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CN106667562A - Fixator for lumbar spinal fusion technology - Google Patents

Fixator for lumbar spinal fusion technology
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Publication number
CN106667562A
CN106667562ACN201611021357.3ACN201611021357ACN106667562ACN 106667562 ACN106667562 ACN 106667562ACN 201611021357 ACN201611021357 ACN 201611021357ACN 106667562 ACN106667562 ACN 106667562A
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CN
China
Prior art keywords
guide plate
screw
locking cap
hole
pedicle screw
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201611021357.3A
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Chinese (zh)
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CN106667562B (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 CN201611021357.3ApriorityCriticalpatent/CN106667562B/en
Publication of CN106667562ApublicationCriticalpatent/CN106667562A/en
Application grantedgrantedCritical
Publication of CN106667562BpublicationCriticalpatent/CN106667562B/en
Activelegal-statusCriticalCurrent
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Abstract

A fixator for a lumbar spinal fusion technology comprises an upper pedicle screw, a lower pedicle screw, a side articular process screw, a triangular fixing frame, a screw guiding barrel and a guiding plate, wherein the triangular fixing frame comprises an upper fixing cap, a lower fixing cap, a left side slant fixing cap, an upper transverse connecting column, a lower vertical connecting column and a left side slant connecting column, the left end of the upper transverse connecting column is fixedly connected with the left side slant fixing cap, the right end of the upper transverse connecting column is fixedly connected with the upper fixing cap, the upper end of the lower vertical connecting column is fixedly connected with the upper fixing cap, the lower end of the lower vertical connecting column is fixedly connected with the lower fixing cap, the lower end of the left side slant connecting column is fixedly connected with the lower fixing cap, the upper end of the left side slant connecting column is fixedly connected with the left side slant fixing cap, and the upper pedicle screw, the lower pedicle screw and the side articular process screw form triangular stable fixing relation to achieve the firm fixing purpose. A minimally invasive surgery is achieved, and the operating efficiency is greatly improved.

Description

For the holder of lumbar spinal fusion
Technical field
The present invention relates to a kind of holder for lumbar spinal fusion.
Background technology
As modern society's life mode changes, the long-term sedentary of office clan causes 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 appliedThe diseases such as treatment prolapse of lumbar intervertebral disc, disk source property lumbago and lumbar instability, need the high holder of intensity to consolidate in therapeutic processFixed, existing holder is made up of two simple screws and a very thin conventional metals rod, and this traditional classics are fixedMode is not very firmly, and to need all to peel off the bilateral muscle of human body, is then fixed by two groups of holders respectively,Make that patient bears is painful larger, it is impossible to realize Minimally Invasive Surgery, screw easily wanders off when screwing in fixed, and accuracy rate is not high, holdsEasily put by mistake, cause spinal cord, nerve root equivalent damage.
The content of the invention
For above-mentioned technical problem, the present invention provides a kind of:Is peeled off in fixation, side muscle be capable of achieving admittedlyPain that fixed, patient bears is less, screw inserts that accuracy rate is high, be difficult to put by mistake and be capable of achieving Minimally Invasive Surgery for Lumbar FusionThe holder of art.
To solve above-mentioned technical problem, the present invention is employed the following technical solutions:For the holder of lumbar spinal fusion, includingUpper pedicle screw, lower pedicle screw, lateral joint are dashed forward screw, triangle fixed mount, screw guide cylinder and guide plate, the triangleShape fixed mount includes upper locking cap, lower locking cap, the oblique locking cap in left side, upper lateral connection post, lower vertical connecting pole and left sideOblique connecting pole, distribution triangular in shape between fixed cap, lower locking cap and left side locking cap, the upper lateral connectionThe left end of post is fixedly connected with the oblique locking cap in left side, and the right-hand member of the upper lateral connection post is fixedly connected with upper locking cap, instituteThe upper end for stating lower vertical connecting pole is fixedly connected with upper locking cap, and the lower end of the lower vertical connecting pole is fixed with lower locking cap and connectedConnect, the lower end of the oblique connecting pole in the left side is fixedly connected with lower locking cap, the upper end and left side of the oblique connecting pole in the left sideOblique locking cap is fixedly connected, and the outer ring of fixed cap is provided with locking cap external screw thread, the endoporus of fixed capBe provided with locking cap female thread, the outer ring of the lower locking cap is provided with lower locking cap external screw thread, the lower locking cap it is interiorHole 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 external screw thread in left side, instituteThe endoporus for stating the oblique locking cap in left side is provided with the oblique locking cap female thread in left side, and the upper pedicle screw includes upper pedicle of vertebral archScrew spongy bone self tapping section and upper pedicle screw canned paragraph, at the top of the upper pedicle screw canned paragraph pedicle of vertebral arch is provided withScrew countersunk head inner hexagonal hole, the upper pedicle screw spongy bone self tapping section is provided with pedicle screw from external threading, instituteState pedicle screw canned paragraph and be provided with pedicle screw and fix external screw thread, the upper pedicle screw fix external screw thread withUpper locking cap female thread matches, and the lower pedicle screw includes lower pedicle screw spongy bone self tapping section and lower pedicle of vertebral arch screwNail canned paragraph, is provided with lower pedicle screw countersunk head inner hexagonal hole, the lower vertebral arch at the top of the lower pedicle screw canned paragraphRoot screw spongy bone self tapping section is provided with lower pedicle screw from external threading, and the lower pedicle screw canned paragraph is provided with downPedicle screw fixes external screw thread, and the lower pedicle screw is fixed external screw thread and matched with lower locking cap female thread, the sideInterarticular screw includes the prominent screw spongy bone self tapping section of lateral joint and the prominent screw canned paragraph of lateral joint, and the prominent screw of the lateral joint is consolidatedDetermine to be provided with the prominent screw countersunk head inner hexagonal hole of lateral joint at the top of section, the prominent screw spongy bone self tapping section of the lateral joint is provided with side passFrom external threading, the prominent screw canned paragraph of the lateral joint is provided with the prominent screw of lateral joint and fixes external screw thread, the side the prominent screw of sectionInterarticular screw is fixed external screw thread and is matched with the oblique locking cap female thread in left side, the upper pedicle screw spongy bone self tapping sectionLength more than upper pedicle screw canned paragraph length, the size of the upper pedicle screw spongy bone self tapping section is less than upper vertebraThe size of pedicle screw canned paragraph, the size of the upper pedicle screw spongy bone self tapping section is big less than the endoporus of upper locking capLittle, the length of the lower pedicle screw spongy bone self tapping section is more than the length of lower pedicle screw canned paragraph, the lower vertebral arch, less than the size of lower pedicle screw canned paragraph, the lower pedicle screw spongy bone is certainly for the size of root screw spongy bone self tapping sectionThe size of the size less than the endoporus of lower locking cap of section is attacked, the length of the prominent screw spongy bone self tapping section of the lateral joint is closed more than sideThe length of the prominent screw canned paragraph of section, the size of the prominent screw spongy bone self tapping section of the lateral joint is less than the prominent screw canned paragraph of lateral jointSize, the size of the prominent screw spongy bone self tapping section of the lateral joint less than the endoporus of the oblique locking cap in left side size, it is describedScrew guide cylinder includes positioning section screw guide cylinder and construction section screw guide cylinder, and the length of the construction section screw guide cylinder is bigIn the length of positioning section screw guide cylinder, the size of the construction section screw guide cylinder is big more than positioning section screw guide cylinderLittle, the endoporus of the construction section screw guide cylinder is provided with construction section screw guide cylinder female thread, and the positioning section screw is oriented toThe endoporus of cylinder is provided with positioning section screw guide cylinder female thread, and the upper pedicle screw fixes external screw thread and spiral shell in upper locking capStricture of vagina matches, and the lower pedicle screw is fixed external screw thread and matched with lower locking cap female thread, and the prominent screw of the lateral joint is consolidatedDetermine external screw thread to match with the oblique locking cap female thread in left side, the upper pedicle screw fixes external screw thread, the lower pedicle of vertebral archScrew fixes the prominent screw of external screw thread and lateral joint and fixes external screw thread and matches with positioning section screw guide cylinder female thread, it is described onLocking cap external screw thread, the oblique locking cap external screw thread of lower locking cap external screw thread and left side with construction section screw guide cylinder female thread phaseMatching, the guide plate is provided with the oblique through hole in through hole on guide plate, guide plate lower through-hole and guide plate left side, the upper pedicle screw pineMatter bone self tapping section may pass through through hole on guide plate, and the lower pedicle screw spongy bone self tapping section may pass through guide plate lower through-hole, describedThe prominent screw spongy bone self tapping section of lateral joint may pass through the oblique through hole in guide plate left side, the guide plate include upper guide plate, lower-left guide plate andBottom right guide plate, is detachably connected between the upper guide plate, lower-left guide plate and bottom right guide plate three, and through hole is located on the guide plateOn junction between upper guide plate, lower-left guide plate and bottom right guide plate three, the guide plate lower through-hole is located at lower-left guide plate with the right sideOn junction between bottom guide, oblique through hole is located on the junction between upper guide plate and lower-left guide plate on the left of the guide plate,The bottom of fixed cap is provided with locking cap flange collar,
The bottom of the lower locking cap is provided with lower locking cap flange collar, and to be provided with through hole on guide plate recessed for through hole on the guide plateCircle, the guide plate lower through-hole is provided with the recessed circle of guide plate lower through-hole, and enclose recessed with through hole on guide plate of fixed cap flange collar matches,Lower locking cap flange collar circle recessed with guide plate lower through-hole matches, and the lower-left guide plate is provided with the first lower-left guide plate grab and theTwo lower-left guide plate grabs, the bottom right guide plate is provided with bottom right guide plate grab, bottom right guide plate hole clipping and bottom right guide plate removal hole, instituteState upper guide plate and be provided with the dismounting of the first upper guide plate hole clipping, the second upper guide plate hole clipping, the first upper guide plate removal hole and the second upper guide plateHole, the first lower-left guide plate grab is engaged with the first upper guide plate hole clipping, the second lower-left guide plate grab and bottom right guide plateHole clipping is engaged, and the bottom right guide plate grab is engaged with the second upper guide plate hole clipping, the bottom right guide plate hole clipping and bottom right guide plateRemoval hole connects, and the first upper guide plate hole clipping connects with the first upper guide plate removal hole, the second upper guide plate hole clipping withSecond upper guide plate removal hole connects, and the upper guide plate is provided with left groove, the left groove with the left side of lower-left guide plateBe connected spring on the left of being provided with, and the left side of the upper guide plate is provided with upper guide plate left side gib head, a left side for the lower-left guide plateSide is provided with lower-left guide plate left side gib head, and be connected one end of spring of the left side is hooked on the gib head of upper guide plate left side, describedThe be connected other end of spring of left side is hooked on the gib head of lower-left guide plate left side, is set on the upper guide plate and the right side of bottom right guide plateThere is a right groove, the right groove is provided with right side and is connected spring, it is right that the right side of the upper guide plate is provided with upper guide plateSide gib head, the right side of the bottom right guide plate is provided with bottom right guide plate right side gib head, and the right side is connected an end hook of springOn gib head on the right side of upper guide plate, the be connected other end of spring of the right side is hooked on the gib head of bottom right guide plate right side, the left sideThe downside of bottom guide and bottom right guide plate is provided with downside groove, and the downside groove is provided with downside and is connected spring, describedThe downside of lower-left guide plate is provided with lower-left guide plate downside gib head, and the downside of the bottom right guide plate is provided with bottom right guide plate downside hookHead, be connected one end of spring of the downside is hooked on the gib head of lower-left guide plate downside, and the downside is connected the another of springOne end is hooked on the gib head of bottom right guide plate downside.
It is provided by the present invention for the beneficial effect of the holder of lumbar spinal fusion:Guide plate is placed on patient's body when usingOn, the laminating degree of guide plate is higher, and more accurately, triangle fixed mount is arranged on guide plate positioning, upper on triangle fixed mountThe recessed circle of lower locking cap flange collar insertion guide plate lower through-hole on locking cap flange collar insertion guide plate in the recessed circle of through hole, on triangle fixed mountIt is interior, realize that triangle fixed mount positioning will not be subjected to displacement,
When upper pedicle screw is fixed on lumbar vertebra, first screw guide cylinder is arranged on upper locking cap, screw guide cylinderIt is to coordinate to realize that screw guide cylinder is fixed with upper locking cap external screw thread by construction section screw guide cylinder female thread, then by upper vertebraPedicle screw is mounted on screw guide cylinder, and upper pedicle screw is fixed external screw thread and matched with positioning section screw guide cylinder female threadClose, pedicle screw is moved down along screw guide cylinder in formation, make pedicle screw not wander off when screwing in fixed, it is accurateReally rate is greatly improved, and will not be put by mistake, it is to avoid spinal cord, nerve root equivalent damage, upper pedicle screw is screwed into soon behind bottom, upper pedicle of vertebral arch screwThe fixed external screw thread of nail depart from positioning section screw guide cylinder female thread and with upper locking cap screw-internal thread fit, realize that pedicle screw is consolidatedDingan County is mounted on triangle fixed mount, finally pulls down screw guide cylinder from upper locking cap, and pedicle screw and side are descended in the same mannerInterarticular screw is also adopted by this mode when fixed, realizes that screw-in will not wander off when fixed, accuracy rate is greatly improved, will not be by mistakePut, in setting in the prominent screw countersunk head of pedicle screw countersunk head inner hexagonal hole, lower pedicle screw countersunk head inner hexagonal hole and lateral jointHexagon ring is easier for installation, and spring is connected and downside is connected bullet by arranging be connected spring, right side of left sideSpring 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 more consolidated, and it is leftBe connected spring, right side of side is connected spring and the downside spring dismounting that is connected is very convenient, wherein left side connection is solidDetermine spring in the left groove so that the left side spring that is connected is installed and more consolidated, and will not be subjected to displacement, right side connectionFixed spring is arranged in right groove so that the right side spring that is connected is installed and more consolidated, and will not be subjected to displacement, and downside connectsFixed spring is connect on the groove of downside so that the downside spring that is connected is installed and more consolidated, and will not be subjected to displacement,
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 be first connected spring, right side of left side is connected into spring and the downside spring that is connected is pulled down during dismounting, soAfterwards the first lower-left guide plate grab is backed down from the first upper guide plate removal hole insertion fine needle so that the first lower-left guide plate grab and firstUpper guide plate hole clipping releases locking, backs down bottom right guide plate grab from the second upper guide plate removal hole insertion fine needle so that bottom right guide plateGrab and the second upper guide plate hole clipping release locking, and from bottom right, guide plate removal hole insertion fine needle backs down the second lower-left guide plate grab,So that the second lower-left guide plate grab releases locking with bottom right guide plate hole clipping, so as to guide plate is divided into into upper guide plate, lower-left guide plate and the right sideBottom guide is dismantled, and so can be positioned, and being avoided that guide plate is stayed in patient body again affects healthy,
Also, it should be noted that only need to peel off to the side muscle of human body, you can realize fixed and lateral solid up and downIt is fixed, 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, substantially reduces the pain that patient bears, and performs the operationEfficiency is greatly improved.
Further include that upper reinforcing nut, lower reinforcing nut and side reinforce nut, the upper reinforcing nut with, it is 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 capIt is engaged, the lower reinforcing nut is engaged with lower locking cap, and the side reinforces nut and is engaged with the oblique locking cap in left side, makesObtain and reinforcing nut, lower reinforcing nut and side reinforcing are respectively mounted on upper locking cap, the oblique locking cap of lower locking cap and left sideIntensity is higher after nut.
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, describedThe bottom of lateral connection post is fixedly connected with the top of square upper lateral connection post in semicircle, and the lower vertical connecting pole includesVertical connecting pole under square lower vertical connecting pole and semicircle, the bottom of vertical connecting pole is lower vertical with square under the semicircleIt is fixedly connected at the top of connecting pole, the oblique connecting pole in the left side includes vertically connecting under the oblique connecting pole in square left side and semicirclePost is connect, the semi-circular left skew back to the bottom of connecting pole is fixedly connected with the top of the oblique connecting pole in square left side, this knotStructure causes the bulk strength of triangle fixed mount higher.
With reference to the accompanying drawings and detailed description the invention will be further described.
Description of the drawings
Fig. 1 is upper pedicle screw, lower pedicle screw, the side of the holder provided by the present invention for lumbar spinal fusionOne of structural representation of interarticular screw, triangle fixed mount and guide plate;
Fig. 2 is upper pedicle screw, lower pedicle screw, the side of the holder provided by the present invention for lumbar spinal fusionThe two of the structural representation of interarticular screw, triangle fixed mount and guide plate;
Fig. 3 is upper pedicle screw, lower pedicle screw, the side of the holder provided by the present invention for lumbar spinal fusionOne of structural representation of interarticular screw, triangle fixed mount, screw guide cylinder and guide plate;
Fig. 4 is upper pedicle screw, lower pedicle screw, the side of the holder provided by the present invention for lumbar spinal fusionThe two of the structural representation of interarticular screw, triangle fixed mount, screw guide cylinder and guide plate;
Fig. 5 is upper pedicle screw, lower pedicle screw, the side of the holder provided by the present invention for lumbar spinal fusionInterarticular screw, triangle fixed mount, upper reinforcing nut, lower reinforcing nut and side reinforce the structural representation of nut;
Fig. 6 be the triangle fixed mount of the holder provided by the present invention for lumbar spinal fusion structural representation itOne;
Fig. 7 be the triangle fixed mount of the holder provided by the present invention for lumbar spinal fusion structural representation itTwo;
Fig. 8 is one of structural representation of guide plate of holder provided by the present invention for lumbar spinal fusion;
Fig. 9 is the two of the structural representation of the guide plate of the holder provided by the present invention for lumbar spinal fusion;
Figure 10 is one of structural representation of screw guide cylinder of the holder provided by the present invention for lumbar spinal fusion;
Figure 11 is the two of the structural representation of the screw guide cylinder of the holder provided by the present invention for lumbar spinal fusion;
Figure 12 is the structural representation of the upper pedicle screw of the holder provided by the present invention for lumbar spinal fusion;
Figure 13 is the structural representation of the lower pedicle screw of the holder provided by the present invention for lumbar spinal fusion;
Figure 14 is the structural representation of the prominent screw of lateral joint of the holder provided by the present invention for lumbar spinal fusion.
Specific embodiment
As shown in Fig. 1 to Figure 14, provided by the present invention for the embodiment of the holder of lumbar spinal fusion, including upper vertebral archRoot screw 1, lower pedicle screw 2, lateral joint are dashed forward screw 3, triangle fixed mount 4, screw guide cylinder 5 and guide plate 6, the triangleShape fixed mount 4 includes upper locking cap 7, the oblique locking cap 9 of lower locking cap 8, left side, upper lateral connection post 10, lower vertical connecting pole11 and the oblique connecting pole 12 in left side, triangular in shape point between the oblique locking cap 9 in fixed cap 7, lower locking cap 8 and left sideCloth, the left end of the upper lateral connection post 10 is fixedly connected with the oblique locking cap 9 in left side, the right-hand member of the upper lateral connection post 10It is fixedly connected with upper locking cap 7, the upper end of the lower vertical connecting pole 11 is fixedly connected with upper locking cap 7, it is described lower vertically to connectThe lower end for connecing post 11 is fixedly connected with lower locking cap 8, and the lower end of the oblique connecting pole 12 in the left side and lower locking cap 8 are fixed and connectedConnect, the upper end of the oblique connecting pole 12 in the left side is fixedly connected with the oblique locking cap 9 in left side, on the outer ring of fixed cap 7Locking cap external screw thread 13 is provided with, the endoporus of fixed cap 7 is provided with locking cap female thread 14, the lower locking cap 8Outer ring be provided with lower locking cap external screw thread 15, the endoporus of the lower locking cap 8 is provided with lower locking cap female thread 16, the left sideSkew back to the outer ring of locking cap 9 is provided with the oblique locking cap external screw thread 17 in left side, sets on the endoporus of the oblique locking cap 9 in the left sideThere is an oblique locking cap female thread 18 in left side, the upper pedicle screw 1 includes upper pedicle screw spongy bone self tapping section 19 and upperPedicle screw canned paragraph 20, the top of the upper pedicle screw canned paragraph 20 is provided with pedicle screw countersunk head inner hexagonal hole21, the upper pedicle screw spongy bone self tapping section 19 is provided with pedicle screw from external threading 22, the upper pedicle of vertebral archScrew canned paragraph 20 is provided with pedicle screw and fixes external screw thread 23, and it is solid with upper that the upper pedicle screw fixes external screw thread 23Determine cap female thread 14 to match, the lower pedicle screw 2 includes lower pedicle screw spongy bone self tapping section 24 and lower pedicle of vertebral archScrew canned paragraph 25, the top of the lower pedicle screw canned paragraph 25 is provided with lower pedicle screw countersunk head inner hexagonal hole 26, instituteState lower pedicle screw spongy bone self tapping section 24 and be provided with lower pedicle screw from external threading 27, the lower pedicle screw is consolidatedDetermine section 25 and be provided with lower pedicle screw to fix external screw thread 28, the lower pedicle screw is fixed in external screw thread 28 and lower locking capScrew thread 16 matches, and the prominent screw 3 of the lateral joint includes that the prominent screw spongy bone self tapping section 29 of lateral joint and the prominent screw of lateral joint are consolidatedDetermine section 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, and the side is closedThe prominent screw spongy bone self tapping section 29 of section is provided with the prominent screw of lateral joint from external threading 32, the prominent screw canned paragraph 30 of the lateral jointIt is provided with the prominent screw of lateral joint and fixes external screw thread 33, the prominent screw of the lateral joint is fixed in external screw thread 33 and the oblique locking cap in left sideScrew thread 18 matches, and the length of the upper pedicle screw spongy bone self tapping section 19 is more than the length of upper pedicle screw canned paragraph 20Degree, the size of the upper pedicle screw spongy bone self tapping section 19 less than upper pedicle screw canned paragraph 20 size, it is described onThe size of pedicle screw spongy bone self tapping section 19 is less than the size of the endoporus of upper locking cap 7, the lower pedicle screw spongiosaThe length of bone self tapping section 24 is more than the length of lower pedicle screw canned paragraph 25, the lower pedicle screw spongy bone self tapping section 24Size less than lower pedicle screw canned paragraph 25 size, the size of the lower pedicle screw spongy bone self tapping section 24 is less thanThe 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 consolidated more than the prominent screw of lateral jointDetermine the length of section 30, the size of the prominent screw spongy bone self tapping section 29 of the lateral joint is big less than the prominent screw canned paragraph 30 of lateral jointLittle, 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 spiral shellNail guide cylinder 5 includes positioning section screw guide cylinder 34 and construction section screw guide cylinder 35, the construction section screw guide cylinder 35Length is more than the length of positioning section screw guide cylinder 34, and the size of the construction section screw guide cylinder 35 is led more than positioning section screwTo the size of cylinder 34, the endoporus of the construction section screw guide cylinder 35 is provided with construction section screw guide cylinder female thread 36, describedThe endoporus of positioning section screw guide cylinder 34 is provided with positioning section screw guide cylinder female thread 37, and the upper pedicle screw fixes outerScrew thread 23 matches with upper locking cap female thread 14, and the lower pedicle screw fixes external screw thread 28 and lower locking cap female thread 16Match, 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, the upper vertebral archRoot screw fix external screw thread 23, the lower pedicle screw fix external screw thread 28 and the prominent screw of lateral joint fix external screw thread 33 withPositioning section screw guide cylinder female thread 37 matches, and fixed cap external screw thread 23, lower locking cap external screw thread 28 and left side are obliqueMatch with construction section screw guide cylinder female thread 36 to locking cap external screw thread 33, the guide plate 6 is provided with through hole on guide plate38th, the oblique through hole 40 of guide plate lower through-hole 39 and guide plate left side, the upper pedicle screw spongy bone self tapping section 19 may pass through guide plateUpper through hole 38, the lower pedicle screw spongy bone self tapping section 24 may pass through guide plate lower through-hole 39, the prominent screw pine of the lateral jointMatter bone self tapping section 29 may pass through the oblique through hole 40 in guide plate left side, and the guide plate 6 is led including upper guide plate 41, lower-left guide plate 42 and bottom rightPlate 43, the upper guide plate 41, lower-left guide plate 42 and bottom right are led and be detachably connected between 43 plate threes, through hole 38 on the guide plateOn junction between upper guide plate 41, lower-left guide plate 42 and the three of bottom right guide plate 43, the guide plate lower through-hole 39 is located atOn junction between lower-left guide plate 42 and bottom right guide plate 43, oblique through hole 40 is located at upper guide plate 41 and lower-left on the left of the guide plateOn junction between guide plate 42, the bottom of fixed cap 7 is provided with locking cap flange collar 44, the bottom of the lower locking cap 8Portion is provided with lower locking cap flange collar 45, and through hole 38 is provided with the recessed circle 46 of through hole on guide plate, the guide plate lower through-hole 39 on the guide plateThe recessed circle 47 of guide plate lower through-hole is provided with, the recessed circle of through hole matches 46 on fixed cap flange collar 44 and guide plate, the lower fixationThe recessed circle of cap flange collar 45 and guide plate lower through-hole matches 47, and the lower-left guide plate 42 is provided with the first lower-left guide plate grab 48 and secondLower-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 right guide plate and tears openHole 52 is unloaded, 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 removal hole 55With the second upper guide plate removal hole 56, the first lower-left guide plate grab 48 is engaged with the first upper guide plate hole clipping 53, and described secondLower-left guide plate grab 49 is engaged with bottom right guide plate hole clipping 51, and the bottom right guide plate grab 50 matches with the second upper guide plate hole clipping 54Close, the bottom right guide plate hole clipping 51 connects with bottom right guide plate removal hole 52, leads in the first upper guide plate hole clipping 53 and firstPlate removal hole 55 connects, and the second upper guide plate hole clipping 54 connects with the second upper guide plate removal hole 56, the upper guide plate 41Be provided with left groove with the left side of lower-left guide plate 42, the left groove is provided with left side and is connected spring a1, it is described onThe left side of guide plate 41 is provided with upper guide plate left side gib head, and the left side of the lower-left guide plate 42 is provided with lower-left guide plate left side gib head,Be connected one end of spring a1 of the left side is hooked on the gib head of upper guide plate left side, and the left side is connected the another of spring a1On gib head on the left of the guide plate of lower-left, the upper guide plate 41 is provided with right groove, the right side to end hook with the right side of bottom right guide plate 43Side groove is provided with right side and is connected spring a2, and the right side of the upper guide plate 41 is provided with upper guide plate right side gib head, the right sideThe right side of bottom guide 43 is provided with bottom right guide plate right side gib head, and the right side is connected, and to be hooked in upper guide plate right for one end of spring a2On the gib head of side, the be connected other end of spring a2 of the right side is hooked on the gib head of bottom right guide plate right side, the lower-left guide plate 42Downside groove is provided with the downside of bottom right guide plate 43, the downside groove is provided with downside and is connected spring a3, the left sideThe downside of bottom guide 42 is provided with lower-left guide plate downside gib head, and the downside of the bottom right guide plate 43 is provided with bottom right guide plate downside hookHead, be connected one end of spring a3 of the downside is hooked on the gib head of lower-left guide plate downside, and the downside is connected spring a3The other end be hooked on the gib head of bottom right guide plate downside.
When wherein upper guide plate 41, lower-left guide plate 42 and bottom right guide plate 43 are connected as one, the left side is connected bulletOne end of spring a1 is hooked on the gib head of upper guide plate left side, and the be connected other end of spring a1 of the left side is hooked in lower-left guide plate left sideOn gib head, be connected one end of spring a2 of the right side is hooked on the gib head of upper guide plate right side, and the right side is connected springThe other end of a2 is hooked on the gib head of bottom right guide plate right side, and be connected one end of spring a3 of the downside is hooked in lower-left guide plate downsideOn gib head, the be connected other end of spring a3 of the downside is hooked on the gib head of bottom right guide plate downside.
When wherein needing to split upper guide plate 41, lower-left guide plate 42 and bottom right guide plate 43, be connected spring on the left of pull-upA1, right side are connected spring a2 and downside is connected, and spring a3 is pulled down.
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 countersunk head inner hexagonal hole are equipped with nut 59, and the upper reinforcing nut 57 is engaged with upper locking cap 7, describedLower reinforcing nut 58 is engaged with lower locking cap 8, and the side reinforces nut 59 and is engaged with the oblique locking cap 9 in left side, described to leadPlate 6 is provided with that arc turns up paster 60 and arc lower turns up paster 61, the upper lateral connection post 10 include it is square it is upper laterallyConnecting pole 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 pole 11 includes square lower vertical connecting pole 64 and semicircle lower vertical connectionPost 65, the bottom of vertical connecting pole 65 is fixedly connected with the top of square lower vertical connecting pole 64 under the semicircle, the left sideSkew back to connecting pole 12 includes the oblique connecting pole 66 in square left side with vertical connecting pole 67 under semicircle, the semi-circular left skew backIt is fixedly connected with the top of the oblique connecting pole 66 in square left side to the bottom of connecting pole 67.
As needed, the specific embodiment of the present invention is 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, herein institute is publicThe concrete structure and function detail opened be understood not to it is in a limiting sense, but only as representative basis instructing abilityField technique personnel are of the invention using implementing.Based on the embodiment in the present invention, those of ordinary skill in the art are not making woundThe every other embodiment obtained under the premise of the property made work, belongs to the scope of protection of the invention.

Claims (5)

1. the holder of lumbar spinal fusion is used for, it is characterised in that:Including upper pedicle screw (1), lower pedicle screw (2),Lateral joint is dashed forward screw (3), triangle fixed mount (4), screw guide cylinder (5) and guide plate (6), triangle fixed mount (4) bagInclude locking cap (7), lower locking cap (8), the oblique locking cap in left side (9), upper lateral connection post (10), lower vertical connecting pole (11)With the oblique connecting pole in left side (12), fixed cap (7), between lower locking cap (8) and left side oblique locking cap (9) be in threeAngular distribution, the left end of the upper lateral connection post (10) is fixedly connected with the oblique locking cap in left side (9), the upper lateral connectionThe right-hand member of post (10) is fixedly connected with upper locking cap (7), and the upper end of the lower vertical connecting pole (11) is fixed with upper locking cap (7)Connection, the lower end of the lower vertical connecting pole (11) is fixedly connected with lower locking cap (8), the oblique connecting pole (12) in the left sideLower end is fixedly connected with lower locking cap (8), and the upper end of the oblique connecting pole (12) in the left side is fixed with the oblique locking cap in left side (9)Connection, the outer ring of fixed cap (7) is provided with locking cap external screw thread (13), sets on the endoporus of fixed cap (7)The outer ring for having upper locking cap female thread (14), the lower locking cap (8) is provided with lower locking cap external screw thread (15), the lower fixationThe endoporus of cap (8) is provided with lower locking cap female thread (16), and it is oblique that the outer ring of the oblique locking cap (9) in the left side is provided with left sideLocking cap external screw thread (17), the endoporus of the oblique locking cap (9) in the left side is provided with the oblique locking cap female thread (18) in left side, institutePedicle screw (1) is stated including upper pedicle screw spongy bone self tapping section (19) and upper pedicle screw canned paragraph (20), instituteState and pedicle screw countersunk head inner hexagonal hole (21) is provided with the top of pedicle screw canned paragraph (20), the upper pedicle of vertebral arch screwNail spongy bone self tapping section (19) is provided with pedicle screw from external threading (22), the upper pedicle screw canned paragraph (20)It is provided with pedicle screw and fixes external screw thread (23), the upper pedicle screw fixes external screw thread (23) and spiral shell in upper locking capStricture of vagina (14) matches, and the lower pedicle screw (2) is including lower pedicle screw spongy bone self tapping section (24) and lower pedicle of vertebral arch screwNail canned paragraph (25), at the top of the lower pedicle screw canned paragraph (25) lower pedicle screw countersunk head inner hexagonal hole is provided with(26), the lower pedicle screw spongy bone self tapping section (24) is provided with lower pedicle screw from external threading (27), it is described underPedicle screw canned paragraph (25) is provided with lower pedicle screw and fixes external screw thread (28), and the lower pedicle screw fixes outer spiral shellStricture of vagina (28) matches with lower locking cap female thread (16), the lateral joint dash forward screw (3) including the prominent screw spongy bone of lateral joint fromSection (29) and prominent screw canned paragraph (30) of lateral joint are attacked, lateral joint is provided with the top of prominent screw canned paragraph (30) of the lateral joint and is dashed forwardScrew countersunk head inner hexagonal hole (31), prominent screw spongy bone self tapping section (29) of the lateral joint is provided with outside the prominent screw self tapping of lateral jointScrew thread (32), prominent screw canned paragraph (30) of the lateral joint is provided with the prominent screw of lateral joint and fixes external screw thread (33), and the side is closedThe prominent screw of section is fixed external screw thread (33) and is matched with the oblique locking cap female thread (18) in left side, the upper pedicle screw spongy boneThe length of self tapping section (19) is more than the length of upper pedicle screw canned paragraph (20), the upper pedicle screw spongy bone self tapping section(19) size is less than the size of upper pedicle screw canned paragraph (20), the upper pedicle screw spongy bone self tapping section (19)Size is less than the size of the endoporus of upper locking cap (7), under the length of the lower pedicle screw spongy bone self tapping section (24) is more thanThe length of pedicle screw canned paragraph (25), the size of the lower pedicle screw spongy bone self tapping section (24) is less than lower pedicle of vertebral archThe size of screw canned paragraph (25), the size of the lower pedicle screw spongy bone self tapping section (24) is less than lower locking cap (8)The size of endoporus, the length of prominent screw spongy bone self tapping section (29) of the lateral joint is more than prominent screw canned paragraph (30) of lateral jointLength, the size of prominent screw spongy bone self tapping section (29) of the lateral joint is less than the size of prominent screw canned paragraph (30) of lateral joint,The size of prominent screw spongy bone self tapping section (29) of the lateral joint is less than the size of the endoporus in the oblique locking cap in left side (9), describedScrew guide cylinder (5) includes positioning section screw guide cylinder (34) and construction section screw guide cylinder (35), and the construction section screw is ledIt is more than the length of positioning section screw guide cylinder (34) to the length of cylinder (35), the size of the construction section screw guide cylinder (35) is bigIn the size of positioning section screw guide cylinder (34), the endoporus of the construction section screw guide cylinder (35) is provided with construction section screw and leadsTo cylinder female thread (36), the endoporus of the positioning section screw guide cylinder (34) is provided with positioning section screw guide cylinder female thread(37), the upper pedicle screw is fixed external screw thread (23) and is matched with upper locking cap female thread (14), the lower pedicle of vertebral arch screwFollow closely fixed external screw thread (28) to match with lower locking cap female thread (16), the prominent screw of the lateral joint fixes external screw thread (33) with a left sideSkew back to locking cap female thread (18) matches, and the upper pedicle screw fixes external screw thread (23), the lower pedicle screwFixed external screw thread (28) and prominent screw fixation external screw thread (33) of lateral joint with positioning section screw guide cylinder female thread (37) phaseMatch somebody with somebody, the oblique locking cap external screw thread (33) in fixed cap external screw thread (23), lower locking cap external screw thread (28) and left side with peaceDress section screw guide cylinder female thread (36) matches, and the guide plate (6) is provided with through hole on guide plate (38), guide plate lower through-hole (39)With the oblique through hole (40) in guide plate left side, the upper pedicle screw spongy bone self tapping section (19) may pass through through hole on guide plate (38),The lower pedicle screw spongy bone self tapping section (24) may pass through guide plate lower through-hole (39), and the prominent screw spongy bone of the lateral joint is certainlyAttack section (29) and may pass through the oblique through hole (40) in guide plate left side, the guide plate (6) includes upper guide plate (41), lower-left guide plate (42) and the right sideBottom guide (43), the upper guide plate (41), lower-left guide plate (42) and bottom right are led and be detachably connected between (43) plate three, describedOn guide plate on junction of the through hole (38) between upper guide plate (41), lower-left guide plate (42) and bottom right guide plate (43) three,On junction of the guide plate lower through-hole (39) between lower-left guide plate (42) and bottom right guide plate (43), the guide plate left side is tiltedlyOn junction to through hole (40) between upper guide plate (41) and lower-left guide plate (42), the bottom of fixed cap (7) setsThe bottom for having upper locking cap flange collar (44), the lower locking cap (8) is provided with lower locking cap flange collar (45), through hole on the guide plate(38) the recessed circle of through hole (46) on guide plate is provided with, the guide plate lower through-hole (39) is provided with the recessed circle of guide plate lower through-hole (47), describedUpper locking cap flange collar (44) circle recessed with through hole on guide plate matches (46), and the lower locking cap flange collar (45) is recessed with guide plate lower through-holeCircle matches (47), and the lower-left guide plate (42) is provided with the first lower-left guide plate grab (48) and 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 right guide 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 dismounting of the first upper guide plateHole (55) and the second upper guide plate removal hole (56), the first lower-left guide plate grab (48) matches with the first upper guide plate hole clipping (53)Close, the second lower-left guide plate grab (49) is engaged with bottom right guide plate hole clipping (51), the bottom right guide plate grab (50) and theTwo upper guide plate hole clippings (54) are engaged, and the bottom right guide plate hole clipping (51) connects with bottom right guide plate removal hole (52), and describedOne upper guide plate hole clipping (53) connects with the first upper guide plate removal hole (55), leads on the second upper guide plate hole clipping (54) and secondPlate removal hole (56) connects, and the upper guide plate (41) is provided with left groove, the left side with the left side of lower-left guide plate (42)Groove is provided with left side and is connected spring (a1), and the left side of the upper guide plate (41) is provided with upper guide plate left side gib head, describedThe left side of lower-left guide plate (42) is provided with lower-left guide plate left side gib head, and be connected one end of spring (a1) of the left side is hooked inOn the gib head of guide plate left side, the be connected other end of spring (a1) of the left side is hooked on the gib head of lower-left guide plate left side, it is described onThe right side of guide plate (41) and bottom right guide plate (43) is provided with right groove, and the right groove is provided with right side and is connected spring(a2), the right side of the upper guide plate (41) is provided with upper guide plate right side gib head, and the right side of the bottom right guide plate (43) is provided with the right sideBottom guide right side gib head, the right side be connected spring (a2) one end be hooked in upper guide plate right side gib head on, the right side connectsThe other end for connecing fixed spring (a2) is hooked on the gib head of bottom right guide plate right side, the lower-left guide plate (42) and bottom right guide plate (43)Downside is provided with downside groove, and the downside groove is provided with downside and is connected spring (a3), the lower-left guide plate (42)Downside is provided with lower-left guide plate downside gib head, and the downside of the bottom right guide plate (43) is provided with bottom right guide plate downside gib head, describedBe connected one end of spring (a3) of downside is hooked on the gib head of lower-left guide plate downside, and the downside is connected the another of spring (a3)One end is hooked on the gib head of bottom right guide plate downside.
4. the holder for lumbar spinal fusion according to claim 1 and 2, it is characterised in that:The upper lateral connectionPost (10) includes square upper lateral connection post (62) and semicircle upper lateral connection post (63), the semicircle upper lateral connection post(63) bottom is fixedly connected with the top of square upper lateral connection post (62), and the lower vertical connecting pole (11) is including under squareVertical connecting pole (65) under vertical connecting pole (64) and semicircle, it is described it is semicircle under vertical connecting pole (65) bottom with it is squareIt is fixedly connected at the top of vertical connecting pole (64) down, the oblique connecting pole (12) in the left side is including the oblique connecting pole in square left side(66) vertical connecting pole (67) and under semicircle, the semi-circular left skew back is oblique with square left side to the bottom of connecting pole (67)Connecting pole is fixedly connected at the top of (66).
5. the holder for lumbar spinal fusion according to claim 3, it is characterised in that:The upper lateral connection post(10) including square upper lateral connection post (62) and semicircle upper lateral connection post (63), the semicircle upper lateral connection post(63) bottom is fixedly connected with the top of square upper lateral connection post (62), and the lower vertical connecting pole (11) is including under squareVertical connecting pole (65) under vertical connecting pole (64) and semicircle, it is described it is semicircle under vertical connecting pole (65) bottom with it is squareIt is fixedly connected at the top of vertical connecting pole (64) down, the oblique connecting pole (12) in the left side is including the oblique connecting pole in square left side(66) vertical connecting pole (67) and under semicircle, the semi-circular left skew back is oblique with square left side to the bottom of connecting pole (67)Connecting pole is fixedly connected at the top of (66).
CN201611021357.3A2016-11-152016-11-15Fixator for lumbar fusionActiveCN106667562B (en)

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CN201611021357.3ACN106667562B (en)2016-11-152016-11-15Fixator for lumbar fusion

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CN113397682A (en)*2021-07-282021-09-17中国人民解放军空军军医大学Oblique lateral lumbar interbody fusion side way fixing system that resets

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US20060161158A1 (en)*2004-12-142006-07-20Orbay Jorge LBone fracture fixation plate shaping system
AU2008275620B2 (en)*2007-07-112012-01-19Stryker CorporationSurgical drill guide having keyway for axial alignment of fastener used for an orthopedic plate
US20090076555A1 (en)*2007-09-132009-03-19David LowryTranscorporeal spinal decompression and repair system and related method
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CN113397682B (en)*2021-07-282022-06-24中国人民解放军空军军医大学 A lateral reduction and fixation system for oblique lateral lumbar interbody fusion

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