the end of the spring bearing on the plate 40 of the micromotor 35 can be fixed to this plate 40 by means of torsional adjustment as described above, namely a ring 29 on which the end of the spring is mounted, which is itself mounted on a flange 31 of the plate 40 of the micromotor 35 by means of locking screws 32.
- the micromotor can be supplied with electrical energy by micropiles 41, and its operation can be controlled through the skin by an electromagnetic or other remote control.
- an adjustment shim may consist of a manual adjustment device 36 (FIGS. 5 and 6) comprising two concentric cylinders 142, 143, one of which 143 is movable in vertical axial translation relative to the other 142 which is fixed, and this under the effect of a control screw 37 which extends radially and which carries, at its internal end, a pinion 144 cooperating with a rack 1 5 secured to the movable cylinder 143 to actuate it in relative axial translation in a one way or the other.
- the cylinders 142, 143 are locked in rotation relative to each other.
- the manual adjustment device 36 also comprises an axial central bore 146 for the passage of the rod 4a or 4b through the movable cylinder 143.
- the manual adjustment device 36 can be fixed to the end of the spring and to the cylinder 10 or 18 or to the nut 34 in the same way as the micromotor 35, in particular by means of means for adjusting the torsion of the spring.
- the screw 37 By turning the screw 37, for example percutaneously, the movable cylinder 143 is made to slide axially relative to the fixed cylinder 142.
- all the springs 21a, 22a, 23a, 24a surrounding the left rod 4a are provided with means for adjusting and locking in torsion (crown 29 and screw 32 for locking).
- the two compression springs 21a, 22a bearing on each side on the cylinder 18 of the means 7a for coupling the rod 4a to the middle anchoring element 3, are provided with adjustment means 35, 36.
- An electronic micromotor 35 is shown above the cylinder 18 to 21a the upper spring adjuster, and a manual tensioning device 36 with its screw 37 is shown in the cylinder 18 * for adjusting the length of the lower spring 22a.
- the tension springs 21b, 22b interposed between the anchoring elements around the straight rod 4b are also provided with adjustment and torsional locking means 29, 32.
- Adjustment micromotors 35 are provided between the cylinders 10 of the means 5b, 6b for coupling the rod 4b to the upper and lower anchoring elements 1, 2, and the corresponding ends of the end springs 23b, 24b.
- Adjustment of the restoring forces by the springs which can be carried out by means of the crowns 29, micromotors 35 and manual tensioning devices 36 makes it possible to easily adapt the characteristics of the orthosis according to the natural physiological modifications of the patient (increase in length of the column vertebral, body weight, muscle strength ). However, if these physiological changes are too great, the adjustment may prove to be insufficient. In this case, it will still be possible to easily change the rods 4a, 4b and / or the springs.
- the anchoring elements 1, 2, 3 do not generally have to be modified taking into account that the coupling means 5a, 5b, 6a, 6b, 7a, 7b authorize the intraoperative assembly and disassembly of the rods and springs relative to these anchoring elements.
- FIG. 2 represents a profile view of an alternative embodiment of the previously described orthosis.
- the curvature of the rod 4a makes it possible to restore and maintain the kyphosis.
- the cylinder 18 of the median coupling means 7a is provided with an electronic micromotor 35 for adjustment on each side.
- the two springs 21a, 22a interposed between the anchoring elements on either side of the central cylinder 18 are provided with a crown 29 of end * for adjusting and locking in torsion. In this way, this torsion of the springs participates in the derotation of the vertebrae. It should be noted that this derotation is also obtained by the elastic curvature of the rod 4a itself and pr the fact that it is placed with its plane of curvature at rest inclined relative to a sagittal plane.
- FIG. 8 represents an embodiment of an orthosis according to the invention more particularly intended for the treatment of lumbar degenerative instability. Unlike the previously described orthosis which allows you to instrument a length of spine corresponding to five vertebrae, this short lumbar orthosis extends over a more limited number of vertebrae including three vertebrae 25 in the example shown.
- This short orthosis also includes anchoring elements 1, 2, 3 on three vertebrae, one or two posterior lateral rods 4a, 4b, springs 21a, 22a, 21b, 22b, each of them being interposed between the elements d anchorage 1, 3 or 3, 2 of two distinct vertebrae.
- the main function of such a lumbar orthosis is not to correct a deformation, but to correct the value of the forces exerted between vertebrae by reducing the forces undergone by the vertebrae due to degenerative instability.
- the orthosis represented in FIG. 8 also differs from the orthoses represented in FIGS. 1 and 2 by the means 45a, 45b, 46a, 46b, 47a, 47b for coupling the rods 4a, 4b to the anchoring elements 1, 2, 3 ( figure 9). Indeed, these coupling means do not have the same degrees of freedom. More precisely, to maintain the spacing between the vertebral bodies more effectively, the degree of freedom in rotation about an axis perpendicular to the sagittal plane is eliminated at the level of all the vertebrae.
- the means 45a, 45b, 47a, 47b for coupling the rods 4a, 4b to the anchoring elements 1 upper and 3 median allow relative movements of the rods 4a, 4b relative to these elements 1, 3 for anchoring in longitudinal translation along a vertical axis, in relative rotation about an axis perpendicular to a frontal plane, and in proper rotation of the rod around a vertical axis, but prohibit any relative rotation around an axis perpendicular to a sagittal plane.
- the sphere 8 of the previously described orthosis is replaced by a sphere 48 provided with an annular circumferential projection 52 and the housing 49 for receiving the sphere 48 is provided with an annular groove 53 in which the projection 52 of the sphere is engaged.
- the projection 52 and the groove 53 extend in a frontal plane so as to allow rotation about an axis perpendicular to the frontal plane by preventing rotations around an axis perpendicular to the sagittal plane.
- these coupling means could also be produced in the form of a cylinder with a horizontal axis provided with a radial bore for the passage of the rod engaged in a cylindrical housing with a horizontal anteroposterior axis of the cylinder 50.
- the member 48 rotatably mounted with respect to the cylinder 50 (that is to say the sphere 48 or the cylinder with a horizontal axis) has a bore 51 with a vertical axis for the passage of the rod 4a, 4b.
- Rotations around an axis perpendicular to the sagittal plane are not possible at the coupling elements but are made possible at the elastic retaining and return elements by the flexibility of the rods and springs, so as to allow the spine the physiological movements of flexion and extension in the sagittal plane.
- the means 46a, 46b for coupling the rods 4a, 4b to the lower anchoring elements 2 are rigid association means blocking the rod in all directions, that is to say are identical to the coupling means 7a, 7b rods to the median anchoring elements described with reference to Figures 1 and 2.
- These coupling means 46a, 46b therefore comprise a cylinder 18 provided with a bore 19 and at least one transverse locking screw 20.
- a nut 34 is fixed to the lower end 26a, 26b of each rod 4a, 4b.
- the upper free ends 25a, 25b of the rods 4a, 4b are left free without nut or spring.
- Figure 10 shows an alternative embodiment of the short lumbar orthosis according to the invention.
- all the coupling means have the same degrees of freedom and are identical to the coupling means 45a, 45b, 47a, 47b of the embodiment shown in FIGS. 8 and 9.
- the rods 4a, 4b are held in position by relative to the means 45a, 45b, 46a, 46b, 47a, 47b for coupling and facing the corresponding vertebrae by a weld 54a, 54b rigidly associating a turn of the springs 22a, 22b with the outer surface of the rods 4a, 4b.
- the springs 22a, 22b are also provided at each of their ends with a crown 29 locked by screws 32 relative to the cylinders 50 of the means 46a, 46b, 47a, 47b of corresponding coupling making it possible to block these springs 22a, 22b rotating around the vertical axis.
- the rod 4a, 4b is therefore kept in rotation about the vertical axis by the springs 22a, 22b, in the desired lordosis position.
- the embodiments shown in Figures 8 and 10 may also include, if necessary, means for adjusting - in particular micromotors 35 and / or manual tensioning devices 36 - of the elastic restoring force exerted by the springs 21a, 21b , 22a, 22b.
- the orthosis may include means for adjusting the elastic return forces exerted by the elastic return means produced in the form of at least part of the holding means. and / or elastic return means consisting of a metal alloy with shape memory.
- the rods 4a, 4b and / or all or part of the springs can be made of metal alloy with shape memory. Consequently, after implantation, it will be possible to modify the elastic restoring forces exerted by proceeding with transcutaneous heating of this part made of shape memory alloy, and this for example by microwave.
- the anchoring elements 1, 2, 3 comprise (FIG. 15) at least one plate 55 having an anterior convex face 56 bearing in contact with at least one portion of the concave surface of the posterior arch, in particular in contact of the vertebral blade 57 and / or at least on one side of the spinous process 58.
- the cylinders 10, 18, 50 of the coupling means are carried by a plate 55 facing the transverse end of the blade 57 at neighborhood of the transverse process 59.
- Each plate 55 is fixed on a vertebra in at least two distinct portions.
- each plate 55 is fixed to the corresponding vertebra by an intrapedicular screw 61 and / or hooks 71 for clamping on the transverse process 59 and / or a clamping flange 65 on the spinous process 58.
- the elements of Anchoring may include two plates 55a, 55b, one on each side of the spinous process, even when the orthosis has only one rod, on one side of the spinous process ( Figure 15).
- a single plate 55 can be provided.
- the anchoring elements according to the invention respect the disco-ligament and articular structures of the vertebrae, the integrity of which will allow the conservation of the vertebral physiological movements.
- the anchoring elements according to the invention make it possible to conserve the movements authorized by the dynamic orthosis. In addition, if this orthosis is then removed, for example at the end of the patient's growth, natural physiological movements are possible.
- the orthosis according to the invention can be produced at least in part from a metal alloy (stainless steel, titanium, etc.) and / or from a composite material.
- FIG. 16 and 17 show a clamp of ancillary correction material for the installation of a vertebral orthosis implanted according to the invention.
- This clamp has three action ends 81, 82, 83 intended to cooperate respectively with the anchoring elements 1, 2, 3 of the vertebrae.
- Each of the action ends 81, 82, 83 of the clamp is formed of a stud intended to be engaged in a bore 78 with a vertical axis formed in the vicinity of the coupling means of the anchoring elements 1, 2, 3.
- Each nipple 81, 82, 83 which can be oriented towards, the bottom or up (FIG. 16) can act in compression or in detraction as required.
- each plate 55 of the anchoring elements comprises a bore 78 formed through a horizontal extension of the plate 55 which supports a cylinder 10, 18 or 50 for coupling a rod 4a, 4b.
- the bore 78 is preferably formed on the front and lateral side of the cylinder 10, 18, 50.
- the clamp also comprises dynamometric means 93, 94, 95 for measuring the forces imparted on the end pins 81, 82, 83 to maintain their relative positions. Also, the clamp comprises means 112, 117, 127 for measuring the displacements of the end studs 81, 82, 83 during modifications of their relative positions.
- Each clamp is composed of three articulated branches 90, 91, 92 carrying the pins 81, 82, 83 at their free end. More specifically, the clamp comprises an upper branch 90 carrying the upper end stud 81, a lower branch 91 carrying the lower end stud 82, and a middle branch 92 carrying the middle end stud 83.
- the two upper and lower branches 90, 91 are articulated to each other about a horizontal axis 99 orthogonal to the direction passing through the two pins 81, 82.
- the branches 90, 91, 92 are articulated by relative to the others and controlled in their relative movements by three control rods 104, 114, 124 provided with handles 113, 123, 135.
- a vertical control rod 104 has a thread 105 cooperating with a thread 106 at one end 103 of the lower branch 91 opposite the nipple 82.
- the end 102 of the upper branch 90 opposite the stud 81 is in the form of a sliding sleeve around a cylinder 109 integral with the vertical control rod 104 but whose position in translation relative to the rod 104 can be adjusted .
- This sleeve 102 is trapped between two compression springs 107, 108 surrounding the rod 104 and bearing at their opposite ends on dynamometric sensors 93.
- the sleeve 102 also includes a light 111 allowing the reading of a graduated scale 112 on the rod 104.
- the end studs 81, 82 When the handle 113 is turned, the end studs 81, 82 are separated or brought closer to one another. If the pins 81, 82 do not support forces in the vertical direction, the upper sleeve 102 remains midway between the two sensors 93, the springs 107, 108 not being activated. If on the contrary a force is necessary to move the pins 81, 82, one of the springs 107, 108 is activated in compression to balance this force and allow the position to be modified. The load cells 93 then deliver an electrical signal proportional to this force.
- the middle branch 92 is articulated on the assembly thus formed by the upper 90 and lower branches, 91.
- a sagittal control rod 114 extends along the axis 99 of articulation of the two upper and lower branches 90, 91 *** : in the sagittal direction.
- This rod 114 is provided, at its end, with a thread 115 engaged in a tapping 116 of one of the branches 90, 91.
- the rod 114 also carries a graduated scale 117 making it possible to identify its position relative to the branches 90, 91.
- the middle branch 92 has an oblong slot 118 crossed by the control rod 114.
- This oblong slot 118 extends in a direction orthogonal to the vertical direction passing through the end studs 81, 82 upper and lower, and at the horizontal axis 99 of articulation of the two upper and lower branches 90, 91.
- the oblong opening 118 of the middle branch 92 is engaged around the control rod 114 trapped between two springs 119, 120 whose opposite ends press on load cells 94.
- These load cells 94 provide a measurement of the forces imparted to the stud 83 in the horizontal sagittal direction.
- the end 129 of the middle branch 92 opposite the end stud 83 is associated with a front control rod 124 which makes it possible to control the movements of this middle branch in the horizontal frontal direction perpendicular to the vertical direction passing through the studs d ends 81, 82 upper and lower and to the axis 99 of articulation of the two branches 90, 91 upper and lower.
- This front control rod 124 has a threaded end 125 engaged in a thread 126 formed in a bearing 110 comprising a cylinder 121 surrounding the vertical control rod 104.
- the cylinder 121 carries a graduated scale 127 visible through a light 128 of the branch middle 92.
- the end 129 of the middle branch 92 opposite the stud 83 slides around the front control rod 124 and is trapped between two springs 130, 131 whose opposite ends bear: on load cells 95.
- the displacement of the median branch 92 in the frontal direction is authorized by the oblong opening 118.
- the position of the median stud 83 in the frontal direction is therefore modified relative to the sagittal plane containing the studs 81, 82 upper and lower.
- the sensors 95 provide a measure of the forces necessary for this displacement.
- the branches 90, 91, 92 and the control rods 104, 114, 124 can be articulated to a support or to a common frame.
- 91 used are chosen according to the distance between the corresponding vertebrae.
- the holding forces are measured by dynamometric sensors 93, 94, 95 integral with the ancillary equipment, that is to say along three orthogonal axes of translation of the end pins 81, 82, 83, namely a vertical axis ( vertical control rod 104), a sagittal axis (sagittal control rod 114), and a front axis (front control rod 124).
- the various characteristics and dimensions of the holding means and / or of elastic return means are determined, at least approximately, by calculation by an information processing device programmed for this purpose from the values of the holding forces measured by the various load cells.
- the desired effectiveness of the means of retaining and / or elastic return of the orthosis is checked before the ablation of the clamps by reading the cancellation of the static forces recorded by the dynamometers 93, 94, 95.
- the means of maintaining and of elastic recall are then and if necessary adjusted or changed in whole or in part.
- the means for adjusting the elastic return means of the orthosis after removing the ancillary correction material, it is possible to check that the corrected position and / or the desired value of the static forces between the vertebrae are maintained, and then we proceed any necessary adjustments before completing the operation or after the operation and the patient's awakening.
- Figures 18 and 19 illustrate a diagram for determining the main characteristics and orientation of each rod 4a, 4b of an orthosis according to one invention.
- the rod 4a, 4b is placed by orienting its plane of curvature at an angle ⁇ ( Figure 18) relative to the sagittal plane of the spine in the corrected position.
- This angle ⁇ makes it possible to impose the positioning of the median vertebra V2 in the sagittal plane of the upper and lower vertebrae VI and V3.
- V1V3 is the vertical distance between the two upper and lower vertebrae.
- ⁇ f The calculations are the same for concavity and convexity.
- each rod 4a, 4b corresponds to the desired final curvature given by the angle ⁇ modified by the deformation of the rod due to the elastic holding forces which it must exert.
- the resulting elastic FR force that the rod must exert is:
- FR - F1 2 + F2 2
- the length of the rod depends on the distance between the instrumented vertebrae, and its diameter is chosen according to the curvature and the material to obtain the force FR with sufficient residual flexibility to allow physiological movements vertebral.
- Compression and traction springs are dimensioned in a conventional manner essentially from the value of the vertical holding forces provided by the sensors 93 of the vertical control rod 104.
- the coil springs working in torsion are tensioned in the opposite direction to the winding of the turns , i.e. by reducing the diameter of the spring.
- the upper springs 21a, 21b are both wound in the same direction, and in the opposite direction of the lower springs 22a, 22b.
- the coils of the springs are tensioned to derote the vertebrae in the desired direction.
- the orthosis according to the invention may be the subject of numerous variants, in particular as a function of the deformation or the instability to be corrected, of the patient, and of the operating conditions encountered.
- the orthosis may include only retaining and elastic return rods, or only retaining and elastic return springs.
- the springs can also be leaf springs or other. Envelopes for protecting the springs against fibrotic invasion may be provided.
- an orthosis according to the invention can be used to instrument any portion of the spine, and is not limited to the corrections of dorsal kypho-scoliosis and lumbar degenerative instabilities illustrated in the examples.
- the orthosis according to the invention is applicable with minor modifications to a portion of the cervical spine.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA002170276A CA2170276C (fr) | 1993-08-27 | 1994-07-15 | Orthese vertebrale implantee dynamique |
AU72659/94A AU7265994A (en) | 1993-08-27 | 1994-07-15 | Dynamic implanted vertebral orthesis |
EP94922924A EP0773747A1 (fr) | 1993-08-27 | 1994-07-15 | Orthese vertebrale implantee dynamique |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9310291A FR2709245B1 (fr) | 1993-08-27 | 1993-08-27 | Orthèse vertébrale interne dynamique. |
FR93/10291 | 1993-08-27 | ||
FR94/01438 | 1994-02-07 | ||
FR9401438A FR2709246B1 (fr) | 1993-08-27 | 1994-02-07 | Orthèse vertébrale implantée dynamique. |
US19631994A | 1994-02-15 | 1994-02-15 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1995005783A1 true WO1995005783A1 (fr) | 1995-03-02 |
Family
ID=42983901
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/FR1994/000886 WO1995005783A1 (fr) | 1993-08-27 | 1994-07-15 | Orthese vertebrale implantee dynamique |
Country Status (6)
Country | Link |
---|---|
US (1) | US5672175A (fr) |
EP (1) | EP0773747A1 (fr) |
AU (1) | AU7265994A (fr) |
CA (1) | CA2170276C (fr) |
FR (1) | FR2709246B1 (fr) |
WO (1) | WO1995005783A1 (fr) |
Cited By (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1997035529A1 (fr) * | 1996-03-27 | 1997-10-02 | Rehak Lubos | Dispositif pour la correction de difformites rachidiennes |
US6949123B2 (en) | 1999-10-22 | 2005-09-27 | Archus Orthopedics Inc. | Facet arthroplasty devices and methods |
US6974478B2 (en) | 1999-10-22 | 2005-12-13 | Archus Orthopedics, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
US7674293B2 (en) | 2004-04-22 | 2010-03-09 | Facet Solutions, Inc. | Crossbar spinal prosthesis having a modular design and related implantation methods |
US7691145B2 (en) | 1999-10-22 | 2010-04-06 | Facet Solutions, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
US7722647B1 (en) | 2005-03-14 | 2010-05-25 | Facet Solutions, Inc. | Apparatus and method for posterior vertebral stabilization |
US7815648B2 (en) | 2004-06-02 | 2010-10-19 | Facet Solutions, Inc | Surgical measurement systems and methods |
US7914556B2 (en) | 2005-03-02 | 2011-03-29 | Gmedelaware 2 Llc | Arthroplasty revision system and method |
US7914560B2 (en) | 2004-02-17 | 2011-03-29 | Gmedelaware 2 Llc | Spinal facet implant with spherical implant apposition surface and bone bed and methods of use |
US7955390B2 (en) | 2001-03-02 | 2011-06-07 | GME Delaware 2 LLC | Method and apparatus for spine joint replacement |
US7993373B2 (en) | 2005-02-22 | 2011-08-09 | Hoy Robert W | Polyaxial orthopedic fastening apparatus |
US8187303B2 (en) | 2004-04-22 | 2012-05-29 | Gmedelaware 2 Llc | Anti-rotation fixation element for spinal prostheses |
DE102011087939A1 (de) | 2010-12-08 | 2012-06-14 | Aces Gmbh | Dynamische Knochenverankerungseinrichtung |
US8206418B2 (en) | 2007-01-10 | 2012-06-26 | Gmedelaware 2 Llc | System and method for facet joint replacement with detachable coupler |
US8221461B2 (en) | 2004-10-25 | 2012-07-17 | Gmedelaware 2 Llc | Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies |
US8231655B2 (en) | 2003-07-08 | 2012-07-31 | Gmedelaware 2 Llc | Prostheses and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8313511B2 (en) | 2000-11-29 | 2012-11-20 | Gmedelaware 2 Llc | Facet joint replacement |
US8398681B2 (en) | 2004-08-18 | 2013-03-19 | Gmedelaware 2 Llc | Adjacent level facet arthroplasty devices, spine stabilization systems, and methods |
US8409254B2 (en) | 2003-05-14 | 2013-04-02 | Gmedelaware 2 Llc | Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8496686B2 (en) | 2005-03-22 | 2013-07-30 | Gmedelaware 2 Llc | Minimally invasive spine restoration systems, devices, methods and kits |
US8562649B2 (en) | 2004-02-17 | 2013-10-22 | Gmedelaware 2 Llc | System and method for multiple level facet joint arthroplasty and fusion |
US8675930B2 (en) | 2004-04-22 | 2014-03-18 | Gmedelaware 2 Llc | Implantable orthopedic device component selection instrument and methods |
US8702755B2 (en) | 2006-08-11 | 2014-04-22 | Gmedelaware 2 Llc | Angled washer polyaxial connection for dynamic spine prosthesis |
US8764801B2 (en) | 2005-03-28 | 2014-07-01 | Gmedelaware 2 Llc | Facet joint implant crosslinking apparatus and method |
US8900273B2 (en) | 2005-02-22 | 2014-12-02 | Gmedelaware 2 Llc | Taper-locking fixation system |
US8974499B2 (en) | 2005-02-22 | 2015-03-10 | Stryker Spine | Apparatus and method for dynamic vertebral stabilization |
US9056016B2 (en) | 2003-12-15 | 2015-06-16 | Gmedelaware 2 Llc | Polyaxial adjustment of facet joint prostheses |
US9198766B2 (en) | 2003-05-14 | 2015-12-01 | Gmedelaware 2 Llc | Prostheses, tools, and methods for replacement of natural facet joints with artificial facet joint surfaces |
US9232968B2 (en) | 2007-12-19 | 2016-01-12 | DePuy Synthes Products, Inc. | Polymeric pedicle rods and methods of manufacturing |
US9445846B2 (en) | 2005-10-31 | 2016-09-20 | Stryker European Holdings I, Llc | System and method for dynamic vertebral stabilization |
US9445844B2 (en) | 2010-03-24 | 2016-09-20 | DePuy Synthes Products, Inc. | Composite material posterior dynamic stabilization spring rod |
Families Citing this family (514)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6273912B1 (en) * | 1996-02-28 | 2001-08-14 | Impra, Inc. | Flanged graft for end-to-side anastomosis |
US6416515B1 (en) | 1996-10-24 | 2002-07-09 | Spinal Concepts, Inc. | Spinal fixation system |
CA2264672C (fr) | 1996-10-24 | 2010-11-30 | Spinal Concepts, Inc. | Procede et appareil de fixation vertebrale |
JP4467647B2 (ja) | 1997-02-11 | 2010-05-26 | ウォーソー・オーソペディック・インコーポレーテッド | 骨プレーティングシステム |
ES2299202T3 (es) * | 1997-02-11 | 2008-05-16 | Warsaw Orthopedic, Inc. | Sistema de placas esqueleticas. |
US6045579A (en) | 1997-05-01 | 2000-04-04 | Spinal Concepts, Inc. | Adjustable height fusion device |
US5928243A (en) | 1997-07-16 | 1999-07-27 | Spinal Concepts, Inc. | Pedicle probe and depth gage |
US6454769B2 (en) | 1997-08-04 | 2002-09-24 | Spinal Concepts, Inc. | System and method for stabilizing the human spine with a bone plate |
US6030389A (en) | 1997-08-04 | 2000-02-29 | Spinal Concepts, Inc. | System and method for stabilizing the human spine with a bone plate |
US6053921A (en) | 1997-08-26 | 2000-04-25 | Spinal Concepts, Inc. | Surgical cable system and method |
US5964769A (en) | 1997-08-26 | 1999-10-12 | Spinal Concepts, Inc. | Surgical cable system and method |
US6258089B1 (en) * | 1998-05-19 | 2001-07-10 | Alphatec Manufacturing, Inc. | Anterior cervical plate and fixation system |
EP1253854A4 (fr) | 1999-03-07 | 2010-01-06 | Discure Ltd | Procede et appareil de chirurgie informatisee |
AU782017B2 (en) * | 1999-10-18 | 2005-06-30 | Lg Electronics Inc. | A driving unit for a drum type washing machine |
US6530929B1 (en) * | 1999-10-20 | 2003-03-11 | Sdgi Holdings, Inc. | Instruments for stabilization of bony structures |
US6331179B1 (en) | 2000-01-06 | 2001-12-18 | Spinal Concepts, Inc. | System and method for stabilizing the human spine with a bone plate |
US6293949B1 (en) * | 2000-03-01 | 2001-09-25 | Sdgi Holdings, Inc. | Superelastic spinal stabilization system and method |
US6402750B1 (en) | 2000-04-04 | 2002-06-11 | Spinlabs, Llc | Devices and methods for the treatment of spinal disorders |
US6689125B1 (en) | 2000-04-04 | 2004-02-10 | Spinalabs, Llc | Devices and methods for the treatment of spinal disorders |
US6579291B1 (en) | 2000-10-10 | 2003-06-17 | Spinalabs, Llc | Devices and methods for the treatment of spinal disorders |
US6805695B2 (en) | 2000-04-04 | 2004-10-19 | Spinalabs, Llc | Devices and methods for annular repair of intervertebral discs |
US6395033B1 (en) * | 2000-04-10 | 2002-05-28 | Tyco Healthcare Group Lp | Dynamic fusion mechanostat devices |
FR2812186B1 (fr) | 2000-07-25 | 2003-02-28 | Spine Next Sa | Piece de liaison souple pour la stabilisation du rachis |
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 |
US6554831B1 (en) * | 2000-09-01 | 2003-04-29 | Hopital Sainte-Justine | Mobile dynamic system for treating spinal disorder |
ATE296580T1 (de) * | 2000-09-18 | 2005-06-15 | Zimmer Gmbh | Pedikelschraube für intervertebrale stützelemente |
US6565568B1 (en) | 2000-09-28 | 2003-05-20 | Chaim Rogozinski | Apparatus and method for the manipulation of the spine and sacrum in the treatment of spondylolisthesis |
US20050080486A1 (en) | 2000-11-29 | 2005-04-14 | Fallin T. Wade | Facet joint replacement |
US6565605B2 (en) | 2000-12-13 | 2003-05-20 | Medicinelodge, Inc. | Multiple facet joint replacement |
US6419703B1 (en) * | 2001-03-01 | 2002-07-16 | T. Wade Fallin | Prosthesis for the replacement of a posterior element of a vertebra |
AU2002250593A1 (en) * | 2001-04-19 | 2002-11-05 | Spineology, Inc. | Stacked intermedular rods for spinal fixation |
US10258382B2 (en) | 2007-01-18 | 2019-04-16 | Roger P. Jackson | Rod-cord dynamic connection assemblies with slidable bone anchor attachment members along the cord |
US7862587B2 (en) | 2004-02-27 | 2011-01-04 | Jackson Roger P | Dynamic stabilization assemblies, tool set and method |
US10729469B2 (en) | 2006-01-09 | 2020-08-04 | Roger P. Jackson | Flexible spinal stabilization assembly with spacer having off-axis core member |
US8292926B2 (en) * | 2005-09-30 | 2012-10-23 | Jackson Roger P | Dynamic stabilization connecting member with elastic core and outer sleeve |
US8353932B2 (en) | 2005-09-30 | 2013-01-15 | Jackson Roger P | Polyaxial bone anchor assembly with one-piece closure, pressure insert and plastic elongate member |
EP1275347A1 (fr) * | 2001-07-10 | 2003-01-15 | Waldemar Link (GmbH & Co.) | Ensemble de vis pédiculaire |
FR2827498B1 (fr) * | 2001-07-18 | 2004-05-14 | Frederic Fortin | Dispositif de liaison vertebrale souple constitue d'elements palliant une deficience du rachis |
JP4755781B2 (ja) * | 2001-08-01 | 2011-08-24 | 昭和医科工業株式会社 | 骨接合用連結部材 |
US7766947B2 (en) | 2001-10-31 | 2010-08-03 | Ortho Development Corporation | Cervical plate for stabilizing the human spine |
AU2002218099B2 (en) * | 2001-12-07 | 2006-04-27 | Synthes Gmbh | Damping element |
WO2003071966A1 (fr) * | 2002-02-25 | 2003-09-04 | Dinh Dzung H | Methodes et dispositifs destines a favoriser la fusion de vertebres |
US6966910B2 (en) * | 2002-04-05 | 2005-11-22 | Stephen Ritland | Dynamic fixation device and method of use |
EP2457529A1 (fr) | 2002-05-08 | 2012-05-30 | Stephen Ritland | Dispositif de fixation dynamique et procédé d'utilisation |
US20030220643A1 (en) * | 2002-05-24 | 2003-11-27 | Ferree Bret A. | Devices to prevent spinal extension |
US7004947B2 (en) * | 2002-06-24 | 2006-02-28 | Endius Incorporated | Surgical instrument for moving vertebrae |
DE10236691B4 (de) * | 2002-08-09 | 2005-12-01 | Biedermann Motech Gmbh | Dynamische Stabilisierungseinrichtung für Knochen, insbesondere für Wirbel |
FR2843538B1 (fr) * | 2002-08-13 | 2005-08-12 | Frederic Fortin | Dispositif de distraction et d'amortissement ajustable a la croissance du rachis |
US7052497B2 (en) * | 2002-08-14 | 2006-05-30 | Sdgi Holdings, Inc. | Techniques for spinal surgery and attaching constructs to vertebral elements |
US20040143264A1 (en) * | 2002-08-23 | 2004-07-22 | Mcafee Paul C. | Metal-backed UHMWPE rod sleeve system preserving spinal motion |
US7976568B2 (en) * | 2002-08-25 | 2011-07-12 | University Of Hong Kong | Device for correcting spinal deformities |
US8876868B2 (en) | 2002-09-06 | 2014-11-04 | Roger P. Jackson | Helical guide and advancement flange with radially loaded lip |
WO2006052796A2 (fr) | 2004-11-10 | 2006-05-18 | Jackson Roger P | Guide helicoidal et rebord de glissement comportant des prolongements cassables |
FR2844180B1 (fr) * | 2002-09-11 | 2005-08-05 | Spinevision | Element de liaison pour la stabilisation dynamique d'un systeme de fixation rachidien et systeme de fixation rachidien comportant un tel element |
US7887539B2 (en) | 2003-01-24 | 2011-02-15 | Depuy Spine, Inc. | Spinal rod approximators |
US7988698B2 (en) | 2003-01-28 | 2011-08-02 | Depuy Spine, Inc. | Spinal rod approximator |
ITFI20030084A1 (it) * | 2003-03-28 | 2004-09-29 | Cousin Biotech S A S | Protesi vertebrale interlaminare |
IL155222A0 (en) * | 2003-04-03 | 2003-11-23 | Hadasit Med Res Service | An implant for treating idiopathic scoliosis and a method for using the same |
US8540753B2 (en) | 2003-04-09 | 2013-09-24 | Roger P. Jackson | Polyaxial bone screw with uploaded threaded shank and method of assembly and use |
US7621918B2 (en) | 2004-11-23 | 2009-11-24 | Jackson Roger P | Spinal fixation tool set and method |
WO2004098452A2 (fr) * | 2003-05-02 | 2004-11-18 | Yale University | Stabilisateur dynamique d'epine dorsale |
US8652175B2 (en) * | 2003-05-02 | 2014-02-18 | Rachiotek, Llc | Surgical implant devices and systems including a sheath member |
US7713287B2 (en) * | 2003-05-02 | 2010-05-11 | Applied Spine Technologies, Inc. | Dynamic spine stabilizer |
US20050171543A1 (en) * | 2003-05-02 | 2005-08-04 | Timm Jens P. | Spine stabilization systems and associated devices, assemblies and methods |
US20050177164A1 (en) * | 2003-05-02 | 2005-08-11 | Carmen Walters | Pedicle screw devices, systems and methods having a preloaded set screw |
US7615068B2 (en) * | 2003-05-02 | 2009-11-10 | Applied Spine Technologies, Inc. | Mounting mechanisms for pedicle screws and related assemblies |
US7635379B2 (en) * | 2003-05-02 | 2009-12-22 | Applied Spine Technologies, Inc. | Pedicle screw assembly with bearing surfaces |
US20050182401A1 (en) * | 2003-05-02 | 2005-08-18 | Timm Jens P. | Systems and methods for spine stabilization including a dynamic junction |
DE10320417A1 (de) * | 2003-05-07 | 2004-12-02 | Biedermann Motech Gmbh | Dynamische Verankerungsvorrichtung und dynamische Stabilisierungseinrichtung für Knochen, insbesondere für Wirbel, mit einer derartigen Verankerungsvorrichtung |
US7377923B2 (en) | 2003-05-22 | 2008-05-27 | Alphatec Spine, Inc. | Variable angle spinal screw assembly |
WO2004105577A2 (fr) * | 2003-05-23 | 2004-12-09 | Globus Medical, Inc. | Systeme de stabilisation de la colonne vertebrale |
US6986771B2 (en) * | 2003-05-23 | 2006-01-17 | Globus Medical, Inc. | Spine stabilization system |
DE10327358A1 (de) * | 2003-06-16 | 2005-01-05 | Ulrich Gmbh & Co. Kg | Implantat zur Korrektur und Stabilisierung der Wirbelsäule |
US7766915B2 (en) | 2004-02-27 | 2010-08-03 | Jackson Roger P | Dynamic fixation assemblies with inner core and outer coil-like member |
US8092500B2 (en) | 2007-05-01 | 2012-01-10 | Jackson Roger P | Dynamic stabilization connecting member with floating core, compression spacer and over-mold |
US8936623B2 (en) | 2003-06-18 | 2015-01-20 | Roger P. Jackson | Polyaxial bone screw assembly |
US7776067B2 (en) | 2005-05-27 | 2010-08-17 | Jackson Roger P | Polyaxial bone screw with shank articulation pressure insert and method |
US8366753B2 (en) | 2003-06-18 | 2013-02-05 | Jackson Roger P | Polyaxial bone screw assembly with fixed retaining structure |
US7967850B2 (en) * | 2003-06-18 | 2011-06-28 | Jackson Roger P | Polyaxial bone anchor with helical capture connection, insert and dual locking assembly |
WO2005000135A1 (fr) * | 2003-06-27 | 2005-01-06 | Medicrea Technologies | Dispositif d'osteosynthese vertebrale |
US7785351B2 (en) | 2003-08-05 | 2010-08-31 | Flexuspine, Inc. | Artificial functional spinal implant unit system and method for use |
US20060229729A1 (en) * | 2003-08-05 | 2006-10-12 | Gordon Charles R | Expandable intervertebral implant for use with instrument |
US7753958B2 (en) | 2003-08-05 | 2010-07-13 | Gordon Charles R | Expandable intervertebral implant |
US20050065516A1 (en) | 2003-09-24 | 2005-03-24 | Tae-Ahn Jahng | Method and apparatus for flexible fixation of a spine |
US20050203513A1 (en) * | 2003-09-24 | 2005-09-15 | Tae-Ahn Jahng | Spinal stabilization device |
US7763052B2 (en) * | 2003-12-05 | 2010-07-27 | N Spine, Inc. | Method and apparatus for flexible fixation of a spine |
US7815665B2 (en) * | 2003-09-24 | 2010-10-19 | N Spine, Inc. | Adjustable spinal stabilization system |
US8979900B2 (en) | 2003-09-24 | 2015-03-17 | DePuy Synthes Products, LLC | Spinal stabilization device |
US7255714B2 (en) | 2003-09-30 | 2007-08-14 | Michel H. Malek | Vertically adjustable intervertebral disc prosthesis |
US20070198088A1 (en) * | 2003-10-17 | 2007-08-23 | Lutz Biedermann | Flexible implant |
DE102004021861A1 (de) * | 2004-05-04 | 2005-11-24 | Biedermann Motech Gmbh | Flexibler Platzhalter |
DE10348329B3 (de) * | 2003-10-17 | 2005-02-17 | Biedermann Motech Gmbh | Stabförmiges Element für die Anwendung in der Wirbelsäulen- oder Unfallchirurgie,Stabilisierungseinrichtung mit einem solchen stabförmigen Element und Herstellungsverfahren für das stabförmige Element |
US8632570B2 (en) * | 2003-11-07 | 2014-01-21 | Biedermann Technologies Gmbh & Co. Kg | Stabilization device for bones comprising a spring element and manufacturing method for said spring element |
JP4936896B2 (ja) * | 2003-11-07 | 2012-05-23 | ビーダーマン・モテーク・ゲゼルシャフト・ミット・ベシュレンクタ・ハフツング | 骨用の安定化装置のための弾性部材、および弾性部材の製造方法 |
US7083622B2 (en) * | 2003-11-10 | 2006-08-01 | Simonson Peter M | Artificial facet joint and method |
US7708764B2 (en) | 2003-11-10 | 2010-05-04 | Simonson Peter M | Method for creating an artificial facet |
US20050101953A1 (en) * | 2003-11-10 | 2005-05-12 | Simonson Peter M. | Artificial facet joint and method |
US7862586B2 (en) | 2003-11-25 | 2011-01-04 | Life Spine, Inc. | Spinal stabilization systems |
US11419642B2 (en) | 2003-12-16 | 2022-08-23 | Medos International Sarl | Percutaneous access devices and bone anchor assemblies |
US7179261B2 (en) | 2003-12-16 | 2007-02-20 | Depuy Spine, Inc. | Percutaneous access devices and bone anchor assemblies |
US7527638B2 (en) | 2003-12-16 | 2009-05-05 | Depuy Spine, Inc. | Methods and devices for minimally invasive spinal fixation element placement |
US7842044B2 (en) | 2003-12-17 | 2010-11-30 | Depuy Spine, Inc. | Instruments and methods for bone anchor engagement and spinal rod reduction |
US7806914B2 (en) | 2003-12-31 | 2010-10-05 | Spine Wave, Inc. | Dynamic spinal stabilization system |
US7901459B2 (en) * | 2004-01-09 | 2011-03-08 | Warsaw Orthopedic, Inc. | Split spinal device and method |
US7771479B2 (en) | 2004-01-09 | 2010-08-10 | Warsaw Orthopedic, Inc. | Dual articulating spinal device and method |
US7556651B2 (en) * | 2004-01-09 | 2009-07-07 | Warsaw Orthopedic, Inc. | Posterior spinal device and method |
US7875077B2 (en) * | 2004-01-09 | 2011-01-25 | Warsaw Orthopedic, Inc. | Support structure device and method |
US20050171610A1 (en) * | 2004-01-09 | 2005-08-04 | Sdgi Holdings, Inc. | Mobile bearing spinal device and method |
US20050171608A1 (en) * | 2004-01-09 | 2005-08-04 | Sdgi Holdings, Inc. | Centrally articulating spinal device and method |
US7297146B2 (en) * | 2004-01-30 | 2007-11-20 | Warsaw Orthopedic, Inc. | Orthopedic distraction implants and techniques |
US8029548B2 (en) * | 2008-05-05 | 2011-10-04 | Warsaw Orthopedic, Inc. | Flexible spinal stabilization element and system |
US7597694B2 (en) * | 2004-01-30 | 2009-10-06 | Warsaw Orthopedic, Inc. | Instruments and methods for minimally invasive spinal stabilization |
US7468069B2 (en) | 2004-02-10 | 2008-12-23 | Atlas Spine, Inc. | Static anterior cervical plate |
US7160300B2 (en) | 2004-02-27 | 2007-01-09 | Jackson Roger P | Orthopedic implant rod reduction tool set and method |
US8152810B2 (en) | 2004-11-23 | 2012-04-10 | Jackson Roger P | Spinal fixation tool set and method |
WO2005092218A1 (fr) | 2004-02-27 | 2005-10-06 | Jackson Roger P | Ensemble d'instruments de reduction de tige d'implant orthopedique et methode associee |
US20050203511A1 (en) * | 2004-03-02 | 2005-09-15 | Wilson-Macdonald James | Orthopaedics device and system |
US8523904B2 (en) | 2004-03-09 | 2013-09-03 | The Board Of Trustees Of The Leland Stanford Junior University | Methods and systems for constraint of spinous processes with attachment |
US7458981B2 (en) | 2004-03-09 | 2008-12-02 | The Board Of Trustees Of The Leland Stanford Junior University | Spinal implant and method for restricting spinal flexion |
US7717939B2 (en) | 2004-03-31 | 2010-05-18 | Depuy Spine, Inc. | Rod attachment for head to head cross connector |
US7645294B2 (en) | 2004-03-31 | 2010-01-12 | Depuy Spine, Inc. | Head-to-head connector spinal fixation system |
US20050245933A1 (en) * | 2004-05-03 | 2005-11-03 | Sevrain Lionel C | Multi coaxial screw system |
US20050267470A1 (en) * | 2004-05-13 | 2005-12-01 | Mcbride Duncan Q | Spinal stabilization system to flexibly connect vertebrae |
CA2567833A1 (fr) * | 2004-05-27 | 2005-12-15 | Depuy Spine, Inc. | Prothese de trepied vertebral |
US7758581B2 (en) * | 2005-03-28 | 2010-07-20 | Facet Solutions, Inc. | Polyaxial reaming apparatus and method |
US8858599B2 (en) * | 2004-06-09 | 2014-10-14 | Warsaw Orthopedic, Inc. | Systems and methods for flexible spinal stabilization |
US7604638B2 (en) * | 2004-06-21 | 2009-10-20 | Depuy Spine, Inc. | Instruments and methods for holding a bone plate |
US7931675B2 (en) * | 2004-06-23 | 2011-04-26 | Yale University | Dynamic stabilization device including overhanging stabilizing member |
US7261738B2 (en) | 2004-06-30 | 2007-08-28 | Depuy Spine, Inc. | C-shaped disc prosthesis |
US7351261B2 (en) * | 2004-06-30 | 2008-04-01 | Depuy Spine, Inc. | Multi-joint implant |
US8021428B2 (en) * | 2004-06-30 | 2011-09-20 | Depuy Spine, Inc. | Ceramic disc prosthesis |
US7955357B2 (en) | 2004-07-02 | 2011-06-07 | Ellipse Technologies, Inc. | Expandable rod system to treat scoliosis and method of using the same |
US8753348B2 (en) | 2004-07-02 | 2014-06-17 | DePuy Synthes Products, LLC | Compressor-distractor |
US8079823B2 (en) * | 2004-07-21 | 2011-12-20 | Delta T Corporation | Fan blades |
US8114158B2 (en) | 2004-08-03 | 2012-02-14 | Kspine, Inc. | Facet device and method |
US20060036324A1 (en) | 2004-08-03 | 2006-02-16 | Dan Sachs | Adjustable spinal implant device and method |
US7854752B2 (en) * | 2004-08-09 | 2010-12-21 | Theken Spine, Llc | System and method for dynamic skeletal stabilization |
AU2005274013A1 (en) * | 2004-08-09 | 2006-02-23 | Innovative Spinal Technologies | System and method for dynamic skeletal stabilization |
US7288095B2 (en) | 2004-08-12 | 2007-10-30 | Atlas Spine, Inc. | Bone plate with screw lock |
DE102004046163A1 (de) | 2004-08-12 | 2006-02-23 | Columbus Trading-Partners Pos und Brendel GbR (vertretungsberechtigte Gesellschafter Karin Brendel, 95503 Hummeltal und Bohumila Pos, 95445 Bayreuth) | Kindersitz für Kraftfahrzeuge |
US7717938B2 (en) | 2004-08-27 | 2010-05-18 | Depuy Spine, Inc. | Dual rod cross connectors and inserter tools |
US7887566B2 (en) * | 2004-09-16 | 2011-02-15 | Hynes Richard A | Intervertebral support device with bias adjustment and related methods |
BRPI0419057A (pt) * | 2004-09-22 | 2007-12-11 | Kyung-Woo Park | aparelho de fixação espinhal |
US7651502B2 (en) | 2004-09-24 | 2010-01-26 | Jackson Roger P | Spinal fixation tool set and method for rod reduction and fastener insertion |
US7896906B2 (en) * | 2004-12-30 | 2011-03-01 | Depuy Spine, Inc. | Artificial facet joint |
US7766940B2 (en) * | 2004-12-30 | 2010-08-03 | Depuy Spine, Inc. | Posterior stabilization system |
US8092496B2 (en) * | 2004-09-30 | 2012-01-10 | Depuy Spine, Inc. | Methods and devices for posterior stabilization |
US20060084976A1 (en) * | 2004-09-30 | 2006-04-20 | Depuy Spine, Inc. | Posterior stabilization systems and methods |
US20060085075A1 (en) * | 2004-10-04 | 2006-04-20 | Archus Orthopedics, Inc. | Polymeric joint complex and methods of use |
DE102004048938B4 (de) * | 2004-10-07 | 2015-04-02 | Synthes Gmbh | Vorrichtung zur dynamischen Stabilisierung von Rückenwirbelkörpern |
US20060085076A1 (en) * | 2004-10-15 | 2006-04-20 | Manoj Krishna | Posterior spinal arthroplasty-development of a new posteriorly inserted artificial disc and an artificial facet joint |
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 |
US8267969B2 (en) | 2004-10-20 | 2012-09-18 | Exactech, Inc. | Screw systems and methods for use in stabilization of bone structures |
US20080262554A1 (en) * | 2004-10-20 | 2008-10-23 | Stanley Kyle Hayes | Dyanamic rod |
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 |
US8025680B2 (en) * | 2004-10-20 | 2011-09-27 | Exactech, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US20090228045A1 (en) * | 2004-10-20 | 2009-09-10 | Stanley Kyle Hayes | Dynamic rod |
US20090030465A1 (en) * | 2004-10-20 | 2009-01-29 | Moti Altarac | Dynamic rod |
US7935134B2 (en) * | 2004-10-20 | 2011-05-03 | Exactech, Inc. | Systems and methods for stabilization of bone structures |
US20060265074A1 (en) | 2004-10-21 | 2006-11-23 | Manoj Krishna | Posterior spinal arthroplasty-development of a new posteriorly inserted artificial disc, a new anteriorly inserted artifical disc and an artificial facet joint |
JP2008518658A (ja) * | 2004-10-28 | 2008-06-05 | アクシアル・バイオテック・インコーポレーテッド | 凹状の脊柱側弯症を膨張させる装置及び方法 |
US8641738B1 (en) | 2004-10-28 | 2014-02-04 | James W. Ogilvie | Method of treating scoliosis using a biological implant |
US8123787B2 (en) * | 2004-10-28 | 2012-02-28 | Ogilvie James W | Method of treating scoliosis using a biological implant |
US8926672B2 (en) | 2004-11-10 | 2015-01-06 | Roger P. Jackson | Splay control closure for open bone anchor |
DE102004055454A1 (de) * | 2004-11-17 | 2006-05-24 | Biedermann Motech Gmbh | Elastisches Element zur Verwendung in einer Stabilisierungseinrichtung für Knochen oder Wirbel |
US9216041B2 (en) | 2009-06-15 | 2015-12-22 | Roger P. Jackson | Spinal connecting members with tensioned cords and rigid sleeves for engaging compression inserts |
WO2006057837A1 (fr) | 2004-11-23 | 2006-06-01 | Jackson Roger P | Structure d'accrochage pour outil de fixation spinale |
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 |
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 |
US9980753B2 (en) | 2009-06-15 | 2018-05-29 | Roger P Jackson | pivotal anchor with snap-in-place insert having rotation blocking extensions |
ATE524121T1 (de) | 2004-11-24 | 2011-09-15 | Abdou Samy | Vorrichtungen zur platzierung eines orthopädischen intervertebralen implantats |
EP1858425A1 (fr) * | 2004-12-15 | 2007-11-28 | Stryker Spine SA | Tiges pour colonne vertébrale comportant des segments de propriétés élastiques différentes et méthodes d'emploi desdites tiges |
WO2006069089A2 (fr) | 2004-12-21 | 2006-06-29 | Packaging Service Corporation Of Kentucky | Systeme de plaque cervicale |
EP1830723A4 (fr) * | 2004-12-27 | 2010-03-10 | N Spine Inc | Systeme de stabilisation vertebrale reglable |
US20060229613A1 (en) * | 2004-12-31 | 2006-10-12 | Timm Jens P | Sheath assembly for spinal stabilization device |
US7322984B2 (en) | 2005-01-06 | 2008-01-29 | Spinal, Llc | Spinal plate with internal screw locks |
US7438715B2 (en) * | 2005-01-06 | 2008-10-21 | Spinal Llc | Spinal implant kit |
US7901437B2 (en) | 2007-01-26 | 2011-03-08 | Jackson Roger P | Dynamic stabilization member with molded connection |
US10076361B2 (en) | 2005-02-22 | 2018-09-18 | Roger P. Jackson | Polyaxial bone screw with spherical capture, compression and alignment and retention structures |
US8403962B2 (en) * | 2005-02-22 | 2013-03-26 | Roger P. Jackson | Polyaxial bone screw assembly |
WO2006090380A2 (fr) * | 2005-02-22 | 2006-08-31 | Orthogon Technologies 2003 Ltd. | Dispositif et methode pour une distraction et pour une oscillation de colonne vertebrale |
ATE531346T1 (de) * | 2005-02-24 | 2011-11-15 | Morphogeny Llc | Verbundene, verschiebbare und zusammensteckbare drehbare komponenten |
US20060212033A1 (en) * | 2005-03-03 | 2006-09-21 | Accin Corporation | Vertebral stabilization using flexible rods |
US7556639B2 (en) * | 2005-03-03 | 2009-07-07 | Accelerated Innovation, Llc | Methods and apparatus for vertebral stabilization using sleeved springs |
US7951175B2 (en) | 2005-03-04 | 2011-05-31 | Depuy Spine, Inc. | Instruments and methods for manipulating a vertebra |
US7951172B2 (en) | 2005-03-04 | 2011-05-31 | Depuy Spine Sarl | Constrained motion bone screw assembly |
US8163261B2 (en) * | 2005-04-05 | 2012-04-24 | Voltaix, Llc | System and method for making Si2H6 and higher silanes |
CA2604008A1 (fr) | 2005-04-08 | 2006-10-19 | Paradigm Spine, Llc | Dispositifs de stabilisation vertebrale et lombo-sacree interepineux et procedes d'utilisation correspondants |
US7708762B2 (en) * | 2005-04-08 | 2010-05-04 | Warsaw Orthopedic, Inc. | Systems, devices and methods for stabilization of the spinal column |
US20060271048A1 (en) * | 2005-05-12 | 2006-11-30 | Jeffery Thramann | Pedicle screw based vertebral body stabilization apparatus |
FR2886129B1 (fr) * | 2005-05-26 | 2007-08-10 | Xavier Renard | Fixateur externe elastique entre deux portions d'os |
US20060293692A1 (en) * | 2005-06-02 | 2006-12-28 | Whipple Dale E | Instruments and methods for manipulating a spinal fixation element |
US20060282080A1 (en) * | 2005-06-08 | 2006-12-14 | Accin Corporation | Vertebral facet stabilizer |
US7967844B2 (en) * | 2005-06-10 | 2011-06-28 | Depuy Spine, Inc. | Multi-level posterior dynamic stabilization systems and methods |
US20070016301A1 (en) * | 2005-07-14 | 2007-01-18 | Medical Device Concepts Llc. | Multi-axial interbody spacer device |
US20070016204A1 (en) * | 2005-07-14 | 2007-01-18 | Medical Device Concepts Llc. | Spinal buttress device and method |
US20070016190A1 (en) * | 2005-07-14 | 2007-01-18 | Medical Device Concepts Llc | Dynamic spinal stabilization system |
US8083773B2 (en) * | 2005-07-15 | 2011-12-27 | Muhammad Abubakar Atiq Durrani | Apparatus for minimally invasive posterior correction of spinal deformity |
AU2006269900A1 (en) | 2005-07-19 | 2007-01-25 | Stephen Ritland | Rod extension for extending fusion construct |
US8523865B2 (en) * | 2005-07-22 | 2013-09-03 | Exactech, Inc. | Tissue splitter |
US7811309B2 (en) * | 2005-07-26 | 2010-10-12 | Applied Spine Technologies, Inc. | Dynamic spine stabilization device with travel-limiting functionality |
US7699875B2 (en) * | 2006-04-17 | 2010-04-20 | Applied Spine Technologies, Inc. | Spinal stabilization device with weld cap |
US7713288B2 (en) * | 2005-08-03 | 2010-05-11 | Applied Spine Technologies, Inc. | Spring junction and assembly methods for spinal device |
DE602005007223D1 (de) * | 2005-08-24 | 2008-07-10 | Biedermann Motech Gmbh | Stabförmiges Element für die Anwendung in der Wirbelsäulen- oder Unfallchirurgie und Stabilisierungseinrichtung mit einem solchen Element |
US7695475B2 (en) * | 2005-08-26 | 2010-04-13 | Warsaw Orthopedic, Inc. | Instruments for minimally invasive stabilization of bony structures |
US20080287959A1 (en) * | 2005-09-26 | 2008-11-20 | Archus Orthopedics, Inc. | Measurement and trialing system and methods for orthopedic device component selection |
US7879074B2 (en) | 2005-09-27 | 2011-02-01 | Depuy Spine, Inc. | Posterior dynamic stabilization systems and methods |
AU2006294772B2 (en) | 2005-09-27 | 2013-10-10 | Paradigm Spine, Llc. | Interspinous vertebral stabilization devices |
US8167915B2 (en) | 2005-09-28 | 2012-05-01 | Nuvasive, Inc. | Methods and apparatus for treating spinal stenosis |
US7993376B2 (en) | 2005-09-29 | 2011-08-09 | Depuy Spine, Inc. | Methods of implanting a motion segment repair system |
US8105368B2 (en) | 2005-09-30 | 2012-01-31 | Jackson Roger P | Dynamic stabilization connecting member with slitted core and outer sleeve |
FR2891727B1 (fr) * | 2005-10-06 | 2008-09-26 | Frederic Fortin | Dispositif d'autoblocage perfectionne pour dispositif de distraction costal |
US20070093815A1 (en) * | 2005-10-11 | 2007-04-26 | Callahan Ronald Ii | Dynamic spinal stabilizer |
US20070093813A1 (en) * | 2005-10-11 | 2007-04-26 | Callahan Ronald Ii | Dynamic spinal stabilizer |
GB0521582D0 (en) | 2005-10-22 | 2005-11-30 | Depuy Int Ltd | An implant for supporting a spinal column |
US8267970B2 (en) * | 2005-10-25 | 2012-09-18 | Depuy Spine, Inc. | Laminar hook spring |
US8357181B2 (en) | 2005-10-27 | 2013-01-22 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US8100946B2 (en) | 2005-11-21 | 2012-01-24 | Synthes Usa, Llc | Polyaxial bone anchors with increased angulation |
US8034078B2 (en) | 2008-05-30 | 2011-10-11 | Globus Medical, Inc. | System and method for replacement of spinal motion segment |
US7704271B2 (en) | 2005-12-19 | 2010-04-27 | Abdou M Samy | Devices and methods for inter-vertebral orthopedic device placement |
EP1968466A2 (fr) * | 2005-12-19 | 2008-09-17 | M. S. Abdou | Dispositifs et procédés de mise en place d'un dispositif orthopédique intervertébral |
GB0600662D0 (en) | 2006-01-13 | 2006-02-22 | Depuy Int Ltd | Spinal support rod kit |
US8518084B2 (en) * | 2006-01-24 | 2013-08-27 | Biedermann Technologies Gmbh & Co. Kg | Connecting rod with external flexible element |
DE102006003374A1 (de) * | 2006-01-24 | 2007-07-26 | Biedermann Motech Gmbh | Verbindungsstab mit äußerem flexiblem Element |
US8348952B2 (en) | 2006-01-26 | 2013-01-08 | Depuy International Ltd. | System and method for cooling a spinal correction device comprising a shape memory material for corrective spinal surgery |
US7682376B2 (en) | 2006-01-27 | 2010-03-23 | Warsaw Orthopedic, Inc. | Interspinous devices and methods of use |
US7837711B2 (en) | 2006-01-27 | 2010-11-23 | Warsaw Orthopedic, Inc. | Artificial spinous process for the sacrum and methods of use |
US7578849B2 (en) | 2006-01-27 | 2009-08-25 | Warsaw Orthopedic, Inc. | Intervertebral implants and methods of use |
US7691130B2 (en) * | 2006-01-27 | 2010-04-06 | Warsaw Orthopedic, Inc. | Spinal implants including a sensor and methods of use |
US7815663B2 (en) * | 2006-01-27 | 2010-10-19 | Warsaw Orthopedic, Inc. | Vertebral rods and methods of use |
US7811326B2 (en) | 2006-01-30 | 2010-10-12 | Warsaw Orthopedic Inc. | Posterior joint replacement device |
US7635389B2 (en) | 2006-01-30 | 2009-12-22 | Warsaw Orthopedic, Inc. | Posterior joint replacement device |
US7655008B2 (en) * | 2006-02-09 | 2010-02-02 | Warsaw Orthopedic, Inc. | Methods and instruments for spinal derotation |
US7794464B2 (en) * | 2006-02-09 | 2010-09-14 | Warsaw Orthopedic, Inc. | Spinal derotation instruments and methods |
US20070233068A1 (en) * | 2006-02-22 | 2007-10-04 | Sdgi Holdings, Inc. | Intervertebral prosthetic assembly for spinal stabilization and method of implanting same |
US8118869B2 (en) * | 2006-03-08 | 2012-02-21 | Flexuspine, Inc. | Dynamic interbody device |
US8025681B2 (en) | 2006-03-29 | 2011-09-27 | Theken Spine, Llc | Dynamic motion spinal stabilization system |
WO2007123920A2 (fr) * | 2006-04-18 | 2007-11-01 | Joseph Nicholas Logan | Système de tige rachidienne |
US20070270959A1 (en) * | 2006-04-18 | 2007-11-22 | Sdgi Holdings, Inc. | Arthroplasty device |
US20070288012A1 (en) * | 2006-04-21 | 2007-12-13 | Dennis Colleran | Dynamic motion spinal stabilization system and device |
US8303660B1 (en) | 2006-04-22 | 2012-11-06 | Samy Abdou | Inter-vertebral disc prosthesis with variable rotational stop and methods of use |
US20070270821A1 (en) * | 2006-04-28 | 2007-11-22 | Sdgi Holdings, Inc. | Vertebral stabilizer |
US20070288009A1 (en) * | 2006-06-08 | 2007-12-13 | Steven Brown | Dynamic spinal stabilization device |
US7905906B2 (en) * | 2006-06-08 | 2011-03-15 | Disc Motion Technologies, Inc. | System and method for lumbar arthroplasty |
US8858600B2 (en) * | 2006-06-08 | 2014-10-14 | Spinadyne, Inc. | Dynamic spinal stabilization device |
US8043337B2 (en) | 2006-06-14 | 2011-10-25 | Spartek Medical, Inc. | Implant system and method to treat degenerative disorders of the spine |
US7666211B2 (en) * | 2006-12-28 | 2010-02-23 | Mi4Spine, Llc | Vertebral disc annular fibrosis tensioning and lengthening device |
WO2008003047A2 (fr) * | 2006-06-28 | 2008-01-03 | Synthes (U.S.A.) | Système de fixation dynamique |
US8303630B2 (en) | 2006-07-27 | 2012-11-06 | Samy Abdou | Devices and methods for the minimally invasive treatment of spinal stenosis |
US8834526B2 (en) * | 2006-08-09 | 2014-09-16 | Rolando Garcia | Methods and apparatus for treating spinal stenosis |
US8317830B2 (en) * | 2006-08-29 | 2012-11-27 | Warsaw Orthopedic, Inc. | Orthopaedic screw system with linear motion |
US8425601B2 (en) * | 2006-09-11 | 2013-04-23 | Warsaw Orthopedic, Inc. | Spinal stabilization devices and methods of use |
US20080119845A1 (en) * | 2006-09-25 | 2008-05-22 | Archus Orthopedics, Inc. | Facet replacement device removal and revision systems and methods |
US8092533B2 (en) * | 2006-10-03 | 2012-01-10 | Warsaw Orthopedic, Inc. | Dynamic devices and methods for stabilizing vertebral members |
US20080161920A1 (en) * | 2006-10-03 | 2008-07-03 | Warsaw Orthopedic, Inc. | Dynamizing Interbody Implant and Methods for Stabilizing Vertebral Members |
US8187307B2 (en) * | 2006-10-19 | 2012-05-29 | Simpirica Spine, Inc. | Structures and methods for constraining spinal processes with single connector |
US8029541B2 (en) | 2006-10-19 | 2011-10-04 | Simpirica Spine, Inc. | Methods and systems for laterally stabilized constraint of spinous processes |
US8162982B2 (en) | 2006-10-19 | 2012-04-24 | Simpirica Spine, Inc. | Methods and systems for constraint of multiple spine segments |
US7862502B2 (en) | 2006-10-20 | 2011-01-04 | Ellipse Technologies, Inc. | Method and apparatus for adjusting a gastrointestinal restriction device |
US8096996B2 (en) * | 2007-03-20 | 2012-01-17 | Exactech, Inc. | Rod reducer |
US8361117B2 (en) | 2006-11-08 | 2013-01-29 | Depuy Spine, Inc. | Spinal cross connectors |
AR064013A1 (es) * | 2006-11-30 | 2009-03-04 | Paradigm Spine Llc | Sistema de estabilizacion vertebral, interlaminar, interespinoso |
WO2008070716A2 (fr) | 2006-12-05 | 2008-06-12 | Spine Wave, Inc. | Dispositifs et procédés de stabilisation dynamique |
EP2088945A4 (fr) | 2006-12-08 | 2010-02-17 | Roger P Jackson | Systeme d'instruments pour implants rachidiens dynamiques |
JP2010512228A (ja) | 2006-12-10 | 2010-04-22 | パラダイム・スパイン・リミテッド・ライアビリティ・カンパニー | 後部機能的動的安定化システム |
FR2910267B1 (fr) * | 2006-12-21 | 2009-01-23 | Ldr Medical Soc Par Actions Si | Dispositif de soutien vertebral |
US8075596B2 (en) * | 2007-01-12 | 2011-12-13 | Warsaw Orthopedic, Inc. | Spinal prosthesis systems |
US8475498B2 (en) | 2007-01-18 | 2013-07-02 | Roger P. Jackson | Dynamic stabilization connecting member with cord connection |
US7931676B2 (en) * | 2007-01-18 | 2011-04-26 | Warsaw Orthopedic, Inc. | Vertebral stabilizer |
US8366745B2 (en) | 2007-05-01 | 2013-02-05 | Jackson Roger P | Dynamic stabilization assembly having pre-compressed spacers with differential displacements |
US7959677B2 (en) * | 2007-01-19 | 2011-06-14 | Flexuspine, Inc. | Artificial functional spinal unit system and method for use |
US8435268B2 (en) * | 2007-01-19 | 2013-05-07 | Reduction Technologies, Inc. | Systems, devices and methods for the correction of spinal deformities |
US8029547B2 (en) * | 2007-01-30 | 2011-10-04 | Warsaw Orthopedic, Inc. | Dynamic spinal stabilization assembly with sliding collars |
US8109975B2 (en) * | 2007-01-30 | 2012-02-07 | Warsaw Orthopedic, Inc. | Collar bore configuration for dynamic spinal stabilization assembly |
US8034081B2 (en) | 2007-02-06 | 2011-10-11 | CollabComl, LLC | Interspinous dynamic stabilization implant and method of implanting |
US20080195153A1 (en) * | 2007-02-08 | 2008-08-14 | Matthew Thompson | Dynamic spinal deformity correction |
US8926667B2 (en) * | 2007-02-09 | 2015-01-06 | Transcendental Spine, Llc | Connector |
WO2008098206A1 (fr) * | 2007-02-09 | 2008-08-14 | Altiva Corporation | Dispositif de stabilisation dynamique |
US8012177B2 (en) | 2007-02-12 | 2011-09-06 | Jackson Roger P | Dynamic stabilization assembly with frusto-conical connection |
US20080249531A1 (en) * | 2007-02-27 | 2008-10-09 | Warsaw Orthopedic, Inc. | Instruments and methods for minimally invasive insertion of dynamic implants |
US20080255615A1 (en) * | 2007-03-27 | 2008-10-16 | Warsaw Orthopedic, Inc. | Treatments for Correcting Spinal Deformities |
US8172847B2 (en) | 2007-03-29 | 2012-05-08 | Depuy Spine, Inc. | In-line rod reduction device and methods |
US20080269805A1 (en) | 2007-04-25 | 2008-10-30 | Warsaw Orthopedic, Inc. | Methods for correcting spinal deformities |
US8241362B2 (en) | 2007-04-26 | 2012-08-14 | Voorhies Rand M | Lumbar disc replacement implant for posterior implantation with dynamic spinal stabilization device and method |
EP2142121B1 (fr) * | 2007-04-30 | 2014-04-16 | Globus Medical, Inc. | Système souple de stabilisation de la colonne vertébrale |
US10383660B2 (en) | 2007-05-01 | 2019-08-20 | Roger P. Jackson | Soft stabilization assemblies with pretensioned cords |
US8088166B2 (en) * | 2007-05-01 | 2012-01-03 | Moximed, Inc. | Adjustable absorber designs for implantable device |
US8480715B2 (en) | 2007-05-22 | 2013-07-09 | Zimmer Spine, Inc. | Spinal implant system and method |
CA2690038C (fr) | 2007-05-31 | 2012-11-27 | Roger P. Jackson | Element de raccord a stabilisation dynamique avec noyau solide precontraint |
US8864832B2 (en) | 2007-06-20 | 2014-10-21 | Hh Spinal Llc | Posterior total joint replacement |
US8083772B2 (en) | 2007-06-05 | 2011-12-27 | Spartek Medical, Inc. | Dynamic spinal rod assembly and method for dynamic stabilization of the spine |
US8147520B2 (en) | 2007-06-05 | 2012-04-03 | Spartek Medical, Inc. | Horizontally loaded dynamic stabilization and motion preservation spinal implantation system and method |
US8114134B2 (en) | 2007-06-05 | 2012-02-14 | Spartek Medical, Inc. | Spinal prosthesis having a three bar linkage for motion preservation and dynamic stabilization of the spine |
US8070776B2 (en) | 2007-06-05 | 2011-12-06 | Spartek Medical, Inc. | Deflection rod system for use with a vertebral fusion implant for dynamic stabilization and motion preservation spinal implantation system and method |
US8021396B2 (en) | 2007-06-05 | 2011-09-20 | Spartek Medical, Inc. | Configurable dynamic spinal rod and method for dynamic stabilization of the spine |
US8092501B2 (en) | 2007-06-05 | 2012-01-10 | Spartek Medical, Inc. | Dynamic spinal rod and method for dynamic stabilization of the spine |
US8048121B2 (en) | 2007-06-05 | 2011-11-01 | Spartek Medical, Inc. | Spine implant with a defelction rod system anchored to a bone anchor and method |
US8048115B2 (en) | 2007-06-05 | 2011-11-01 | Spartek Medical, Inc. | Surgical tool and method for implantation of a dynamic bone anchor |
US8105359B2 (en) | 2007-06-05 | 2012-01-31 | Spartek Medical, Inc. | Deflection rod system for a dynamic stabilization and motion preservation spinal implantation system and method |
CA2689965A1 (fr) | 2007-06-06 | 2008-12-18 | Kspine, Inc. | Dispositif et procede medical de correction d'une difformite |
US10821003B2 (en) | 2007-06-20 | 2020-11-03 | 3Spline Sezc | Spinal osteotomy |
JP2010530780A (ja) * | 2007-06-22 | 2010-09-16 | シンピライカ スパイン, インコーポレイテッド | 脊髄分節の制御された屈曲制限のための方法およびデバイス |
US20100036424A1 (en) | 2007-06-22 | 2010-02-11 | Simpirica Spine, Inc. | Methods and systems for increasing the bending stiffness and constraining the spreading of a spinal segment |
US20150119939A1 (en) * | 2007-07-13 | 2015-04-30 | George Frey | Systems and Methods for Spinal Stabilization |
US9439681B2 (en) | 2007-07-20 | 2016-09-13 | DePuy Synthes Products, Inc. | Polyaxial bone fixation element |
US7887541B2 (en) | 2007-07-26 | 2011-02-15 | Depuy Spine, Inc. | Spinal rod reduction instruments and methods for use |
BRPI0814831A2 (pt) * | 2007-08-07 | 2015-03-31 | Synthes Gmbh | Sistema de cabo dinâmico, e, sistema de fixação dinâmico. |
US8080038B2 (en) * | 2007-08-17 | 2011-12-20 | Jmea Corporation | Dynamic stabilization device for spine |
US8790348B2 (en) | 2007-09-28 | 2014-07-29 | Depuy Spine, Inc. | Dual pivot instrument for reduction of a fixation element and method of use |
US20090088803A1 (en) * | 2007-10-01 | 2009-04-02 | Warsaw Orthopedic, Inc. | Flexible members for correcting spinal deformities |
ES2374577T3 (es) * | 2007-10-11 | 2012-02-20 | Biedermann Motech Gmbh | Sistema de varilla modular para la estabilización de la columna vertebral. |
US20090099608A1 (en) * | 2007-10-12 | 2009-04-16 | Aesculap Implant Systems, Inc. | Rod assembly for dynamic posterior stabilization |
US8182514B2 (en) * | 2007-10-22 | 2012-05-22 | Flexuspine, Inc. | Dampener system for a posterior stabilization system with a fixed length elongated member |
US8523912B2 (en) * | 2007-10-22 | 2013-09-03 | Flexuspine, Inc. | Posterior stabilization systems with shared, dual dampener systems |
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 |
US8157844B2 (en) * | 2007-10-22 | 2012-04-17 | Flexuspine, Inc. | Dampener system for a posterior stabilization system with a variable length elongated member |
US8911477B2 (en) | 2007-10-23 | 2014-12-16 | Roger P. Jackson | Dynamic stabilization member with end plate support and cable core extension |
GB0720762D0 (en) | 2007-10-24 | 2007-12-05 | Depuy Spine Sorl | Assembly for orthopaedic surgery |
US20090112263A1 (en) | 2007-10-30 | 2009-04-30 | Scott Pool | Skeletal manipulation system |
US20090125032A1 (en) * | 2007-11-14 | 2009-05-14 | Gutierrez Robert C | Rod removal instrument |
WO2009076239A2 (fr) * | 2007-12-06 | 2009-06-18 | Vertiflex, Inc. | Système et procédé de réduction de spondylolisthésis |
US8252028B2 (en) * | 2007-12-19 | 2012-08-28 | Depuy Spine, Inc. | Posterior dynamic stabilization device |
US8617214B2 (en) * | 2008-01-07 | 2013-12-31 | Mmsn Limited Partnership | Spinal tension band |
US7935133B2 (en) | 2008-02-08 | 2011-05-03 | Mmsn Limited Partnership | Interlaminar hook |
US8267979B2 (en) | 2008-02-26 | 2012-09-18 | Spartek Medical, Inc. | Load-sharing bone anchor having a deflectable post and axial spring and method for dynamic stabilization of the spine |
US8337536B2 (en) | 2008-02-26 | 2012-12-25 | Spartek Medical, Inc. | Load-sharing bone anchor having a deflectable post with a compliant ring and method for stabilization of the spine |
US8097024B2 (en) | 2008-02-26 | 2012-01-17 | Spartek Medical, Inc. | Load-sharing bone anchor having a deflectable post and method for stabilization of the spine |
US8016861B2 (en) | 2008-02-26 | 2011-09-13 | Spartek Medical, Inc. | Versatile polyaxial connector assembly and method for dynamic stabilization of the spine |
US8057515B2 (en) | 2008-02-26 | 2011-11-15 | Spartek Medical, Inc. | Load-sharing anchor having a deflectable post and centering spring and method for dynamic stabilization of the spine |
US20100030224A1 (en) | 2008-02-26 | 2010-02-04 | Spartek Medical, Inc. | Surgical tool and method for connecting a dynamic bone anchor and dynamic vertical rod |
US8083775B2 (en) | 2008-02-26 | 2011-12-27 | Spartek Medical, Inc. | Load-sharing bone anchor having a natural center of rotation and method for dynamic stabilization of the spine |
US8333792B2 (en) | 2008-02-26 | 2012-12-18 | Spartek Medical, Inc. | Load-sharing bone anchor having a deflectable post and method for dynamic stabilization of the spine |
US8211155B2 (en) | 2008-02-26 | 2012-07-03 | Spartek Medical, Inc. | Load-sharing bone anchor having a durable compliant member and method for dynamic stabilization of the spine |
US8608746B2 (en) | 2008-03-10 | 2013-12-17 | DePuy Synthes Products, LLC | Derotation instrument with reduction functionality |
US8709015B2 (en) | 2008-03-10 | 2014-04-29 | DePuy Synthes Products, LLC | Bilateral vertebral body derotation system |
EP2265200B1 (fr) * | 2008-03-14 | 2020-05-27 | Mazor Robotics Ltd. | Insert segmenté pour support intervertébral |
US11202707B2 (en) | 2008-03-25 | 2021-12-21 | Nuvasive Specialized Orthopedics, Inc. | Adjustable implant system |
US20090248077A1 (en) * | 2008-03-31 | 2009-10-01 | Derrick William Johns | Hybrid dynamic stabilization |
US8549888B2 (en) | 2008-04-04 | 2013-10-08 | Nuvasive, Inc. | System and device for designing and forming a surgical implant |
US20090264933A1 (en) * | 2008-04-22 | 2009-10-22 | Warsaw Orthopedic, Inc. | Anchors for securing a rod to a vertebral member |
FR2930718B1 (fr) * | 2008-05-02 | 2010-05-14 | Warsaw Orthopedic Inc | Element de liaison d'un dispositif d'osteosynthese vertebrale, et dispositif d'osteosynthese vertebrale le comprenant |
AU2009246848B2 (en) * | 2008-05-13 | 2014-10-02 | Stryker European Holdings I, Llc | Composite spinal rod |
WO2009146377A1 (fr) * | 2008-05-28 | 2009-12-03 | Kerflin Orthopedic Innovations, Llc | Instrument d'élongation actionné par fluide pour corriger des malformations orthopédiques |
WO2009149414A1 (fr) | 2008-06-06 | 2009-12-10 | Simpirica Spine, Inc. | Procédé et appareil pour verrouillage d'un ruban |
EP2296566A4 (fr) * | 2008-06-06 | 2013-01-02 | Simpirica Spine Inc | Méthodes et appareil de mise en place d'éléments de contrainte de l'apophyse épineuse |
US8784453B1 (en) | 2008-06-09 | 2014-07-22 | Melvin Law | Dynamic spinal stabilization system |
US8043340B1 (en) * | 2008-06-09 | 2011-10-25 | Melvin Law | Dynamic spinal stabilization system |
US10973556B2 (en) | 2008-06-17 | 2021-04-13 | DePuy Synthes Products, Inc. | Adjustable implant assembly |
US20100063548A1 (en) * | 2008-07-07 | 2010-03-11 | Depuy International Ltd | Spinal Correction Method Using Shape Memory Spinal Rod |
US8414584B2 (en) | 2008-07-09 | 2013-04-09 | Icon Orthopaedic Concepts, Llc | Ankle arthrodesis nail and outrigger assembly |
WO2010006195A1 (fr) | 2008-07-09 | 2010-01-14 | Amei Technologies, Inc. | Clou d'arthrodèse de cheville et ensemble stabilisateur |
CA2739997C (fr) | 2008-08-01 | 2013-08-13 | Roger P. Jackson | Element longitudinal de liaison avec cordons tendus gaines |
US8287571B2 (en) | 2008-08-12 | 2012-10-16 | Blackstone Medical, Inc. | Apparatus for stabilizing vertebral bodies |
WO2010019791A2 (fr) * | 2008-08-14 | 2010-02-18 | Vertiflex, Inc. | Tige dynamique |
EP2337512B1 (fr) | 2008-09-12 | 2012-03-14 | Synthes GmbH | Système de fixation de stabilisation et de guidage de colonne vertébrale |
DE09793113T8 (de) | 2008-09-29 | 2013-04-25 | Synthes Gmbh | Polyaxiale bodenladungsschraube und stangenanordnung |
ES2462759T3 (es) | 2008-10-01 | 2014-05-26 | Sherwin Hua | Sistema para estabilización de tornillo pedicular guiado por alambre de vertebras de la columna |
KR100898962B1 (ko) * | 2008-10-02 | 2009-05-25 | (주) 코리아나메디칼 | 척추 고정 장치 |
ES2394670T3 (es) * | 2008-10-08 | 2013-02-04 | Biedermann Technologies Gmbh & Co. Kg | Dispositivo de implante alargado y dispositivo de estabilización vertebral |
US20100094306A1 (en) * | 2008-10-13 | 2010-04-15 | Arvin Chang | Spinal distraction system |
US11241257B2 (en) | 2008-10-13 | 2022-02-08 | Nuvasive Specialized Orthopedics, Inc. | Spinal distraction system |
FR2937531B1 (fr) * | 2008-10-23 | 2016-01-29 | Lotfi Miladi | Systeme d'osteosynthese rachidienne |
CA2742399A1 (fr) | 2008-11-03 | 2010-06-03 | Dustin M. Harvey | Ensemble fixation osseuse plane |
US8382756B2 (en) * | 2008-11-10 | 2013-02-26 | Ellipse Technologies, Inc. | External adjustment device for distraction device |
US8187304B2 (en) | 2008-11-10 | 2012-05-29 | Malek Michel H | Facet fusion system |
US8828058B2 (en) | 2008-11-11 | 2014-09-09 | Kspine, Inc. | Growth directed vertebral fixation system with distractible connector(s) and apical control |
JP5555711B2 (ja) * | 2008-11-24 | 2014-07-23 | シンピライカ スパイン, インコーポレイテッド | 脊椎分節の屈曲および伸展を制限する方法およびデバイス |
IT1392200B1 (it) * | 2008-12-17 | 2012-02-22 | N B R New Biotechnology Res | Stabilizzatore vertebrale modulare. |
EP2373236B1 (fr) | 2008-12-17 | 2014-05-21 | Synthes GmbH | Stabilisateur dynamique vertébral postérieur |
US9492214B2 (en) * | 2008-12-18 | 2016-11-15 | Michel H. Malek | Flexible spinal stabilization system |
US8641734B2 (en) | 2009-02-13 | 2014-02-04 | DePuy Synthes Products, LLC | Dual spring posterior dynamic stabilization device with elongation limiting elastomers |
US8197490B2 (en) | 2009-02-23 | 2012-06-12 | Ellipse Technologies, Inc. | Non-invasive adjustable distraction system |
US8118840B2 (en) | 2009-02-27 | 2012-02-21 | Warsaw Orthopedic, Inc. | Vertebral rod and related method of manufacture |
EP2405839A4 (fr) | 2009-03-10 | 2013-12-11 | Simpirica Spine Inc | Dispositif d'attache chirurgicale et procédés d'utilisation |
US8562653B2 (en) | 2009-03-10 | 2013-10-22 | Simpirica Spine, Inc. | Surgical tether apparatus and methods of use |
EP2405840B1 (fr) | 2009-03-10 | 2024-02-21 | Empirical Spine, Inc. | Dispositif d'attache chirurgicale |
AU2015230721B2 (en) * | 2009-03-26 | 2017-11-16 | K2M, Inc. | Semi - constrained anchoring system for correcting a spinal deformity |
US8372146B2 (en) * | 2009-03-26 | 2013-02-12 | Warsaw Orthopedic, Inc. | Distensible ligament systems |
US8357182B2 (en) * | 2009-03-26 | 2013-01-22 | Kspine, Inc. | Alignment system with longitudinal support features |
WO2010114853A1 (fr) * | 2009-03-30 | 2010-10-07 | Simpirica Spine, Inc. | Procédés et appareils destinés à améliorer la capacité de charge de cisaillement d'un segment spinal |
CN102368967B (zh) | 2009-04-15 | 2016-03-02 | 斯恩蒂斯有限公司 | 用于脊椎结构的修正连接器 |
US20100268119A1 (en) * | 2009-04-15 | 2010-10-21 | Warsaw Orthopedic, Inc., An Indiana Corporation | Integrated feedback for in-situ surgical device |
US9622792B2 (en) | 2009-04-29 | 2017-04-18 | Nuvasive Specialized Orthopedics, Inc. | Interspinous process device and method |
WO2010144458A1 (fr) * | 2009-06-08 | 2010-12-16 | Reduction Technologies Inc. | Systèmes, procédés et dispositifs de correction de déformations vertébrales |
US11229457B2 (en) | 2009-06-15 | 2022-01-25 | Roger P. Jackson | Pivotal bone anchor assembly with insert tool deployment |
CN103826560A (zh) | 2009-06-15 | 2014-05-28 | 罗杰.P.杰克逊 | 具有套接杆和带摩擦配合压缩套爪的带翼插件的多轴骨锚 |
US9668771B2 (en) | 2009-06-15 | 2017-06-06 | Roger P Jackson | Soft stabilization assemblies with off-set connector |
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 |
EP2442738B1 (fr) | 2009-06-17 | 2014-04-30 | Synthes GmbH | Connecteur de révision pour constructions rachidiennes |
US8394124B2 (en) | 2009-06-18 | 2013-03-12 | The University Of Toledo | Unidirectional rotatory pedicle screw and spinal deformity correction device for correction of spinal deformity in growing children |
US9320543B2 (en) * | 2009-06-25 | 2016-04-26 | DePuy Synthes Products, Inc. | Posterior dynamic stabilization device having a mobile anchor |
US20110166610A1 (en) * | 2009-08-07 | 2011-07-07 | Moti Altarac | Systems and methods for stabilization of bone structures, including thorocolumbar stabilization systems and methods |
US8657856B2 (en) * | 2009-08-28 | 2014-02-25 | Pioneer Surgical Technology, Inc. | Size transition spinal rod |
RU2016101629A (ru) | 2009-09-04 | 2018-12-04 | Нувэйсив Спешилайзд Ортопэдикс, Инк. | Устройство и способ для наращивания кости |
US9168071B2 (en) | 2009-09-15 | 2015-10-27 | K2M, Inc. | Growth modulation system |
US9011494B2 (en) | 2009-09-24 | 2015-04-21 | Warsaw Orthopedic, Inc. | Composite vertebral rod system and methods of use |
WO2011043805A1 (fr) | 2009-10-05 | 2011-04-14 | Roger Jackson P | Ancrage osseux polyaxial avec élément de rétention non rotatif et tige fixée par pression, et ajustement par frottement |
WO2011043799A1 (fr) * | 2009-10-05 | 2011-04-14 | Coligne Ag | Système de fixation rachidienne et tournevis utilisé avec ce système |
US8523948B2 (en) | 2009-10-20 | 2013-09-03 | Moximed, Inc. | Extra-articular implantable mechanical energy absorbing assemblies having a tension member, and methods |
US8679178B2 (en) | 2009-10-20 | 2014-03-25 | Moximed, Inc. | Extra-articular implantable mechanical energy absorbing assemblies having two deflecting members and compliance member |
US8277453B2 (en) * | 2009-10-30 | 2012-10-02 | Warsaw Orthopedic, Inc. | Instruments and systems for vertebral column manipulation |
CN102695465A (zh) | 2009-12-02 | 2012-09-26 | 斯帕泰克医疗股份有限公司 | 结合具有可偏转柱和复合脊柱杆的骨锚固件的小轮廓脊柱假体 |
US8764806B2 (en) | 2009-12-07 | 2014-07-01 | Samy Abdou | Devices and methods for minimally invasive spinal stabilization and instrumentation |
US8262697B2 (en) | 2010-01-14 | 2012-09-11 | X-Spine Systems, Inc. | Modular interspinous fixation system and method |
WO2011119690A1 (fr) | 2010-03-26 | 2011-09-29 | Echostar Technologies L.L.C. | Poste de télévision à entrées multiples |
EP2552333A4 (fr) | 2010-03-30 | 2014-11-26 | Sherwin Hua | Systèmes et procédés pour la stabilisation par vis pédiculaire de vertèbres spinales |
US8641723B2 (en) | 2010-06-03 | 2014-02-04 | Orthonex LLC | Skeletal adjustment device |
US20110307015A1 (en) | 2010-06-10 | 2011-12-15 | Spartek Medical, Inc. | Adaptive spinal rod and methods for stabilization of the spine |
US9248043B2 (en) | 2010-06-30 | 2016-02-02 | Ellipse Technologies, Inc. | External adjustment device for distraction device |
WO2012021378A2 (fr) | 2010-08-09 | 2012-02-16 | Ellipse Technologies, Inc. | Élément de maintenance dans un implant magnétique |
JP2013540468A (ja) | 2010-09-08 | 2013-11-07 | ロジャー・ピー・ジャクソン | 弾性部および非弾性部を有する動的固定化部材 |
US9301787B2 (en) | 2010-09-27 | 2016-04-05 | Mmsn Limited Partnership | Medical apparatus and method for spinal surgery |
US8282671B2 (en) | 2010-10-25 | 2012-10-09 | Orthonex | Smart device for non-invasive skeletal adjustment |
GB2502449A (en) | 2010-11-02 | 2013-11-27 | Roger P Jackson | Polyaxial bone anchor with pop-on shank and pivotable retainer |
US8721566B2 (en) | 2010-11-12 | 2014-05-13 | Robert A. Connor | Spinal motion measurement device |
WO2012112396A2 (fr) | 2011-02-14 | 2012-08-23 | Ellipse Technologies, Inc. | Dispositif et méthode de traitement d'os fracturés |
US9480510B2 (en) | 2011-03-23 | 2016-11-01 | Spinecraft, LLC | Devices, systems and methods of attaching same to the spine |
JP5865479B2 (ja) | 2011-03-24 | 2016-02-17 | ロジャー・ピー・ジャクソン | 複合関節とポップ装着式シャンクとを有する多軸の骨アンカー |
US8388687B2 (en) | 2011-03-25 | 2013-03-05 | Flexuspine, Inc. | Interbody device insertion systems and methods |
US9907582B1 (en) | 2011-04-25 | 2018-03-06 | Nuvasive, Inc. | Minimally invasive spinal fixation system and related methods |
CA2838047A1 (fr) | 2011-06-03 | 2012-12-06 | Kspine, Inc. | Actionneurs de systeme de correction de colonne vertebrale |
CN102949230A (zh) * | 2011-08-23 | 2013-03-06 | 常州市康辉医疗器械有限公司 | 一种动力自动撑开矫形系统及其应用 |
US8845728B1 (en) | 2011-09-23 | 2014-09-30 | Samy Abdou | Spinal fixation devices and methods of use |
US10743794B2 (en) | 2011-10-04 | 2020-08-18 | Nuvasive Specialized Orthopedics, Inc. | Devices and methods for non-invasive implant length sensing |
US10016220B2 (en) | 2011-11-01 | 2018-07-10 | Nuvasive Specialized Orthopedics, Inc. | Adjustable magnetic devices and methods of using same |
AU2015210458B2 (en) * | 2011-11-16 | 2020-04-16 | K2M, Inc. | System and method for spinal correction |
US8920472B2 (en) * | 2011-11-16 | 2014-12-30 | Kspine, Inc. | Spinal correction and secondary stabilization |
US9451987B2 (en) * | 2011-11-16 | 2016-09-27 | K2M, Inc. | System and method for spinal correction |
WO2014172632A2 (fr) * | 2011-11-16 | 2014-10-23 | Kspine, Inc. | Correction et stabilisation secondaire de la colonne vertébrale |
US9468469B2 (en) | 2011-11-16 | 2016-10-18 | K2M, Inc. | Transverse coupler adjuster spinal correction systems and methods |
US9468468B2 (en) | 2011-11-16 | 2016-10-18 | K2M, Inc. | Transverse connector for spinal stabilization system |
US20130123853A1 (en) * | 2011-11-16 | 2013-05-16 | Kspine, Inc. | Spinal correction and secondary stabilization |
US9526627B2 (en) | 2011-11-17 | 2016-12-27 | Exactech, Inc. | Expandable interbody device system and method |
US8911479B2 (en) | 2012-01-10 | 2014-12-16 | Roger P. Jackson | Multi-start closures for open implants |
US9125703B2 (en) * | 2012-01-16 | 2015-09-08 | K2M, Inc. | Rod reducer, compressor, distractor system |
US8430916B1 (en) | 2012-02-07 | 2013-04-30 | Spartek Medical, Inc. | Spinal rod connectors, methods of use, and spinal prosthesis incorporating spinal rod connectors |
US20130226240A1 (en) | 2012-02-22 | 2013-08-29 | Samy Abdou | Spinous process fixation devices and methods of use |
US11207132B2 (en) | 2012-03-12 | 2021-12-28 | Nuvasive, Inc. | Systems and methods for performing spinal surgery |
US8808328B2 (en) * | 2012-04-05 | 2014-08-19 | Tufts Medical Center, Inc. | Spring loaded mechanism for managing scoliosis |
AU2012380394B2 (en) * | 2012-05-16 | 2017-04-20 | Universiteit Twente | Implantation system for treatment of a defective curvature of the spinal column. |
US9078711B2 (en) | 2012-06-06 | 2015-07-14 | Ellipse Technologies, Inc. | Devices and methods for detection of slippage of magnetic coupling in implantable medical devices |
US20130338714A1 (en) | 2012-06-15 | 2013-12-19 | Arvin Chang | Magnetic implants with improved anatomical compatibility |
US10098665B2 (en) | 2012-08-01 | 2018-10-16 | DePuy Synthes Products, Inc. | Spine derotation system |
US9179957B2 (en) | 2012-08-09 | 2015-11-10 | Spinecraft, LLC | Systems, assemblies and methods for spinal derotation |
US9572598B2 (en) | 2012-08-09 | 2017-02-21 | Spine Craft, LLC | Uniplanar surgical screw assembly |
US9198767B2 (en) | 2012-08-28 | 2015-12-01 | Samy Abdou | Devices and methods for spinal stabilization and instrumentation |
US9924969B2 (en) * | 2012-09-04 | 2018-03-27 | Zimmer, Inc. | External fixation |
US9301782B2 (en) | 2012-09-04 | 2016-04-05 | Zimmer, Inc. | External fixation |
US9044281B2 (en) | 2012-10-18 | 2015-06-02 | Ellipse Technologies, Inc. | Intramedullary implants for replacing lost bone |
US9320617B2 (en) | 2012-10-22 | 2016-04-26 | Cogent Spine, LLC | Devices and methods for spinal stabilization and instrumentation |
CA2889769A1 (fr) | 2012-10-29 | 2014-05-08 | Ellipse Technologies, Inc. | Dispositifs ajustables pour traiter l'arthrite du genou |
GB201220042D0 (en) * | 2012-11-07 | 2012-12-19 | Murray David W | Adjusting spinal curvature |
US9763702B2 (en) | 2012-11-16 | 2017-09-19 | DePuy Synthes Products, Inc. | Bone fixation assembly |
US8911478B2 (en) | 2012-11-21 | 2014-12-16 | Roger P. Jackson | Splay control closure for open bone anchor |
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 |
US9179938B2 (en) | 2013-03-08 | 2015-11-10 | Ellipse Technologies, Inc. | Distraction devices and method of assembling the same |
US9532804B2 (en) * | 2013-03-15 | 2017-01-03 | Moximed, Inc. | Implantation approach and instrumentality for an energy absorbing system |
US9968408B1 (en) | 2013-03-15 | 2018-05-15 | Nuvasive, Inc. | Spinal balance assessment |
AU2014253786B2 (en) * | 2013-04-18 | 2018-07-05 | K2M, Inc. | Spinal correction and secondary stabilization |
FR3004919B1 (fr) * | 2013-04-30 | 2015-05-08 | Xavier Renard | Perfectionnement aux fixateurs externes |
US10226242B2 (en) | 2013-07-31 | 2019-03-12 | Nuvasive Specialized Orthopedics, Inc. | Noninvasively adjustable suture anchors |
US9801734B1 (en) | 2013-08-09 | 2017-10-31 | Nuvasive, Inc. | Lordotic expandable interbody implant |
US9468471B2 (en) | 2013-09-17 | 2016-10-18 | K2M, Inc. | Transverse coupler adjuster spinal correction systems and methods |
US9848922B2 (en) | 2013-10-09 | 2017-12-26 | Nuvasive, Inc. | Systems and methods for performing spine surgery |
US10751094B2 (en) | 2013-10-10 | 2020-08-25 | Nuvasive Specialized Orthopedics, Inc. | Adjustable spinal implant |
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 |
US9517144B2 (en) | 2014-04-24 | 2016-12-13 | Exactech, Inc. | Limited profile intervertebral implant with incorporated fastening mechanism |
US10398565B2 (en) | 2014-04-24 | 2019-09-03 | Choice Spine, Llc | Limited profile intervertebral implant with incorporated fastening and locking mechanism |
CN111345867A (zh) | 2014-04-28 | 2020-06-30 | 诺威适骨科专科公司 | 遥控装置 |
US10758274B1 (en) | 2014-05-02 | 2020-09-01 | Nuvasive, Inc. | Spinal fixation constructs and related methods |
US9597119B2 (en) | 2014-06-04 | 2017-03-21 | Roger P. Jackson | Polyaxial bone anchor with polymer sleeve |
US10064658B2 (en) | 2014-06-04 | 2018-09-04 | Roger P. Jackson | Polyaxial bone anchor with insert guides |
US9962187B2 (en) | 2014-08-11 | 2018-05-08 | Zimmer, Inc. | External fixation |
US10433893B1 (en) | 2014-10-17 | 2019-10-08 | Nuvasive, Inc. | Systems and methods for performing spine surgery |
JP6672289B2 (ja) | 2014-10-23 | 2020-03-25 | ニューベイシブ スペシャライズド オーソペディックス,インコーポレイテッド | 遠隔調整可能なインタラクティブ骨再形成インプラント |
JP6847341B2 (ja) | 2014-12-26 | 2021-03-24 | ニューベイシブ スペシャライズド オーソペディックス,インコーポレイテッド | 伸延のためのシステム及び方法 |
US10238427B2 (en) | 2015-02-19 | 2019-03-26 | Nuvasive Specialized Orthopedics, Inc. | Systems and methods for vertebral adjustment |
US9987052B2 (en) | 2015-02-24 | 2018-06-05 | X-Spine Systems, Inc. | Modular interspinous fixation system with threaded component |
US20160367291A1 (en) | 2015-06-17 | 2016-12-22 | Nathan Erickson | Ankle fixation system |
FR3037784B1 (fr) * | 2015-06-29 | 2017-12-15 | Gexfix Sa | Dispositif de fixation externe dynamique d'osteosynthese |
US10857003B1 (en) | 2015-10-14 | 2020-12-08 | Samy Abdou | Devices and methods for vertebral stabilization |
WO2017066774A1 (fr) | 2015-10-16 | 2017-04-20 | Nuvasive Specialized Orthopedics, Inc. | Dispositifs ajustables pour traiter l'arthrite du genou |
US10022155B1 (en) * | 2015-11-11 | 2018-07-17 | Neil Robert Crawford | Dynamic lumbar spine stabilization device and methods |
US10194960B1 (en) | 2015-12-03 | 2019-02-05 | Nuvasive, Inc. | Spinal compression instrument and related methods |
CN108601611B (zh) | 2015-12-10 | 2021-11-02 | 诺威适骨科专科公司 | 用于牵张装置的外部调节装置 |
CN108882953B (zh) | 2016-01-28 | 2021-09-03 | 诺威适骨科专科公司 | 骨搬移用的系统 |
WO2017139548A1 (fr) | 2016-02-10 | 2017-08-17 | Nuvasive Specialized Orthopedics, Inc. | Systèmes et procédés de commande de variables chirurgicales multiples |
EP3413820B1 (fr) | 2016-02-12 | 2024-04-10 | Nuvasive, Inc. | Dispositifs de fixation vertébrale à réglage postopératoire |
US10456172B2 (en) | 2016-02-12 | 2019-10-29 | Nuvasive, Inc. | Magnetically actuateable rod insertion for minimally invasive surgery |
JP2019514450A (ja) | 2016-03-02 | 2019-06-06 | ニューヴェイジヴ,インコーポレイテッド | 脊椎矯正外科計画のためのシステムおよび方法 |
US10335199B2 (en) * | 2016-07-28 | 2019-07-02 | Warsaw Orthopedic. Inc. | Spinal correction construct and method |
US10548636B2 (en) * | 2016-10-03 | 2020-02-04 | Christopher B. Gordon | Force adjustable spring distractor |
US10973648B1 (en) | 2016-10-25 | 2021-04-13 | Samy Abdou | Devices and methods for vertebral bone realignment |
US10744000B1 (en) | 2016-10-25 | 2020-08-18 | Samy Abdou | Devices and methods for vertebral bone realignment |
US10779866B2 (en) | 2016-12-29 | 2020-09-22 | K2M, Inc. | Rod reducer assembly |
US10966762B2 (en) | 2017-12-15 | 2021-04-06 | Medos International Sarl | Unilateral implant holders and related methods |
US11179248B2 (en) | 2018-10-02 | 2021-11-23 | Samy Abdou | Devices and methods for spinal implantation |
US11583318B2 (en) | 2018-12-21 | 2023-02-21 | Paradigm Spine, Llc | Modular spine stabilization system and associated instruments |
EP3922039A1 (fr) | 2019-02-07 | 2021-12-15 | NuVasive Specialized Orthopedics, Inc. | Communication ultrasonore dans des dispositifs médicaux |
US11589901B2 (en) | 2019-02-08 | 2023-02-28 | Nuvasive Specialized Orthopedics, Inc. | External adjustment device |
US11291481B2 (en) | 2019-03-21 | 2022-04-05 | Medos International Sarl | Rod reducers and related methods |
USD1004774S1 (en) | 2019-03-21 | 2023-11-14 | Medos International Sarl | Kerrison rod reducer |
US11291482B2 (en) | 2019-03-21 | 2022-04-05 | Medos International Sarl | Rod reducers and related methods |
US11160580B2 (en) | 2019-04-24 | 2021-11-02 | Spine23 Inc. | Systems and methods for pedicle screw stabilization of spinal vertebrae |
AU2022225229A1 (en) | 2021-02-23 | 2023-09-21 | Nuvasive Specialized Orthopedics, Inc. | Adjustable implant, system and methods |
US11737787B1 (en) | 2021-05-27 | 2023-08-29 | Nuvasive, Inc. | Bone elongating devices and methods of use |
WO2023009587A1 (fr) * | 2021-07-29 | 2023-02-02 | Skaggs Dr David | Systèmes et procédés de traitement de déformations rachidiennes |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SU485739A1 (ru) * | 1974-01-23 | 1975-09-30 | Крымский Медицинский Институт | Устройство дл коррекции и фиксации позвоночника при лечении сколиозов |
US3977397A (en) * | 1974-11-27 | 1976-08-31 | Kalnberz Viktor Konstantinovic | Surgical compression-distraction instrument |
DE2821678A1 (de) * | 1978-05-12 | 1979-11-22 | Sulzer Ag | Zwischen benachbarte wirbel einsetzbares implantat |
DE2845647A1 (de) * | 1978-10-20 | 1980-05-08 | Messerschmitt Boelkow Blohm | Korrekturgeraet fuer die operative skoliosebehandlung |
EP0140790A2 (fr) * | 1983-10-28 | 1985-05-08 | William Peze | Appareil de correction dynamique des déformations rachidiennes |
WO1985004096A1 (fr) * | 1984-03-14 | 1985-09-26 | Harms Juergen | Implant pour la correction operative des courbures de la colonne vertebrale |
EP0470660A1 (fr) * | 1990-08-07 | 1992-02-12 | Acromed B.V. | Dispositif pour la correction de la scoliose |
Family Cites Families (25)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB780652A (en) * | 1954-04-30 | 1957-08-07 | Zimmer Orthopaedic Ltd | Improvements in or relating to apparatus for use in spinal fixation |
FR1397395A (fr) * | 1964-03-17 | 1965-04-30 | Réducteur de fracture per opératoire | |
NL7306853A (fr) * | 1973-05-16 | 1974-11-19 | ||
FI53062C (fr) * | 1975-05-30 | 1978-02-10 | Erkki Einari Nissinen | |
PL105977B1 (pl) * | 1976-06-28 | 1979-11-30 | Wyzsza Szkola Inzynierska | Przyrzad do korekcji skrzywien kregoslupa |
SU888968A1 (ru) * | 1979-01-11 | 1981-12-15 | Новосибирский научно-исследовательский институт травматологии и ортопедии | Устройство дл коррекции позвоночника |
SU848009A1 (ru) * | 1979-10-08 | 1981-07-23 | Научно-Исследовательский Институт Трав-Матологии И Ортопедии | Дистрактор дл позвоночника |
US4289123A (en) * | 1980-03-31 | 1981-09-15 | Dunn Harold K | Orthopedic appliance |
US4386603A (en) * | 1981-03-23 | 1983-06-07 | Mayfield Jack K | Distraction device for spinal distraction systems |
DE3121271A1 (de) * | 1981-05-29 | 1982-12-23 | Max Bernhard 7900 Ulm Ulrich | Distraktionsgeraet zur korrektur insbesondere kyphotischer wirbelsaeulenbereiche |
US4448191A (en) * | 1981-07-07 | 1984-05-15 | Rodnyansky Lazar I | Implantable correctant of a spinal curvature and a method for treatment of a spinal curvature |
US4573456A (en) * | 1983-05-03 | 1986-03-04 | Span-America Medical Systems, Inc. | Foam body support |
US4611582A (en) * | 1983-12-27 | 1986-09-16 | Wisconsin Alumni Research Foundation | Vertebral clamp |
US4863475A (en) * | 1984-08-31 | 1989-09-05 | Zimmer, Inc. | Implant and method for production thereof |
DE3614101C1 (de) * | 1986-04-25 | 1987-10-22 | Juergen Prof Dr Med Harms | Pedikelschraube |
GB8620937D0 (en) * | 1986-08-29 | 1986-10-08 | Shepperd J A N | Spinal implant |
GB8629490D0 (en) * | 1986-12-10 | 1987-01-21 | Jumper R | Surgical instruments |
US4854496A (en) * | 1987-01-16 | 1989-08-08 | Dynamet, Inc. | Porous metal coated implant and method for producing same |
US4836196A (en) * | 1988-01-11 | 1989-06-06 | Acromed Corporation | Surgically implantable spinal correction system |
WO1990002527A1 (fr) * | 1988-09-09 | 1990-03-22 | Australian Defence Industries Pty. Limited | Ecarteur spinal |
FR2672203B1 (fr) * | 1991-02-01 | 1993-06-04 | Biostab | Cadre pour rigidification d'un os ou ensemble d'os. |
US5219349A (en) * | 1991-02-15 | 1993-06-15 | Howmedica, Inc. | Spinal fixator reduction frame |
FR2689750B1 (fr) * | 1992-04-10 | 1997-01-31 | Eurosurgical | Element d'ancrage osseux et dispositif d'osteosynthese rachidienne incorporant de tels elements. |
US5281223A (en) * | 1992-09-21 | 1994-01-25 | Ray R Charles | Tool and method for derotating scoliotic spine |
FR2697744B1 (fr) * | 1992-11-10 | 1995-03-03 | Fabrication Mat Orthopedique S | Instrumentation d'ostéosynthèse rachidienne par voie antérieure. |
-
1994
- 1994-02-07 FR FR9401438A patent/FR2709246B1/fr not_active Expired - Fee Related
- 1994-07-15 WO PCT/FR1994/000886 patent/WO1995005783A1/fr not_active Application Discontinuation
- 1994-07-15 AU AU72659/94A patent/AU7265994A/en not_active Abandoned
- 1994-07-15 CA CA002170276A patent/CA2170276C/fr not_active Expired - Fee Related
- 1994-07-15 EP EP94922924A patent/EP0773747A1/fr not_active Withdrawn
-
1996
- 1996-02-05 US US08/595,421 patent/US5672175A/en not_active Expired - Lifetime
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SU485739A1 (ru) * | 1974-01-23 | 1975-09-30 | Крымский Медицинский Институт | Устройство дл коррекции и фиксации позвоночника при лечении сколиозов |
US3977397A (en) * | 1974-11-27 | 1976-08-31 | Kalnberz Viktor Konstantinovic | Surgical compression-distraction instrument |
DE2821678A1 (de) * | 1978-05-12 | 1979-11-22 | Sulzer Ag | Zwischen benachbarte wirbel einsetzbares implantat |
DE2845647A1 (de) * | 1978-10-20 | 1980-05-08 | Messerschmitt Boelkow Blohm | Korrekturgeraet fuer die operative skoliosebehandlung |
EP0140790A2 (fr) * | 1983-10-28 | 1985-05-08 | William Peze | Appareil de correction dynamique des déformations rachidiennes |
WO1985004096A1 (fr) * | 1984-03-14 | 1985-09-26 | Harms Juergen | Implant pour la correction operative des courbures de la colonne vertebrale |
EP0470660A1 (fr) * | 1990-08-07 | 1992-02-12 | Acromed B.V. | Dispositif pour la correction de la scoliose |
Cited By (59)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1997035529A1 (fr) * | 1996-03-27 | 1997-10-02 | Rehak Lubos | Dispositif pour la correction de difformites rachidiennes |
US5951555A (en) * | 1996-03-27 | 1999-09-14 | Rehak; Lubos | Device for the correction of spinal deformities |
US8066771B2 (en) | 1999-10-22 | 2011-11-29 | Gmedelaware 2 Llc | Facet arthroplasty devices and methods |
US8163017B2 (en) | 1999-10-22 | 2012-04-24 | Gmedelaware 2 Llc | Facet arthroplasty devices and methods |
US8070811B2 (en) | 1999-10-22 | 2011-12-06 | Gmedelaware 2 Llc | Facet arthroplasty devices and methods |
US7691145B2 (en) | 1999-10-22 | 2010-04-06 | Facet Solutions, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8066740B2 (en) | 1999-10-22 | 2011-11-29 | Gmedelaware 2 Llc | Facet joint prostheses |
US6974478B2 (en) | 1999-10-22 | 2005-12-13 | Archus Orthopedics, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8092532B2 (en) | 1999-10-22 | 2012-01-10 | Gmedelaware 2 Llc | Facet arthroplasty devices and methods |
US6949123B2 (en) | 1999-10-22 | 2005-09-27 | Archus Orthopedics Inc. | Facet arthroplasty devices and methods |
US8313511B2 (en) | 2000-11-29 | 2012-11-20 | Gmedelaware 2 Llc | Facet joint replacement |
US7955390B2 (en) | 2001-03-02 | 2011-06-07 | GME Delaware 2 LLC | Method and apparatus for spine joint replacement |
US9198766B2 (en) | 2003-05-14 | 2015-12-01 | Gmedelaware 2 Llc | Prostheses, tools, and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8409254B2 (en) | 2003-05-14 | 2013-04-02 | Gmedelaware 2 Llc | Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8523907B2 (en) | 2003-07-08 | 2013-09-03 | Gmedelaware 2 Llc | Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8231655B2 (en) | 2003-07-08 | 2012-07-31 | Gmedelaware 2 Llc | Prostheses and methods for replacement of natural facet joints with artificial facet joint surfaces |
US8926700B2 (en) | 2003-12-10 | 2015-01-06 | Gmedelware 2 LLC | Spinal facet joint implant |
US9056016B2 (en) | 2003-12-15 | 2015-06-16 | Gmedelaware 2 Llc | Polyaxial adjustment of facet joint prostheses |
US7914560B2 (en) | 2004-02-17 | 2011-03-29 | Gmedelaware 2 Llc | Spinal facet implant with spherical implant apposition surface and bone bed and methods of use |
US7998177B2 (en) | 2004-02-17 | 2011-08-16 | Gmedelaware 2 Llc | Linked bilateral spinal facet implants and methods of use |
US8579941B2 (en) | 2004-02-17 | 2013-11-12 | Alan Chervitz | Linked bilateral spinal facet implants and methods of use |
US8562649B2 (en) | 2004-02-17 | 2013-10-22 | Gmedelaware 2 Llc | System and method for multiple level facet joint arthroplasty and fusion |
US8906063B2 (en) | 2004-02-17 | 2014-12-09 | Gmedelaware 2 Llc | Spinal facet joint implant |
US7998178B2 (en) | 2004-02-17 | 2011-08-16 | Gmedelaware 2 Llc | Linked bilateral spinal facet implants and methods of use |
US8187303B2 (en) | 2004-04-22 | 2012-05-29 | Gmedelaware 2 Llc | Anti-rotation fixation element for spinal prostheses |
US8496687B2 (en) | 2004-04-22 | 2013-07-30 | Gmedelaware 2 Llc | Crossbar spinal prosthesis having a modular design and related implantation methods |
US8425557B2 (en) | 2004-04-22 | 2013-04-23 | Gmedelaware 2 Llc | Crossbar spinal prosthesis having a modular design and related implantation methods |
US8491635B2 (en) | 2004-04-22 | 2013-07-23 | Gmedelaware 2 Llc | Crossbar spinal prosthesis having a modular design and related implantation methods |
US7674293B2 (en) | 2004-04-22 | 2010-03-09 | Facet Solutions, Inc. | Crossbar spinal prosthesis having a modular design and related implantation methods |
US8675930B2 (en) | 2004-04-22 | 2014-03-18 | Gmedelaware 2 Llc | Implantable orthopedic device component selection instrument and methods |
US8777994B2 (en) | 2004-06-02 | 2014-07-15 | Gmedelaware 2 Llc | System and method for multiple level facet joint arthroplasty and fusion |
US7815648B2 (en) | 2004-06-02 | 2010-10-19 | Facet Solutions, Inc | Surgical measurement systems and methods |
US8398681B2 (en) | 2004-08-18 | 2013-03-19 | Gmedelaware 2 Llc | Adjacent level facet arthroplasty devices, spine stabilization systems, and methods |
US8221461B2 (en) | 2004-10-25 | 2012-07-17 | Gmedelaware 2 Llc | Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies |
US7993373B2 (en) | 2005-02-22 | 2011-08-09 | Hoy Robert W | Polyaxial orthopedic fastening apparatus |
US8974499B2 (en) | 2005-02-22 | 2015-03-10 | Stryker Spine | Apparatus and method for dynamic vertebral stabilization |
US9486244B2 (en) | 2005-02-22 | 2016-11-08 | Stryker European Holdings I, Llc | Apparatus and method for dynamic vertebral stabilization |
US9949762B2 (en) | 2005-02-22 | 2018-04-24 | Stryker European Holdings I, Llc | Apparatus and method for dynamic vertebral stabilization |
US8062336B2 (en) | 2005-02-22 | 2011-11-22 | Gmedelaware 2 Llc | Polyaxial orthopedic fastening apparatus with independent locking modes |
US8900273B2 (en) | 2005-02-22 | 2014-12-02 | Gmedelaware 2 Llc | Taper-locking fixation system |
US7914556B2 (en) | 2005-03-02 | 2011-03-29 | Gmedelaware 2 Llc | Arthroplasty revision system and method |
US7722647B1 (en) | 2005-03-14 | 2010-05-25 | Facet Solutions, Inc. | Apparatus and method for posterior vertebral stabilization |
US8496686B2 (en) | 2005-03-22 | 2013-07-30 | Gmedelaware 2 Llc | Minimally invasive spine restoration systems, devices, methods and kits |
US8764801B2 (en) | 2005-03-28 | 2014-07-01 | Gmedelaware 2 Llc | Facet joint implant crosslinking apparatus and method |
US9445846B2 (en) | 2005-10-31 | 2016-09-20 | Stryker European Holdings I, Llc | System and method for dynamic vertebral stabilization |
US10004539B2 (en) | 2005-10-31 | 2018-06-26 | Stryker European Holdings I, Llc | System and method for dynamic vertebral stabilization |
US8702755B2 (en) | 2006-08-11 | 2014-04-22 | Gmedelaware 2 Llc | Angled washer polyaxial connection for dynamic spine prosthesis |
US8333789B2 (en) | 2007-01-10 | 2012-12-18 | Gmedelaware 2 Llc | Facet joint replacement |
US8308768B2 (en) | 2007-01-10 | 2012-11-13 | Gmedelaware 2 Llc | System and method for facet joint replacement |
US8252027B2 (en) | 2007-01-10 | 2012-08-28 | Gmedelaware 2 Llc | System and method for facet joint replacement |
US8211147B2 (en) | 2007-01-10 | 2012-07-03 | Gmedelaware 2 Llc | System and method for facet joint replacement |
US8206418B2 (en) | 2007-01-10 | 2012-06-26 | Gmedelaware 2 Llc | System and method for facet joint replacement with detachable coupler |
US8702759B2 (en) | 2007-04-17 | 2014-04-22 | Gmedelaware 2 Llc | System and method for bone anchorage |
US8353933B2 (en) | 2007-04-17 | 2013-01-15 | Gmedelaware 2 Llc | Facet joint replacement |
US9050144B2 (en) | 2007-04-17 | 2015-06-09 | Gmedelaware 2 Llc | System and method for implant anchorage with anti-rotation features |
US9232968B2 (en) | 2007-12-19 | 2016-01-12 | DePuy Synthes Products, Inc. | Polymeric pedicle rods and methods of manufacturing |
US9445844B2 (en) | 2010-03-24 | 2016-09-20 | DePuy Synthes Products, Inc. | Composite material posterior dynamic stabilization spring rod |
WO2012076005A2 (fr) | 2010-12-08 | 2012-06-14 | Aces Gmbh | Dispositif d'ancrage osseux dynamique |
DE102011087939A1 (de) | 2010-12-08 | 2012-06-14 | Aces Gmbh | Dynamische Knochenverankerungseinrichtung |
Also Published As
Publication number | Publication date |
---|---|
CA2170276C (fr) | 2006-01-10 |
FR2709246A1 (fr) | 1995-03-03 |
FR2709246B1 (fr) | 1995-09-29 |
AU7265994A (en) | 1995-03-21 |
CA2170276A1 (fr) | 1995-03-02 |
EP0773747A1 (fr) | 1997-05-21 |
US5672175A (en) | 1997-09-30 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
EP0773747A1 (fr) | Orthese vertebrale implantee dynamique | |
EP0722298B1 (fr) | Materiel ancillaire de correction d'une deformation vertebrale | |
CA2170273C (fr) | Dispositif d'ancrage d'une instrumentation rachidienne sur une vertebre | |
CA2170277C (fr) | Materiel ancillaire de pose d'une instrumentation rachidienne | |
EP0679375B1 (fr) | Ensemble prothétique modulaire pour l'articulation de l'épaule | |
FR2722980A1 (fr) | Implant vertebral inter-epineux | |
WO2007051924A1 (fr) | Dispositif de correction scoliotique ajustable avec la croissance | |
EP0953317B1 (fr) | Implant squelettique | |
FR2910267A1 (fr) | Dispositif de soutien vertebral | |
FR2712482A1 (fr) | Prothèse intervertébrale extradiscale. | |
FR2833151A1 (fr) | Implant d'ancrage osseux a tete polyaxiale | |
FR2844180A1 (fr) | Element de liaison pour la stabilisation dynamique d'un systeme de fixation rachidien et systeme de fixation rachidien comportant un tel element | |
FR2894129A1 (fr) | Dispositif de stabilisation du rachis | |
FR2835173A1 (fr) | Implant vertebral inter-epineux | |
WO2006010844A1 (fr) | Dispositif d’autocorrection scoliotique ne necessitant plus d’interventions apres implantation | |
WO1996014022A1 (fr) | Systeme de fixation vertebrale | |
FR2745706A1 (fr) | Dispositif prothetique a vis pediculaires | |
FR2672203A1 (fr) | Cadre pour rigidification d'un os ou ensemble d'os. | |
FR2734471A1 (fr) | Dispositif d'osteosynthese rachidienne | |
CA3031012C (fr) | Dispositif de stabilisation vertebrale | |
FR2709245A1 (fr) | Orthèse vertébrale interne dynamique. | |
FR2918261A1 (fr) | Dispositif destine a relier au moins trois vertebres entre elles | |
WO2001030279A1 (fr) | Dispositif de liaison mecanique reglable de deux elements l'un a l'autre |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A1 Designated state(s): AT AU BB BG BR BY CA CH CN CZ DE DK ES FI GB GE HU JP KP KR KZ LK LU MG MN MW NL NO NZ PL PT RO RU SD SE SK UA US VN |
|
AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LU MC NL PT SE |
|
DFPE | Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101) | ||
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
WWE | Wipo information: entry into national phase |
Ref document number: 2170276 Country of ref document: CA Ref document number: 1994922924 Country of ref document: EP |
|
REG | Reference to national code |
Ref country code: DE Ref legal event code: 8642 |
|
WWP | Wipo information: published in national office |
Ref document number: 1994922924 Country of ref document: EP |
|
WWW | Wipo information: withdrawn in national office |
Ref document number: 1994922924 Country of ref document: EP |