CN105078622A - Vertebral body structure - Google Patents
Vertebral body structure Download PDFInfo
- Publication number
- CN105078622A CN105078622A CN201510557137.1A CN201510557137A CN105078622A CN 105078622 A CN105078622 A CN 105078622A CN 201510557137 A CN201510557137 A CN 201510557137A CN 105078622 A CN105078622 A CN 105078622A
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- China
- Prior art keywords
- vertebral
- vertebral body
- body structure
- lower support
- vertebra
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- 210000004872 soft tissue Anatomy 0.000 claims abstract description 13
- 238000000034 method Methods 0.000 claims abstract description 9
- 230000008569 process Effects 0.000 claims abstract description 8
- 210000000115 thoracic cavity Anatomy 0.000 claims abstract description 7
- 210000000988 bone and bone Anatomy 0.000 claims description 18
- 239000000463 material Substances 0.000 claims description 8
- 210000004409 osteocyte Anatomy 0.000 claims description 6
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 5
- 229910000861 Mg alloy Inorganic materials 0.000 claims description 3
- ZFXVRMSLJDYJCH-UHFFFAOYSA-N calcium magnesium Chemical compound [Mg].[Ca] ZFXVRMSLJDYJCH-UHFFFAOYSA-N 0.000 claims description 3
- 238000011084 recovery Methods 0.000 abstract description 6
- 206010023509 Kyphosis Diseases 0.000 abstract description 4
- 230000006378 damage Effects 0.000 abstract description 4
- 208000027418 Wounds and injury Diseases 0.000 abstract description 3
- 230000009286 beneficial effect Effects 0.000 abstract description 3
- 208000014674 injury Diseases 0.000 abstract description 3
- 210000003205 muscle Anatomy 0.000 description 4
- 230000008859 change Effects 0.000 description 3
- 210000003041 ligament Anatomy 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 230000002146 bilateral effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000000630 rising effect Effects 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 229910000883 Ti6Al4V Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 210000000589 cicatrix Anatomy 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000011368 organic material Substances 0.000 description 1
- 108010048734 sclerotin Proteins 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 238000002910 structure generation Methods 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
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- Prostheses (AREA)
Abstract
The invention provides a vertebral body structure which comprises a first part, a second part and two vertebral plates, wherein the first part is provided with a spinous process; the second part is provided with a medullary cavity; the first end of the first part is connected with the first end of the second part through one of the two vertebral plates; the second end of the first part is connected with the second end of the second part through the other vertebral plate; and a vertebral canal is defined by the first part, the second part and the two vertebral plates. Through the application of the technical scheme of the invention, the vertebral body structure can remain complete soft tissue, generates less injury to a human body, is more beneficial to recovery of the human body, avoids changing the structure and the motion mode of a power device for a cervical vertebra (or a thoracic vertebra and a lumbar vertebra), prevents vertebra curvature loss, even kyphosis, and avoids the condition that the motion amplitude of the vertebra is limited obviously.
Description
Technical field
The present invention relates to artificial prosthesis technical field, in particular to a kind of vertebral body structure.
Background technology
The spinal canal stenosis of corpus vertebrae is a kind of common skeleton abnormal condition, therefore needs manually to expand canalis spinalis.Realize the expansion of canalis spinalis mainly through two kinds of means in prior art.
The first to open seam groove in bilateral vertebral body outer rim, retains a pleurocentrum inner panel as " door-hinge ", cuts off opposite side vertebral body holostrome and form " enabling crack between a door and its frame ", then started to " door-hinge " by vertebral body, complete single open-door action.Again vertebral body supporting titanium plate is placed between the vertebral body after enabling and lateral mass, on vertebral body and lateral mass, inserts hold-down screw respectively, to maintain permanent " enabling ", thus realize the expansion of canalis spinalis.
Another kind is the first half of extracing vertebral body, namely with a part for spinous process, installs artificial spinous process part afterwards, replaces the first half of vertebral body, realizes the expansion of canalis spinalis.
But, the first step of above two kinds of methods appears vertebral body structure, peel off by epicentral soft tissue, extensively must peel off paraspinal muscle, cut off muscle at each attachment point of cervical vertebra and all rears ligament structure, heavy damage vertebral body rear muscle ligament complex.Recovery postcentrum forms cicatrix with muscle and ligament and is connected, and change power set structure, the motor pattern of vertebral body completely, cause cervical vertebra (or thoracic vertebra, lumbar vertebra) curvature loss, even kyphosis deformity, cervical vertebra motion amplitude is obviously limited.
Summary of the invention
Main purpose of the present invention is to provide a kind of vertebral body structure, needs to peel off epicentral soft tissue, to the hurtful problem of archecenra to solve expansion canalis spinalis of the prior art.
To achieve these goals, according to an aspect of the present invention, provide a kind of vertebral body structure, vertebral body structure comprises: the Part I with spinous process, the Part II with pulp cavity and two vertebral plates, the first end of Part I is connected by a vertebral plate with the first end of Part II, and the second end of Part I is connected Part I, Part II and two vertebral plates with the second end of Part II by another vertebral plate and surrounds canalis spinalis.
Further, vertebral plate comprises: upper support and lower support and the body between upper support and lower support, the trabecular bone structure body with multidirectional micropore at least partially for growing into for osteocyte of body.
Further, upper support protrudes from first side in the longitudinal direction of body along the length direction of body, and on the first side, upper support is positioned at one end of the side towards vertebral foramen away from body.
Further, the projected direction of upper support favours the length direction of body.
Further, lower support protrudes from second side in the longitudinal direction of body along the length direction of body, and on the second side, lower support is positioned at one end of the side towards vertebral foramen away from body.
Further, the projected direction of lower support favours the length direction of body.
Further, body also comprises framework, and framework is arranged on the outside of trabecular bone structure body towards the side of vertebral foramen.
Further, upper support and lower support are connected in framework.
Further, first side in the longitudinal direction of body and the end contact of the second side and Part I and Part II.
Further, the end contact of trabecular bone structure body and Part I and Part II.
Further, vertebral plate adopts titanium alloy and/or absorbable material to make.
Further, absorbable material comprises calcium-magnesium alloy.
Further, the complete soak time of vertebral body structure is no less than 12 months.
Further, the first end of Part I is a part for the vertebral arch of the first side, and the first end of Part II is another part of the vertebral arch of the first side; Second end of Part I is a part for the vertebral arch of the second side, and the second end of Part II is another part of the vertebral arch of the second side.
Further, two vertebral plates are arranged symmetrically.
Further, vertebral body structure also comprises complete soft tissue structure, and soft tissue structure is positioned on Part I.
Further, vertebral body structure comprises combination any one of cervical vertebra, thoracic vertebra and lumbar vertebra or multinomial.
Apply technical scheme of the present invention, vertebral body structure can retain complete soft tissue, less to the injury of human body, more be beneficial to the recovery of human body, and avoid the power set structure, the motor pattern that change cervical vertebra (or thoracic vertebra, lumbar vertebra), prevent vertebra curvature loss, even kyphosis deformity, avoid spinal movement amplitude obviously limited.
Accompanying drawing explanation
The Figure of description forming a application's part is used to provide a further understanding of the present invention, and schematic description and description of the present invention, for explaining the present invention, does not form inappropriate limitation of the present invention.In the accompanying drawings:
Fig. 1 shows the schematic perspective view of the embodiment of the vertebral plate according to vertebral body structure of the present invention;
Fig. 2 shows the side schematic view of the embodiment of the vertebral plate according to vertebral body structure of the present invention;
Fig. 3 shows the forward schematic diagram of the embodiment of the vertebral plate according to vertebral body structure of the present invention; And
Fig. 4 shows the schematic diagram not comprising soft tissue structure according to vertebral body structure of the present invention.
Detailed description of the invention
It should be noted that, when not conflicting, the embodiment in the application and the feature in embodiment can combine mutually.Below with reference to the accompanying drawings and describe the present invention in detail in conjunction with the embodiments.
According to an aspect of the present invention, provide a kind of vertebral body structure, as shown in Figures 1 to 4, vertebral body structure comprises: the Part I 100 with spinous process, the Part II 200 with pulp cavity and two vertebral plates, the first end of Part I 100 is connected by a vertebral plate with the first end of Part II 200, and the second end of Part I 100 is connected Part I 100, Part II 200 and two vertebral plates with the second end of Part II 200 by another vertebral plate and surrounds canalis spinalis 300.
Vertebral body structure of the present invention expands canalis spinalis 300 by canalis spinalis 300 Plastic operation of a kind of " rising top " formula, namely to open seam groove in bilateral vertebral body outer rim, cut off vertebral body holostrome and form " Sheng Ding gap ", archecenra is formed and there is the Part I 100 of spinous process and there is the Part II 200 of pulp cavity, then by Part I 100 together with spinous process rearward lifting, canalis spinalis 300 sagittal diameter is made to be able to effective expansion, again vertebral plate is placed between the Part I after lifting 100 and Part II 200, keep the state of the canalis spinalis 300 after expanding, to maintain permanent " rising top ".Canalis spinalis 300 Plastic operation that should " rise and push up " formula does not need to peel off supraspinous soft tissue, namely vertebral body structure can retain complete soft tissue, less to the injury of human body, more be beneficial to the recovery of human body, and avoid the power set structure, the motor pattern that change cervical vertebra (or thoracic vertebra, lumbar vertebra), prevent vertebra curvature loss, even kyphosis deformity, avoid spinal movement amplitude obviously limited.
Vertebral body structure also comprises complete soft tissue structure, and soft tissue structure is positioned on Part I 100.
In one preferably embodiment, two vertebral plates are arranged symmetrically.
Preferably, vertebral plate comprises: upper support 20, lower support 30 and the body between upper support 20 and lower support 30, the trabecular bone structure body 11 with multidirectional micropore at least partially for growing into for osteocyte of body.
The vertebral plate support section of vertebral plate has the 3D metal trabecular bone structure of similar human body spongy bone, needs the height of lifting vertebral body, select the vertebral plate of suitable dimension to fill the gap of vertebral body, and provide support power according to design.The matsurface of the similar cancellous bone structure that 3D metal trabecular bone structure that face adopts has is merged and upper hypocentrum embedded junction is closed due to itself and vertebral plate, provide incipient stability function to form the support to vertebral body to the vertebral plate after implanting, maintain canalis spinalis 300 space expanded.In human recovery process, osteocyte and capillary vessel are creeped along the micropore of 3D metal trabecular bone structure and are grown into, and finally form the Embedded vertebral plate of the activated fusion of tool.
Preferably, as shown in Figures 2 and 3, upper support 20 protrudes from first side in the longitudinal direction of body along the length direction of body, and on the first side, upper support 20 is positioned at one end of the side towards vertebral foramen away from body.Preferably, the projected direction of upper support 20 favours the length direction of body.
Preferably, as shown in Figures 2 and 3, lower support 30 protrudes from second side in the longitudinal direction of body along the length direction of body, and on the second side, lower support 30 is positioned at one end of the side towards vertebral foramen away from body.Preferably, the projected direction of lower support 30 favours the length direction of body.
Upper support 20 all needs to coordinate with vertebral body with the angle between body with the angle between body and lower support 30, to realize more firm fixing.
Preferably, body also comprises framework 12, and framework 12 is arranged on the outside of trabecular bone structure body 11 towards the side of vertebral foramen.More preferably, upper support 20 is connected in framework 12 with lower support 30.Framework 12 is entity structure, non-trabecular bone structure, and therefore intensity is large, is suitable as the connection structural bodies of support 20 and lower support 30.
Preferably, as shown in Figure 4, first side in the longitudinal direction of body and the end contact of the second side and Part I 100 and Part II 200.More preferably, the end contact of trabecular bone structure body 11 and Part I 100 and Part II 200.Being convenient to sclerotin like this grows in trabecular bone structure body 11, can be conducive to the recovery of human body.
Preferably, vertebral plate adopts titanium alloy and/or absorbable material to make.Wherein titanium alloy comprises the medical titanium alloys such as Ti6Al4V; Absorbable material comprises calcium-magnesium alloy.Absorbable material can also be the material that other slowly can be degraded voluntarily human body people, such as organic material etc.
More preferably, the complete soak time of vertebral body structure is no less than 12 months.
Preferably, the first end of Part I 100 is a part for the vertebral arch of the first side, and the first end of Part II 200 is another part of the vertebral arch of the first side; Second end of Part I 100 is a part for the vertebral arch of the second side, and the second end of Part II 200 is another part of the vertebral arch of the second side.
Vertebral body structure comprises combination any one of cervical vertebra, thoracic vertebra and lumbar vertebra or multinomial.
Below describe a kind of embodiments of the invention in detail, as shown in Figures 1 to 3, this vertebral plate comprises: upper support 20, lower support 30 and the body between upper support 20 and lower support 30, and the length of body and thickness can have the selection of plurality of specifications model, to adapt to the size of different vertebral bodys.The hole of upper support 20 and lower support 30 is used for vertebral plate and vertebral body to fix, and angle and the radian of upper support 20 and lower support 30 adopt anatomical form design, can better and vertebral body fit.
The surface, face of merging up and down of vertebral plate is provided with the microcellular structure of growing into for osteocyte, this microcellular structure is a kind of multidirectional micro hole structure be interconnected, the diameter range of hole is 300 microns to 1500 microns, it is more preferably 500 microns to 1000 microns, this hole is conducive to osteocyte and creeps and grow into, and makes vertebral plate faying face and physiological bone structure generation bone merge to reach steady in a long-term.
The foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, for a person skilled in the art, the present invention can have various modifications and variations.Within the spirit and principles in the present invention all, any amendment done, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.
Claims (17)
1. a vertebral body structure, it is characterized in that, described vertebral body structure comprises: the Part I (100) with spinous process, there are Part II (200) and two vertebral plates of pulp cavity, the first end of described Part I (100) is connected by a described vertebral plate with the first end of described Part II (200), second end of described Part I (100) is connected described Part I (100) with the second end of described Part II (200) by vertebral plate described in another, described Part II (200) and two described vertebral plates surround canalis spinalis (300).
2. vertebral body structure according to claim 1, it is characterized in that, described vertebral plate comprises: the upper body supporting (20), lower support (30) and be positioned between described upper support (20) and described lower support (30), the trabecular bone structure body (11) with multidirectional micropore at least partially for growing into for osteocyte of described body.
3. vertebral body structure according to claim 2, it is characterized in that, described upper support (20) protrudes from first side in the longitudinal direction of described body along the length direction of described body, on described first side, described upper support (20) is positioned at one end of the side towards vertebral foramen away from described body.
4. vertebral body structure according to claim 3, is characterized in that, the projected direction of described upper support (20) favours the length direction of described body.
5. vertebral body structure according to claim 2, it is characterized in that, described lower support (30) protrudes from second side in the longitudinal direction of described body along the length direction of described body, on described second side, described lower support (30) is positioned at one end of the side towards vertebral foramen away from described body.
6. vertebral body structure according to claim 5, is characterized in that, the projected direction of described lower support (30) favours the length direction of described body.
7. vertebral body structure according to claim 2, is characterized in that, described body also comprises framework (12), and described framework (12) is arranged on the outside of described trabecular bone structure body (11) towards the side of vertebral foramen.
8. vertebral body structure according to claim 7, is characterized in that, described upper support (20) and described lower support (30) are connected in described framework (12).
9. vertebral body structure according to claim 2, is characterized in that, the end contact of first side in the longitudinal direction of described body and the second side and described Part I (100) and described Part II (200).
10. vertebral body structure according to claim 9, is characterized in that, the end contact of described trabecular bone structure body (11) and described Part I (100) and described Part II (200).
11. vertebral body structures according to any one of claim 1 to 10, is characterized in that, described vertebral plate adopts titanium alloy and/or absorbable material to make.
12., according to vertebral body structure described in claim 11, is characterized in that, described absorbable material comprises calcium-magnesium alloy.
13., according to vertebral body structure described in claim 11, is characterized in that, the complete soak time of described vertebral body structure is no less than 12 months.
14. vertebral body structures according to claim 1, is characterized in that, the first end of described Part I (100) is a part for the vertebral arch of the first side, and the first end of described Part II (200) is another part of the vertebral arch of the first side; Second end of described Part I (100) is a part for the vertebral arch of the second side, and the second end of described Part II (200) is another part of the vertebral arch of the second side.
15. vertebral body structures according to claim 1, is characterized in that, described two vertebral plates are arranged symmetrically.
16. vertebral body structures according to claim 1, is characterized in that, described vertebral body structure also comprises complete soft tissue structure, and described soft tissue structure is positioned on described Part I (100).
17. vertebral body structures according to claim 1, is characterized in that, described vertebral body structure comprises combination any one of cervical vertebra, thoracic vertebra and lumbar vertebra or multinomial.
Priority Applications (1)
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CN201510557137.1A CN105078622A (en) | 2015-09-02 | 2015-09-02 | Vertebral body structure |
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CN201510557137.1A CN105078622A (en) | 2015-09-02 | 2015-09-02 | Vertebral body structure |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105055057A (en) * | 2015-09-02 | 2015-11-18 | 北京爱康宜诚医疗器材股份有限公司 | Artificial vertebral lamina |
CN105266877A (en) * | 2015-11-26 | 2016-01-27 | 广州聚生生物科技有限公司 | Spinal column vertebral plate open-door fixing system |
CN107693170A (en) * | 2017-09-30 | 2018-02-16 | 北京爱康宜诚医疗器材有限公司 | Vertebral plate prosthese |
CN110353793A (en) * | 2019-07-26 | 2019-10-22 | 北京市春立正达医疗器械股份有限公司 | Posterior cervical follows closely board fixer |
CN112155806A (en) * | 2020-10-23 | 2021-01-01 | 中国人民解放军空军军医大学 | Posterior spinal reconstruction device after laminectomy |
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CN1678248A (en) * | 2002-05-30 | 2005-10-05 | Sdgi控股股份有限公司 | Laminoplasty devices and methods |
CN201453355U (en) * | 2009-06-11 | 2010-05-12 | 陈哲 | Vertebral plate forming and bone-knitting plate |
CN202051852U (en) * | 2011-04-20 | 2011-11-30 | 中国人民解放军第四军医大学 | Highly-simulated customized combined-type artificial spine |
CN203138663U (en) * | 2013-03-04 | 2013-08-21 | 中国人民解放军第二军医大学 | Vertebral plate-fixing titanium plate without requiring bone grafting |
WO2014062953A1 (en) * | 2012-10-18 | 2014-04-24 | Robinson James C | Surgical access system |
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2015
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Patent Citations (5)
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CN1678248A (en) * | 2002-05-30 | 2005-10-05 | Sdgi控股股份有限公司 | Laminoplasty devices and methods |
CN201453355U (en) * | 2009-06-11 | 2010-05-12 | 陈哲 | Vertebral plate forming and bone-knitting plate |
CN202051852U (en) * | 2011-04-20 | 2011-11-30 | 中国人民解放军第四军医大学 | Highly-simulated customized combined-type artificial spine |
WO2014062953A1 (en) * | 2012-10-18 | 2014-04-24 | Robinson James C | Surgical access system |
CN203138663U (en) * | 2013-03-04 | 2013-08-21 | 中国人民解放军第二军医大学 | Vertebral plate-fixing titanium plate without requiring bone grafting |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105055057A (en) * | 2015-09-02 | 2015-11-18 | 北京爱康宜诚医疗器材股份有限公司 | Artificial vertebral lamina |
CN105266877A (en) * | 2015-11-26 | 2016-01-27 | 广州聚生生物科技有限公司 | Spinal column vertebral plate open-door fixing system |
CN107693170A (en) * | 2017-09-30 | 2018-02-16 | 北京爱康宜诚医疗器材有限公司 | Vertebral plate prosthese |
CN110353793A (en) * | 2019-07-26 | 2019-10-22 | 北京市春立正达医疗器械股份有限公司 | Posterior cervical follows closely board fixer |
CN112155806A (en) * | 2020-10-23 | 2021-01-01 | 中国人民解放军空军军医大学 | Posterior spinal reconstruction device after laminectomy |
CN112155806B (en) * | 2020-10-23 | 2023-12-19 | 中国人民解放军空军军医大学 | Vertebral column posterior reconstruction device after laminectomy |
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