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CN106420026A - Fixer special for repairing lumbar disc herniation - Google Patents

Fixer special for repairing lumbar disc herniation
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Publication number
CN106420026A
CN106420026ACN201611014147.1ACN201611014147ACN106420026ACN 106420026 ACN106420026 ACN 106420026ACN 201611014147 ACN201611014147 ACN 201611014147ACN 106420026 ACN106420026 ACN 106420026A
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CN
China
Prior art keywords
guide plate
screw
locking cap
hole
plate
Prior art date
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Granted
Application number
CN201611014147.1A
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Chinese (zh)
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CN106420026B (en
Inventor
吴爱悯
王向阳
池永龙
林仲可
黄义星
倪文飞
林焱
黄其杉
徐晖
王胜
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Second Hospital Affiliated to Wenzhou Medical College
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Second Hospital Affiliated to Wenzhou Medical College
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Application filed by Second Hospital Affiliated to Wenzhou Medical CollegefiledCriticalSecond Hospital Affiliated to Wenzhou Medical College
Priority to CN201611014147.1ApriorityCriticalpatent/CN106420026B/en
Publication of CN106420026ApublicationCriticalpatent/CN106420026A/en
Application grantedgrantedCritical
Publication of CN106420026BpublicationCriticalpatent/CN106420026B/en
Activelegal-statusCriticalCurrent
Anticipated expirationlegal-statusCritical

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Abstract

The invention discloses a fixer special for repairing lumbar disc herniation. The fixer comprises an upper vertebral pedicle bolt, a lower vertebral pedicle bolt, a side zygopophysis bolt, a triquetrous fixing bracket, a bolt guide cylinder and a guide plate. The triquetrous fixing bracket comprises an upper fixing cap, a lower fixing cap, a left side oblique fixing cap, an upper transverse connecting pole, a lower vertical connecting pole and a left side oblique connecting pole. The left end of the upper transverse connecting pole is fixedly connected with the left side oblique fixing cap, and the right end of the upper transverse connecting pole is fixedly connected with the upper fixing cap. The upper end of the lower vertical connecting pole is fixedly connected with the upper fixing cap, and the lower end of the lower vertical connecting pole is fixedly connected with the lower fixing cap. The lower end of the left side oblique connecting pole is fixedly connected with the lower fixing cap, and the upper end of the left side oblique connecting pole is fixedly connected with the left side oblique fixing cap. The upper vertebral pedicle bolt, the lower vertebral pedicle bolt and the side zygopophysis bolt form a stable and fixed triangle so as to achieve the aims of fastness and fixation, minimally invasive surgery is achieved, and the operation efficiency is greatly improved.

Description

It is exclusively used in repairing the holder of prolapse of lumbar intervertebral disc
Technical field
The present invention relates to a kind of holder for being exclusively used in repairing prolapse of lumbar intervertebral disc.
Background technology
As modern society's life mode changes, the long-term sedentary of office clan, cause prolapse of lumbar intervertebral disc, disk source propertyThe disease such as lumbago and lumbar instability is more and more.If expectant treatment is invalid, operative treatment is needed.Lumbar spinal fusion is extensively appliedTreatment prolapse of lumbar intervertebral disc, the disease such as disk source property lumbago and lumbar instability, the holder for needing intensity high in therapeutic process is solidFixed, existing holder is made up of two simple screws and a very thin conventional metals rod, and this traditional classics are fixingMode is not very firm, and needs all to peel off the bilateral muscle of human body, is then fixed by two groups of holders respectively,The pain for bearing patient is larger, it is impossible to realize Minimally Invasive Surgery, and screw is easily wandered off when screwing in fixing, and accuracy rate is not high, holdsEasily put by mistake, cause spinal cord, nerve root equivalent damage.
Content of the invention
For above-mentioned technical problem, the present invention provides a kind of:Fixation, side muscle are peeled off i.e. be can achieve admittedlyPain that fixed, patient bears is less, screw inserts that accuracy rate is high, be difficult to put by mistake and can achieve Minimally Invasive Surgery be exclusively used in repair waistThe holder of intervertebral disk hernia.
For solving above-mentioned technical problem, the present invention is employed the following technical solutions:It is exclusively used in repairing consolidating for prolapse of lumbar intervertebral discDetermine device, dash forward and screw, triangle fixed mount, screw guide cylinder and lead including upper pedicle screw, lower pedicle screw, lateral jointPlate, the triangle fixed mount includes locking cap, lower locking cap, the oblique locking cap in left side, upper lateral connection post, lower vertically connectsConnect the oblique connecting post of post and left side, distribution triangular in shape between fixed cap, lower locking cap and left side locking cap, describedThe left end of upper lateral connection post is fixedly connected with the oblique locking cap in left side, and the right-hand member of the upper lateral connection post is solid with upper locking capFixed connection, the upper end of the lower vertical connecting post is fixedly connected with upper locking cap, and the lower end of the lower vertical connecting post is solid with lowerDetermine cap to be fixedly connected, the lower end of the oblique connecting post in the left side is fixedly connected with lower locking cap, the oblique connecting post in the left sideUpper end is fixedly connected with the oblique locking cap in left side, and the outer ring of fixed cap is provided with locking cap external screw thread, described solidThe endoporus for determining cap is provided with locking cap female thread, and the outer ring of the lower locking cap is provided with lower locking cap external screw thread, described underThe endoporus of locking cap is provided with lower locking cap female thread, and the outer ring of the oblique locking cap in the left side is provided with the oblique locking cap in left sideExternal screw thread, the endoporus of the oblique locking cap in the left side is provided with the oblique locking cap female thread in left side, the upper pedicle screw bagPedicle screw spongy bone self tapping section and upper pedicle screw canned paragraph is included, the top of the upper pedicle screw canned paragraph setsThere is upper pedicle screw countersunk head inner hexagonal hole, the upper pedicle screw spongy bone self tapping section is provided with pedicle screw self tappingExternal screw thread, the upper pedicle screw canned paragraph is provided with pedicle screw and fixes external screw thread, and the upper pedicle screw is solidDetermine external screw thread to match with upper locking cap female thread, the lower pedicle screw include lower pedicle screw spongy bone self tapping section andLower pedicle screw canned paragraph, the top of the lower pedicle screw canned paragraph is provided with lower pedicle screw countersunk head inner hexagonal hole,The lower pedicle screw spongy bone self tapping section is provided with lower pedicle screw from external threading, and the lower pedicle screw is fixedSection is provided with lower pedicle screw and fixes external screw thread, and the lower pedicle screw fixes external screw thread and lower locking cap female thread phaseJoin, the prominent screw of the lateral joint includes the prominent screw spongy bone self tapping section of lateral joint and the prominent screw canned paragraph of lateral joint, and the side is closedThe dash forward top of screw canned paragraph of section is provided with lateral joint and dashes forward screw countersunk head inner hexagonal hole, and the lateral joint is dashed forward screw spongy bone self tapping sectionBeing provided with lateral joint and screw being dashed forward from external threading, the prominent screw canned paragraph of the lateral joint is provided with the prominent screw of lateral joint and fixes outer spiral shellStricture of vagina, the prominent screw of the lateral joint is fixed external screw thread and is matched with the oblique locking cap female thread in left side, the upper pedicle screw pineThe length of matter bone self tapping section more than upper pedicle screw canned paragraph length, the upper pedicle screw spongy bone self tapping section bigLess than the size of upper pedicle screw canned paragraph, the size of the upper pedicle screw spongy bone self tapping section is less than upper locking capEndoporus size, the length of the lower pedicle screw spongy bone self tapping section more than the length of lower pedicle screw canned paragraph,The size of the lower pedicle screw spongy bone self tapping section is less than the size of lower pedicle screw canned paragraph, the lower pedicle of vertebral arch screwThe size of nail spongy bone self tapping section is less than the size of the endoporus of lower locking cap, the length of the prominent screw spongy bone self tapping section of the lateral jointThe length of screw canned paragraph of dashing forward more than lateral joint is spent, the size of the prominent screw spongy bone self tapping section of the lateral joint is prominent less than lateral jointThe size of screw canned paragraph, the size of the prominent screw spongy bone self tapping section of the lateral joint is less than the endoporus of the oblique locking cap in left sideSize, the screw guide cylinder includes positioning section screw guide cylinder and construction section screw guide cylinder, and the construction section screw is oriented toThe length of cylinder is led more than positioning section screw more than the length of positioning section screw guide cylinder, the size of the construction section screw guide cylinderTo the size of cylinder, the endoporus of the construction section screw guide cylinder is provided with construction section screw guide cylinder female thread, the positioning sectionThe endoporus of screw guide cylinder is provided with positioning section screw guide cylinder female thread, and it is solid with upper that the upper pedicle screw fixes external screw threadDetermine cap female thread to match, the lower pedicle screw is fixed external screw thread and matched with lower locking cap female thread, the lateral jointProminent screw is fixed external screw thread and is matched with the oblique locking cap female thread in left side, and the upper pedicle screw fixes external screw thread, describedLower pedicle screw fixes external screw thread and lateral joint is dashed forward screw fixes external screw thread all with positioning section screw guide cylinder female thread phaseJoin, fixed cap external screw thread, the oblique locking cap external screw thread of lower locking cap external screw thread and left side are all oriented to construction section screwCylinder female thread matches, and the guide plate is provided with oblique through hole on the left of through hole on guide plate, guide plate lower through-hole and guide plate, the upper vertebraPedicle screw spongy bone self tapping section may pass through through hole on guide plate, and the lower pedicle screw spongy bone self tapping section is may pass through under guide plateThrough hole, the prominent screw spongy bone self tapping section of the lateral joint may pass through oblique through hole on the left of guide plate, and the guide plate includes upper guide plate, a left sideBottom guide and bottom right guide plate, are detachably connected between the upper guide plate, lower-left guide plate and bottom right guide plate three, on the guide plateThrough hole is located on the junction between upper guide plate, lower-left guide plate and bottom right guide plate three, and the guide plate lower through-hole is located at lower-leftOn junction between guide plate and bottom right guide plate, company of the oblique through hole Wei Yu upper guide plate and lower-left guide plate between on the left of the guide plateConnect in place, the bottom of fixed cap is provided with locking cap flange collar, and the bottom of the lower locking cap is provided with lower locking cap flange collar,On the guide plate, through hole is provided with the recessed circle of through hole on guide plate, and the guide plate lower through-hole is provided with the recessed circle of guide plate lower through-hole, described onLocking cap flange collar circle recessed with through hole on guide plate matches, and enclose recessed with guide plate lower through-hole of the lower locking cap flange collar matches, describedLower-left guide plate is provided with the first lower-left guide plate grab and the second lower-left guide plate grab, and the bottom right guide plate is provided with bottom right guide plate cardHook, bottom right guide plate hole clipping and bottom right guide plate removal hole, the upper guide plate is provided with the first upper guide plate hole clipping, the second upper guide plate cardHole, the first upper guide plate removal hole and the second upper guide plate removal hole, the first lower-left guide plate grab and the first upper guide plate hole clipping phaseCoordinate, the second lower-left guide plate grab matched with bottom right guide plate hole clipping, the bottom right guide plate grab and the second upper guide plate cardHole is matched, and the bottom right guide plate hole clipping is connected with bottom right guide plate removal hole, leads in the first upper guide plate hole clipping and firstPlate removal hole connects, and the second upper guide plate hole clipping is connected with the second upper guide plate removal hole, and the upper guide plate is led with lower-leftThe left side of plate is provided with left jam plate, and the left jam plate is provided with left jam plate upper left hole clipping and left jam plate lower-left hole clipping,The left jam plate is provided with left jam plate draw ring, and the upper guide plate is provided with card column on the left of upper guide plate, on the lower-left guide plateCard column on the left of the guide plate of lower-left is provided with, on the left of the upper guide plate, card column is engaged by clamping with left jam plate upper left hole clipping, and the lower-left is ledOn the left of plate, card column is engaged by clamping with left jam plate lower-left hole clipping, and the upper guide plate is provided with right side lock with the right side of bottom right guide platePlate, the right jam plate is provided with right jam plate upper right hole clipping and right jam plate bottom right hole clipping, and the right jam plate is provided with the right sideSide chain plate draw ring, the upper guide plate is provided with card column on the right side of upper guide plate, and the bottom right guide plate is provided with card column on the right side of the guide plate of bottom right,On the right side of the upper guide plate, card column is engaged by clamping with right jam plate upper right hole clipping, card column and the right jam plate right side on the right side of the bottom right guide plateLower hole clipping is engaged by clamping, and the lower-left guide plate is provided with downside jam plate with the downside of bottom right guide plate, and the downside jam plate is provided withDownside jam plate lower-left hole clipping and downside jam plate bottom right hole clipping, the downside jam plate is provided with downside jam plate draw ring, and the lower-left is ledPlate is provided with card column on the downside of the guide plate of lower-left, and the bottom right guide plate is provided with card column on the downside of the guide plate of bottom right, on the downside of the lower-left guide plateCard column is engaged by clamping with downside jam plate lower-left hole clipping, and on the downside of the bottom right guide plate, card column is joined with the hole clipping clamping of downside jam plate bottom rightClose.
What the present invention was provided is exclusively used in repairing the beneficial effect of the holder of prolapse of lumbar intervertebral disc is:During use, guide plate is putWith patient, the laminating degree of guide plate is higher, and positioning is more accurate, and triangle fixed mount is on guide plate, and triangle is fixedOn upper locking cap flange collar insertion guide plate on frame in the recessed circle of through hole, under the lower locking cap flange collar insertion guide plate on triangle fixed mountIn the recessed circle of through hole, realizing triangle fixed mount positioning will not be subjected to displacement, when upper pedicle screw is fixed on lumbar vertebra, be first spiral shellNail guide cylinder on the upper locking cap, screw guide cylinder be by construction section screw guide cylinder female thread and the outer spiral shell of upper locking capStricture of vagina cooperation is realized screw guide cylinder and is fixed, and then upper pedicle screw is mounted on screw guide cylinder, and upper pedicle screw is fixedExternal screw thread is matched with positioning section screw guide cylinder female thread, and in formation, pedicle screw is moved down along screw guide cylinder, is madePedicle screw will not be being wandered off when screwing in fixing, and accuracy rate is greatly improved, and will not be put by mistake, it is to avoid spinal cord, nerve root etc. are damagedWound, after upper pedicle screw is screwed into bottom soon, upper pedicle screw is fixed external screw thread and departs from positioning section screw guide cylinder female thread simultaneouslyWith upper locking cap screw-internal thread fit, realize pedicle screw and be fixedly mounted on triangle fixed mount, finally by screw guide cylinderPulling down from upper locking cap, descends pedicle screw and the prominent screw of lateral joint that this mode is also adopted by when fixing in the same manner, realize rotationWill not wander off when entering fixing, accuracy rate is greatly improved, will not put by mistake, pedicle screw countersunk head inner hexagonal hole, lower vertebral arch in settingRoot screw countersunk head inner hexagonal hole and lateral joint are dashed forward, and screw countersunk head inner hexagonal hole is easier for installation, and setting left jam plate, right side are lockedPlate and downside jam plate so that have between upper guide plate, lower-left guide plate and bottom right guide plate and reconnect more, the entirety of guide plate is moreFirm, left jam plate draw ring, right jam plate draw ring and downside jam plate draw ring are set so that left jam plate, right jam plate and underIt is convenient laborsaving during the dismounting of side chain plate,
After the prominent screw of upper pedicle screw, lower pedicle screw and lateral joint is all arranged on triangle fixed mount,Guide plate is pulled down, and first left jam plate, right jam plate and downside jam plate is pulled down releasing locking, then from the first upper guide plate during dismountingFirst lower-left guide plate grab is backed down by removal hole insertion fine needle so that the first lower-left guide plate grab and the first upper guide plate hole clipping are releasedBottom right guide plate grab is backed down so that lead on bottom right guide plate grab and second by locking from the second upper guide plate removal hole insertion fine needleBoard hole releases locking, and from bottom right, the second lower-left guide plate grab is backed down by guide plate removal hole insertion fine needle so that the second lower-left is ledBoard hook releases locking with bottom right guide plate hole clipping, so as to guide plate is divided into upper guide plate, lower-left guide plate and the dismounting of bottom right guide plate, soCan position, be avoided that guide plate stays in impact in patient body again healthy,
Also, it should be noted only need to peel off to the side muscle of human body, you can realize fixing and lateral solid up and downFixed, realize fixing up and down by upper pedicle screw and lower pedicle screw, the prominent screw of lateral joint is entered by a side and realizes sideTo fixation, the prominent screw of upper pedicle screw, lower pedicle screw and lateral joint is connected by triangle fixed mount, forms threeThe stable fixed relationship in angle, reaches the purpose of fixation, realizes Minimally Invasive Surgery, and the pain for bearing patient is substantially reduced, operationEfficiency is greatly improved.
Further include to reinforce nut, lower reinforcing nut and side and reinforce nut, the upper reinforcing nut with, described onReinforce on nut, lower reinforcing nut and side reinforcing nut and be equipped with countersunk head inner hexagonal hole, the upper reinforcing nut and upper locking capMatch, the lower reinforcing nut is matched with lower locking cap, and the side is reinforced nut and matched with the oblique locking cap in left side, is madeObtaining, reinforcing nut, lower reinforcing nut and side reinforcing is respectively mounted on upper locking cap, the oblique locking cap of lower locking cap and left sideAfter nut, intensity is higher.
Further the guide plate is provided with that arc turns up paster and arc lower turns up paster so that guide plate laminating degree is moreHeight, locating effect is more preferable.
Further the upper lateral connection post includes square upper lateral connection post and semicircle upper lateral connection post, describedIn semicircle, the bottom of lateral connection post is fixedly connected with the top of square upper lateral connection post, and the lower vertical connecting post includesVertical connecting post under square lower vertical connecting post and semicircle, under the semicircle, the bottom of vertical connecting post is lower vertical with squareThe top of connecting post is fixedly connected, and the oblique connecting post in the left side includes vertically to connect under the oblique connecting post in square left side and semicirclePost is connect, the semi-circular left skew back is fixedly connected to the bottom of connecting post with the top of the oblique connecting post in square left side, this knotStructure causes the bulk strength of triangle fixed mount higher.
The invention will be further described with reference to the accompanying drawings and detailed description.
Description of the drawings
Fig. 1 is the upper pedicle screw of the holder for being exclusively used in reparation prolapse of lumbar intervertebral disc that the present invention is provided, lower vertebral archRoot screw, lateral joint are dashed forward one of the structural representation of screw, triangle fixed mount and guide plate;
Fig. 2 is the upper pedicle screw of the holder for being exclusively used in reparation prolapse of lumbar intervertebral disc that the present invention is provided, lower vertebral archRoot screw, lateral joint dash forward screw, triangle fixed mount and guide plate structural representation two;
Fig. 3 is the upper pedicle screw of the holder for being exclusively used in reparation prolapse of lumbar intervertebral disc that the present invention is provided, lower vertebral archRoot screw, lateral joint are dashed forward one of the structural representation of screw, triangle fixed mount, screw guide cylinder and guide plate;
Fig. 4 is the upper pedicle screw of the holder for being exclusively used in reparation prolapse of lumbar intervertebral disc that the present invention is provided, lower vertebral archRoot screw, lateral joint dash forward screw, triangle fixed mount, screw guide cylinder and guide plate structural representation two;
Fig. 5 is the upper pedicle screw of the holder for being exclusively used in reparation prolapse of lumbar intervertebral disc that the present invention is provided, lower vertebral archDash forward screw, triangle fixed mount, upper reinforcing nut, lower reinforcing nut and side of root screw, lateral joint reinforces the structural representation of nutFigure;
Fig. 6 is that the structure for being exclusively used in repairing the triangle fixed mount of the holder of prolapse of lumbar intervertebral disc that the present invention is provided is shownOne of be intended to;
Fig. 7 is that the structure for being exclusively used in repairing the triangle fixed mount of the holder of prolapse of lumbar intervertebral disc that the present invention is provided is shownThe two of intention;
Fig. 8 be the present invention provide be exclusively used in repair prolapse of lumbar intervertebral disc holder guide plate structural representation itOne;
Fig. 9 be the present invention provide be exclusively used in repair prolapse of lumbar intervertebral disc holder guide plate structural representation itTwo;
Figure 10 is that the structure for being exclusively used in repairing the screw guide cylinder of the holder of prolapse of lumbar intervertebral disc that the present invention is provided is shownOne of be intended to;
Figure 11 is that the structure for being exclusively used in repairing the screw guide cylinder of the holder of prolapse of lumbar intervertebral disc that the present invention is provided is shownThe two of intention;
Figure 12 is the structure for being exclusively used in repairing the upper pedicle screw of the holder of prolapse of lumbar intervertebral disc that the present invention is providedSchematic diagram;
Figure 13 is the structure for being exclusively used in repairing the lower pedicle screw of the holder of prolapse of lumbar intervertebral disc that the present invention is providedSchematic diagram;
Figure 14 be the present invention provide be exclusively used in repair prolapse of lumbar intervertebral disc holder lateral joint dash forward screw structureSchematic diagram.
Specific embodiment
As shown in Fig. 1 to Figure 14, what the present invention was provided is exclusively used in repairing the embodiment of the holder of prolapse of lumbar intervertebral disc, bagPedicle screw 1, the prominent screw 3 of lower pedicle screw 2, lateral joint, triangle fixed mount 4, screw guide cylinder 5 and guide plate 6 is included,The triangle fixed mount 4 includes the oblique locking cap 9 of locking cap 7, lower locking cap 8, left side, upper lateral connection post 10, lower perpendicularTo the oblique connecting post 12 of connecting post 11 and left side, between fixed cap 7, the oblique locking cap 9 of lower locking cap 8 and left side it is inTriangle-Profile, the left end of the upper lateral connection post 10 is fixedly connected with the oblique locking cap 9 in left side, the upper lateral connection post10 right-hand member is fixedly connected with upper locking cap 7, and the upper end of the lower vertical connecting post 11 is fixedly connected with upper locking cap 7, describedThe lower end of vertical connecting post 11 is fixedly connected with lower locking cap 8 down, the lower end of the oblique connecting post 12 in the left side and lower locking cap 8It is fixedly connected, the upper end of the oblique connecting post 12 in the left side is fixedly connected with the oblique locking cap 9 in left side, fixed cap 7Outer ring is provided with locking cap external screw thread 13, and the endoporus of fixed cap 7 is provided with locking cap female thread 14, described lower solidThe outer ring for determining cap 8 is provided with lower locking cap external screw thread 15, and the endoporus of the lower locking cap 8 is provided with lower locking cap female thread 16,The outer ring of the oblique locking cap 9 in the left side is provided with the oblique locking cap external screw thread 17 in left side, the oblique locking cap 9 in the left side interiorHole is provided with the oblique locking cap female thread 18 in left side, and the upper pedicle screw 1 includes pedicle screw spongy bone self tapping section19 and upper pedicle screw canned paragraph 20, the top of the upper pedicle screw canned paragraph 20 is provided with pedicle screw countersunk headHexagon ring 21, the upper pedicle screw spongy bone self tapping section 19 is provided with pedicle screw from external threading 22, described onPedicle screw canned paragraph 20 is provided with pedicle screw and fixes external screw thread 23, and the upper pedicle screw fixes external screw thread 23Match with upper locking cap female thread 14, the lower pedicle screw 2 include lower pedicle screw spongy bone self tapping section 24 and underPedicle screw canned paragraph 25, the top of the lower pedicle screw canned paragraph 25 is provided with lower pedicle screw countersunk head inner hexagonal hole26, the lower pedicle screw spongy bone self tapping section 24 is provided with lower pedicle screw from external threading 27, the lower pedicle of vertebral archScrew canned paragraph 25 is provided with lower pedicle screw and fixes external screw thread 28, and it is solid with lower that the lower pedicle screw fixes external screw thread 28Determine cap female thread 16 to match, the prominent screw 3 of the lateral joint includes that the prominent screw spongy bone self tapping section 29 of lateral joint and lateral joint are prominentScrew canned paragraph 30, the top of the prominent screw canned paragraph 30 of the lateral joint is provided with the prominent screw countersunk head inner hexagonal hole 31 of lateral joint, instituteStating the prominent screw spongy bone self tapping section 29 of lateral joint and the prominent screw of lateral joint being provided with from external threading 32, the lateral joint dashes forward screw admittedlyDetermine section 30 and the prominent screw fixation external screw thread 33 of lateral joint is provided with, it is oblique with left side solid that external screw thread 33 fixed by the prominent screw of the lateral jointDetermine cap female thread 18 to match, the length of the upper pedicle screw spongy bone self tapping section 19 is more than upper pedicle screw canned paragraph20 length, the size of the upper pedicle screw spongy bone self tapping section 19 is less than the size of upper pedicle screw canned paragraph 20,The size of the upper pedicle screw spongy bone self tapping section 19 is less than the size of the endoporus of upper locking cap 7, the lower pedicle of vertebral arch screwThe length of nail spongy bone self tapping section 24 is more than the length of lower pedicle screw canned paragraph 25, and the lower pedicle screw spongy bone is certainlyAttack the size of the size of section 24 less than lower pedicle screw canned paragraph 25, the lower pedicle screw spongy bone self tapping section 24 bigLess than the size of the endoporus of lower locking cap 8, the length of the prominent screw spongy bone self tapping section 29 of the lateral joint is prominent more than lateral jointThe length of screw canned paragraph 30, the size of the prominent screw spongy bone self tapping section 29 of the lateral joint is less than the prominent screw canned paragraph of lateral joint30 size, the size of the prominent screw spongy bone self tapping section 29 of the lateral joint is less than the size of the endoporus of the oblique locking cap 9 in left side,The screw guide cylinder 5 includes positioning section screw guide cylinder 34 and construction section screw guide cylinder 35, and the construction section screw is oriented toThe length of cylinder 35 is more than positioning section more than the length of positioning section screw guide cylinder 34, the size of the construction section screw guide cylinder 35The size of screw guide cylinder 34, the endoporus of the construction section screw guide cylinder 35 is provided with construction section screw guide cylinder female thread36, the endoporus of the positioning section screw guide cylinder 34 is provided with positioning section screw guide cylinder female thread 37, the upper pedicle of vertebral arch screwThe fixing external screw thread 23 of nail is matched with upper locking cap female thread 14, and the lower pedicle screw fixes external screw thread 28 and lower locking capFemale thread 16 matches, and the prominent screw of the lateral joint is fixed external screw thread 33 and matched with the oblique locking cap female thread 18 in left side, instituteState pedicle screw and fix external screw thread 23, the lower pedicle screw fixation external screw thread 28 and the outer spiral shell of the prominent screw fixation of lateral jointStricture of vagina 33 is all matched with positioning section screw guide cylinder female thread 37, fixed cap external screw thread 23, lower locking cap external screw thread 28All match with construction section screw guide cylinder female thread 36 with the oblique locking cap external screw thread 33 in left side, the guide plate 6 is provided with leadsOblique through hole 40 on the left of through hole 38, guide plate lower through-hole 39 and guide plate on plate, the upper pedicle screw spongy bone self tapping section 19 canThe through hole 38 through on guide plate, the lower pedicle screw spongy bone self tapping section 24 may pass through guide plate lower through-hole 39, the lateral jointProminent screw spongy bone self tapping section 29 may pass through oblique through hole 40 on the left of guide plate, and the guide plate 6 includes upper guide plate 41, lower-left guide plate 42With bottom right guide plate 43, the upper guide plate 41, lower-left guide plate 42 and bottom right lead between 43 plate threes and be detachably connected, the guide plateUpper through hole 38 is located on the junction between upper guide plate 41, lower-left guide plate 42 and 43 three of bottom right guide plate, is led under the guide plateOn junction of the hole 39 Wei Yu lower-left guide plate 42 and bottom right guide plate 43 between, on the left of the guide plate, oblique through hole 40 is located at upper guide plateOn junction between 41 and lower-left guide plate 42, the bottom of fixed cap 7 is provided with locking cap flange collar 44, the lower fixationThe bottom of cap 8 is provided with lower locking cap flange collar 45, and on the guide plate, through hole 38 is provided with the recessed circle 46 of through hole on guide plate, under the guide plateThrough hole 39 is provided with the recessed circle 47 of guide plate lower through-hole, and the circle recessed with through hole on guide plate of fixed cap flange collar 44 matches 46, describedThe circle recessed with guide plate lower through-hole of lower locking cap flange collar 45 matches 47, and the lower-left guide plate 42 is provided with the first lower-left guide plate grab 48With the second lower-left guide plate grab 49, the bottom right guide plate 43 is provided with bottom right guide plate grab 50, bottom right guide plate hole clipping 51 and bottom rightGuide plate removal hole 52, the upper guide plate 41 is provided with the first upper guide plate hole clipping 53, the second upper guide plate hole clipping 54, the first upper guide plate and tears openHole 55 and the second upper guide plate removal hole 56 is unloaded, the first lower-left guide plate grab 48 is matched with the first upper guide plate hole clipping 53, instituteState the second lower-left guide plate grab 49 to match with bottom right guide plate hole clipping 51, the bottom right guide plate grab 50 and the second upper guide plate hole clipping54 match, and the bottom right guide plate hole clipping 51 is connected with bottom right guide plate removal hole 52, the first upper guide plate hole clipping 53 andOne upper guide plate removal hole 55 connects, and the second upper guide plate hole clipping 54 is connected with the second upper guide plate removal hole 56, described onGuide plate 41 is provided with left jam plate a1, the left jam plate a1 with the left side of lower-left guide plate 42 and is provided with left jam plate upper left hole clippingWith left jam plate lower-left hole clipping, the left jam plate a1 is provided with left jam plate draw ring, arrange left jam plate draw ring be for a left sideSide chain plate a1 is convenient to be dismantled, and the upper guide plate 41 is provided with card column on the left of upper guide plate, and the lower-left guide plate 42 is provided with lower-left and leadsCard column on the left of plate, on the left of the upper guide plate, card column is engaged by clamping with left jam plate upper left hole clipping, card column on the left of the lower-left guide plateIt is engaged by clamping with left jam plate lower-left hole clipping, the upper guide plate 41 is provided with right jam plate a2, institute with the right side of bottom right guide plate 43State right jam plate a2 and right jam plate upper right hole clipping and right jam plate bottom right hole clipping is provided with, the right jam plate a2 is provided with right sideJam plate draw ring, arranging right jam plate draw ring is dismantled in order to right jam plate a2 is convenient, and the upper guide plate 41 is provided with the upper guide plate right sideSide card column, the bottom right guide plate 43 is provided with card column on the right side of the guide plate of bottom right, card column and right jam plate upper right on the right side of the upper guide plateHole clipping is engaged by clamping, and on the right side of the bottom right guide plate, card column and right jam plate bottom right hole clipping are engaged by clamping, the lower-left guide plate 42 withThe downside of bottom right guide plate 43 is provided with downside jam plate a3, the downside jam plate a3 and is provided with downside jam plate lower-left hole clipping and lower side chainPlate bottom right hole clipping, the downside jam plate a3 be provided with downside jam plate draw ring, arrange downside jam plate draw ring be for downside jam plate a3Convenient dismounting, the lower-left guide plate 42 is provided with card column on the downside of the guide plate of lower-left, and the bottom right guide plate 43 is provided with the guide plate of bottom rightSide card column, on the downside of the lower-left guide plate, card column and downside jam plate lower-left hole clipping are engaged by clamping, on the downside of the bottom right guide plate card column withDownside jam plate bottom right hole clipping is engaged by clamping.
When wherein upper guide plate 41, lower-left guide plate 42 and bottom right guide plate 43 are connected as one, left jam plate a1 is located at and above leadsOn the left side of plate 41 and lower-left guide plate 42, on the left of the upper guide plate, card column is snapped in the hole clipping of left jam plate upper left, and the lower-left is ledOn the left of plate, card column is snapped in the hole clipping of left jam plate lower-left, and right jam plate a2 is located on the right side of upper guide plate 41 and bottom right guide plate 43,On the right side of the upper guide plate, card column is snapped in right jam plate upper right hole clipping, and on the right side of the bottom right guide plate, card column snaps in right jam plate bottom rightIn hole clipping, downside jam plate a3 is located on the downside of lower-left guide plate 42 and bottom right guide plate 43, and on the downside of the lower-left guide plate, card column is snapped inIn the hole clipping of downside jam plate lower-left, on the downside of the bottom right guide plate, card column is snapped in the hole clipping of downside jam plate bottom right, so as to upper guide plate 41, a left sideBottom guide 42 and bottom right guide plate 43 can be securely attached to together.
When wherein needing to split upper guide plate 41, lower-left guide plate 42 and bottom right guide plate 43, by pulling left jam plate draw ringLeft jam plate a1 is left behind, by pulling right jam plate draw ring, right jam plate a2 is left behind, will by pulling downside jam plate draw ringDownside jam plate a3 is left behind.
Nut 59, the upper reinforcing nut 57, lower reinforcing spiral shell are reinforced including upper reinforcing nut 57, lower reinforcing nut 58 and sideCap 58 and side reinforce and are equipped with countersunk head inner hexagonal hole on nut 59, and the upper reinforcing nut 57 is matched with upper locking cap 7, describedLower reinforcing nut 58 is matched with lower locking cap 8, and the side is reinforced nut 59 and matched with the oblique locking cap 9 in left side, described is ledPlate 6 is provided with that arc turns up paster 60 and arc lower turns up paster 61, the upper lateral connection post 10 include square upper laterallyConnecting post 62 and semicircle upper lateral connection post 63, the bottom of the semicircle upper lateral connection post 63 and square upper lateral connectionThe top of post 62 is fixedly connected, and the lower vertical connecting post 11 includes square lower vertical connecting post 64 and semicircle lower vertical connectionPost 65, under the semicircle, the bottom of vertical connecting post 65 is fixedly connected with the top of square lower vertical connecting post 64, the left sideSkew back includes vertical connecting post 67 under the oblique connecting post 66 in square left side and semicircle, the semi-circular left skew back to connecting post 12It is fixedly connected to the bottom of connecting post 67 with the top of the oblique connecting post 66 in square left side.
As needed, the specific embodiment of the present invention disclosed herein, it will be appreciated that the disclosed embodiments areThe demonstration present invention, the present invention can have different and alternative form to implement.Accompanying drawing is not necessarily drawn to scale.Therefore, institute is public hereinThe concrete structure that opens and function detail are understood not in a limiting sense, but are only used as representative basis to instruct abilityField technique personnel are using the enforcement present invention.Based on the embodiment in the present invention, those of ordinary skill in the art are not making woundThe every other embodiment for being obtained under the premise of the property made work, belongs to the scope of protection of the invention.

Claims (5)

1. it is exclusively used in repairing the holder of prolapse of lumbar intervertebral disc, it is characterised in that:Including upper pedicle screw (1), lower pedicle of vertebral archScrew (2), lateral joint are dashed forward screw (3), triangle fixed mount (4), screw guide cylinder (5) and guide plate (6), and the triangle is fixedFrame (4) includes upper locking cap (7), lower locking cap (8), the oblique locking cap in left side (9), upper lateral connection post (10), lower vertically connectsConnect post (11) and left side oblique connecting post (12), fixed cap (7), lower locking cap (8) and left side oblique locking cap (9)Between distribution triangular in shape, the left end of upper lateral connection post (10) is fixedly connected with the oblique locking cap in left side (9), described onThe right-hand member of lateral connection post (10) is fixedly connected with upper locking cap (7), the upper end of lower vertical connecting post (11) and upper fixationCap (7) is fixedly connected, and the lower end of lower vertical connecting post (11) is fixedly connected with lower locking cap (8), the oblique company in the left sideThe lower end for connecing post (12) is fixedly connected with lower locking cap (8), and the upper end of left side oblique connecting post (12) is oblique with left side solidDetermine cap (9) to be fixedly connected, the outer ring of fixed cap (7) is provided with locking cap external screw thread (13), fixed cap (7)Endoporus be provided with locking cap female thread (14), the outer ring of lower locking cap (8) is provided with lower locking cap external screw thread (15),The endoporus of lower locking cap (8) is provided with lower locking cap female thread (16), sets on the outer ring of left side oblique locking cap (9)The endoporus for having left side oblique locking cap external screw thread (17), left side oblique locking cap (9) is provided with the oblique locking cap in left sideScrew thread (18), described upper pedicle screw (1) includes that upper pedicle screw spongy bone self tapping section (19) and upper pedicle screw are solidDetermine section (20), the top of upper pedicle screw canned paragraph (20) is provided with pedicle screw countersunk head inner hexagonal hole (21), instituteStating pedicle screw spongy bone self tapping section (19) pedicle screw is provided with from external threading (22), the upper pedicle of vertebral arch screwNail canned paragraph (20) is provided with pedicle screw and fixes external screw thread (23), the upper pedicle screw fix external screw thread (23) withUpper locking cap female thread (14) match, and described lower pedicle screw (2) include lower pedicle screw spongy bone self tapping section (24)With lower pedicle screw canned paragraph (25), the top of lower pedicle screw canned paragraph (25) is provided with lower pedicle screw countersunk headInner hexagonal hole (26), the lower pedicle screw spongy bone self tapping section (24) is provided with lower pedicle screw from external threading(27), described lower pedicle screw canned paragraph (25) be provided with lower pedicle screw fix external screw thread (28), the lower pedicle of vertebral archScrew fix external screw thread (28) match with lower locking cap female thread (16), the lateral joint dash forward screw (3) including lateral joint dash forwardScrew spongy bone self tapping section (29) and the prominent screw canned paragraph (30) of lateral joint, the top of the prominent screw canned paragraph (30) of the lateral jointProminent screw countersunk head inner hexagonal hole (31) of lateral joint is provided with, prominent screw spongy bone self tapping section (29) of the lateral joint is provided with lateral jointProminent screw is from external threading (32), and the prominent screw canned paragraph (30) of the lateral joint is provided with the prominent screw of lateral joint and fixes external screw thread(33), the prominent screw of the lateral joint is fixed external screw thread (33) and is matched with left side oblique locking cap female thread (18), the upper vertebraThe length of pedicle screw spongy bone self tapping section (19) is more than the length of upper pedicle screw canned paragraph (20), the upper pedicle of vertebral arch screwThe size of nail spongy bone self tapping section (19) is less than the size of upper pedicle screw canned paragraph (20), the upper pedicle screw spongiosaThe size of bone self tapping section (19) is less than the size of the endoporus of upper locking cap (7), the lower pedicle screw spongy bone self tapping section(24) length is more than the length of lower pedicle screw canned paragraph (25), the lower pedicle screw spongy bone self tapping section (24)Size less than lower pedicle screw canned paragraph (25) size, the lower pedicle screw spongy bone self tapping section (24) slight greatlyIn the size of the endoporus of lower locking cap (8), the length of prominent screw spongy bone self tapping section (29) of the lateral joint is prominent more than lateral jointThe length of screw canned paragraph (30), the size of prominent screw spongy bone self tapping section (29) of the lateral joint dashes forward screw admittedly less than lateral jointDetermine the size of section (30), the size of prominent screw spongy bone self tapping section (29) of the lateral joint is less than the oblique locking cap in left side (9)The size of endoporus, described screw guide cylinder (5) include positioning section screw guide cylinder (34) and construction section screw guide cylinder (35), instituteThe length of the length more than positioning section screw guide cylinder (34) of construction section screw guide cylinder (35) is stated, the construction section screw is oriented toThe size of cylinder (35) is set on the endoporus of construction section screw guide cylinder (35) more than the size of positioning section screw guide cylinder (34)There is construction section screw guide cylinder female thread (36), the endoporus of positioning section screw guide cylinder (34) is provided with positioning section screw and leadsTo cylinder female thread (37), the upper pedicle screw is fixed external screw thread (23) and is matched with upper locking cap female thread (14), describedLower pedicle screw is fixed external screw thread (28) and is matched with lower locking cap female thread (16), and outer spiral shell fixed by the prominent screw of the lateral jointStricture of vagina (33) is matched with left side oblique locking cap female thread (18), the upper pedicle screw fix external screw thread (23), described underPedicle screw fix external screw thread (28) and lateral joint dash forward screw fixation external screw thread (33) all with spiral shell in positioning section screw guide cylinderStricture of vagina (37) matches, the oblique locking cap external screw thread of fixed cap external screw thread (23), lower locking cap external screw thread (28) and left side(33) all match with construction section screw guide cylinder female thread (36), guide plate (6) are provided with through hole on guide plate (38), guide plateOn the left of lower through-hole (39) and guide plate oblique through hole (40), the upper pedicle screw spongy bone self tapping section (19) is may pass through on guide plateThrough hole (38), the lower pedicle screw spongy bone self tapping section (24) may pass through guide plate lower through-hole (39), and the lateral joint is dashed forward spiral shellNail spongy bone self tapping section (29) may pass through oblique through hole (40) on the left of guide plate, and described guide plate (6) include that upper guide plate (41), lower-left are ledPlate (42) and bottom right guide plate (43), upper guide plate (41), lower-left guide plate (42) and bottom right are led removable between (43) plate threeConnection is unloaded, on the guide plate, through hole (38) is located between upper guide plate (41), lower-left guide plate (42) and bottom right guide plate (43) threeJunction on, on the junction of described guide plate lower through-hole (39) Wei Yu lower-left guide plate (42) and bottom right guide plate (43) between, instituteState on the left of guide plate on the junction of oblique through hole (40) Wei Yu upper guide plate (41) and lower-left guide plate (42) between, fixed cap(7) bottom is provided with locking cap flange collar (44), and the bottom of lower locking cap (8) is provided with lower locking cap flange collar (45), describedOn guide plate, through hole (38) is provided with the recessed circle of through hole on guide plate (46), and guide plate lower through-hole (39) are provided with the recessed circle of guide plate lower through-hole(47), fixed cap flange collar (44) with guide plate on the recessed circle of through hole match (46), lower locking cap flange collar (45) with leadThe recessed circle of plate lower through-hole matches (47), and lower-left guide plate (42) are provided with the first lower-left guide plate grab (48) and the second lower-left is ledBoard hook (49), bottom right guide plate (43) are provided with bottom right guide plate grab (50), bottom right guide plate hole clipping (51) and bottom right guide plateRemoval hole (52), upper guide plate (41) are provided with the first upper guide plate hole clipping (53), the second upper guide plate hole clipping (54), lead on firstPlate removal hole (55) and the second upper guide plate removal hole (56), the first lower-left guide plate grab (48) and the first upper guide plate hole clipping(53) match, the second lower-left guide plate grab (49) is matched with bottom right guide plate hole clipping (51), the bottom right guide plate grab(50) match with the second upper guide plate hole clipping (54), bottom right guide plate hole clipping (51) are mutually passed through with bottom right guide plate removal hole (52)Logical, the first upper guide plate hole clipping (53) are connected with the first upper guide plate removal hole (55), the second upper guide plate hole clipping (54)Connect with the second upper guide plate removal hole (56), upper guide plate (41) are provided with left jam plate with the left side of lower-left guide plate (42)(a1), described left jam plate (a1) left jam plate upper left hole clipping and left jam plate lower-left hole clipping, the left jam plate are provided with(a1) left jam plate draw ring is provided with, and upper guide plate (41) are provided with card column on the left of upper guide plate, on lower-left guide plate (42)Card column on the left of the guide plate of lower-left is provided with, on the left of the upper guide plate, card column is engaged by clamping with left jam plate upper left hole clipping, and the lower-left is ledOn the left of plate, card column is engaged by clamping with left jam plate lower-left hole clipping, and upper guide plate (41) are provided with the right side of bottom right guide plate (43)Right jam plate (a2), right jam plate (a2) is provided with right jam plate upper right hole clipping and right jam plate bottom right hole clipping, the right sideSide chain plate (a2) is provided with right jam plate draw ring, and upper guide plate (41) are provided with card column on the right side of upper guide plate, the bottom right guide plate(43) card column on the right side of the guide plate of bottom right is provided with, and on the right side of the upper guide plate, card column is engaged by clamping with right jam plate upper right hole clipping, describedOn the right side of the guide plate of bottom right, card column is engaged by clamping with right jam plate bottom right hole clipping, under lower-left guide plate (42) and bottom right guide plate (43)Side is provided with downside jam plate (a3), and downside jam plate (a3) is provided with downside jam plate lower-left hole clipping and downside jam plate bottom right cardHole, downside jam plate (a3) is provided with downside jam plate draw ring, and lower-left guide plate (42) are provided with card column on the downside of the guide plate of lower-left,Bottom right guide plate (43) are provided with card column on the downside of the guide plate of bottom right, card column and downside jam plate lower-left hole clipping on the downside of the lower-left guide plateIt is engaged by clamping, on the downside of the bottom right guide plate, card column is engaged by clamping with downside jam plate bottom right hole clipping.
4. according to claim 1 and 2 be exclusively used in repair prolapse of lumbar intervertebral disc holder, it is characterised in that:On describedLateral connection post (10) includes square upper lateral connection post (62) and semicircle upper lateral connection post (63), the semicircle upper horizontal strokeIt is fixedly connected to the bottom of connecting post (63) with the top of square upper lateral connection post (62), described lower vertical connecting post (11) wrapInclude under square lower vertical connecting post (64) and semicircle vertical connecting post (65), the bottom of vertical connecting post (65) under the semicirclePortion is fixedly connected with the top of square lower vertical connecting post (64), and described left side oblique connecting post (12) include that square left side is obliqueUnder connecting post (66) and semicircle vertical connecting post (67), the semi-circular left skew back is to bottom and the square left side of connecting post (67)Skew back is fixedly connected to the top of connecting post (66).
5. according to claim 3 be exclusively used in repair prolapse of lumbar intervertebral disc holder, it is characterised in that:Described horizontalConnecting post (10) includes square upper lateral connection post (62) and semicircle upper lateral connection post (63), laterally connects in the semicircleThe bottom for connecing post (63) is fixedly connected with the top of square upper lateral connection post (62), and described lower vertical connecting post (11) include sideUnder shape vertical connecting post (64) and semicircle under vertical connecting post (65), described semicircle under vertical connecting post (65) bottom withThe top of square lower vertical connecting post (64) is fixedly connected, and described left side oblique connecting post (12) include the oblique connection in square left sideUnder post (66) and semicircle vertical connecting post (67), the semi-circular left skew back is oblique with square left side to the bottom of connecting post (67)Top to connecting post (66) is fixedly connected.
CN201611014147.1A2016-11-152016-11-15Fixator special for repairing lumbar disc herniationActiveCN106420026B (en)

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