Summary of the invention
The present invention provides a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices, and which overcome described in background techniqueDo not have elasticity and only leptoprosopy contact existing osteoporotic vertebral bodies intervertebral implant, to the vertebra of osteoporosisBody causes depression phenomenon (Sink), or cause corresponding vertebral body damage the shortcomings that.
The technical solution adopted by the present invention to solve the technical problems is:
A kind of osteoporotic vertebral bodies elasticity intervertebral implant devices, the device are a hollow implantation material, have a upper wall, oneLower wall, and one of connection periphery branch wall, a bulkhead and left and right each one side wall are surrounded, form an accommodating space；
On the bulkhead and the left and right side walls being connected, from the bulkhead to the direction of the branch wall, cuts open and set one or more elasticitySeam, so that the device becomes the hollow implantation material with fine motion elasticity；
The device can plant between a vertebral body and neighbouring another vertebral body, and the upper and lower wall outer surface is each accessibleVertebral body and the lower vertebral body and the upper and lower wall surface and respectively side wall of left and right on corresponding this of its implantation position, are respectively equipped withPerforation more than or equal to two or 30 or 100 or more forms a reticulate perforation.
And another osteoporotic vertebral bodies elasticity intervertebral implant devices, the device are a hollow implantation material, are had on oneWall, a lower wall, and the branch wall that one of connects the upper and lower wall, formed it is one left, one it is right and one after open surface, the upper and lower wall is with respect to the branchThe other end of wall is respectively provided with a pivot end and a clasp；
The device separately has two side walls, respectively respectively cuts open on the side wall equipped with an elastic joint；And
The device has two bulkheads, and respectively one end of the bulkhead is equipped with a pivotal axis, and the other end is equipped with a trip；
The side wall is that a pair of of relative combinations are two-by-two in the left and right open surface of the device, the respectively elastic joint of the side wallBetween the upper and lower wall, respectively one of elastic joint open end, is respectively positioned at the rear open surface of the device；
The bulkhead be two-by-two one for the rear open surface at, the upper and lower pivotable fan-shaped open-close of wall with the device, respectively shouldThe pivotal axis of bulkhead and the pivot end of the upper and lower wall, pivotably combine, respectively the trip of the bulkhead then can Yu ShuzhuanAfterwards, it is fastened in the clasp of the upper and lower wall, formation one is opposite after fastening between the bulkhead stitches, on the opposite seam and the side wallThe elastic joint, connection formed a long elastic joint, the long elastic joint be between the upper and lower wall, make the device become haveHollow implantation material of fine motion elasticity, the upper and lower wall and the branch wall of the device, combines with the side wall and the bulkhead, is formedOne accommodating space that can be closed；
The device can plant between a vertebral body and neighbouring another vertebral body, and each outer surface of the upper and lower wall canDirectly contact vertebral body and the lower vertebral body and the upper and lower wall surface on corresponding this of its implantation position, be respectively equipped be greater than orPerforation equal to two or 30 or 100 or more forms a reticulate perforation.
And there are also a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices, which is a hollow implantation material, is hadOne upper wall, a lower wall, which connects a pivotable branch wall, bulkhead in upper wall other end connection one jointly, and is somebody's turn to doThe lower wall other end links bulkhead, forms an opposite seam between the upper and lower bulkhead and the device forms a left, right open surface；And
The device separately has two side walls, respectively respectively cuts open on the side wall equipped with an elastic joint；
The side wall is that a pair of of relative combinations are two-by-two in the left and right open surface of the device, the respectively elastic joint of the side wallBetween the upper and lower wall, and respectively this between the elastic joint and the upper and lower bulkhead it is opposite seam, connection formed a long elastic joint, makeThe device becomes the hollow implantation material with fine motion elasticity, and the branch wall fan type of the device engages after pivoting, and forming one can closeThe accommodating space of conjunction；
The device can plant between a vertebral body and neighbouring another vertebral body, and each outer surface of the upper and lower wall canDirectly contact vertebral body and the lower vertebral body and the upper and lower wall surface on corresponding this of its implantation position, be respectively equipped be greater than orPerforation equal to two or 30 or 100 or more forms a reticulate perforation.
Then one of present invention purpose is providing a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices.
Another object of the present invention is a hollow implantation material providing a kind of including the device, has a upper and lower wall, precedingOne fixed or pivotable branch wall, rear two fixed or pivotable bulkhead, left and right each one is fixed or movable combining side wall, encirclement are formedOne accommodating space can insert an artificial bone substitute, and the side wall is equipped with one or more elastic joints, opposite one of between the bulkheadSeam, is linked to be a long elastic joint, at a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices with fine motion elasticity.
The further object of the present invention, provide a kind of device can plant to a vertebral body and neighbouring another vertebral body itBetween, one of lower wall outer surface can contact on corresponding this of its implantation position vertebral body and the lower vertebral body on this and this is upper and lowerWall surface is equipped with perforation or reticulate perforation more than or equal to two or more or 30 or more or 100 or more, so that the vertebral bodyThe plane wall support for receiving entire implantation material is unlikely to generate the settlement action for only having leptoprosopy contact that stress is caused to concentrate,And so that an artificial bone substitute is can pass through the perforation and is contacted similarly to be equipped on the vertebral body and the left and right side wall and be greater than or waitIn two or more reticulate perforation, so that a kind of osteoporosis ridge that whole implantation material mitigates weight and makes medical X-ray see-throughCentrum elasticity intervertebral implant devices.
A further object of the present invention is for a blending property of skeleton tissue providing a kind of main member of deviceAnd medical X-ray displayability medical titanium or cobalt chrome molybdenum or tantalum or other same property metal or alloy metal, and the side wallFor with one of the natural elasticity coefficient and medical X-ray penetrability for being similar to human body skeletal tissue medical polyether-ether-ketone or carbonThe medical polymer of other same property such as the polyether-ether-ketones such as fiber or ceramics and lower wall or the bulkhead respectively prolong up or down on thisIt stretches and is equipped with a fixed-wing, be equipped with one or more screw holes, can respectively screw togather a bone nail, and be fixed in the upper and lower vertebral body bone, respectivelyThe fixed-wing can relative combinations another fixed-wings, formed between the branch wall or the bulkhead and be equipped with a tooling hole, in combination with an implantationTool can hold implantation to a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices between the upper and lower vertebral body.
Therefore a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices of the present invention, the device are a hollow implantation material, toolThere are a upper wall, a lower wall, and surround and be connected to one of upper and lower wall periphery branch wall, a bulkhead and left and right each one side wall, is formedOne accommodating space；
This be installed on the bulkhead and the left and right side walls that are connected on, from the bulkhead to the direction of the branch wall, cut open set one orA plurality of elastic joint, so that the device becomes the hollow implantation material with fine motion elasticity；
The device can plant between a vertebral body and neighbouring another vertebral body, and each outer surface of the upper and lower wall canRespectively side wall of vertebral body and the lower vertebral body on corresponding this of its implantation position, the upper and lower wall surface and left and right is directly contacted,Respectively it is equipped with the perforation more than or equal to two or more.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein respectively side of the upper and lower wall surface and left and rightOn wall, it is respectively equipped with the perforation more than or equal to 30 or more, forms a reticulate perforation.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein respectively side of the upper and lower wall surface and left and rightOn wall, it is respectively equipped with the perforation more than or equal to 100 or more, forms a reticulate perforation.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices can set a work wherein on the branch wall or the bulkheadHave hole, and in combination with an implanting instrument, the implanting instrument can hold and be implanted into the device to the upper and lower wall contact this on vertebraBetween body and the lower vertebral body.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, the wherein hollow implantation material accommodating space of the deviceIt is interior, it can be filled into an artificial bone substitute, which penetrates the perforation of the upper and lower wall, with vertebra on thisThe surface of body and the lower vertebral body is in contact.
Another osteoporotic vertebral bodies elasticity intervertebral implant devices of the present invention, the device are a hollow implantation material, toolOne of have a upper wall, a lower wall, and connect the upper and lower wall branch wall, formed it is one left, one it is right and one after open surface, the upper and lower wall phaseTo the other end of the branch wall, it is respectively provided with a pivot end and a clasp；
The device separately has two side walls, respectively respectively cuts open on the side wall equipped with an elastic joint；And
The device has two bulkheads, and respectively one end of the bulkhead is equipped with a pivotal axis, and the other end is equipped with a trip；
The side wall is that a pair of of relative combinations are two-by-two in the left and right open surface of the device, the respectively elastic joint of the side wallBetween the upper and lower wall, respectively one of elastic joint open end, is respectively positioned at the rear open surface of the device；
The bulkhead be two-by-two one for the rear open surface at, the upper and lower pivotable fan-shaped open-close of wall with the device, respectively shouldThe pivotal axis of bulkhead and the pivot end of the upper and lower wall, pivotably combine, respectively the trip of the bulkhead then can Yu ShuzhuanAfterwards, it is fastened in the clasp of the upper and lower wall, formation one is opposite after fastening between the bulkhead stitches, on the opposite seam and the side wallThe elastic joint, connection formed a long elastic joint, the long elastic joint be between the upper and lower wall, make the device become haveHollow implantation material of fine motion elasticity, the upper and lower wall and the branch wall of the device, combines with the side wall and the bulkhead, is formedOne accommodating space that can be closed；
The device can plant between a vertebral body and neighbouring another vertebral body, and each outer surface of the upper and lower wall canDirectly contact vertebral body and the lower vertebral body and the upper and lower wall surface on corresponding this of its implantation position, be respectively equipped be greater than orPerforation equal to two or more.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices are respectively equipped with and are greater than wherein on the upper and lower wall surfaceOr the perforation equal to 30 or more, form a reticulate perforation.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices are respectively equipped with and are greater than wherein on the upper and lower wall surfaceOr the perforation equal to 100 or more, form a reticulate perforation.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein on the branch wall, or the bulkhead after fasteningBetween, a tooling hole can be set, and in combination with an implanting instrument, which can hold and be implanted into the device to the upper and lower wall and connectOn this of touching between vertebral body and the lower vertebral body.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, this of the wherein respectively upper and lower wall of the device are anotherOne end or the bulkhead can respectively connect extension upward or downward and be equipped with a fixed-wing, which is equipped with one or more spiral shellsHole, respectively the screw hole can screw togather a bone nail, and be fixed on this in bone of vertebral body and the lower vertebral body.
And the present invention, there are also a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices, which is a hollow implantation material,With a upper wall, a lower wall, which connects a pivotable branch wall jointly, which links bulkhead on one,And the lower wall other end links bulkhead, forms an opposite seam between the upper and lower bulkhead and the device forms a left side, a right side is openedPut face；
The device separately has two side walls, respectively respectively cuts open on the side wall equipped with an elastic joint；
The side wall is that a pair of of relative combinations are two-by-two in the left and right open surface of the device, the respectively elastic joint of the side wallBetween the upper and lower wall, and respectively this between the elastic joint and the upper and lower bulkhead it is opposite seam, connection formed a long elastic joint, makeThe device becomes the hollow implantation material with fine motion elasticity, and the branch wall fan type of the device engages after pivoting, and forming one can closeThe accommodating space of conjunction；
The device can plant between a vertebral body and neighbouring another vertebral body, and each outer surface of the upper and lower wall canDirectly contact vertebral body and the lower vertebral body and the upper and lower wall surface on corresponding this of its implantation position, be respectively equipped be greater than orPerforation equal to two or more.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices are respectively equipped with and are greater than wherein on the upper and lower wall surfaceOr the perforation equal to 30 or more, form a reticulate perforation.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices are respectively equipped with and are greater than wherein on the upper and lower wall surfaceOr the perforation equal to 100 or more, form a reticulate perforation.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein on the branch wall or between the upper and lower bulkhead,A tooling hole can be set, and in combination with an implanting instrument, which can hold and be implanted into the device to the upper and lower wall and contact itOn this between vertebral body and the lower vertebral body.
Each above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices again, wherein the hollow implant of the device can closeIt closes in accommodating space, can be filled into an artificial bone substitute, which penetrates the perforation of the upper and lower wall,It is in contact with the surface of vertebral body on this and the lower vertebral body.
And each above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the side wall of the device, can be oneIt is similar to made by the natural elasticity coefficient of skeleton tissue and the material of medical X-ray penetrability, can is a medical polyethersEther ketone polymer or other be similar to natural elasticity coefficient and the medical polymerization of medical X-ray penetrability of human body skeletal tissueMade by object.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices wherein the upper wall, lower wall and connect lower wall on thisThe branch wall, side view is similar to a ㄈ font, and lower wall offers a sliding slot close to two end edges of the left and right open surface on thisAnd a triangle card slot and lower wall is with respect to the branch wall on this, it is each opposite and downwards and upwards close to the other end of the rear open surfaceExtend and is equipped with a pivot end and a clasp.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the side wall, is different from other structures to be a kind ofMade by another material of part, which there is the natural elasticity coefficient for being similar to human body skeletal tissue and medical X-ray can wearPermeability, respectively the side wall is similar to a rectangular or rectangle, the tabular of one end circular arc type, and respectively by the narrow side of a tabular,It is inwardly cutd open (i.e. to tabular center) equipped with an elastic joint, the side view of the elastic joint is then similar to a keyhole, to provideAnd increase elasticity.
Above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the pivotable bulkhead, is identicalMade by a kind of material of the main member of the device, which is to be similar to a rectangle tabular, respectively one end of the bulkheadIt is equipped with a pivotal axis, the other end is equipped with a trip, and the pivotal axis and the trip are respectively positioned on the bulkhead of rectangle tabularTwo ends, but it is non-be located at its end edge, but it is slightly close toward inside so that its two end of left and right of the bulkhead have slightly extend toward outside it is convexEdge stops the side wall to exit or slide.
Therefore the above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the side wall is a pair of of relative combinations two-by-twoIn the device the left and right open surface this on two end edge of lower wall the sliding slot in, which is inserted into the tabular and with oneTriangle stuck point is sticked in the triangle card slot, respectively the elastic joint of the side wall is to be similar to the parallel upper and lower wall, two-by-two a pairRespectively one of elastic joint of side wall open end is respectively positioned at the rear open surface of the device.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the bulkhead is for two-by-two one for the rear openingIt at face, pivotably combines with the device, respectively the pivot end of the pivotal axis of the bulkhead and lower wall on this, pivotably mutually tiesIt closes, respectively the trip of the bulkhead can be then fastened on this in clasp of lower wall after pivot, so that the rectangle of the bulkheadThe flange that two end of left and right of plate extends outward, it is slightly convex in and cover, be barred from the device this on two end edge of lower wall shouldThe rear end of the rear open surface in sliding slot when so that the side wall being combined in the sliding slot, is stopped by the bulkhead and prevents the sideWall slides the backed off after random sliding slot, and the bulkhead is a pair of two-by-two to be pivotably interlocked with the device, is that the bulkhead can be (same for same directionFor clockwise, or it is all inverse clock) it pivots, it can also be one of the bulkhead be to pivot clockwise, another is then inverse clock sideIt is pivoted relative to each other to what is pivoted, and one of its bulkhead is pivotably combined with the upper wall, another and lower wall of the bulkhead can pivotAfter phase inversion combines, an opposite seam can be formed between the bulkhead, the elastic joint set is respectively cutd open on the opposite seam and the side wall, can connect shapeCheng Yichang elastic joint, the long elastic joint are and to be presented on the upper and lower wall between the upper and lower wall and suffer oppression and be relatively close toWhen, it can produce position and the angle of elastic force buffering.
And the above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein respectively one of upper and lower wall outer surface, directlyContact that one of corresponding human body skeletal tissue where its implantation position is upper, once vertebral body surface, and this it is corresponding on,Lower vertebral body one of assumes imaginary connecting line, connect the long elastic joint of this to be formed with the side wall and the bulkhead at one of wherePlane can be construed to that there is a kind of line of any angle to contact with intersecting for plane, if therefore the upper and lower vertebral body stressWhen generating relative motion all around up and down, stress can by the fine motion elastic force buffering that the long elastic joint provides,Limited elimination or payment are done, but the natural elasticity of human vertebra can be kept, and lower vertebra vertebral body cortical bone stress, veryIt is oppressed to the vertebral body for being sufferers of osteoporosis face by external artificial implantation, generated sedimentation phenomenon.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein on this lower wall and the branch wall and the side wall withThe bulkhead combines, and forms an accommodating space that can be closed, inside can be filled into an artificial bone substitute.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the branch wall, can connect for a curved wallThe upper and lower wall is connect, is couched ∪ font so that the device side view is similar to one.Or the branch wall, it may be designed to wall surface area and be less thanThe bulkhead area of a pair of of combination is added sum total two-by-two, makes the device by the left and right open surface view, and formation one is trapezoidal, with convenientImplantation is designed with about 2-3 ° or so and leads the design of the angle R to lower wall between the vertebral body and on this and the branch wall joint, so thatIt can be filled increases as far as possible into the accommodating space of the artificial bone substitute and the rear open surface, is packed into the artificial bone to facilitateBone substitute.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the upper and lower wall one all can be similar toThe wall surface design of complete plane, and multiple perforation more than or equal to two or 30 or 100 or more are equipped with, formation is similar toReticulate perforation, mesh can be for close to 300-600 μ, a kind of contact surface so be the optimum aperture of bone cell growth, canIt is merged so that protoplast's body vertebral body comes into full contact with stimulation bone cell growth with the device, and because there is complete plane wall support,Therefore the bone subsidence effect of only leptoprosopy contact will not be generated, it can effective dispersive stress.And it is equally also equipped on the side wall multiplePerforation forms a reticulate perforation, so that the see-through device of the medical X-ray, allows doctor that can inspect the device and human body ridgeCentrum skeletal tissue mutually grows the postsurgical recovery situation of fusion, and mitigates the device overall weight, will not more generate settlement action.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, can be closed accommodating empty for this of the wherein device formationIn, can be filled the artificial bone substitute into a paste or graininess or paste or other states, and can by this pivotably itInsert, or can be inserted by the pivotable branch wall at the rear open surface of bulkhead, also can by lower wall, the left and right side wall on this itThe artificial bone substitute is squeezed at reticulate perforation, elastic joint, and the artificial bone substitute then penetrates the net of the upper and lower wallShape perforation, is in contact with the upper and lower vertebral body surface of its implantation position.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, the wherein upper and lower wall, be one be similar to it is completeThe wall surface of plane designs, and is to hug sky entirely among it compared to a kind of traditional artificial vertebra cage (Cage), only it is narrow to be with leptoprosopy for surroundingWhile frame while, easily concentrated stress generates compressing to vertebral body, this kind of traditional artificial vertebra cage sedimentation is caused to submerge in the vertebral body.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the other end of the upper and lower wall, or shouldOn bulkhead, respectively connection upward or downward, which extends, is equipped with the fixed-wing, and the fixed-wing is equipped with its screw hole, the bone screwed togatherNail, can be fixed in the vertebral body bone, which is to design with a kind of two-period form thread, and wherein first segment is itself lockingThread may make the bone nail to be screwed into the cortex bone for being locked in the screw hole and the vertebral body, and second segment thread is then vertebral body spiral shellTooth may make the bone nail to be locked in the cancellous bone of the vertebral body, prevent the bone nail from retreating, abjection.The fixed-wing again, can be byIt is designed to a kind of skewed or Tai Ji shape, may make the osteoporotic vertebral bodies elasticity intervertebral that the fixed-wing relative combinations are anotherThe fixed-wing of implanted device.And the screw hole periphery of the fixed-wing, it can cut open and set, add one or more thin elastic slice, the thin bulletPiece can be after the bone nail be fixed in the vertebral body bone, and further pop-up stops and blocks the bone nail, prevents the bone nailIt exits back.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the bulkhead is designed to that there is the pivotal axis in one endApproximation L shape, which then can be inserted into, is articulated on this in pivot end of lower wall, and the bulkhead is a pair of upper and lower with this two-by-twoWall fan-shaped can pivot be interlocked after, opposite seam formed between the bulkhead and bulkhead, so that between the bulkhead and bulkhead relativelyNeighbouring one side has been set as tooling hole (the non-wholecircle shape screw thread hole, because of the gapping interval of the opposite seam, institute of a 1/3-3/4 threadCan be only formed the screw thread hole with part thread), in combination with an implanting instrument, which can hold and be implanted into the deviceTo between the upper and lower vertebral body of its implantation position.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the main member of the device can be one kindThe material of blending property of skeleton tissue and medical X-ray displayability also can be a kind of medical titanium alloy or cobalt chrome molybdenumThe phases same sex such as alloy or tantalum alloy or other blending property of human body skeletal tissue and medical X-ray displayability metal or alloy metalMade by the material of matter.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the side wall and its elastic joint, close for thisIt is similar to the natural elasticity coefficient of human body skeletal tissue and the material of medical X-ray penetrability, also can be a kind of medical poly-Ether ether ketone polymer or carbon fiber polyetheretherketonepolymer polymer or ceramics etc., other are similar to the natural elasticity of human body skeletal tissueMade by the material of the medical polymer same nature of coefficient and medical X-ray penetrability.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, wherein the device is for that can insert in one kind or notIt is packed into, or is when necessary a kind of osteoporotic vertebral bodies elasticity intervertebral implantation dress that must be packed into the artificial bone substituteSet, and the positions such as its cervical vertebra that can be applied to a human vertebra, thoracic vertebrae or lumbar vertebrae, have function be then different from it is general commercially available eachKind artificial intervertebral disk, but be similar to aim at the function and effect supported between the vertebral body with osteoporosis problem.
The above-mentioned osteoporotic vertebral bodies elasticity intervertebral implant devices, the front, rear, left and right of meaning mean and just implementBefore the visual direction of operator is forward, otherwise after being；Just do not perform a surgical operation two side of left and right of person, be it is left and right, to the left or to the right.
And it is signified upper and lower, then it is when being stood with patient, if being generally approximate vertical with the human vertebra natural direction of patientHistogram to, vertebra cross section be less parallel, level or horizontal plane when, be towards the head of standing patient it is upper and upward,It otherwise is then lower and downward towards its foot；Or by meaning be referred to as object centered on, on object or lower section and define.
It is again inside and outside, then be to be referred to as certain object position for meaning, each related average value with respect to the object center point position andIt is fixed, it is divided into object medial and lateral.Each signified referred to as object's position, direction or direction, auxiliary are illustrated with picture and text and labelInstruction.
Specific embodiment
With reference to Fig. 2 a and Fig. 2 b, a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices 300 of the present invention, the device300 be the hollow vertebra medical implant for a kind of squarish body, has a upper wall 310, a lower wall 320, and the company of encirclementIt is connected to one of the upper wall 310,320 periphery of lower wall branch wall 330, a bulkhead 340 and left and right each one side wall 350,360, is formed in oneEmpty accommodating space；
The device 300 is on the bulkhead 340 and the left and right side walls being connected 350,360, from the bulkhead 340 to the branch wall330 direction is cutd open and sets one or more elastic joint 370, so that the device 300 becomes the hollow implantation material with fine motion elasticity；
The device 300 can plant between a vertebral body and neighbouring another vertebral body (with reference to Fig. 4), the upper wall 310, underEach outer surface 311,321 of wall 320 can directly contact vertebral body and lower vertebral body on corresponding this of its implantation position, shouldEach side wall 350,360 of upper wall 310,320 face of lower wall and left and right is respectively equipped with more than or equal to two or 30 or 100 or more itPerforation 312,322,351,361.
The osteoporotic vertebral bodies elasticity intervertebral implant devices 300, wherein it is close can to regard one as the upper wall 310, lower wall 320It is similar to the wall surface design of complete plane, and is equipped with multiple perforation 312,322 more than or equal to two or 30 or 100 or more,It is formed and is similar to reticulate perforation, mesh can be a kind of contact surface so close to 300-600 μ, most for bone cell growthGood aperture may make protoplast's body vertebral body to come into full contact with stimulation bone cell growth with the device 300 and merge, and because have complete flatFace wall support, therefore the bone subsidence effect of only leptoprosopy contact will not be generated, stress can be dispersed, not will cause such as this kind of traditionMedical implant 200 settles the problem for submerging the vertebral body 100,110 between vertebra.
And multiple perforation 351,361 are equally also equipped on the side wall 350,360, a reticulate perforation is formed, so that a doctorWith the see-through device 300 of X-ray, doctor can inspect the device 300 and mutually grow with human body vertebral body skeletal tissue and mergesPostsurgical recovery situation, and mitigate 300 overall weight of device, will not more generate settlement action.
With reference to Fig. 3 a and Fig. 3 b, another configuration of the osteoporotic vertebral bodies elasticity intervertebral implant devices 400 is sameIt is there is a upper wall 410, a lower wall 420, and surround connection one of periphery branch wall 430, a bulkhead 440 (for arc) and left and rightEach one side wall 450,460；
The device 400 is the same on the bulkhead 440 and the left and right side walls 450,460 being connected, from the bulkhead 440 toThe direction of the branch wall 430 is cutd open and sets one or more elastic joint 470, so that the device 400 becomes the hollow plant with fine motion elasticityEnter object；
The device 400 also can plant between a vertebral body and neighbouring another vertebral body and (refer to Fig. 4), the upper wall 410,Each outer surface 411,421 of lower wall 420 can directly contact vertebral body and lower vertebral body on corresponding this of its implantation position,The upper wall 410,420 face of lower wall and respectively side wall 450,460 of left and right, be respectively equipped with more than or equal to two or 30 or 100 withUpper perforation 412,422,451,461.
With reference to Fig. 4 a, which be can plant between a vertebral body and neighbouring another vertebral body, the upper wall 310, underEach outer surface 311,321 of wall 320 can directly contact 510 on one, once vertebral body 520, this of 300 formation of device can closeClose in accommodating space, can be filled the artificial bone substitute 530 into a paste or graininess or paste, and can by the upper wall 310,At lower wall 320, the reticulate perforation 312,322,351,361 of left and right sidewall 350,360 or the elastic joint 370, the artificial bone is squeezed intoBone substitute 530, and the artificial bone substitute 530 then penetrate the reticulate perforation 312,322 of the upper wall 310, lower wall 320,With 510 on this of its implantation position, 520 surface of lower vertebral body is in contact, and makes the device 300 and human body vertebral body bone groupKnit mutually growth fusion.
With reference to Fig. 4 b, the osteoporotic vertebral bodies elasticity intervertebral implant devices 400, wherein the branch wall 430 or the bulkhead 440On, a tooling hole 431,441 can be set, and in combination with an implanting instrument 540, which can hold and be implanted into the device400 between one of the upper wall 410, the contact of lower wall 420 vertebral body 550,560.
With reference to Fig. 5 a, 5b, 5c and 5d, another osteoporotic vertebral bodies elasticity intervertebral implant devices 600 of the present invention,The device 600 is a hollow implantation material, has a upper wall 610, a lower wall 620, and the branch that one of connects the upper wall 610, lower wall 620Wall 630, forms open surface 642 behind 640, one right side 641 and one of a left side, and the upper wall 610, lower wall 620 are another with respect to the branch wall 630End 611,621 is respectively provided with a pivot end 612,622 and a clasp 613,623；The device 600 separately has two side walls 650, respectivelyIt respectively cuts open on the side wall 650 equipped with an elastic joint 651；And the device 600 has two bulkheads 660, respectively one end of the bulkhead 660 is equalEquipped with a pivotal axis 661, the other end is equipped with a trip 662；
The side wall 650 is that a pair of of relative combinations are in the left side 640 of the device 600, right open surface 641 two-by-two, each side wall650 elastic joint 651 is between the upper wall 610, lower wall 620, and respectively one of the elastic joint 651 open end 652, is respectively positioned on thisAt the rear open surface 642 of device 600；The bulkhead 660 is equally also set at the rear open surface 642 to be a pair of two-by-two, with the dress600 upper wall 610, the pivotably folding of lower wall 620 are set, respectively the pivotal axis 661 of the bulkhead 660 and the upper wall 610, lower wall620 pivot end 612,622 pivotable connections, respectively the trip 662 of the bulkhead 660 can be then fastened on after being pivotally connectedThe upper wall 610, lower wall 620 the clasp 613,623 in, which forms an opposite seam 663 after fastening, the opposite seam 663With the elastic joint 651 on the side wall 650, connection forms long elastic joint (the opposite right side a seam 663+ bullet of left side elastic joint 651+Property seam 651), which is to become the device 600 with fine motion elasticity between the upper wall 610, lower wall 620The hollow implantation material, the upper wall 610, lower wall 620 and the branch wall 630 of the device 600, with the side wall 650 and 660 phase of bulkheadIn conjunction with the accommodating space that formation one can be closed；
The device 600 can plant between a vertebral body and neighbouring another vertebral body and (refer to Fig. 6 or Fig. 7), on the wall610, each outer surface 614,624 of lower wall 620 can directly contact vertebral body and lower ridge on corresponding this of its implantation positionCentrum and the upper wall 610, lower wall 620 wall surface on, be respectively equipped with the perforation more than or equal to two or 30 or 100 or more615,625, form a reticulate perforation.
With reference to Fig. 6 a, 6b and Fig. 7 a, 7b, another configuration of the osteoporotic vertebral bodies elasticity intervertebral implant devices 700,In the device 700 respectively on this 710, lower wall 720 the other end 711,721, respectively can connect upward or downward extension and be equipped withOne fixed-wing 712,722, the fixed-wing 712,722 are equipped with one or more screw holes 713,723, and respectively the screw hole 713,723 can spiral shellUnify bone nail 730, and is fixed in the vertebral body 510,520.
The bone nail 730 is to design with a kind of two-period form thread, and wherein first segment is itself locking thread 731, be may makeThe bone nail 730 is screwed into the cortex bone for being locked in the screw hole 713,723 and the vertebral body 510,520, and second segment thread 732 is thenVertebral body thread may make the bone nail 730 to be locked in the cancellous bone of the vertebral body 510,520, prevent the bone nail 730 from retreating,Abjection.The fixed-wing 712,722 again can be designed to a kind of skewed or Tai Ji shape, may make the fixed-wing 712,722 phasesTo the fixed-wing 712,722 for combining another osteoporotic vertebral bodies elasticity intervertebral implant devices 700.
This of 700 formation of device can be closed in accommodating space, equally also can be filled into a paste or graininess or pasteOr the artificial bone substitute 530 of other states, and the enabling formed after being pivotally connected by the upper wall 740, lower bulkhead 741, it squeezesEnter the artificial bone substitute 530, and the artificial bone substitute 530, then through the upper wall 710, lower wall 720 this netted wearHole 714,724, with 510 on this, 520 surface of lower vertebral body is in contact, and makes the device 700 and human body vertebral body skeletal tissueMutually growth fusion.And the osteoporotic vertebral bodies elasticity intervertebral implant devices 700, it can equally be held by the implanting instrument 540And the device 700 is implanted between the upper and lower vertebral body 510,520.
With reference to Fig. 8 a, 8b, 8c and 8d, another configuration of the osteoporotic vertebral bodies elasticity intervertebral implant devices 800, whereinRespectively bulkhead 810,820 of the device 800 equally can respectively connect extension upward or downward and be equipped with a fixed-wing 811,821, this is solidDetermine also to be equipped with one or more screw holes 812,822 on the wing 811,821, respectively the screw hole 812,822 can also screw togather the bone nail 730 and spiral shellIt is fixed in the upper and lower vertebral body 510,520 (with reference to Fig. 6 or Fig. 7).
With reference to Fig. 9 a, 9b, 9c and 9d, there are also a kind of osteoporotic vertebral bodies elasticity intervertebral implant devices 900 by the present invention, shouldDevice 900 is a hollow implantation material, has a upper wall 910, a lower wall 920,910 on this, 920 one end of lower wall connects one jointly canBranch wall 930 is pivoted, bulkhead 940 and 920 other end of lower wall link bulkhead 941 in 910 other end of upper wall connection one,An opposite seam 942 is formed 940 on this, between lower bulkhead 941 and the device forms a left side 950, a right open surface 951；And the device900 separately have two side walls 960, respectively respectively cut open on the side wall 960 equipped with an elastic joint 961；
The side wall 960 is that a pair of of relative combinations are in the left side 950 of the device 900, right open surface 951 two-by-two, each side wall960 elastic joint 961 is and the respectively elastic joint 961 and 940, lower bulkhead 941 on this on this between 910, lower wall 920Between the opposite seam 942, connection forms a long elastic joint (elastic joint 961 on the right side of the opposite seam 942+ of left side elastic joint 961+), makesThe device 900 becomes the hollow implantation material with fine motion elasticity, and 930 fan of branch wall of the device 900 engages after pivoting, shapeThe accommodating space of Cheng Yike closure；
The device 900 can plant between a vertebral body and neighbouring another vertebral body (with reference to Figure 10), 910 on this, underEach outer surface 911,921 of wall 920 can directly contact vertebral body and lower vertebral body on corresponding this of its implantation position, andOn the upper wall 910,920 wall surface of lower wall, it is respectively equipped with the perforation 912,922 more than or equal to two or 30 or 100 or more, shapeAt a reticulate perforation.And a tooling hole 931,943 can be set, and can between bulkhead 940, lower bulkhead 941 on the branch wall 930 or on thisIn conjunction with the implanting instrument 540, which can hold and be implanted into the device 900 to the upper wall 910,920 contact of lower wallBetween the upper and lower vertebral body 550,560.
And the main member of the device 900, comprising the upper wall 910, lower wall 920, the branch wall 930 and bulkhead 940 on this, underBulkhead 941 and it is each section aforementioned mentioned in the various configurations of the present invention in corresponding identical components, all can be a kind of human bodyThe material of blending property of skeletal tissue and medical X-ray displayability also can be a kind of medical titanium alloy or vitalliumOr tantalum alloy or the same natures such as other blending property of human body skeletal tissue and medical X-ray displayability metal or alloy metal itMade by material.
And the device 900 the side wall 960 and it is each section aforementioned mentioned in the various configurations of the present invention in corresponding phaseIsomorphic product can be similar to the natural elasticity coefficient of human body skeletal tissue and the material of medical X-ray penetrability for one, alsoIt can be with for a kind of medical polyetheretherketonepolymer polymer or carbon fiber polyetheretherketonepolymer polymer or ceramics etc., other be similar to the human bodyMade by the material of the medical polymer same nature of the natural elasticity coefficient and medical X-ray penetrability of skeletal tissue.
With reference to Figure 10 a and Figure 10 b, this of 900 formation of device can be closed in accommodating space, equally also can be filled into a creamThe artificial bone substitute 530 of shape or graininess or paste or other states, and the enabling formed after being pivotally connected by the branch wall 930Place, squeezes into the artificial bone substitute 530, and the artificial bone substitute 530, then through the upper wall 910, lower wall 920 shouldReticulate perforation 912,922, with 550 on this, 560 surface of lower vertebral body is in contact, and makes the device 900 and human body vertebral body boneBone tissue mutually grows fusion.And the osteoporotic vertebral bodies elasticity intervertebral implant devices 900, it equally can be by the implanting instrument540, the device 900 is held and is implanted between the upper and lower vertebral body 550,560.
And the device 900 also can respectively connect to extend upward or downward and be equipped with a fixed-wing 913,923, the fixed-wing 913,923, a kind of skewed or Tai Ji shape, the sclerotin that may make the fixed-wing 913,923 relative combinations another can be designed toThe fixed-wing 913,923 of loose vertebra body elasticity intervertebral implant devices 900 and the fixed-wing 913,923 are equipped with one or more spiral shellsHole 914,924, respectively the screw hole 914,924 can respectively screw togather a bone nail 730, and be fixed in the bone of the vertebral body 550,560.
The above is only the preferred embodiment of the present invention, the range implemented of the present invention that therefore, it cannot be limited according to, i.e., according toEquivalent changes and modifications made by the invention patent range and description, should still be within the scope of the present invention.