摘要:
The present application is directed to implants and methods for dynamic stabilization and/or fusion of vertebral members. The implant includes relief cuts that provide flexibility to accommodate relative movements of the vertebral members. The number, size, and shape of the relief cuts may vary depending upon the desired flexibility. Shims are sized to fit within the relief cuts to adjust the flexibility of the implant. The shims may be placed within the relief cuts to adjust the overall flexibility of the implant. In general, the stiffness of the device increases with an increase in the number of shims. Shims may also be placed within specific relief cuts to adjust the flexibility for predetermined vertebral movement.
摘要:
A containment device is inserted between vertebral members in a patient and provides a rapid implant solution adapted for use in different applications. The device includes an interior volume to contain a curable substance at substantially atmospheric pressure. Upon filling the enclosure member with a curable substance, the enclosure member is able to conform to and maintain a space between vertebral members. The containment device may include an enclosure member constructed of an impermeable material adapted to constrain migration of the curable substance. The enclosure member may include an exterior wall surrounding the interior volume and an opening in the exterior wall that exposes the interior volume. The containment device may include end members that may be distracted to establish a desired vertebral spacing. Spacer members may be included to further maintain the desired spacing. Upon hardening of the curable substance, the device is capable of maintaining the desired spacing.
摘要:
Apparatus and methods are disclosed for use within an image-guided surgical navigation system for facilitating the combined positioning and orientation of multiple surgical implements. A tool guide having multiple cannulas is tracked by a surgical navigation system in real time. Position data of the tool guide is registered and combined with pre-acquired images by the navigation computer. Concurrent graphical representations of the plurality of cannulas are superimposed over the images and displayed. The display allows the surgeon to place the tool guide into the patient's body and position and orient the plurality of cannulas which are then used to place each of the implements.
摘要:
A vertebral distractor is disclosed for use in performing anterior cervical spinal surgery. The vertebral distractor is associated with a computer controlled surgical navigation system employing an energy-detecting array to track positions of the vertebral distractor in three dimensional space relative to a known reference point. The guide comprises a shaft, a stationary first arm, and at least one movable second arm. At least one electrically energizable energy emitter array is attached to the shaft for use in identifying the location of the vertebral distractor relative to the vertebrae. A system for using the vertebral distractor in spinal surgery is disclosed.
摘要:
Spinal surgical systems include a compressor mountable to a first vertebra and positionable relative to a fulcrum mountable to a second vertebra. The compressor and fulcrum are manipulated relative to one another to compress the first and second vertebrae. The systems further include a distractor mountable to a first vertebra and positionable relative to a fulcrum mountable to a second vertebra. The distractor and fulcrum are manipulated relative to one another to distract the first and second vertebrae.
摘要:
An intervertebral implant comprises a first component and a second component. The second component includes an actuator and a third component comprises a first ramp and a second ramp axially spaced apart from the first ramp. The third component comprises rails including at least a portion of the ramps. At least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height. The first height is greater than the second height. The actuator is engageable with the third component to effect axial translation such that the ramps engage at least one of the components between a first configuration and a second configuration. Methods of use are disclosed.
摘要:
An interbody implant system is provided. The interbody implant system includes an implant having an engagement surface and an instrument including a first member and a second member that is movable relative to the first member. The first member is configured to capture the implant and the second member includes an interface configured to engage the engagement surface to releasably lock the implant in at least one orientation relative to the second member. The at least one of the engagement surface and the interface include at least one planar face. Methods of use are disclosed.
摘要:
A bone screw and method of inserting a bone screw into a bone is disclosed. In one example, the bone screw includes a tip segment for creating a starter hole in the bone. A pilot segment is located proximally of the tip segment for creating a pilot hole in the bone after creation of the starter hole. A threaded segment is located proximally of the pilot segment for fixedly securing the bone screw in the bone. A head is located proximally of the threaded segment for allowing a surgical rod to be fixedly secured to the bone screw.
摘要:
Methods and devices for minimally invasive surgery in a patient. A tubular body is disclosed which includes in its side wall a plurality of longitudinal passages. Elongated blocking members are also disclosed which are inserted into the passages. The elongated blocking members block deflected interfering tissue during the surgery.
摘要:
Embodiments of the invention include implants and methods for connecting devices to bones, such as one or more endplates of vertebrae. Devices may include mechanisms for connecting to one or more vertebrae by extending portions of the devices through an aperture in a vertebral implant and expanding the implant within the one or more vertebrae. A fill material may be used to drive the expansion in some embodiments.