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Publication number
JP2002522115A5
JP2002522115A5 JP2000563214A JP2000563214A JP2002522115A5 JP 2002522115 A5 JP2002522115 A5 JP 2002522115A5 JP 2000563214 A JP2000563214 A JP 2000563214A JP 2000563214 A JP2000563214 A JP 2000563214A JP 2002522115 A5 JP2002522115 A5 JP 2002522115A5
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JP
Japan
Prior art keywords
bone
passage
spacers
spacer
irregularities
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JP2000563214A
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English (en)
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JP4156197B2 (ja
JP2002522115A (ja
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Priority claimed from PCT/US1999/017878 external-priority patent/WO2000007528A1/en
Publication of JP2002522115A publication Critical patent/JP2002522115A/ja
Publication of JP2002522115A5 publication Critical patent/JP2002522115A5/ja
Application granted granted Critical
Publication of JP4156197B2 publication Critical patent/JP4156197B2/ja
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Description

結果として生じる固定された骨に組み込まれる他に、全体が骨で形成されるか、最小限の金属部品を有する椎骨間スペーサは他の利点を有する。例えば、骨は、手術後の優れた影像形成を可能にする。なぜならば、それは金属スペーサのような拡散を生じないからである。応力シールディングは回避される。なぜならば、骨移植片は周囲の骨と同じ弾性係数を有するからである。しかしながら、多数のこれらの骨スペーサは、脊柱の周期的な荷重に耐えるために十分な圧縮強度を有さず、スペーサの製造時に適当な骨スタート材料の供給がいくつかの側面において制限される。したがって、脊柱の圧縮負荷に耐えるために十分な圧縮強度を有し、現存する骨のストックを使用する際に柔軟性を提供するスペーサを製造するニーズが生じる。本発明はこれらのニーズに答えるものである。
また、本発明は、表面が露出された不規則性を有する骨からなる本体と、スペーサのほぼ均一な外面を提供するために不規則性に適合された補完的な空隙充填部材とを含む複合型椎骨間スペーサを提供する。図１４−図１５Ａを参照すると、開放された通路７１のような表面が露出された不規則性を有する細長い骨の本体７０が示されている。通路７１は、少なくとも一部が骨髄管の内側のような自然の通路から形成されていることが好ましい。壁７６は、通路７１を形成している。少なくとも２つの対向するアーム７３及び７４は、本体７０に接続されている。対向アーム７３及び７４は、通路７１に対する口部７５を形成する。しかしながら、多数の場合において、本体７０の外面７２は、ほぼ均一な周縁を有することが望ましい。さらに、好ましいスペーサは、挿入プロセス及びその後において、骨形成材料、例えば、BMP含浸コラーゲンスポンジを保持する際に補助となるようにすべての側面に形成された貫通穴を有する。本発明によるこれらの理由において、図１５及び図１５Ａに示すような補完的部材８０は、本体７０の通路７１に配置される。
Ｃ形状の通路を画成する壁を有する上述したスペーサの本体は、長い骨の骨幹から、中心からはずれた横プラグをとることによって得ることができる。好ましくは、本体は、水できれいにされ 冷却されたダイヤモンドまたは堅い金属切断先端部分を使用して得ることができる。約１０ｍｍと約２０ｍｍとの間の内径を有する商業的に利用可能なほぼ円形の先端部は、スペーサの本体を得るためには好ましい。このような先端部及びそれらが使用するコアドリルは、例えば、Starlite社から市販されている。
JP2000563214A 1998-08-06 1999-08-06 複合型椎骨間スペーサ Expired - Fee Related JP4156197B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US9553198P 1998-08-06 1998-08-06
US60/095,531 1998-08-06
PCT/US1999/017878 WO2000007528A1 (en) 1998-08-06 1999-08-06 Composited intervertebral bone spacers

Publications (3)

Publication Number Publication Date
JP2002522115A JP2002522115A (ja) 2002-07-23
JP2002522115A5 true JP2002522115A5 (ja) 2008-05-01
JP4156197B2 JP4156197B2 (ja) 2008-09-24

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
JP2000563214A Expired - Fee Related JP4156197B2 (ja) 1998-08-06 1999-08-06 複合型椎骨間スペーサ

Country Status (5)

Country Link
US (2) US6270528B1 (ja)
EP (1) EP1102568A1 (ja)
JP (1) JP4156197B2 (ja)
AU (1) AU5341999A (ja)
WO (1) WO2000007528A1 (ja)

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