CN101327153A - Thoracic and lumbar vertebral posterior prosthesis - Google Patents
Thoracic and lumbar vertebral posterior prosthesis Download PDFInfo
- Publication number
- CN101327153A CN101327153A CNA2007100422183A CN200710042218A CN101327153A CN 101327153 A CN101327153 A CN 101327153A CN A2007100422183 A CNA2007100422183 A CN A2007100422183A CN 200710042218 A CN200710042218 A CN 200710042218A CN 101327153 A CN101327153 A CN 101327153A
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- Prior art keywords
- artificial
- spinous process
- thoracic
- lumbar vertebral
- ligaments
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 210000000115 thoracic cavity Anatomy 0.000 title claims description 16
- 238000000034 method Methods 0.000 claims abstract description 50
- 210000003041 ligament Anatomy 0.000 claims description 45
- 210000001020 neural plate Anatomy 0.000 claims description 22
- 210000000988 bone and bone Anatomy 0.000 claims description 15
- 239000000463 material Substances 0.000 claims description 15
- 239000012620 biological material Substances 0.000 claims description 7
- 239000012528 membrane Substances 0.000 claims description 7
- 239000004696 Poly ether ether ketone Substances 0.000 claims description 6
- JUPQTSLXMOCDHR-UHFFFAOYSA-N benzene-1,4-diol;bis(4-fluorophenyl)methanone Chemical compound OC1=CC=C(O)C=C1.C1=CC(F)=CC=C1C(=O)C1=CC=C(F)C=C1 JUPQTSLXMOCDHR-UHFFFAOYSA-N 0.000 claims description 6
- 229920002530 polyetherether ketone Polymers 0.000 claims description 6
- 210000001519 tissue Anatomy 0.000 claims description 5
- 210000004347 intestinal mucosa Anatomy 0.000 claims description 3
- 230000006870 function Effects 0.000 abstract description 15
- 230000004927 fusion Effects 0.000 abstract description 7
- 206010061213 Iatrogenic injury Diseases 0.000 abstract description 2
- 230000006837 decompression Effects 0.000 description 12
- 210000000481 breast Anatomy 0.000 description 10
- FFBHFFJDDLITSX-UHFFFAOYSA-N benzyl N-[2-hydroxy-4-(3-oxomorpholin-4-yl)phenyl]carbamate Chemical compound OC1=C(NC(=O)OCC2=CC=CC=C2)C=CC(=C1)N1CCOCC1=O FFBHFFJDDLITSX-UHFFFAOYSA-N 0.000 description 9
- 230000000642 iatrogenic effect Effects 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 239000007943 implant Substances 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 210000001032 spinal nerve Anatomy 0.000 description 3
- 206010018852 Haematoma Diseases 0.000 description 2
- 230000002950 deficient Effects 0.000 description 2
- 230000008034 disappearance Effects 0.000 description 2
- 208000003322 Coinfection Diseases 0.000 description 1
- 206010071229 Procedural haemorrhage Diseases 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008827 biological function Effects 0.000 description 1
- 210000000589 cicatrix Anatomy 0.000 description 1
- 230000001687 destabilization Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 206010016256 fatigue Diseases 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
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Abstract
The present invention relates to a thoracolumbar vertebrae posterior false body which comprises a manual spinous process and a manual vertebral lamina. The manual spinous process is connected with the manual vertebral lamina, and the connection is shape as the connection of the spinous prcess and the vertebral lamina of human body pyramid. Compared with the prior art, the thoracolumbar vertebrae posterior false body can reconstruct the stability of thoracolumbar vertebrae and recover the physical structure and the physical function of thoracolumbar vertebrae posterior column, and can reconstruct the normal anatomical configuration and the function of vertebral canal, and can effectively avoid the possibility of the iatrogenic injury caused by vertebral canal content during operation; the thoracolumbar vertebrae posterior false body integrates spine fusion and non-fusion fixation functions as a whole, the fusion and non-fusion fixation functions are selected and used freely according to the requirement of the operation, and the operation is simple.
Description
Technical field
The present invention relates to medical instruments, particularly relate to a kind of thoracic and lumbar vertebral posterior prosthesis.
Background technology
The operation of treatment breast straitness of lumbar vertebrae; be that full vertebral plate is excised decompression; and carry out bone grafting; easy so effective bone bed disappearance, the iatrogenic unstability of breast lumbar vertebra, the canalis spinalis content of bringing lacks problems such as protection, content and cicatricial adhesion, and bone grafting also enters easily in the canalis spinalis spinal nerves is formed iatrogenic compressing and causes operative failure.
Summary of the invention
Purpose of the present invention be exactly provide in order to overcome the defective that above-mentioned prior art exists a kind of safely, be convenient to the thoracic and lumbar vertebral posterior prosthesis of operation technique.
Purpose of the present invention can be achieved through the following technical solutions: thoracic and lumbar vertebral posterior prosthesis, it is characterized in that comprise artificial spinous process, artificial neural plate, described artificial spinous process is connected with artificial neural plate, and this connection is the spinous process of human body cone and the shape that is connected of vertebral plate.
Also comprise artificial interspinal ligaments, described prosthese is connected and fixed by the spinous process and the vertebral plate of artificial interspinal ligaments with artificial spinous process and artificial neural plate and adjacent segment human body.
Described artificial spinous process is the rectangular-shaped of hollow, comprise the upper end open, the lower ending opening that are used to embed upper and lower sections spinous process, the rear opening that is used for bone grafting, and the ligament fixed structure that is used for fixing artificial interspinal ligaments, the edge, front and back of described upper end open, lower ending opening all is the arc of indent, and described ligament fixed structure is located at the both sides of artificial spinous process.
Described artificial neural plate is shape two thin plates identical and that be connected with artificial spinous process one, the preceding respectively oblique front portion that is symmetricly set in artificial spinous process both sides of these two thin plates, and be 40 °～45 with artificial spinous process, both sides are the arc of indent about it, are butterfly-shaped; Be equipped with the conduction hole of drain after being convenient to perform the operation on two above-mentioned thin plates.
Described ligament fixed structure is a pair of projection, and this a pair of projection is provided with the both sides with artificial spinous process respectively, and is equipped with the duct of above-below direction.
Described artificial interspinal ligaments passes from the duct of artificial spinous process both sides and is connected with the ligament tissue of adjacent segment cone.
Described artificial spinous process, artificial neural plate all adopt acellular artificial bio-membrane material.
Described acellular artificial bio-membrane material comprises the PEEK material.
Described artificial interspinal ligaments adopts the adsorbable artificial ligaments biomaterial.
Described adsorbable artificial ligaments biomaterial is for absorbing the complex of gutstring and zonal pig intestinal mucosa lower floor.
Compared with prior art, the present invention has the following advantages:
1, solves the iatrogenic destabilization problems of breast lumbar vertebra postoperative that brings after the breast lumbar decompression of bringing after the full vertebral plate decompression of breast lumbar vertebra, the stability of rebuilding the breast lumbar vertebra, the physiological structure and the biological function of recovery breast lumbar vertebra posterior column structure.
2, solve full vertebral plate decompression back canalis spinalis content (spinal nerve) and lack the effectively problem of protection, rebuild the normal anatomy form and function of canalis spinalis.
3, solve the problem of full vertebral plate decompression back canalis spinalis content and cicatricial adhesion, and when avoiding effectively performing the operation once more to canalis spinalis content (spinal nerve) cause iatrogenic injury may, when inferior operation, also can coagulate with electricity by relieved use electric knife, reduce intraoperative hemorrhage, and needn't worry to cause conductivity to cause spinoneural damage.
4, the present invention integrates spinal fusion and non-converged fixed function, can freely select to use according to the operation needs in the art and merge or non-converged fixed function, and operation technique is easy.
5, when using the converged fixed function of this product, solved the effectively problem of implant bed disappearance of full vertebral plate decompression back effectively, plant bone mass is crossed over artificial neural plate and plant bone mass can not take place entered to cause in the canalis spinalis spinoneural iatrogenic compressing is caused operative failure, add between upper aristate process simultaneously and merge, strengthened the intensity of way of escape bone-graft fusion.
6, when using the non-converged fixed function of this product, in the decompression of remaining valid, the movable function that has kept spine portion selectively, limited the part of operation sections anteflexion and after stretch function, kept that its side door is bent and spinfunction, solved fixedly the awl intercalated disc stress concentration of adjacent segment and the problem of regression acceleration.
7, with the artificial interspinal ligaments of adsorbable artificial ligaments conduct, can be substituted, separate the problem of adsorbable artificial ligaments fatiguability fracture by no means, thereby make the present invention become permanent implant by the normal ligament tissue of human body.
8, the present invention is an acellular artificial bio-membrane material, and the PEEK material is a medical embedded material commonly used at present, and the adsorbable artificial ligaments material also is considered to have excellent biological compatibility after deliberation, and the probability of rejection is low in the product body.
Description of drawings
Fig. 1 is a perspective view of the present invention;
Fig. 2 is a forward sight structural representation of the present invention;
Fig. 3 is a backsight structural representation of the present invention;
Fig. 4 is a plan structure sketch map of the present invention.
Wherein: the artificial spinous process of 1-, 2-artificial neural plate, 3-upper end open, 4-lower ending opening, 5-rear opening, 6-ligament fixed structure, 7-conduction hole, 8-duct.
The specific embodiment
The invention will be further described below in conjunction with accompanying drawing.
Shown in Fig. 1～4, thoracic and lumbar vertebral posterior prosthesis comprises artificial spinous process 1, artificial neural plate 2, and described artificial spinous process 1 is connected with artificial neural plate 2, and this connection is the spinous process of human body cone and the shape that is connected of vertebral plate.
Also comprise artificial interspinal ligaments, described prosthese is connected and fixed by the spinous process and the vertebral plate of artificial interspinal ligaments with artificial spinous process 1 and artificial neural plate 2 and adjacent segment human body; Described artificial spinous process 1 is the rectangular-shaped of hollow, comprise the upper end open 3, the lower ending opening 4 that are used to embed upper and lower sections spinous process, the rear opening 5 that is used for bone grafting, and the ligament fixed structure 6 that is used for fixing artificial interspinal ligaments, the edge, front and back of described upper end open 3, lower ending opening 4 all is the arc of indent, and described ligament fixed structure 6 is located at the both sides of artificial spinous process 1; Described artificial neural plate 2 is shape two thin plates identical and that be connected with artificial spinous process 1 one, the preceding respectively oblique front portion that is symmetricly set in artificial spinous process 1 both sides of these two thin plates, and be 40 °～45 with artificial spinous process 1, both sides are the arc of indent about it, are butterfly-shaped; Be equipped with the conduction hole 7 of drain after being convenient to perform the operation on two above-mentioned thin plates; Described ligament fixed structure 6 is a pair of projection, and this a pair of projection is provided with the both sides with artificial spinous process respectively, and is equipped with the duct 8 of above-below direction; Described artificial interspinal ligaments passes from the duct 8 of artificial spinous process both sides and is connected with the ligament tissue of adjacent segment cone; Described artificial spinous process 1, artificial neural plate 2 all adopt acellular artificial bio-membrane material; Described acellular artificial bio-membrane material comprises the PEEK material; Described artificial interspinal ligaments adopts the adsorbable artificial ligaments biomaterial; Described adsorbable artificial ligaments biomaterial is for absorbing the complex of gutstring and zonal pig intestinal mucosa lower floor.
At breast straitness of lumbar vertebrae patient, after the conventional full vertebral plate decompression of tradition, rebuild with the breast lumbar vertebra posterior column structure that the artificial rear pillar complex of breast lumbar vertebra prosthese excises, recover its physiological structure and physiological function.Can possess the function that merges with non-converged fixed simultaneously, carry out as required in the art freely selecting.
Prosthese is made up of artificial spinous process, artificial interspinal ligaments, artificial neural plate three part-structures, artificial spinous process, artificial interspinal ligaments PEEK material.
Artificial spinous process is integrated with artificial neural plate, and artificial spinous process is the cuboid of a hollow, and its upper and lower side and rear are open opening, and upper and lower end is an arc, is connected with the spinous process of sections up and down respectively, and the rear opening is convenient to bone grafting usefulness.As select non-converged fixed function, need not bone grafting in the artificial spinous process; Go into as selecting the converged fixed function, need bone grafting in the artificial spinous process of hollow, carry out the bone fusion by the upper and lower port of artificial spinous process and the spinous process of neighbouring sections.
Artificial neural plate is the thin PEEK plate of material of butterfly diagonal; cross over the spinal canal decompression scope; carry out bridge joint with neighbouring vertebral plate trailing flank; can carry out cutting according to actual size required in the art; when vertebral canal volume enlarged after keeping spinal canal decompression, protection decompression back canalis spinalis content was avoided the compressing of cicatrix, plant bone mass on every side and is caused decompression failure or external force to spinoneural damage in the canalis spinalis.Evenly boring is beneficial to postoperative drain on the artificial neural plate, avoids postoperative generation intraspinal hematoma and hematoma secondary infection to spinoneural damage.As select non-converged fixed function, need not bone grafting; As select the converged fixed function, and can on artificial neural plate, carry out bridge joint, also avoided the bone grafting displacement to enter Spinal Cord nerve in the canalis spinalis simultaneously.
Artificial interspinal ligaments adopts the adsorbable artificial ligaments biomaterial, can be substituted by the human body ligament tissue, avoids the defective of the easy fatigue fracture of non-absorption artificial ligament, thereby makes it become permanent implant.Be connected to a fixed by the spinous process and the vertebral plate of artificial ligament artificial spinous process and vertebral plate complex and adjacent segment.
Claims (10)
1. thoracic and lumbar vertebral posterior prosthesis is characterized in that, comprises artificial spinous process, artificial neural plate, and described artificial spinous process is connected with artificial neural plate, and this connection is the spinous process of human body cone and the shape that is connected of vertebral plate.
2. thoracic and lumbar vertebral posterior prosthesis according to claim 1 is characterized in that, also comprises artificial interspinal ligaments, and described prosthese is connected and fixed by the spinous process and the vertebral plate of artificial interspinal ligaments with artificial spinous process and artificial neural plate and adjacent segment human body.
3. thoracic and lumbar vertebral posterior prosthesis according to claim 1, it is characterized in that, described artificial spinous process is the rectangular-shaped of hollow, comprise the upper end open, the lower ending opening that are used to embed upper and lower sections spinous process, the rear opening that is used for bone grafting, and the ligament fixed structure that is used for fixing artificial interspinal ligaments, the edge, front and back of described upper end open, lower ending opening all is the arc of indent, and described ligament fixed structure is located at the both sides of artificial spinous process.
4. thoracic and lumbar vertebral posterior prosthesis according to claim 1, it is characterized in that, described artificial neural plate is shape two thin plates identical and that be connected with artificial spinous process one, the preceding respectively oblique front portion that is symmetricly set in artificial spinous process both sides of these two thin plates, and be 40 °～45 with artificial spinous process, both sides are the arc of indent about it, are butterfly-shaped; Be equipped with the conduction hole of drain after being convenient to perform the operation on two above-mentioned thin plates.
5. thoracic and lumbar vertebral posterior prosthesis according to claim 3 is characterized in that, described ligament fixed structure is a pair of projection, and this a pair of projection is provided with the both sides with artificial spinous process respectively, and is equipped with the duct of above-below direction.
6. according to claim 2 or 5 described thoracic and lumbar vertebral posterior prosthesis, it is characterized in that described artificial interspinal ligaments passes from the duct of artificial spinous process both sides and is connected with the ligament tissue of adjacent segment cone.
7. thoracic and lumbar vertebral posterior prosthesis according to claim 1 is characterized in that, described artificial spinous process, artificial neural plate all adopt acellular artificial bio-membrane material.
8. thoracic and lumbar vertebral posterior prosthesis according to claim 7 is characterized in that, described acellular artificial bio-membrane material comprises the PEEK material.
9. thoracic and lumbar vertebral posterior prosthesis according to claim 2 is characterized in that, described artificial interspinal ligaments adopts the adsorbable artificial ligaments biomaterial.
10. thoracic and lumbar vertebral posterior prosthesis according to claim 9 is characterized in that, described adsorbable artificial ligaments biomaterial is for absorbing the complex of gutstring and zonal pig intestinal mucosa lower floor.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2007100422183A CN101327153B (en) | 2007-06-19 | 2007-06-19 | Thoracic and lumbar vertebral posterior prosthesis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2007100422183A CN101327153B (en) | 2007-06-19 | 2007-06-19 | Thoracic and lumbar vertebral posterior prosthesis |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101327153A true CN101327153A (en) | 2008-12-24 |
| CN101327153B CN101327153B (en) | 2010-12-01 |
Family
ID=40203317
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2007100422183A Expired - Fee Related CN101327153B (en) | 2007-06-19 | 2007-06-19 | Thoracic and lumbar vertebral posterior prosthesis |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN101327153B (en) |
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101889915A (en) * | 2010-07-27 | 2010-11-24 | 中国人民解放军第二军医大学 | Artificial neural plate |
| CN104055607A (en) * | 2013-03-20 | 2014-09-24 | 江阴瑞康健生物医学科技有限公司 | Artificial lamina |
| CN104873257A (en) * | 2015-06-05 | 2015-09-02 | 兰州大学第一医院 | Spinous fixator |
| CN107174325A (en) * | 2017-05-18 | 2017-09-19 | 北京爱康宜诚医疗器材有限公司 | Backbone fixation kit |
| CN107669374A (en) * | 2017-10-26 | 2018-02-09 | 北京爱康宜诚医疗器材有限公司 | Centrum prosthese |
| CN109431662A (en) * | 2018-12-12 | 2019-03-08 | 南昌市第医院 | Lumbar vertebral posterior vertebral plate reconstructing device |
| CN110226959A (en) * | 2019-04-01 | 2019-09-13 | 上海交通大学医学院附属第九人民医院 | Neck way of escape dynamic fixation device |
| CN115778629A (en) * | 2023-02-07 | 2023-03-14 | 四川大学华西医院 | supraspinous interspinous compound ligament |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2315922Y (en) * | 1997-12-29 | 1999-04-28 | 汤继文 | Artificial bone vertebral lamina |
| CN2557104Y (en) * | 2002-07-24 | 2003-06-25 | 四川国纳科技有限公司 | Bionic artificial vertebral lamina |
| US7169150B2 (en) * | 2003-04-25 | 2007-01-30 | Warsaw Orthopedic, Inc. | Non-metallic orthopedic plate |
-
2007
- 2007-06-19 CN CN2007100422183A patent/CN101327153B/en not_active Expired - Fee Related
Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101889915A (en) * | 2010-07-27 | 2010-11-24 | 中国人民解放军第二军医大学 | Artificial neural plate |
| CN104055607A (en) * | 2013-03-20 | 2014-09-24 | 江阴瑞康健生物医学科技有限公司 | Artificial lamina |
| CN104873257A (en) * | 2015-06-05 | 2015-09-02 | 兰州大学第一医院 | Spinous fixator |
| CN107174325A (en) * | 2017-05-18 | 2017-09-19 | 北京爱康宜诚医疗器材有限公司 | Backbone fixation kit |
| CN107174325B (en) * | 2017-05-18 | 2024-04-12 | 北京爱康宜诚医疗器材有限公司 | Spinal Fixation Components |
| CN107669374A (en) * | 2017-10-26 | 2018-02-09 | 北京爱康宜诚医疗器材有限公司 | Centrum prosthese |
| CN109431662A (en) * | 2018-12-12 | 2019-03-08 | 南昌市第医院 | Lumbar vertebral posterior vertebral plate reconstructing device |
| CN109431662B (en) * | 2018-12-12 | 2021-05-28 | 南昌大学第二附属医院 | Posterior lumbar laminar reconstruction device |
| CN110226959A (en) * | 2019-04-01 | 2019-09-13 | 上海交通大学医学院附属第九人民医院 | Neck way of escape dynamic fixation device |
| CN110226959B (en) * | 2019-04-01 | 2024-11-22 | 上海交通大学医学院附属第九人民医院 | Dynamic fixing device for posterior cervical approach |
| CN115778629A (en) * | 2023-02-07 | 2023-03-14 | 四川大学华西医院 | supraspinous interspinous compound ligament |
| CN115778629B (en) * | 2023-02-07 | 2023-04-25 | 四川大学华西医院 | supraspinous interspinous compound ligament |
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| Publication number | Publication date |
|---|---|
| CN101327153B (en) | 2010-12-01 |
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