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CN205073000U - One -way intervertebral fusion fixing device of cervical vertebra - Google Patents

One -way intervertebral fusion fixing device of cervical vertebra Download PDF

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Publication number
CN205073000U
CN205073000U CN201520735767.9U CN201520735767U CN205073000U CN 205073000 U CN205073000 U CN 205073000U CN 201520735767 U CN201520735767 U CN 201520735767U CN 205073000 U CN205073000 U CN 205073000U
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Prior art keywords
screw
intervertebral fusion
cervical
intervertebral
screw holes
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Expired - Fee Related
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CN201520735767.9U
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Chinese (zh)
Inventor
季伟
刘俊豪
孔刚刚
朱青安
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Nanfang Hospital of Southern Medical University
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Nanfang Hospital of Southern Medical University
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Abstract

本实用新型涉及一种新型的颈椎单向椎间融合固定装置。本实用新型所述的颈椎单向椎间融合固定装置包括前端的螺钉固定部与后端的椎间融合部;所述螺钉固定部的左、右两侧分别设置对称分布的螺孔,所述螺孔是倾斜的以致螺钉能通过所述螺孔将所述椎间融合部固定于脱位小关节的下节椎体的终板上;所述螺孔之间设置有锁定装置,用于将插入所述螺孔的螺钉锁住以免螺钉脱出,以致所述椎间融合部被适合放置在颈椎双侧小关节脱位复位后两椎体之间,用于替代颈椎手术中摘除的椎间盘。该装置能减少颈椎手术的复杂性,达到更好的稳定固定效果,并减少对患者的创伤。

The utility model relates to a novel cervical one-way intervertebral fusion fixation device. The cervical unidirectional intervertebral fusion fixation device described in the utility model comprises a screw fixing part at the front end and an intervertebral fusion part at the rear end; the left and right sides of the screw fixing part are respectively provided with symmetrically distributed screw holes, and the screw holes The hole is inclined so that the screw can pass through the screw hole to fix the intervertebral fusion part on the end plate of the lower vertebral body of the dislocated facet joint; a locking device is provided between the screw holes for inserting the intervertebral fusion The screws in the above screw holes are locked to prevent the screws from protruding, so that the intervertebral fusion part is suitable to be placed between the two vertebral bodies after the bilateral facet joint dislocation of the cervical spine is reset, and is used to replace the intervertebral disc removed in the cervical spine surgery. The device can reduce the complexity of cervical spine surgery, achieve better stability and fixation, and reduce trauma to patients.

Description

颈椎单向椎间融合固定装置Cervical one-way intervertebral fusion fixation device

技术领域 technical field

本实用新型涉及一种骨科临床器械,尤其涉及一种颈椎单向椎间融合固定装置。 The utility model relates to an orthopedic clinical instrument, in particular to a cervical unidirectional intervertebral fusion fixation device.

背景技术 Background technique

对于颈椎损伤来说,尤其以外伤性的上下关节面完全性脱位较为严重,常见于颈5/6和颈6/7,而手术治疗后的疗效则会受多种因素的影响,其中包括神经损伤、椎间盘的脱位、终板的断裂、颈椎关节的脱位以及严重的后纵韧带损伤,还有复位方法的选择以及成功与否,手术者的经验等。手术方法包括单纯前路手术、单纯后路手术、前路-后路手术、后路-前路手术以及前路-后路-前路手术,而最常用的手术方式为前路-后路手术,尤其是用于双侧颈椎关节脱位伴间盘破裂髓核突出压迫脊髓的患者,为完成后路的有效直接复位,前路只行减压单向固定方式,其包括钢板固定、非特定的钢板螺钉固定,甚至只行单纯的前路减压如碎块状松质骨填充。以上前路-后路手术方式中,前路减压后不行固定显然使得患者再翻身做后路固定存在很大脊髓压迫风险,其本身稳定性也是不够。而对于前路减压单向固定方式,目前尚没有专门的经前路的颈椎单向椎间融合固定器来进行稳定的固定。临床常用的融合器通常不具备固定功能,而需要颈前路钢板辅助进行螺钉固定以防止椎间融合器脱出。近年来,有学者发明的颈前路椎间铆钉融合器其自身带有双向螺钉固定功能,并在临床上得到较好的应用。然而,该融合器针对下颈椎的屈曲牵张伴间盘破裂及关节绞锁型损伤却不能使用,因此有必要开发新的颈椎单向椎间融合固定装置。 For cervical spine injuries, especially traumatic complete dislocation of the upper and lower articular surfaces is more serious, common in cervical 5/6 and cervical 6/7, and the curative effect after surgical treatment will be affected by many factors, including nerve Injury, dislocation of intervertebral disc, rupture of endplate, dislocation of cervical joints, severe posterior longitudinal ligament injury, choice of reduction method, success or failure, experience of the operator, etc. Surgical methods include purely anterior approach, purely posterior approach, anterior-posterior approach, posterior-anterior approach, and anterior-posterior-anterior approach, with the most commonly used approach being anterior-posterior approach , especially for patients with bilateral cervical dislocation with disc rupture and herniation of the nucleus pulposus. Fixation with plates and screws, or even simple anterior decompression such as fragmented cancellous bone filling. In the above anterior-posterior surgery methods, the failure to fix after anterior decompression obviously makes the patient turn over for posterior fixation, which has a great risk of spinal cord compression, and its own stability is not enough. As for the anterior decompression and one-way fixation, there is no special anterior cervical one-way fusion fixator for stable fixation. The cages commonly used in clinical practice usually do not have the function of fixation, but an anterior cervical plate is needed to assist screw fixation to prevent the intervertebral fusion cage from prolapse. In recent years, some scholars have invented an anterior cervical intervertebral rivet fusion device with bidirectional screw fixation function, and it has been well applied clinically. However, this fusion device cannot be used for the flexion and stretching of the lower cervical spine with disc rupture and articular interlocking injuries. Therefore, it is necessary to develop a new cervical unidirectional intervertebral fusion fixation device.

发明内容 Contents of the invention

本实用新型的目的在于提供一种新型的颈椎单向椎间融合固定装置,该装置能减少颈椎手术的复杂性,达到更好的稳定固定效果,并减少对患者的创伤。 The purpose of the utility model is to provide a new type of cervical unidirectional intervertebral fusion fixation device, which can reduce the complexity of cervical spine surgery, achieve better stability and fixation effect, and reduce trauma to patients.

本实用新型所述的颈椎单向椎间融合固定装置包括前端的螺钉固定部与后端的椎间融合部;所述螺钉固定部的左、右两侧分别设置对称分布的螺孔,所述螺孔是倾斜的以致螺钉能通过所述螺孔将所述椎间融合部固定于脱位小关节的下节椎体的终板上;所述螺孔之间设置有锁定装置,用于将插入所述螺孔的螺钉锁住以免螺钉脱出,以致所述椎间融合部被适合放置在颈椎双侧小关节脱位复位后两椎体之间,用于替代颈椎手术中摘除的椎间盘。 The cervical unidirectional intervertebral fusion fixation device described in the utility model comprises a screw fixing part at the front end and an intervertebral fusion part at the rear end; the left and right sides of the screw fixing part are respectively provided with symmetrically distributed screw holes, and the screw holes The holes are inclined so that screws can pass through the screw holes to fix the intervertebral fusion part on the end plate of the lower vertebral body of the dislocated facet joint; a locking device is provided between the screw holes for inserting the intervertebral fusion The screw in the screw hole is locked to prevent the screw from protruding, so that the intervertebral fusion part is suitable to be placed between the two vertebral bodies after the bilateral facet joint dislocation of the cervical spine is reset, and is used to replace the intervertebral disc removed in the cervical spine operation.

根据本发明所述的颈椎单向椎间融合固定装置的进一步特征,所述螺孔的倾斜方向与融合器成30度的角度。 According to a further feature of the cervical unidirectional intervertebral fusion fixation device of the present invention, the inclination direction of the screw hole forms an angle of 30 degrees with the cage.

本实用新型所述的颈椎单向椎间融合固定装置是专门设计的经颈前路的适用于颈椎双侧小关节脱位的椎间融合固定装置,较以往使用的碎状松质骨填充方式,或者使用非特定的钢板螺钉固定方式,该装置可以更好地对颈椎进行复位并保持其稳定性,更有利于简化手术过程。 The cervical unidirectional intervertebral fusion and fixation device described in the utility model is a specially designed intervertebral fusion and fixation device suitable for cervical bilateral facet joint dislocation through the anterior cervical approach. Or use a non-specific plate and screw fixation method, which can better reset the cervical spine and maintain its stability, and is more conducive to simplifying the surgical process.

附图说明 Description of drawings

图1为本实用新型所述的颈椎单向椎间融合固定装置的侧面示意图。 Fig. 1 is a schematic side view of the cervical unidirectional intervertebral fusion fixation device described in the present invention.

图2为本实用新型所述的颈椎单向椎间融合固定装置的正面示意图。 Fig. 2 is a schematic front view of the cervical unidirectional intervertebral fusion fixation device described in the present invention.

附图标记 reference sign

1:螺钉固定部;2:锁定装置;3:螺孔;4:椎间融合部。 1: screw fixing part; 2: locking device; 3: screw hole; 4: intervertebral fusion part.

具体实施方式 detailed description

本实用新型所述的颈椎单向椎间融合固定装置,如图1和图2所示,该装置包括前端的螺钉固定部1与后端的椎间融合部4;螺钉固定部的左、右两侧分别设置对称分布的螺孔3,这些螺孔3是倾斜的以致螺钉能通过螺孔3将椎间融合部4固定于脱位小关节的下节椎体的终板上;这些螺孔3之间设置有锁定装置2,用于将插入螺孔3的螺钉锁住以免螺钉脱出,以致椎间融合部4被适合放置在颈椎双侧小关节脱位复位后两椎体之间,用于替代颈椎手术中摘除的椎间盘。 The cervical unidirectional intervertebral fusion fixation device described in the utility model, as shown in Fig. 1 and Fig. 2, the device comprises a screw fixing part 1 at the front end and an intervertebral fusion part 4 at the rear end; The screw holes 3 are arranged symmetrically on each side, and these screw holes 3 are inclined so that the screws can pass through the screw holes 3 to fix the intervertebral fusion part 4 on the end plate of the lower vertebral body of the dislocated facet joint; between these screw holes 3 There is a locking device 2 between them, which is used to lock the screw inserted into the screw hole 3 to prevent the screw from coming out, so that the intervertebral fusion part 4 is suitable to be placed between the two vertebral bodies after the bilateral facet joint dislocation of the cervical spine is reset, and is used to replace the cervical vertebrae. A disc removed during surgery.

在优选的具体实施例中,螺孔的倾斜方向与融合器成30度的角度。 In a preferred embodiment, the direction of inclination of the screw holes forms an angle of 30 degrees with respect to the cage.

根据上述的设计原理,可针对不同患者的个体差异的具体数据制备出一系列不同型号的产品,在手术中根据具体情况选择不同型号进行匹配使用。 According to the above design principle, a series of different models of products can be prepared according to the specific data of individual differences of different patients, and different models can be selected for matching use according to the specific conditions during the operation.

Claims (2)

1. the unidirectional intervertebral fusion fixture of cervical vertebra, is characterized in that, described device comprises the screw fixed part of front end and the intervertebral fusion portion of rear end; The arranged on left and right sides of described screw fixed part arranges symmetrical screw respectively, and described screw is that described intervertebral fusion portion is fixed on the soleplate of the lower joint vertebral body of dislocation Minor articulus by inclination so that screw by described screw; Locking device is provided with between described screw, for the screw inserting described screw is pinned in order to avoid screw is deviate from, so that described intervertebral fusion portion is applicable to being placed on cervical bilateral dislocation and is resetted between rear two vertebral bodys, for the intervertebral disc extractd in alternative cervical operation.
2. the unidirectional intervertebral fusion fixture of cervical vertebra according to claim 1, is characterized in that: the incline direction of described screw becomes the angle of 30 degree with fusion device.
CN201520735767.9U 2015-09-22 2015-09-22 One -way intervertebral fusion fixing device of cervical vertebra Expired - Fee Related CN205073000U (en)

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