CN111568610B - Lateral front approach cervical interbody fusion cage and matched bone grafting tool - Google Patents
Lateral front approach cervical interbody fusion cage and matched bone grafting tool Download PDFInfo
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- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
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Abstract
本发明涉及一种侧前方入路颈椎间融合器及配套植骨工具,属于医疗器械技术领域,该融合器包括植骨腔、第一支撑块、第二支撑块、扩张结构以及闭塞部件,植骨腔连接在第一支撑块和第二支撑块之间,第二支撑块上设有植骨窗,扩张结构包括第一弹片和第二弹片,第一弹片和第二弹片分别位于植骨腔的前方和后方,植骨腔的侧壁上有通孔,在植骨窗处安装闭塞部件,以将植骨窗堵住,避免植骨材料反向脱出,在闭塞部件上安装固定结构。该融合器能够用于从颈椎侧前方植入。植骨工具包括注射管、锥管和活塞,注射管和锥管连接,注射管的外壁上设有扣槽,使用时,将注射管插在植骨窗中,用活塞将植骨材料推入植骨腔,以使得融合器填充植骨材料的操作更简单方便。
The invention relates to a side anterior approach cervical intervertebral fusion device and a matching bone grafting tool, belonging to the technical field of medical devices. The bone cavity is connected between the first support block and the second support block, the second support block is provided with a bone graft window, and the expansion structure includes a first elastic piece and a second elastic piece, and the first elastic piece and the second elastic piece are respectively located in the bone graft cavity There are through holes on the side wall of the bone graft cavity, and a blocking component is installed at the bone graft window to block the bone graft window to prevent the bone graft material from protruding in reverse, and a fixed structure is installed on the blocking component. The cage can be used for implantation from the cervical side anteriorly. Bone grafting tool includes injection tube, taper tube and piston. The injection tube is connected with the taper tube. There is a buckle groove on the outer wall of the injection tube. When in use, insert the injection tube into the bone grafting window, and push the bone graft material into it with the piston. Bone graft cavity to make the operation of fusion cage filled with bone graft material easier and more convenient.
Description
技术领域technical field
本发明属于医疗器械技术领域,特别涉及一种侧前方入路颈椎间融合器及配套植骨工具。The invention belongs to the technical field of medical devices, in particular to a cervical intervertebral fusion device with a side-anterior approach and a matching bone grafting tool.
背景技术Background technique
颈椎前路减压融合术一直是治疗颈椎退变性疾病的经典且有效的手术方式,在进行该手术的过程中,需要牵拉气管和食道并切除相应部位的纤维环以及前纵韧带,因此,该手术将破坏椎骨的节段稳定性,并且存在术后吞咽困难等并发症风险。为了解决该技术问题,有研究学者提出从颈椎侧前方植入融合器的方案,进行侧前方入路融合术时,则是椎骨间隙的侧前方微型开口,这样则不需要牵拉气管以及食道,并且可以保留患者前方原有的纤维环以及前纵韧带,大大降低手术的不稳定性以及手术致使患者吞咽困难的几率。Anterior cervical decompression and fusion has always been a classic and effective surgical method for the treatment of cervical degenerative diseases. During the operation, the trachea and esophagus need to be stretched and the annulus fibrosus and anterior longitudinal ligament of the corresponding parts need to be resected. Therefore, This operation will destroy the segmental stability of the vertebrae, and there is a risk of postoperative complications such as dysphagia. In order to solve this technical problem, some researchers proposed to implant the fusion device from the side and front of the cervical spine. When performing fusion through the side and front approach, it is a small opening in the side and front of the intervertebral space, so that there is no need to pull the trachea and esophagus. Moreover, the original annulus fibrosus and the anterior longitudinal ligament in front of the patient can be preserved, which greatly reduces the instability of the operation and the chance of the patient having dysphagia caused by the operation.
颈椎侧前方手术入路手术视野较小、手术操作通道较小、进行固定和植入操作的空间较小,侧前方用于固定的骨面也同前方入路不同。但是现有技术中的融合器均是为颈椎前路减压融合术而设计的结构,其结构尺寸以及固定方式均不能适用于颈椎侧前方手术入路,因此,一种能够适用于颈椎侧前方手术入路的融合器亟待出现。The lateral and anterior approach to the cervical spine has a smaller surgical field of view, a smaller operating channel, and less space for fixation and implantation. The bone surface used for fixation is also different from the anterior approach. However, all fusion devices in the prior art are structures designed for anterior cervical decompression and fusion, and their structural dimensions and fixing methods are not suitable for the surgical approach on the side of the cervical spine. Therefore, a fusion device that can be applied to the front of the cervical spine Fusion devices for surgical approaches are urgently needed.
发明内容Contents of the invention
本发明提供一种侧前方入路颈椎间融合器,用于解决现有技术中的融合器不能适用于颈椎侧前方手术入路的技术问题。The invention provides a cervical intervertebral fusion device with a lateral anterior approach, which is used to solve the technical problem that the fusion device in the prior art cannot be applied to the lateral anterior surgical approach of the cervical spine.
本发明通过下述技术方案实现:一种侧前方入路颈椎间融合器,包括:The present invention is realized through the following technical solutions: a cervical intervertebral fusion device with lateral anterior approach, comprising:
植骨腔、用于支撑椎骨间隙左部的第一支撑块以及用于支撑椎骨间隙右部的第二支撑块,所述植骨腔设于所述第一支撑块和所述第二支撑块之间,所述第二支撑块上设有用于塞入植骨材料的植骨窗,所述植骨窗与所述植骨腔导通,所述植骨腔的上下前后四个侧壁上均设有通孔;Bone graft cavity, a first support block for supporting the left part of the intervertebral space, and a second support block for supporting the right part of the intervertebral space, the bone graft cavity is set on the first support block and the second support block Between, the second support block is provided with a bone graft window for inserting bone graft material, the bone graft window is connected to the bone graft cavity, and the four side walls of the bone graft cavity up, down, front and back All have through holes;
所述植骨腔外还设有朝前后方向扩张的扩张结构,当所述植骨腔中填充植骨材料时,所述植骨材料穿过所述通孔而挤压所述扩张结构朝外扩张;The bone graft cavity is also provided with an expansion structure that expands forward and backward. When the bone graft material is filled in the bone graft cavity, the bone graft material passes through the through hole and squeezes the expansion structure outward. expansion;
还包括闭塞部件,所述闭塞部件可拆卸固定安装在所述植骨窗处以将所述植骨窗堵住,所述闭塞部件上设有用于固定的固定结构。It also includes an occlusion component, which is detachably and fixedly installed at the bone graft window to block the bone graft window, and the occlusion component is provided with a fixing structure for fixing.
进一步地,为了更好的实现本发明,所述扩张结构包括第一弹片和第二弹片,所述第一弹片的一端和所述第二弹片的一端均连接在所述第一支撑块上,所述第一弹片的另一端和所述第二弹片的另一端均滑动安装在所述第二支撑块上,并且所述第一弹片罩在于所述植骨腔前侧壁的通孔外,所述第二弹片罩在于所述植骨腔后侧壁的通孔外。Further, in order to better realize the present invention, the expansion structure includes a first elastic piece and a second elastic piece, one end of the first elastic piece and one end of the second elastic piece are both connected to the first support block, The other end of the first elastic piece and the other end of the second elastic piece are both slidably installed on the second support block, and the first elastic piece is covered outside the through hole of the front side wall of the bone graft cavity, The second shrapnel cover is located outside the through hole on the rear side wall of the bone graft cavity.
进一步地,为了更好的实现本发明,所述植骨窗内壁上设有弹性卡扣,所述闭塞部件上设有与所述弹性卡扣适配的扣槽,所述弹性卡扣扣接于所述扣槽中,所述闭塞部件包括第一板、第二板以及连接杆,所述连接杆连接在所述第一板和所述第二板之间并组成工字型结构,所述第一板、所述第二板以及所述连接杆之间形成所述扣槽。Further, in order to better realize the present invention, an elastic buckle is provided on the inner wall of the bone graft window, and a buckle groove adapted to the elastic buckle is provided on the blocking member, and the elastic buckle is fastened to In the buckle groove, the blocking part includes a first plate, a second plate and a connecting rod, and the connecting rod is connected between the first plate and the second plate to form an I-shaped structure, so The buckle groove is formed between the first board, the second board and the connecting rod.
进一步地,为了更好地实现本发明,所述固定结构包括第一导向孔、第二导向孔、第一锁紧部件和第二锁紧部件,所述第一导向孔和所述第二导向孔均设于所述第二板上,所述第一锁紧部件穿接在所述第一导向孔中并可拆卸固定连接在所述椎骨间隙上方的一块椎骨上,所述第二锁紧部件穿接在所述第二导向孔中并可拆卸固定连接在所述椎骨间隙下方的一块椎骨上。Further, in order to better realize the present invention, the fixing structure includes a first guide hole, a second guide hole, a first locking part and a second locking part, and the first guide hole and the second guide The holes are all arranged on the second plate, the first locking part is passed through the first guide hole and is detachably fixedly connected to a vertebra above the intervertebral space, and the second locking part The component is passed through the second guide hole and is detachably and fixedly connected to a vertebra below the intervertebral space.
进一步地,为了更好地实现本发明,所述第一锁紧部件和所述第二锁紧部件均是螺钉。Further, in order to better realize the present invention, both the first locking component and the second locking component are screws.
进一步地,为了更好地实现本发明,所述第二支撑块的前侧壁和后侧壁上均设有滑槽,所述第一弹片的另一端以及所述第二弹片的另一端均设有滑块,所述第一弹片上的滑块滑动安装在所述第二支撑块的前侧壁上的滑槽中,所述第二弹片上的滑块安装在所述第二支撑块后侧壁上的滑槽中。Further, in order to better realize the present invention, slide grooves are provided on the front side wall and the rear side wall of the second support block, and the other end of the first elastic piece and the other end of the second elastic piece are both A slider is provided, the slider on the first elastic piece is slidably installed in the slide groove on the front side wall of the second support block, and the slider on the second elastic piece is installed on the second support block in the chute on the rear side wall.
进一步地,为了更好地实现本发明,所述第一弹片和所述第二弹片上均设有若干贯通的细孔。Furthermore, in order to better realize the present invention, both the first elastic piece and the second elastic piece are provided with a plurality of through holes.
进一步地,为了更好地实现本发明,所述植骨腔的顶壁和所述植骨腔的底壁均是外凸的弧形结构,并且所述植骨腔顶壁的上表面和所述植骨腔底壁的下表面均设有若干用于防滑的凸部。Further, in order to better realize the present invention, both the top wall of the bone graft cavity and the bottom wall of the bone graft cavity are convex arc structures, and the upper surface of the bone graft cavity top wall and the The lower surface of the bottom wall of the bone graft cavity is provided with several anti-slip protrusions.
本发明还提供一种植骨工具,以用于医护人员更便捷地将植骨材料注入上述侧前方入路颈椎间融合器的植骨窗以及植骨腔。The present invention also provides a bone grafting tool, which is used for medical personnel to more conveniently inject the bone grafting material into the bone grafting window and the bone grafting cavity of the above-mentioned lateral anterior approach cervical intervertebral fusion device.
该植骨工具包括注射管、锥管、活塞以及上述侧前方入路颈椎间融合器,所述注射管与所述锥管连接并组成漏斗结构,所述注射管远离所述锥管的一端外壁上设有与所述弹性卡扣适配的卡槽,所述活塞上设有推杆且所述活塞与所述注射管适配。The bone grafting tool includes an injection tube, a tapered tube, a piston and the above-mentioned side anterior approach cervical intervertebral fusion device, the injection tube is connected with the tapered tube to form a funnel structure, and the injection tube is far away from the outer wall of one end of the tapered tube There is a card slot adapted to the elastic buckle, a push rod is arranged on the piston and the piston is adapted to the injection tube.
进一步地,为了更好地实现本发明,还包括握柄,所述握柄连接在所述锥管远离所述注射管的一端端面上。Further, in order to better realize the present invention, a handle is also included, and the handle is connected to the end face of the conical tube away from the injection tube.
本发明相较于现有技术具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
1、本发明提供的侧前方入路颈椎间融合器,包括植骨腔、第一支撑块、第二支撑块、第一弹片、第二弹片以及闭塞部件,其中,植骨腔设于第一支撑块和第二支撑块之间,第一支撑块和第二支撑块分别用于支撑椎骨间隙左部以及右部,上述植骨腔则可以支撑在椎骨间隙的中部且该植骨腔的上下前后四个侧壁上均设有通孔,在第二支撑块上设有植骨窗,植骨窗与上述植骨腔连通,第一弹片和第二弹片均连接在上述第一支撑块上,且该第一弹片和第二弹片远离第一支撑块的一端均滑动连接在上述第二支撑块上,并且第一弹片和第二弹片分别罩在植骨腔前侧壁的通孔以及植骨腔后侧壁的通孔外,使用时,将该侧前方入路颈椎件融合器从颈椎侧前方入路植入患者的椎骨间隙,并使得第一支撑块、植骨腔以及第二支撑块依次进入椎骨间隙,此时,由于植骨腔中没有物体挤压第一弹片和第二弹片,故而此时第一弹片和第二弹片均贴附在植骨腔外壁上,尺寸紧凑,以便于从颈椎侧前方植入,植入后,医护人员从植骨窗中将植骨材料注入植骨腔,随着植骨腔中的植骨材料的数量增多,植骨材料将会从植骨腔侧壁上的通孔外植骨腔外挤,植骨腔前侧壁通孔出来的植骨材料将会挤压第一弹片,植骨腔后侧壁通孔出来的植骨材料将会挤压第二弹片,第一弹片和第二弹片则会产生弹性形变并朝外扩张而在第一弹片与植骨腔之间以及第二弹片与植骨腔之间各形成一个上下贯通的扇形区域,与此同时,该扇形区域中也会填充满植骨材料,以扩大植骨面积且扇形区域中的植骨材料将能够更好的生长,还包括闭塞部件,当植骨腔以及上述扇形区域中填充好植骨材料后,便可以将该闭塞部件安装在植骨窗处,从而避免植骨腔中的植骨材料反向脱出而泄露,在该闭塞部件上设有固定结构,借助于该固定结构,便可以将整个侧前方入路颈椎间融合器固定在椎骨间隙侧壁上,该固定结构则是从颈椎侧前方进行紧固,适用于颈椎侧前方入路植入;1. The cervical intervertebral fusion device with lateral anterior approach provided by the present invention comprises a bone graft cavity, a first support block, a second support block, a first elastic piece, a second elastic piece and a blocking component, wherein the bone graft cavity is located in the first Between the support block and the second support block, the first support block and the second support block are used to support the left and right parts of the intervertebral space respectively, and the above bone graft cavity can be supported in the middle of the intervertebral space and above and below the bone graft cavity. Through holes are provided on the front and rear four side walls, and a bone graft window is provided on the second support block. The bone graft window communicates with the bone graft cavity, and both the first elastic piece and the second elastic piece are connected to the above first support block. , and the ends of the first elastic piece and the second elastic piece away from the first support block are slidably connected to the above-mentioned second support block, and the first elastic piece and the second elastic piece are respectively covered in the through hole of the front side wall of the bone graft cavity and the implant Outside the through hole on the back and side wall of the bone cavity, when in use, the side-anterior approach cervical fusion cage is implanted into the patient's intervertebral space from the side-anterior approach of the cervical spine, and the first support block, the bone graft cavity and the second support At this time, because there is no object in the bone graft cavity to press the first elastic piece and the second elastic piece, the first elastic piece and the second elastic piece are attached to the outer wall of the bone graft cavity at this time, and the size is compact, so that It is implanted from the front side of the cervical spine. After implantation, the medical staff will inject the bone graft material into the bone graft cavity through the bone graft window. As the amount of bone graft material in the bone graft cavity increases, the bone graft material will flow from the bone graft The through hole on the side wall of the cavity extrudes the bone cavity, the bone graft material coming out of the through hole on the front side wall of the bone graft cavity will squeeze the first shrapnel, and the bone graft material coming out of the through hole on the back side wall of the bone graft cavity will squeeze The second shrapnel, the first shrapnel and the second shrapnel will produce elastic deformation and expand outward to form a vertically penetrating fan-shaped area between the first shrapnel and the bone graft cavity and between the second shrapnel and the bone graft cavity, At the same time, the fan-shaped area will also be filled with bone graft material to expand the bone graft area and the bone graft material in the fan-shaped area will be able to grow better. After the bone graft material is filled, the occlusion part can be installed at the bone graft window, so as to prevent the bone graft material in the bone graft cavity from protruding in reverse and leaking. A fixing structure is provided on the occlusion part. structure, the entire lateral anterior approach cervical intervertebral fusion cage can be fixed on the side wall of the intervertebral space, and the fixing structure is fastened from the lateral anterior aspect of the cervical spine, which is suitable for implantation in the lateral anterior approach of the cervical spine;
2、本发明提供了一种和上述侧前方入路颈椎间融合器配套使用的植骨工具,包括注射管、锥管和活塞,注射管与锥管连接形成漏斗结构,注射管上设有卡槽,活塞与注射管适配且活塞上设有推杆,使用时,将注射管插入上述植骨窗并使得卡槽与植骨窗处的弹性卡扣相连,从而使得该植骨工具与上述侧前方入路颈椎间融合器组成一个整体,医护人员从锥管中放入植骨材料并使用上述活塞将植骨材料经注射管推入植骨腔,推杆的设置,则可以使得推的过程更加便捷,通过该植骨工具,则使得在植骨腔中放入植骨材料的操作更加简单方便。2. The present invention provides a bone grafting tool used in conjunction with the above-mentioned side anterior approach cervical intervertebral fusion device, including an injection tube, a taper tube and a piston. The injection tube is connected with the taper tube to form a funnel structure, and the injection tube is provided with a clip Groove, the piston is adapted to the injection tube and the piston is provided with a push rod. When in use, insert the injection tube into the bone graft window and connect the slot with the elastic buckle at the bone graft window, so that the bone graft tool can be connected to the above bone graft window. The cervical intervertebral fusion cage through the side-anterior approach forms a whole. The medical staff puts the bone graft material from the tapered tube and uses the above-mentioned piston to push the bone graft material into the bone graft cavity through the injection tube. The setting of the push rod can make the pushing The process is more convenient, and the bone grafting tool makes the operation of putting the bone grafting material into the bone grafting cavity simpler and more convenient.
附图说明Description of drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. Those skilled in the art can also obtain other drawings based on these drawings without creative work.
图1是本发明实施例中使用植骨工具朝植骨腔内注入植骨材料时的结构示意图;Fig. 1 is a schematic structural view of using a bone graft tool to inject bone graft material into a bone graft cavity in an embodiment of the present invention;
图2是本发明实施例中的侧前方入路颈椎间融合器在充满植骨材料时的结构示意图;Fig. 2 is a schematic structural view of the side anterior approach cervical intervertebral fusion device filled with bone graft material in an embodiment of the present invention;
图3是图2中的A-A剖视图。Fig. 3 is a cross-sectional view of A-A in Fig. 2 .
图中:In the picture:
1-植骨腔;2-第一支撑块;3-第二支撑块;31-植骨窗;4-第一弹片;5-第二弹片;6-闭塞部件;61-扣槽;7-握柄;8-弹性卡扣;9-第一锁紧部件;10-第二锁紧部件;11-滑块;12-细孔;13-凸部;14-注射管;141-卡槽;15-锥管;16-活塞;17-推杆。1-Bone graft cavity; 2-First support block; 3-Second support block; 31-Bone graft window; 4-First shrapnel; 5-Second shrapnel; Handle; 8-elastic buckle; 9-first locking part; 10-second locking part; 11-slider; 12-fine hole; 13-convex part; 14-injection tube; 15-taper tube; 16-piston; 17-push rod.
具体实施方式detailed description
为使本发明的目的、技术方案和优点更加清楚,下面将对本发明的技术方案进行详细的描述。显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动的前提下所得到的所有其它实施方式,都属于本发明所保护的范围。In order to make the purpose, technical solution and advantages of the present invention clearer, the technical solution of the present invention will be described in detail below. Apparently, the described embodiments are only some of the embodiments of the present invention, but not all of them. Based on the embodiments of the present invention, all other implementations obtained by persons of ordinary skill in the art without making creative efforts fall within the protection scope of the present invention.
实施例1:Example 1:
本实施例提供一种侧前方入路颈椎间融合器,其可以从颈椎侧前方植入椎骨间隙以进行植骨。This embodiment provides a cervical intervertebral fusion device with a lateral front approach, which can be implanted into the intervertebral space from the front side of the cervical spine for bone grafting.
该侧前方入路颈椎间融合器包括植骨腔1、第一支撑块2和第二支撑块3,上述植骨腔1连接在第一支撑块2和第二支撑块3之间,使用时,将整个融合器从颈椎椎骨侧前方植入椎骨间隙,并使得第一支撑块2、植骨腔1以及第二支撑块3依次进入椎骨间隙,第一支撑块2支撑在椎骨间隙左部,第二支撑块3支撑在椎骨间隙右部,植骨腔1支撑在椎骨间隙的中部。上述第二支撑块3上设有植骨窗31,该植骨窗31与上述植骨腔1导通,以便于经该植骨窗31朝植骨腔1中塞入植骨材料,在植骨腔1的上下前后四个侧壁上均设有通孔,当植骨腔1中的植骨材料数量达到一定程度后,植骨材料将会从通孔中挤出。This lateral anterior approach cervical intervertebral fusion device includes a
在植骨腔1外还设有扩张结构,该扩张结构能够朝前后方向扩张,当植骨腔1中填充或者塞满植骨材料时,植骨材料穿过上述植骨腔1前侧壁以及后侧壁上的通孔而挤压该扩张结构,以使得该扩张结构朝外扩张,此时,该扩张结构里面会充满植骨材料。作为本实施例的一种最佳实施方式,本实施例中的扩张结构包括第一弹片4和第二弹片5。An expansion structure is also provided outside the
在上述第一支撑块2的前侧壁上连接第一弹片4,在第一支撑块2的后侧壁上连接第二弹片5,值得注意的是,第一弹片4和第二弹片5均是具有弹性的薄片结构,第一弹片4和第二弹片5在受到挤压作用力时均能产生弹性弯折。第一弹片4的另一端和第二弹片5的另一端均滑动安装在第二支撑块3上,而且第一弹片4罩在植骨腔1前侧壁上的通孔外,第二弹片5罩在植骨腔1后侧壁上的通孔外,当植骨腔1中的植骨材料从其前侧壁上的通孔中挤出时则会朝外挤压第一弹片4,第一弹片4将会产生弯折而朝外扩展,从植骨腔1后侧壁上的通孔中挤出的植骨材料将会挤压第二弹片5,使得第二弹片5弯折并朝外扩张,此时,在第一弹片4与植骨腔1之间以及第二弹片5与植骨腔1之间便会各形成一个扇形区域,并且扇形区域中也将填充满植骨材料,扇形区域的上下两侧均贯通,其中的植骨材料能够生长,而且两个扇形区域分别对应椎骨间隙中部的前端以及后端。根据研究表明,椎骨间隙中部的前端和后端植骨材料生长效果更好,因此,采用上述结构,在椎骨间隙中部的前端和后端分别通过一扇形区域放入植骨材料,以获得更好的植骨生长效果。The first
还包括闭塞部件6,当在植骨腔1以及扇形区域中填充满植骨材料后,则将该闭塞部件6装在上述植骨窗31处,此时,该闭塞部件6能够将植骨窗31堵住,以避免植骨腔1中的植骨材料反向脱出而从植骨窗31中出来。在该闭塞部件6上还设有固定结构,借助于该固定结构,则可以将整个侧前方入路颈椎间融合器固定在椎骨间隙的侧壁上。Also comprise
采用上述结构,本实施例提供的侧前方入路颈椎间融合器在没有填充植骨材料的时候,第一弹片4和第二弹片5分别贴在植骨腔1的前后侧壁上,使得整体结构更加紧凑小巧,以便于从颈椎侧前方入路植入椎骨间隙,塞入植骨材料后,第一弹片4和第二弹片5朝外扩张,以形成所需的植骨容置腔,进而在椎骨间隙间进行植骨。另外,该侧前方入路颈椎间融合器的固定结构设置在闭塞部件6上,闭塞部件6安装在植骨窗31处,以便于在颈椎侧前方操作。因此,本实施例提供的侧前方入路颈椎间融合器能够适用于从颈椎侧前方植入,在手术的过程中不需要牵拉气管和食道,并且不会对患者原有的纤维膜以及韧带造成损伤,降低患者擦产生吞咽困难的几率,增加术后阶段稳定性,促进早期康复训练,以帮助患者尽快返回工作岗位。With the above-mentioned structure, when the cervical intervertebral fusion device with anterior side approach provided by this embodiment is not filled with bone graft material, the first
实施例2:Example 2:
本实施例作为上述实施例的一种具体实施方式,本实施例中,在上述植骨窗31内壁上设有弹性卡扣8,在上述闭塞部件6上设有扣槽61,当闭塞部件6堵塞在植骨窗31处时,上述弹性卡扣8扣接在扣槽61中。该种结构的安装简单方便,而且借助于弹性卡扣8和扣槽61之间的连接,可以稳固地使得闭塞部件6堵塞在上述植骨窗31中。This embodiment serves as a specific implementation of the above-mentioned embodiment. In this embodiment, an
作为本实施例的一种最佳实施方式,本实施例中的闭塞部件6包括第一板、第二板以及连接杆,上述连接杆连接在第一板和第二板之间,此时第一板、第二办以及连接杆组成一个工字型结构,在第一板与连接杆以及第二板之间则形成上述扣槽61。该种结构的闭塞部件制造简单,使用方便。As a best implementation mode of this embodiment, the blocking
值得注意的是,上述第一板均与上述植骨窗31的开口适配,使用时,将第一板塞入上述植骨窗31并穿过上述弹性卡扣8,这样,则使得弹性卡扣8置入第一板和第二板之间的扣槽61中以进行锁扣,第二板位于椎骨窗31外。第一板则堵住上述植骨窗31。It should be noted that the above-mentioned first plate is adapted to the opening of the above-mentioned
实施例3:Example 3:
本实施例作为实施例2的一种最佳实施方式,本实施例中的固定结构包括第一导向孔、第二导向孔、第一锁紧部件9和第二锁紧部件10,其中,第一导向孔和第二导向孔均设于上述第二板上,第一锁紧部件9穿接在第一导向孔中并可拆卸固定连接在椎骨间隙上方的一块椎骨上,第二锁紧部件10穿接在第二导向孔中并可拆卸固定连接在椎骨间隙下方的一块椎骨上。作为本实施例的一种最佳的实施方式,本实施例的第一锁紧部件9和第二锁紧部件10均是螺钉。This embodiment is a best implementation mode of
采用上述结构,通过从第二板朝椎骨间隙侧壁安装螺钉,操作更加简单方便,以便于从颈椎侧前方进行操作。By adopting the above-mentioned structure, by installing screws from the second plate toward the side wall of the intervertebral space, the operation is more simple and convenient, so that the operation can be performed from the front side of the cervical spine.
实施例4:Example 4:
本实施例作为上述实施例的一种最佳实施方式,本实施例中的第二支撑块3的前侧壁和后侧壁上均设有一个滑槽,第一弹片4和第二弹片5上均设有一滑块11,安装时,将第一弹片4上的滑块11滑动安装在上述第二支撑块3前侧壁上的滑槽中,将第二弹片5上的滑块11滑动安装在第二支撑块3后侧壁上的滑槽中。这样,当第一弹片4和第二弹片5受到植骨材料的挤压而产生弹性变形并朝外扩张时,第一弹片4和第二弹片5均可以在第二支撑块3上产生滑动,以使得第一弹片4与植骨腔1之间的扇形区域以及第二弹片5与植骨腔1之间的扇形区域所能覆盖的面积更广。This embodiment is a best implementation mode of the above-mentioned embodiment. In this embodiment, the front side wall and the rear side wall of the
实施例5:Example 5:
本实施例作为上述实施例的一种更优实施方式,本实施例中,在上述第一弹片4和第二弹片5上均设有若干贯通的细孔12,椎骨间隙中的营养物质便穿过细孔12而进入上述扇形区域,从而使得营养物质能够更加顺畅地到达扇形区域中的植骨材料,从而滋养其中的植骨材料生长。This embodiment is a more optimal implementation mode of the above-mentioned embodiment. In this embodiment, a number of through
作为本实施例的一种最佳实施方式,本实施例中,上述植骨腔1的顶壁以及底壁均是外凸的弧形结构,以与椎骨间隙的侧壁适配,也即与终板的边缘形状适配,从而更加稳固地在椎骨间隙中形成支撑。而且,在上述植骨腔1顶壁的上表面和植骨腔1底壁的下表面上均设有若干凸部13,该凸部13与椎骨间隙的侧壁接触时可以增大摩擦力,进一步使得本实施例提供的侧前方入路颈椎间融合器更加稳固地安装在椎骨间隙中。As a best implementation mode of this embodiment, in this embodiment, the top wall and the bottom wall of the above-mentioned
实施例6:Embodiment 6:
本实施例提供一种植骨工具,其与上述实施例提供的侧前方入路颈椎间融合器配套使用。该植骨工具包括注射管14、锥管15和活塞16,其中,注射管14与锥管15连接并组成漏斗结构,上述注射管14远离锥管15的一端外壁上设有卡槽141,该卡槽141与上述植骨窗31处的弹性卡扣8适配,安装时,将注射管14插入植骨窗31并使得弹性卡扣8扣接在卡槽141中,这样,便可以使得该植骨工具与上述的侧前方入路颈椎间融合器连接形成一个整体,使用者把持住该植骨工具,便可以使得整个侧前方入路颈椎间融合器的位置固定,随后朝锥管15中注入植骨材料,借助于锥管15,可以使得植骨材料能够更好在植骨工具处堆积,随后利用活塞16将植骨材料经注射管14推入植骨窗31和植骨腔1,在活塞16上设置推杆17,以便于医护人员推动。This embodiment provides a bone implant tool, which is used in conjunction with the lateral anterior approach cervical intervertebral fusion device provided in the above embodiment. The bone grafting tool includes an
该种结构的植骨工具,可以简化给上述侧前方入路颈椎间融合器中注入植骨材料的操作。The bone grafting tool with this structure can simplify the operation of injecting bone grafting material into the above-mentioned lateral anterior approach cervical intervertebral fusion device.
值得注意的是,医护人员使用镊子将植骨材料放入上述漏斗结构中。It is worth noting that the medical staff used tweezers to place the bone graft material into the above-mentioned funnel structure.
作为本实施例的一种更优实施方式,本实施例中,在上述锥管15远离注射管14的一端端面上设有握柄7。使用时,医护人员可以手持握柄7而对整个植骨工具进行把持,进一步增强操作的便利性。As a better implementation mode of this embodiment, in this embodiment, a
以上所述,仅为本发明的具体实施方式,但本发明的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本发明记载的技术范围内,可轻易想到变化或替换,都应涵盖在本发明的保护范围之内。因此,本发明的保护范围应以所述权利要求的保护范围为准。The above is only a specific embodiment of the present invention, but the scope of protection of the present invention is not limited thereto. Anyone familiar with the technical field can easily think of changes or substitutions within the technical scope of the present invention. Should be covered within the protection scope of the present invention. Therefore, the protection scope of the present invention should be determined by the protection scope of the claims.
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