200920307 九、發明說明： 【發明所屬之技術領域】 本發明係有關於一種動 指一種植入至一脊椎椎弓根 固疋連結’將該脊椎維持在 態固定脊椎釘桿裝置。 【先前技術】 態固定脊椎釘桿裝置，特別是 位置，以多個釘組本身為可動 一動態固定、不融合狀態之動 傳統的脊椎損傷，若以椎弓根骨釘與連桿固定，均是 以-鈦合金或不銹鋼之^連桿，結合複數支植人脊椎= 節中之脊椎骨釘相連結，而以硬對硬之方式強行連結固定 需要被固定之受損脊椎骨節。 但如此硬對硬之方式強行固定，除無法提供適當的應 力消除外，亦無法對受損脊椎骨節產生微動㈣，以加速 增生骨質幫助受損部位穩定，讓病患長期處於一種只能臥 床或以背架支撐的狀態，無法盡速適當的恢復脊椎部分原 有功能。 又如果單純只用I線型連桿連結各骨㈣，則有兩種 主要問題，第H覽線型連桿過於剛硬，則肖纟述傳統欽 金屬或不銹鋼直條形連桿無異，第二若該纜線型連桿過於 柔軟，則是無法提供適當支撐力，及該纜線容易變形。再 者，若於該纜線上外套一支撐管，則又會有喪失該纜線可 提供撓曲性、彈性或彎曲度的特性，如此則又與使用—般 連桿無異。 因此如何有效解決上述硬式固定，應力消除，連桿過 200920307 硬、纜線連桿過軟等問 手以便有效解決上述問 椎釘桿裝置發明。 題’轉而由椎弓根骨釘改變設計著 題等思考，便有本案之動態固定脊 【發明内容】200920307 IX. Description of the Invention: [Technical Field] The present invention relates to a device for implanting a spinal pedicle to a spinal pedicle. [Previous technique] The state-fixed spinal rod device, in particular, the position, the plurality of nail groups themselves are movable, the dynamic fixation, the non-fusion state, the traditional spinal injury, if the pedicle screw and the connecting rod are fixed, It is a joint of - titanium alloy or stainless steel, combined with a plurality of implanted spine = spine nails in the joint, and forcibly connecting the fixed vertebrae that need to be fixed in a hard-to-hard manner. However, such a hard and hard way to forcibly fix, in addition to failing to provide appropriate stress relief, can not cause micro-motion of the damaged vertebrae (4), to accelerate the proliferation of bone to help stabilize the damaged part, so that patients can stay in bed for a long time or With the support of the back frame, it is impossible to properly restore the original function of the spine as quickly as possible. If you only use the I-line type connecting rod to connect the bones (4), there are two main problems. The H-th line-type connecting rod is too rigid, so the traditional Chinese metal or stainless steel straight-shaped connecting rod is no different. If the cable type link is too soft, it does not provide proper support and the cable is easily deformed. Moreover, if a support tube is jacketed on the cable, there is a loss of flexibility, flexibility or curvature of the cable, which is no different from the use of a conventional link. Therefore, how to effectively solve the above-mentioned hard fixing, stress elimination, the connecting rod over the 200920307 hard, cable connecting rod is too soft and so on to effectively solve the above-mentioned problem of the vertebral rod device. The problem is changed from the design of the pedicle screw to the design, and there is a dynamic fixed ridge in this case.
故本發明之一目的 在提供一種動態固定脊椎釘桿裝 本發明之另一目的，在提供 遠社煜，％ ^ , 禋包含—含椎釘組及一 ,,, 置有—或多個彈性體，可傕 该釘組與該連結桿間具有了使 置。 訂之動態固定脊椎釘桿裝 J牡徙供—種該彈性體迮一牛叮先 一弧形相對彈片，或圈狀 可為 體之動態固定脊椎釘桿裝Γ 空、非中空塑料彈性 本發明之再一目的，在提供—種 釘組及-連結桿，該釘組之-螺釘為_主、套合舍椎 該釘組之一墊圈未直接接觸該螺針半球球頭形螺钉’及 該連結桿所定時，内部仍且有/碩形端，該釘組與 定脊椎針桿裝置。 。有-工間為可動連結之動態固 故=明之一種動態固定脊椎钉桿裝置’其包人· *含椎針組，包含-針件及_螺固件，該 ^ 接端设一 U形槽，可容置該螺固件螺入； 之-承 於該釘’谷置於該°形槽中’受該螺111件迫緊連結 其特徵在於:該㈣槽兩側圍壁内及槽底，均凹設一 200920307 谷置空間’内容置一彈性體 接觸該等彈性碑，# 連…知置於該u形槽令及 該等彈性、'㈣Ai4f該料與該連結桿， 奴使該連結桿與釘件間具彈性緩衝。 為-弧==定脊椎购置，其中該彈性體進-步 該連結桿，=二形彈片兩側接觸該釘件承接端及 上.十、又昼迫_可提供彈力維持連結平衡。 ^之動態固定脊椎釘桿裝置， 為-圈狀彈菁，該彈簧兩端接觸心:：性體進—步 桿，受壓#變# 4 4釘件承接端及該連結 又£迫㈣時可提供彈力維持連結平衡。 =之動態固定脊椎釘桿以，其中該Therefore, it is an object of the present invention to provide a dynamic fixed spinal rod assembly. Another object of the present invention is to provide a far-reaching body, % ^ , 禋 including - a group of vertebral nails and one, with, or a plurality of elasticity The body can be placed between the nail set and the connecting rod. The dynamic fixed-spinning rod-shaped rod is provided for the purpose of the present invention. The elastic body is a kind of elastic body, the first piece of the arc-shaped relative elastic piece, or the ring-shaped body can be dynamically fixed to the spinal rod. A further object is to provide a nail set and a connecting rod, the screw set is - the main sleeve, the sleeve is a spine, the washer of the nail set is not directly in contact with the screw hemisphere ball head screw 'and At the timing of the connecting rod, there is still a /-shaped end inside, and the nail group and the spinal needle bar device. . - The work is a dynamic connection of the movable connection = a dynamic fixed spinal rod device of the 'the package' * the vertebral needle group, including the - needle piece and the _ screw firmware, the ^ end is provided with a U-shaped groove, The screw can be inserted into the screw; the nail is placed in the groove, and the screw is tightly connected by the screw 111. The feature is: the inner wall of the (four) groove and the bottom of the groove, Recessed a 200920307 valley space 'content set an elastic body to contact the elastic monument, #连... knowing to place the u-shaped groove and the elasticity, '(4) Ai4f the material and the connecting rod, the slave makes the connecting rod with Elastic cushioning between the nails. For the arc, the spine is purchased, wherein the elastic body advances to the connecting rod, and the two sides of the two-shaped elastic piece contact the receiving end of the nail and the upper side. ^ The dynamic fixed spinal rod device, which is a ring-shaped elastic cyanine, the contact between the two ends of the spring:: sexual body into the step bar, pressure #变# 4 4 nail receiving end and the connection is forced (four) Elasticity can be provided to maintain the balance of the connection. = dynamic fixed spinal shank to which
二:料彈性體，該塑料彈性體兩側接觸該釘件承接端I 该連結桿，受㈣變形時可提供彈力維持連結2 上述之動態固定脊椎釘桿梦罟，甘山 -t ^ 4± ^ „ 裝置其中該塑料彈性體為 ^料性體，受壓料具有—中空空間可供變形。 又本發明之另-種動態固定脊椎钉桿裝置，其包含： 一含椎釘組’包含可動穿套之一 U形槽承接座與一螺 :二塾圈與一螺固件’該承接座可供該塾圈置入，及 為螺固件螺入結合； 連結桿’置入該U形梓Φ，a兮m 定該塾圈及該承接座；…螺固件迫緊連結固 其特徵在於：該螺釘為一半球頭形螺釘，該墊圈未直 妾接觸該：釘半球頭形端，及該螺固件迫緊固定該承接 形端間仍具有-空… 200920307 上述之動態固定脊椎釘 之兩側圍壁面±的置，其中該承接座u形槽 容句凹設—弧形容置空間，該墊圈兩端可 谷置於Π亥弧形介鬥 中’该螺固件堡迫該遠社標及今執園 及該墊圈則卡人於〜 哀連“干及該墊圈， 卜、十、 於遠弧形空間中，並迫緊該承接座。 盥該蟫釭主+ 卞椎釘才干衣置’其中該墊圈、承接座 性體，# H 二3中，進—步可裝入一軟質彈 體使该等組件間穩定連結。 —牛A V動心'固疋脊椎釘桿I置，纟中該軟質彈性體進 步二塑料軟質彈性體，可置入該空間中穩定連結。 體進—牛A . 、干裝置，其中該塑料軟質彈性 連結。 料h性體，可置人該空間十穩定 上述之動態固定脊推名 —牛 、’杯扁置’其中該軟質彈性體進 V為一海綿塊體 ^ 兄餿τ置入该空間中穩定連結。 本發明中所定義之相對位置， 4I 如上、下、側面等，伤 才曰手持該動態固定脊椎釘桿裝 係 部 i體、，且5參考使用者 方向為上，反之足部方 下，而相對於該上、下二端 之周邊，則為側面。 而 【實施方式】 為進一步說明本發明，茲以# 實施方式如下： “具體例配合圖式說明 圖工中，該動態固定脊椎钉桿裝置1〇，其包含 釘組20及一連結桿30。 椎 該脊椎钉組2〇進一步包含-釘件21及-螺固件22, 8 200920307 丁件2 1之—承接端2 11設一 u形槽2 1 2，可容置該螺固 件22累入。及該連結桿30 ’可先容置於該u形槽2 12中， /再父違螺固件22螺入迫緊，而固定連結於該釘件 21上。 而2 11之u形槽兩側圍壁内2 1 3及槽底2 14， 均再凹設一交® '丄 二間’及内容置一具有彈性之彈性體4〇(不 拘彈性體形式）。 此田5亥連結桿3 0置入該ϋ形槽2 j 2後，便可於 兩側及底面接觸該等彈性體 該釘件21與該連結桿30時 3〇與釘件21間具彈性緩衝 椎釘桿組合裴置。 40 ’而該螺固件22螺入迫緊 ’該等彈性體40可使該連結桿 ’而可作為動態固定連結之脊 圖2中’該動態固定脊椎釘桿裝置1Q，其中該彈性體 一步可為一弧形相對彈片41，該弧形彈片Μ兩兩以 面相對接觸，形成—近似橢圓形之彈性體，1兩如 该連結桿30，而其受壓迫變形時，可 Μ彈力維㈣料21與料結桿3Q之連結平衡。 或該彈性體進—步可為_圈狀彈菁Μ，該彈菩 2端分別接觸該釘件承接端211及該連結桿3〇: 連結平衡。Mi力維持該釘件η與料結桿30之 又該彈性體或可進一步為 ) 或其他不同形式；海綿、 彈性材質），該塑料彈性體43 一塑料彈性體43 (柱形、球 TPU、ΡΕ，或其他不同塑料 兩側接觸該釘件承接端211 200920307 及該連結桿3 〇，受壓迫變形時也玎提供彈力維持該釘件2 1 與該連結桿3 〇連結平衡。 或該塑料彈性體為一中空塑料彈性體44，受壓迫時具 有一中空空間44 1可供變形提供彈性。 圖3中，該另一種動態固定脊椎釘桿裝置，其包含 一脊椎釘組60 ’包含可動穿套之一承接座6 1與—螺釘62 , 及一墊圈63與一螺固件64，該承接座61之—u形槽611 中，可供該螺釘62及該墊圈63置入，及該螺固件64螺入 結合； μ 及亦包含與前述實施例相同之一連結桿30，可置入該 u形槽…並受該螺固件64迫緊連結固定該墊圈μ 及該承接座6 1。 圖4a中，該螺釘62為—半球頭形621螺釘，該墊圈 63未直接接觸及壓迫該螺釘之半球頭形端621，因此可提 供適度的可活動性。及該螺固件64迫緊固定該承接座〇、 連結桿30及該墊圈63時，該塾圈63、承接座μ與該螺 釘62半球頭形端62〗間仍具有一空間川做為可動連結。 且該承接座U形槽611之兩側圍壁面上，均凹設一弧 形容置空間612 (為配合該墊圈63之外緣圓周弧度），該 墊圈03(兩端631)可容置於該弧形空間612 又 乂 , τ ，囚此， 當該螺固件64壓迫該連結桿30及該墊圈63時，及誃墊圈 63 (兩端631)則卡合於該弧形空間612中，並間接迫緊 與該承接座61的結合。 ” 圖4b中’其中該墊圈63、承接座61與該螺釘半球頭 10 200920307 形端6 2 1間之介門7 ]之二間70中，進—步可裝入— 該等組件間穩定連結。 沒體71，使 而該彈性體71進―步可為—中空或不中空 塑料之軟質彈性體， 土枓或非 J 1入β亥空間70中穩定連处，η 料軟質彈性體7丨 ，σ及該塑 塑料等，可置入步可為—海綿塊體、加塑料、ΡΕ 置入該二間70中提供彈性，維持 墊圈63、承接庙± Μ 口亥螺固件64、 彈性體。“1、連結桿3。與該螺钉Q間穩定連結之 於圖5中，該兩種形式之動態固定脊椎釘桿裳置10 均可單一形式成組使用，枰農置1〇、50, 椎脊柱椎體8〇、81之動二二，或混合成組使用於-脊 〇1 <勖悲固定連結上。 该種動態固定脊椎釘桿裝置 上時，該脊椎釘組20盘兮連彳於。亥含椎椎體80 22螺緊固定連結，作因έ β 雖猎由該螺固件 有多個因5亥钉組釘件21之承接端211内，且 有夕個弹性體40,與該連結桿3 内/、 衝，而使得該釘組20盥爷 疋夺，具有彈性級 使得以該連結桿30串聯‘各：：3〇具有微動性，間接即 性’不至於會完全固定鎖死二:推體80間，具有微動 及該另一種動態固定脊椎體間融合的現象。 椎體W上時，該半球頭、：衣置5〇,固定於該脊推 圈《間所預留之一空間7〇、 〜該釘組承接座、墊 脊椎針組60與該連結桿3〇^成—緩衝區°因此’雖該 藉由螺…入固定之脊：：螺固件“鎖緊固定，該 間，卻仍具有一定程度之^ 81，與其他節段之椎體 '動性’不會完全固定不動， 200920307 造成椎體融合現象。 【圖式簡單說明】 圖1為本發明-種動態固定脊椎針桿裝置之較佳具體 例示意圖。（圖i為代表圖） 圖2為該動態固定脊椎釘桿裝置之一針件承接座内所 置之不同形式之一彈性體較佳具體例示意圖。 圖3為本發明另一種動態固定脊椎釘桿裝置之較佳具 體例示意圖。 圖4a及圖4b為該另種動態固定脊椎釘桿裝置之一半 球頭形螺釘與其他組件間具有一空間，及該空間中可置入 一彈性體之較佳具體例示意圖。 圖5為該等動態固定脊椎釘桿裝置之各植入至一 椎體間較佳具體例示意圖。 【主要元件符號說明】 10 動態固定脊椎釘桿襄 20 脊椎釘組 22 螺固件 212 U形槽 214 槽底 40 彈性體 42 圈狀彈簧 44 中空塑料彈性體 50 動態固定脊椎釘桿褒 60 脊椎釘組 置 21 釘件 211 承接端 213 兩側圍壁 3 0 連結桿 41 孤形相對彈片 43 塑料彈性體 441 中空空間 置 61 承接座 12 200920307 62 螺釘 63 墊圈 64 螺固件 611 U形槽 612 兩側圍壁 621 半球頭形端 63 1 墊圈兩端 70 空間 71 彈性體 80 脊椎椎體 81 脊椎椎體 13Two: material elastic body, the plastic elastic body contacts the nail receiving end I on both sides of the connecting rod, and can provide elastic force to maintain the joint when deformed by (4) 2 the above-mentioned dynamic fixed spinal nail rod nightmare, Ganshan-t^4± ^ „ The device wherein the plastic elastomer is a material body, and the compressed material has a hollow space for deformation. Further, the dynamic fixed spinal rod device of the present invention comprises: a spine group comprising a movable One U-shaped groove receiving seat and one screw: a two-turn ring and a screw body, the socket is for the ring to be inserted, and the screw is screwed into the joint; the connecting rod is placed into the U-shaped jaw Φ , a 兮 定 定 及 及 及 ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺 螺The firmware is tightly fixed and there is still space between the receiving ends. 200920307 The above-mentioned dynamic fixed spinal nails are disposed on both sides of the wall surface, wherein the receiving seat has a u-shaped groove and a curved receiving space, the gasket The two ends can be placed in the arc-shaped bucket of the Πhai. Today Executive Park and the gasket on the card people - even sorrow "dry and the gasket, BU, ten, in the far curved space, and packing of the receiving seat.盥The main + 卞 卞 钉 才 ’ 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 其中 # # # # # # # # # # # # # # —The cow A V is tempered to fix the spine rod I. In the middle, the soft elastomer is advanced into a plastic soft elastomer, which can be placed in the space for stable connection. Into the body - cattle A., dry device, where the plastic is soft and elastic. Material h body, can be placed in the space ten stable above the dynamic fixed ridge push name - cattle, 'cup flat" where the soft elastomer into V is a sponge block ^ brother 馊 placed in the space stable link . The relative position defined in the present invention, 4I is as above, below, side, etc., and the hand is attached to the body of the dynamic fixed spinal rod assembly, and 5 refers to the user direction as the upper side, and vice versa. It is a side surface with respect to the periphery of the upper and lower ends. [Embodiment] In order to further explain the present invention, the embodiment is as follows: "Specific Example In conjunction with the drawings, the dynamic fixed spinal rod device 1A includes a nail set 20 and a connecting rod 30. The spine group 2 further includes a nail member 21 and a screw member 22, 8 200920307. The receiving member 2 1 is provided with a u-shaped groove 2 1 2, and the screw member 22 can be accommodated. And the connecting rod 30' can be first placed in the u-shaped groove 212, and then the male-inflicted screw 22 is screwed tightly and fixedly attached to the nail member 21. The two sides of the u-shaped groove of the 2-11 2 1 3 in the surrounding wall and 2, 2 and 2 in the bottom of the groove are all recessed with a 'crossing' and a flexible elastic body 4 (without elastic form). After being inserted into the squat groove 2 j 2 , the elastic member and the nail member 21 can be disposed between the elastic member and the fastening member 30 when the two sides and the bottom surface are in contact with each other. 40' and the screw 22 is screwed into the 'the elastic body 40 can make the connecting rod' and can be used as a dynamic fixed joint in the ridge 2 in the dynamic fixed spinal rod 1Q, wherein the elastic body can be an arc-shaped elastic piece 41 in a step, and the curved elastic piece is in surface contact with each other to form an elliptical elastic body, and the two are like the connecting rod 30, and are subjected to compression deformation. When the elastic force (four) material 21 and the material rod 3Q are connected to each other, or the elastic body step can be a ring-shaped elastic crystal, and the elastic end 2 contacts the nail receiving end 211 and the joint respectively. The rod 3〇: the joint balance. The Mi force maintains the nail η and the knot rod 30 and the elastic body may further be) or other different forms; the sponge, the elastic material), the plastic elastomer 43 and the plastic elastomer 43 (The cylindrical shape, the ball TPU, the cymbal, or other different plastics are in contact with the nail receiving end 211 200920307 and the connecting rod 3 〇, and when the compression is deformed, the elastic force is also provided to maintain the nail member 2 1 and the connecting rod 3 〇 The plastic elastomer is a hollow plastic elastomer 44 which, when compressed, has a hollow space 44 1 for deformation to provide elasticity. In Fig. 3, the other dynamic fixed spinal rod device comprises a spinal nail Group 60' contains one of the movable sleeves 6 1 and - screw 62, and a washer 63 and a screw 64, the u-shaped groove 611 of the receiving seat 61, the screw 62 and the washer 63 are placed, and the screw 64 is screwed into the joint; And a coupling rod 30 which is also identical to the previous embodiment, can be inserted into the u-shaped groove ... and is fastened by the screw 64 to fix the washer μ and the receiving seat 61. In Fig. 4a, the screw 62 It is a hemispherical head shaped 621 screw that does not directly contact and compress the hemispherical head end 621 of the screw, thus providing moderate mobility. When the screw member 64 is tightly fixed to the receiving seat, the connecting rod 30 and the washer 63, the ring 63, the receiving seat μ and the hemispherical end 62 of the screw 62 still have a space as a movable connection. . And an arc-shaped accommodating space 612 (to fit the outer circumference of the washer 63) is recessed on both sides of the wall of the U-shaped groove 611 of the receiving seat, and the washer 03 (both ends 631) can be accommodated The arcuate space 612 is again 乂, τ, and when the screw 64 presses the connecting rod 30 and the washer 63, the 誃 washer 63 (both ends 631) is engaged in the arcuate space 612, and The combination with the socket 61 is indirectly forced. In Figure 4b, in the two compartments 70 of the washer 63, the receiving seat 61 and the screw hemispherical head 10 200920307 shaped end 6 2 1 , the step can be loaded - the stable connection between the components No body 71, so that the elastomer 71 can be a soft elastomer of hollow or non-hollow plastic, a stable joint of soil or non-J 1 into the β-space 70, and a soft elastomer of η material , σ and the plastic, etc., can be placed into a step - sponge block, plastic, ΡΕ placed in the two 70 to provide flexibility, to maintain the gasket 63, to undertake the temple ± 亥 亥 螺 64 64 64, elastomer. "1. Connecting rod 3. In the case of the stable connection between the screw Q and the screw Q, the two types of dynamic fixed spinal rods 10 can be used in a single form, and the sacral vertebral body 8 〇, 81 Move two or two, or mix into groups for use on - ridge 1 < 勖 sad fixed link. When the dynamic fixation of the spinal rod device is performed, the spinal group 20 is entangled. The vertebral body of the vertebral body 80 22 is tightly fixed, and the έβ is hunted by the squeezing body. There are a plurality of rivets in the receiving end 211 of the nail member 21, and there is an elastic body 40, and the connection The rod 3 is inside/and rushed, so that the nail group 20 is robbed, and has an elastic level so that the connecting rod 30 is connected in series 'each:: 3 〇 has micro-motion, and the indirect nature is not completely fixed and locked. : 80 pushers, with micro-motion and the phenomenon of the other dynamic fixed vertebral body fusion. When the vertebral body W is placed on the vertebral body W, the hemispherical head is placed at 5 〇, and is fixed in the ridge push ring. One space reserved for the space 〇, the nail set receiving seat, the vertebral needle set 60 and the connecting rod 3 〇^成—buffer° so 'but though the snail enters the fixed ridge:: the screw is “locked and fixed”, but there is still a certain degree of 81, and the vertebral body 'movability with other segments 'It will not be completely fixed, 200920307 will cause vertebral body fusion phenomenon. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a schematic view showing a preferred embodiment of a dynamic fixed spinal needle bar device of the present invention (Fig. i is a representative figure) Fig. 2 A schematic diagram of a preferred embodiment of one of the different forms of the elastic fixed spinal rod device in the needle receiving seat. Fig. 3 is a schematic view showing another preferred embodiment of the dynamic fixed spinal rod device of the present invention. 4a and FIG. 4b are schematic diagrams showing a preferred embodiment of a hemispherical head screw of the other type of dynamically fixed spinal rod device and other components, and an elastic body can be placed in the space. FIG. Each of the dynamic fixation spinal rod devices is implanted into a vertebral body Schematic diagram of the preferred embodiment. [Main component symbol description] 10 Dynamic fixed spinal shank 襄 20 Spine nail group 22 Screws 212 U-shaped groove 214 Slot bottom 40 Elastomer 42 Ring spring 44 Hollow plastic elastomer 50 Dynamic fixation of the spine nail Rod 60 Spine nail set 21 Nail 211 Accepting end 213 Both sides of the surrounding wall 30 Connecting rod 41 Lonely relative to the elastic piece 43 Plastic elastomer 441 Hollow space setting 61 Receiving seat 12 200920307 62 Screw 63 Washer 64 Screw 611 U-shaped Slot 612 Both sides of the surrounding wall 621 Hemispherical head end 63 1 Both ends of the washer 70 Space 71 Elastomer 80 Spine vertebral body 81 Spine vertebral body 13