CN102475584B - Vertebral column filling block structure - Google Patents
Vertebral column filling block structure Download PDFInfo
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- CN102475584B CN102475584B CN201010574117.2A CN201010574117A CN102475584B CN 102475584 B CN102475584 B CN 102475584B CN 201010574117 A CN201010574117 A CN 201010574117A CN 102475584 B CN102475584 B CN 102475584B
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- 239000000956 alloy Substances 0.000 claims description 8
- 239000004696 Poly ether ether ketone Substances 0.000 claims description 7
- 239000002131 composite material Substances 0.000 claims description 7
- 229920002530 polyetherether ketone Polymers 0.000 claims description 7
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 4
- 229910001362 Ta alloys Inorganic materials 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- 238000010276 construction Methods 0.000 claims 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 claims 1
- 229910000831 Steel Inorganic materials 0.000 claims 1
- 229910052799 carbon Inorganic materials 0.000 claims 1
- 239000000835 fiber Substances 0.000 claims 1
- 239000000203 mixture Substances 0.000 claims 1
- 239000010959 steel Substances 0.000 claims 1
- 230000005489 elastic deformation Effects 0.000 abstract description 8
- 210000000988 bone and bone Anatomy 0.000 description 8
- 230000003416 augmentation Effects 0.000 description 6
- 239000000945 filler Substances 0.000 description 6
- 230000000694 effects Effects 0.000 description 4
- 230000004927 fusion Effects 0.000 description 4
- 239000007943 implant Substances 0.000 description 4
- 238000002513 implantation Methods 0.000 description 4
- 238000009434 installation Methods 0.000 description 4
- 229920000049 Carbon (fiber) Polymers 0.000 description 3
- 239000004917 carbon fiber Substances 0.000 description 3
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- VNWKTOKETHGBQD-UHFFFAOYSA-N methane Chemical compound C VNWKTOKETHGBQD-UHFFFAOYSA-N 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000006748 scratching Methods 0.000 description 2
- 230000002393 scratching effect Effects 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 208000036829 Device dislocation Diseases 0.000 description 1
- 208000008558 Osteophyte Diseases 0.000 description 1
- 206010063493 Premature ageing Diseases 0.000 description 1
- 208000032038 Premature aging Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000008081 blood perfusion Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
技术领域technical field
本发明涉及一种脊椎填充块构造,尤其指一种用于安装在人体脊椎的相邻两椎体终板间作为人造椎间盘的脊椎填充块构造。The invention relates to a structure of a vertebra filling block, in particular to a structure of a vertebra filling block which is used as an artificial intervertebral disc for installation between two adjacent vertebral body end plates of the human spine.
背景技术Background technique
如众所知,人体脊椎是由多数个脊椎节骨串接而成,且于脊椎中具有多数神经延伸,在相邻的上下两脊椎间形成有椎间盘,而椎间盘是一个具有可塑性的结构,可以吸收脊椎垂直的压力并提供上下脊椎骨间的缓冲作用;然而,当其中任何一节的椎间盘产生病变或老化时,将会压迫邻近节脊椎神经造成疼痛,导致人体行动上产生不便。对于上述椎间盘故障所引致的诸多问题,通常以施行椎间融合术或在椎间植入人工椎间盘的方式来解决,然而施行椎间融合术将使原有的关节失去作用,导致上下关节须承担原有关节的功能,因而使得上下节脊椎关节因过度使用而提早老化或损伤;另外,在椎间植入的人工椎间盘通常并无原有人体椎间盘的的弹性缓冲特性,以致安装后的关节将失去所有缓冲功能,无法配合其它正常的椎间盘运作而提早老化,且公知人工椎间盘的设计无法防止人体脊椎过度前倾,安装后仍有位移或装置脱位的可能;此外,现有的人工椎间盘植入椎间后不易调整,然而公知人工椎间盘均具有固定的高度规格,无法完全符合个别患者的脊椎间隙大小需求,若在手术植入重建的椎间高度有所偏差时,轻则会导致患者不舒服,严重的话会影响损害其它邻近的脊椎结构,而且重新取出或更换植入物的手术困难,过程中极易造成病患伤害。As we all know, the human spine is composed of several vertebrae in series, and there are many nerve extensions in the spine, and there is an intervertebral disc between the adjacent upper and lower vertebrae, and the intervertebral disc is a plastic structure that can Absorb the vertical pressure of the spine and provide a buffer between the upper and lower vertebrae; however, when any one of the intervertebral discs is diseased or aging, it will compress the adjacent spinal nerves and cause pain, causing inconvenience in human movement. For the many problems caused by the above-mentioned intervertebral disc failure, it is usually solved by performing intervertebral fusion or implanting an artificial intervertebral disc between the vertebrae. The functions of the original joints lead to premature aging or damage of the upper and lower vertebral joints due to overuse; in addition, the artificial intervertebral discs implanted in the intervertebral discs usually do not have the elastic cushioning properties of the original human intervertebral discs, so that the installed joints will Loss of all cushioning functions, unable to cooperate with other normal intervertebral discs to age prematurely, and the design of known artificial intervertebral discs cannot prevent excessive forward tilt of the human spine, and there is still the possibility of displacement or device dislocation after installation; in addition, existing artificial intervertebral discs implanted The back of the intervertebral disc is not easy to adjust. However, the known artificial intervertebral discs have a fixed height specification, which cannot fully meet the needs of individual patients for the size of the intervertebral space. If there is a deviation in the height of the intervertebral space reconstructed after surgical implantation, it will cause discomfort to the patient. If it is serious, it will affect and damage other adjacent vertebral structures, and it is difficult to take out or replace the implant again, and it is very easy to cause injury to the patient in the process.
发明内容Contents of the invention
本发明的目的在于提供一种脊椎填充块构造,以改进公知技术中存在的不足。The object of the present invention is to provide a spine filling block structure to improve the deficiencies in the known technology.
为实现上述目的,本发明提供的脊椎填充块构造,用于安装在人体脊椎的相邻两椎体终板间作为人造椎间盘,其包含一对保持间隔而平行设置的上垫板与下垫板,以及一斜向连接于前述上、下垫板的对向边缘的弹性板,使前述三板连接组成一侧向截面略呈Z字型的本体,并使该脊椎填充块的本体具有上、下方向的弹性变形能力。In order to achieve the above purpose, the spine filling block structure provided by the present invention is used to be installed between two adjacent vertebral body endplates of the human spine as an artificial intervertebral disc, which includes a pair of upper and lower backing plates that are spaced apart and arranged in parallel , and an elastic plate obliquely connected to the opposite edges of the above-mentioned upper and lower backing plates, so that the aforementioned three plates are connected to form a body with a slightly Z-shaped side section, and the body of the spine filling block has upper and lower direction of elastic deformation.
所述的脊椎填充块构造,其中,在上垫板与下垫板的向外侧的主表面设有止滑构造。In the aforementioned spine filling block structure, anti-slip structures are provided on the outer main surfaces of the upper backing plate and the lower backing plate.
所述的脊椎填充块构造,其中,该止滑构造为多数锯齿状条纹或凹凸状的压花图案。Said spine filling block structure, wherein the anti-slip structure is a plurality of zigzag stripes or concave-convex embossed patterns.
所述的脊椎填充块构造,其中,该脊椎填充块由复合材料制成,其复合材料选自于碳素纤维、聚醚醚酮(PEEK)之一所制成。The spine filling block structure, wherein, the spine filling block is made of composite material, and the composite material is made of one of carbon fiber and polyetheretherketone (PEEK).
所述的脊椎填充块构造,其中,该脊椎填充块由合金材料制成,其合金材料选自于钛合金、钽合金、不锈钢之一所制成。Said vertebra filling block structure, wherein, the vertebra filling block is made of alloy material, and the alloy material is selected from one of titanium alloy, tantalum alloy and stainless steel.
所述的脊椎填充块构造,其中,包含在上垫板与下垫板的边缘设有向内翻折设置的C型或匚型唇缘。Said spine filling block structure, wherein, the edges of the upper backing plate and the lower backing plate are provided with C-shaped or U-shaped lips turned inward.
所述的脊椎填充块构造,其中,包含于该脊椎填充块本体设有一或复数的贯穿孔或凹洞。The structure of the spinal augmentation block includes one or more through holes or cavities in the body of the vertebral augmentation block.
附图说明Description of drawings
图1为本发明第一实施例的立体图;Fig. 1 is the perspective view of the first embodiment of the present invention;
图2为本发明第一实施例的俯视图;Fig. 2 is the top view of the first embodiment of the present invention;
图3为本发明第一实施例的侧视图;Fig. 3 is a side view of the first embodiment of the present invention;
图4为本发明第二实施例的立体图;4 is a perspective view of a second embodiment of the present invention;
图5为本发明第三实施例的立体图;5 is a perspective view of a third embodiment of the present invention;
图6为本发明第三实施例的俯视图;6 is a top view of a third embodiment of the present invention;
图7为本发明第四实施例的立体图;7 is a perspective view of a fourth embodiment of the present invention;
图8为本发明第四实施例的俯视图;8 is a top view of a fourth embodiment of the present invention;
图9为本发明第五实施例的立体图;Fig. 9 is a perspective view of a fifth embodiment of the present invention;
图10为本发明第五实施例的俯视图;以及Figure 10 is a top view of a fifth embodiment of the present invention; and
图11为本发明安装在脊椎的简示图。Fig. 11 is a schematic diagram of the present invention installed on the spine.
具体实施方式detailed description
本发明主要提供一种改进的脊椎填充块构造,其具备弹性变形能力,可安装在人体脊椎的相邻两椎体终板间,并自行微调成适宜的填充块高度,以重建塌陷的椎间盘的原有高度;同时由其所具备的弹性缓冲特性以提供治疗部位的椎间盘自然的活动能力与运动范围,因此得与其它正常椎间盘密切配合运作,并确保患者脊椎活动时的舒适性。The present invention mainly provides an improved spine filling block structure, which has elastic deformation ability, can be installed between two adjacent vertebral body endplates of the human spine, and can be fine-tuned to a suitable filling block height by itself, so as to reconstruct the collapsed intervertebral disc. The original height; at the same time, its elastic cushioning properties can provide the natural activity and range of motion of the intervertebral disc at the treatment site, so it must work closely with other normal intervertebral discs and ensure the comfort of the patient's spine during activities.
为此本发明所提供的脊椎填充块构造,其包含一组式样对称且保持间隔而平行设置的上垫板与下垫板,以及一斜向连接于前述上、下垫板的对向边缘的弹性板,使前述三板连接组成一侧向截面略呈Z字型的本体,从而令该脊椎填充块的本体具有上下方向的弹性变形能力。For this reason, the spine filling block structure provided by the present invention comprises a set of upper backing plates and lower backing plates arranged in parallel with a symmetrical pattern and spaced apart, and an oblique connection to the opposite edges of the aforementioned upper and lower backing plates. The elastic plate connects the aforementioned three plates to form a Z-shaped body with a lateral section, so that the body of the spine filling block has elastic deformation ability in the vertical direction.
特别是,在上垫板与下垫板的向外侧的主表面设有止滑构造,例如是多数具有锯齿状条纹或凹凸状的压花图案,以减少植入体的位移滑动,增进安装在脊椎的椎体间的稳定性。In particular, anti-slip structures are provided on the outer main surfaces of the upper backing plate and the lower backing plate, for example, most of them have zigzag stripes or concave-convex embossed patterns, so as to reduce the displacement and sliding of the implant and improve the installation Stability between the vertebral bodies of the spine.
特别是,在上垫板与下垫板的边缘设有向内翻折设置的C型(或匚型)唇缘,利用该些C型唇缘以限定该弹性体的伸缩限度,防止脊椎填充块本体被过度压缩导致弹性疲乏而变形,并由该C型唇缘的弧形外侧构型的设计,避免脊椎填充块本体在伸缩运作时,造成上、下垫板的边缘刮伤附近的生理组织。In particular, a C-shaped (or 匚-shaped) lip is provided on the edge of the upper backing plate and the lower backing plate, and these C-shaped lips are used to limit the expansion and contraction limit of the elastic body to prevent spinal filling. The block body is deformed due to elastic fatigue due to excessive compression, and the design of the arc-shaped outer configuration of the C-shaped lip prevents the edges of the upper and lower backing plates from scratching nearby physiological organs during the expansion and contraction of the spine filling block body. organize.
特别是,该脊椎填充块的本体是使用复合材料或合金材料所加工制成者,其中,该复合材料是选自于碳素纤维、聚醚醚酮(PEEK,poly ether ether ketone)…等,而该合金材料是选自于钛合金、钽合金、不锈钢…等,但实施范围不以前述材料为限,各类适合植设在人体内使用的具有良好机械强度和抗化学性的复合材料或合金材料均适用。In particular, the body of the spinal filling block is made of a composite material or an alloy material, wherein the composite material is selected from carbon fiber, polyetheretherketone (PEEK, poly ether ether ketone), etc., The alloy material is selected from titanium alloy, tantalum alloy, stainless steel, etc., but the scope of implementation is not limited to the aforementioned materials, all kinds of composite materials with good mechanical strength and chemical resistance suitable for implantation in the human body or All alloy materials are applicable.
特别是,还包含于该脊椎填充块本体设有一或复数的贯穿孔或凹洞,以增加该脊椎填充块本体内所填充的自体骨或人造骨组织与患者脊椎椎体的接触面积,并增加前述自体骨或人造骨组织内的血流灌注量,而达到较佳的骨融合率。In particular, one or more through holes or cavities are provided in the spinal filler body to increase the contact area between the autologous bone or artificial bone tissue filled in the spinal filler body and the patient's vertebral body, and to increase the The amount of blood perfusion in the aforementioned autologous bone or artificial bone tissue can be improved to achieve a better bone fusion rate.
此将于以下进一步阐明本发明的其它功能及技术特征,本领域技术人员熟读说明后即可据以实现本发明。The other functions and technical features of the present invention will be further clarified below, and those skilled in the art can realize the present invention according to the description.
如附图所示,是本发明提供的具有弹性的脊椎填充块结构的较佳实施例,其结构主要包含一组式样对称且保持间隔而平行设置的上垫板1与下垫板2,以及一斜向连接于前述上、下垫板的对向边缘的弹性板3,由使前述三板连接组成一侧向截面略呈Z字型的本体,因此该本体具有上、下方向的弹性变形能力;其中,上下垫板1、2与弹性板3均采用合金材料(例如钛合金、不锈钢等)或复合材料(例如碳素纤维、聚醚醚酮等)所加工制成,因该些材料具有良好机械强度和抗化学性,所以适合植设在人体脊椎间使用;而如图1、图2所示,在该上、下垫体1、2的向外主表面上设有多数锯齿状纹路4,且于边缘部位设有向本体内侧翻折设置的C型唇缘5;另,通常该脊椎填充块除了制成平面型的本体之外(如图4所示),亦可为增进植入的骨融合率的考虑下而在该脊椎填充块的本体上设置一贯穿孔6(如图1至图3所示);此外,在前述列举的实施例中显示该脊椎填充块结构的板体平面是略呈圆形的外观构型,但可以理解的,在实际的应用上该板体平面并不局限于前述的外观构型,其亦可因应欲安装部位的不同而调整设计成各式符合需求的外观构型,例如图5、图6显示的D字型外观构型、图7、图8显示的椭圆形外观构型,以及图9、图10显示的长条形外观构型。As shown in the accompanying drawings, it is a preferred embodiment of the elastic spine filling block structure provided by the present invention. Its structure mainly includes a set of upper pads 1 and lower pads 2 arranged in parallel with symmetrical patterns and keeping intervals, and An elastic plate 3 obliquely connected to the opposite edges of the aforementioned upper and lower backing plates is formed by connecting the aforementioned three plates to form a body with a slightly Z-shaped lateral section, so the body has elastic deformation capacity in the upper and lower directions ; wherein, the upper and lower backing plates 1, 2 and the elastic plate 3 are made of alloy materials (such as titanium alloy, stainless steel, etc.) or composite materials (such as carbon fiber, polyetheretherketone, etc.), because these materials have Good mechanical strength and chemical resistance, so it is suitable for implantation between the human spine; and as shown in Figure 1 and Figure 2, there are many serrated lines on the outward main surfaces of the upper and lower pads 1 and 2 4, and the edge is provided with a C-shaped lip 5 that is turned inside the body; in addition, usually the spine filling block can also be used as an augmentation implant in addition to a flat body (as shown in Figure 4). In consideration of the bone fusion rate involved, a through hole 6 (as shown in Figures 1 to 3 ) is set on the body of the spinal augmentation block; in addition, the plate body of the vertebral augmentation block structure is shown in the aforementioned embodiments The plane is a slightly circular appearance configuration, but it can be understood that the plane of the board body is not limited to the aforementioned appearance configuration in practical applications, and it can also be adjusted and designed into various types according to different installation positions. The appearance configuration that meets the requirements, such as the D-shaped appearance configuration shown in Figure 5 and Figure 6, the oval appearance configuration shown in Figure 7 and Figure 8, and the strip-shaped appearance configuration shown in Figure 9 and Figure 10.
再请参阅图11所示,上述脊椎填充块结构可植入椎间,使上垫体1的顶面与下垫体2的底面与欲手术的椎间盘区域的邻近脊椎骨贴合,利用该脊椎填充块所具有的弹性变形能力以便植入后可自行微调成适宜的填充高度,并由该上、下垫体1、2表面的锯齿状纹路4使脊椎填充块可稳固地嵌设于二脊椎骨81、82之间;另,亦可在上垫体的顶部表面与下垫体的底部表面涂覆氢氧基磷灰石,使该些表面透过氢氧基磷灰石分别贴合于邻近的脊椎骨,达到生物固定的目的;此外,亦可将手术中去除的自体骨赘或人造骨组织填入该脊椎填充块本体的贯穿孔6中,以达到较佳的骨融合率目的,避免该植入的脊椎填充块自二脊椎骨之间位移或松动脱出,造成椎间塌陷及脊椎不稳等并发症。该脊椎填充块结构植入椎间后即可重建塌陷的椎间盘的原有高度,同时提供治疗部位的椎间盘自然的活动能力与运动范围,消除对脊髓或神经根的压迫,于脊椎运作中,可由该脊椎填充块的弹性变形效能而有效地分担脊椎各方向的受力,避免脊椎折伤,对于当人体跳跃、高处跳下或肩背、腰部突然负荷重物时,该脊椎填充块的弹性变形能力亦立刻产生吸收震荡及压力的作用,达到缓冲抗震的效果。此外,利用该脊椎填充块的C型唇缘可以限定弹性结构的伸缩限度,防止脊椎填充块本体被过度压缩导致弹性疲乏而变形,并由该C型唇缘的弧形外侧构型的设计,避免脊椎填充块本体在伸缩运作时,造成上、下垫板的边缘刮伤附近的生理组织。Please refer to Fig. 11 again, the above-mentioned vertebral filling block structure can be implanted in the intervertebral space, so that the top surface of the upper cushion body 1 and the bottom surface of the lower cushion body 2 are attached to the adjacent vertebrae of the intervertebral disc area to be operated, and the spine is used for filling The elastic deformation ability of the block can be fine-tuned to a suitable filling height after implantation, and the serrated lines 4 on the surface of the upper and lower pads 1 and 2 make the vertebral filling block firmly embedded in the two vertebrae 81 , 82; in addition, it is also possible to coat the top surface of the upper pad body and the bottom surface of the lower pad body with HA, so that these surfaces can be attached to the adjacent vertebrae to achieve the purpose of biological fixation; in addition, autologous osteophytes or artificial bone tissues removed during the operation can also be filled into the through hole 6 of the spine filler body to achieve a better bone fusion rate and avoid the implant. The implanted vertebral filling block displaces or loosens from between the two vertebrae, causing complications such as intervertebral collapse and spinal instability. After the spinal filler structure is implanted in the intervertebral disc, it can reconstruct the original height of the collapsed intervertebral disc, and at the same time provide the natural mobility and range of motion of the intervertebral disc at the treatment site, eliminating the compression on the spinal cord or nerve roots. During the operation of the spine, it can be achieved by The elastic deformation performance of the spine filling block can effectively share the stress in all directions of the spine and avoid spinal fractures. The deformation ability also immediately produces the effect of absorbing shock and pressure, so as to achieve the effect of cushioning and anti-seismic. In addition, the C-shaped lip of the spinal filler block can limit the expansion and contraction limit of the elastic structure, preventing the body of the spinal filler block from being deformed due to elastic fatigue due to excessive compression, and by the design of the arc-shaped outer configuration of the C-shaped lip, Avoid scratching the adjacent physiological tissues on the edges of the upper and lower backing plates when the main body of the spinal augmentation block is in telescopic operation.
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