CN104546095B - Adaptive floating combined cervical interbody fusion cage - Google Patents

Adaptive floating combined cervical interbody fusion cage Download PDF

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Publication number
CN104546095B
CN104546095B CN201510040658.XA CN201510040658A CN104546095B CN 104546095 B CN104546095 B CN 104546095B CN 201510040658 A CN201510040658 A CN 201510040658A CN 104546095 B CN104546095 B CN 104546095B
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China
Prior art keywords
spherical
fusion device
steel plate
main body
hole
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Expired - Fee Related
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CN201510040658.XA
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Chinese (zh)
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CN104546095A (en
Inventor
赵建华
范伟力
刘鹏
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Zhao Jianhua
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A61B17/7064Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7094Solid vertebral fillers; devices for inserting such fillers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B2017/7073Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with intervertebral connecting element crossing an imaginary spinal median surface

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an adaptive floating combined cervical interbody fusion cage comprising a cage body, a steel plate, a screw and a spherical connection mechanism. The screw penetrates the steel plate and the spherical connection mechanism to fix to the cage body, and the steel plate is rotationally connected to the fixed end of the cage body through the spherical connection mechanism. The steel plate and the cage body are connected in a floating manner, the fusion cage can be adjusted according to the implant position, the adjacent cervical surfaces are fitted tightly, the screw between the steel plate and the cage body is screwed after the adjustment to fix the steel plate and the cage body, the incision is small, and the operation difficulty is low.

Description

Self-adapting float combination cervical vertebra Invasive lumbar fusion device
Technical field
The present invention relates to a kind of Invasive lumbar fusion device, more particularly to a kind of self-adapting float combination cervical vertebra Invasive lumbar fusion device.
Background technology
Cervical spondylotic myelopathy and nerve root cervical vertebra sickness are the common disease of mid-aged population, frequently-occurring disease, with life style Change, its incidence of disease is also improved year by year, and shows the trend of rejuvenation.The pathogenesis of cervical spondylopathy are that cervical intervertebral disk is moved back Become spinal cord and nerve root that backward rear prominent or cone trailing edge osteoproliferation is formed in spur compressing cervical spinal canal, due to spinal cord group Nerve cell in knitting is very fragile, and nervous function is lost irreversible caused by the pathological change such as caused hypoxic-ischemic of compressing Turn.Therefore Operation in early stage is answered to release compressing for cervical spondylotic myelopathy, the root cervical spondylopathy for serious symptom should also be adopted Take positive operative treatment.Anterior cervical decompression bone graft fusion (abbreviation ACDF) be current clinical treatment cervical spondylotic myelopathy and The standard procedures method of nerve root cervical vertebra sickness.Its principle is the interverbebral disc, spur of hyperplasia, even whole cut off through cervical vertebra The cone of individual narrow segment, after excision causes laminated structure, is implanted into support bone piece or Invasive lumbar fusion device between the section up and down of lesion (Cage), maintaining the height and Axial symptoms of intervertebral.
For low level cervical operation, it is more convenient that Invasive lumbar fusion device adds the mode of Interal fixation to use.Conventional operation is adopted It is that single Invasive lumbar fusion device and single steel plate are fixed, Invasive lumbar fusion device is not fixed with steel plate, has The risk that fusion device is shifted and do not merged, causes operative failure.Existing another Invasive lumbar fusion device, steel plate is fixed with fusion device Use together, steel plate is provided with fixing hole, fixed fusion device by fixing hole and screw, although this kind of fixed form can The position of fusion device is preferably limited, but does not have certain Relative Floating space between steel plate and fusion device, it is impossible to debugged, lead Cause it cannot be guaranteed that be brought into close contact with the bone face of neighbouring cone, have a strong impact on operative effect.In addition, by Interal fixation in fusion After on device, in implantation, it is necessary to bigger operative incision, not only operation wound is big, and operation difficulty is larger, increase patient The pain of injury.
The content of the invention
The present invention solves the technical problem of providing a kind of self-adapting float combination cervical vertebra Invasive lumbar fusion device, steel plate with Fusion device main body uses floating connection, can be according to being debugged the need for implantation position so that the bone face with adjacent vertebral is tight Laminating, can be by the screw lock between steel plate and Invasive lumbar fusion device after debugging is good so that phase between steel plate and fusion device main body To fixation, operative incision is small, and operation difficulty is small.
In order to solve the above technical problems, one aspect of the present invention is:A kind of self-adapting float combination is provided Cervical fusion cage, including fusion device main body, steel plate, screw and spherical bindiny mechanism, the screw is through steel plate and described Spherical bindiny mechanism is fixed in the fusion device main body, and the steel plate passes through the spherical bindiny mechanism and the fusion device master The fixing end of body rotates connection;The spherical fixed mechanism includes that be arranged on the fixing end of the fusion device main body first is spherical Fixator and the first spherical groove being engaged with the described first spherical fixator is arranged on the medial surface of the steel plate, it is described The position relative with first spherical groove is provided with the second spherical groove on the lateral surface of steel plate, and the steel plate is provided with through described The first through hole of the first spherical groove and second spherical groove, the screw is through the first through hole and described first spherical solid Determine device to be fixed with the fusion device main body.
Further, the spherical fixed mechanism includes the second spherical fixator being arranged on the medial surface of the steel plate And it is arranged on the 3rd spherical groove that the fixing end of the fusion device main body is engaged with the described second spherical fixator.
Further, to be provided with the 4th spherical for position relative with the described second spherical fixator on the lateral surface of the steel plate Groove, the steel plate is provided with the second through hole through the 4th spherical groove and the second spherical fixator, the fusion device The fixing end of main body is provided with the connecting hole through the 3rd spherical groove, and the screw passes through second through hole and the connection Hole is fixed with the fusion device main body.
Further, it is equipped with packing ring in second spherical groove and the 4th spherical groove.
Further, the shape of the packing ring respectively with second spherical groove and the shape kissing of the 4th spherical groove Close.
Further, the diameter of the first through hole and second through hole is all higher than on screw the diameter of screw rod and is less than The diameter of nut.
Further, the steel plate is provided with some fixing holes, and fixing screws, some fixations are equipped with each fixing hole Screw is used to be connected with cervical vertebra cone.
Further, the fixing hole that fixing screws are passed through for being used to be connected with cervical vertebra upper cone on the steel plate is skew nailing Hole.
With fusion device be connected steel plate using sphere and attachment screw is fixed by the present invention so that steel plate and fusion device main body it Between install it is fixed before can relatively rotate, can be according to being debugged the need for implantation position so that the bone face with adjacent vertebral It is brought into close contact;By the first spherical groove and the relative setting of fitting of the second spherical groove, enabling adapt to what each orientation rotational band was come Error;The diameter of through hole is set into the diameter more than screw rod on screw so that fusion device body relative to steel plate rotate when certain Slewing area in will not interfere with;Set up the packing ring being adapted with the second spherical groove shape so that screw follows fusion device main body During rotation, packing ring can be slided in spherical groove so as to adapt to the direction of screw, ensure that nut, packing ring and the steel plate of screw Three is in fit-state.
Brief description of the drawings
Fig. 1 is the structural representation of the embodiment 1 of self-adapting float combination cervical vertebra Invasive lumbar fusion device of the present invention.
Fig. 2 is the sectional view of Fig. 1.
Fig. 3 is the structural representation of fusion device body in the embodiment of the present invention 1.
Fig. 4 is the structural representation of the light plate of the embodiment of the present invention 1.
Fig. 5 is the structural representation of the light plate of the embodiment of the present invention 1.
Fig. 6 is the structural representation of the middle washer of the embodiment of the present invention 1.
Fig. 7 is the structural representation of the embodiment of the present invention 2.
Fig. 8 is the structural representation of fusion device body in the embodiment of the present invention 2.
Fig. 9 is the structural representation of the light plate of the embodiment of the present invention 2.
Specific embodiment
With reference to the accompanying drawings and examples, the present invention is expanded on further.In the following detailed description, only by explanation Mode describes some one exemplary embodiments of the invention.Undoubtedly, one of ordinary skill in the art will recognize, In the case of without departing from the spirit and scope of the present invention, described embodiment can be repaiied with a variety of modes Just.Therefore, accompanying drawing and description are inherently illustrative, are not intended to limit the scope of the claims.
Embodiment 1
Refer to shown in Fig. 1 and Fig. 2, the better embodiment bag of self-adapting float combination cervical vertebra Invasive lumbar fusion device of the present invention Include:Fusion device main body 1, steel plate 2, screw 3 and spherical bindiny mechanism 4, the screw 3 pass through steel plate 2 and the spherical connection machine Structure 4 is fixed in the fusion device main body 1, and the steel plate 2 is by the spherical bindiny mechanism 4 and the fusion device main body 1 Fixing end rotates connection.
Refer to shown in Fig. 2, Fig. 3, Fig. 4 and Fig. 5, the spherical bindiny mechanism 4 includes being arranged on the fusion device main body 1 Fixing end the first spherical fixator 41 and be arranged on the medial surface of the steel plate 2 and the described first spherical fixator 41 The first spherical groove 21 being engaged, the position relative with first spherical groove 21 is provided with second on the lateral surface of the steel plate 2 Spherical groove 22, the steel plate 2 is provided with the first through hole 23 through first spherical groove 21 and second spherical groove 22.Tool Say, the fusion device main body 1 is provided with the fusion hole 11 of up/down perforation, 1 point of the fusion device main body is fixing end and work body Moved end, the fixing end of the fusion device main body 1 is provided with a first spherical fixator 41 with sphere, it is preferred that described First spherical fixator 41 is integrally formed with the fusion device main body 1.The fixing end of the fusion device main body 1 is provided with through described First connecting hole 12 of the first spherical fixator 41.The screw 3 passes through the first through hole 23 and described first on the steel plate 2 The first connecting hole 12 on spherical fixator 41 is fixed with the fusion device main body 1.Now first in the fusion device main body 1 Spherical fixator 41 is engaged with the first spherical groove 21.It should be noted that the need in order to coordinate, the first spherical fixation The front end of device 41 is cut into a plane, is spherical around plane, and the sphere with the first spherical groove 21 is engaged, and can phase The steel plate 2 is rotated.Screw thread is provided with wherein described first connecting hole 12, the screw 3 is by screw thread and fusion device main body 1 It is fixed.Specifically, the spherical groove 22 of first spherical groove 21 and second is oppositely arranged, and two spherical groove the tangent are set to first and lead to Hole 23, the first through hole 23 with diameter greater than screw rod on screw 3 diameter and less than the diameter of nut so that fusion device main body 1 relative to steel plate 2 rotate when be will not interfere with certain slewing area.
Refer to shown in Fig. 2, Fig. 5 and Fig. 6, wherein, it is provided with packing ring 24 in second spherical groove 22.The packing ring 24 Shape matches with the shape of second spherical groove 22.So that screw 3 with fusion device main body 1 when rotating, packing ring 24 can be with Slided to adapt to the direction of screw 3 in the second spherical groove 22, so as to ensure that the nut on screw 3 can be with packing ring 24 and steel plate 2 are in fit-state.
It is equipped with please continue to refer to shown in Fig. 2, being additionally provided with the steel plate 2 in some fixing holes 25, each fixing hole 25 Fixing screws 31, some fixing screws 31 are used to be connected with cervical vertebra cone, and each fixing screws 31 are tapping screw.Specifically Say, in the present embodiment, the upper/lower terminal of the steel plate 2 is respectively equipped with two fixing holes 25, and two fixing holes 25 of upper end are oblique Nail, its internal fixing screws 31 are used to be connected with cervical vertebra upper cone, and the fusion device main body 1 is provided with skew nailing groove 13.Make Used time, fixing screws 31 are penetrated from skew nailing hole and squeeze into upper centrum obliquely upward by skew nailing groove 13.Two fixations of lower end Hole 25 is vertical nail, and the fixing screws 31 installed in it squeeze into lower cone perpendicular to steel plate 2.
In the implantation process of fusion device main body 1, be brought into close contact for the bone face for preferably ensureing neighbouring cone, it is necessary to Adjustment fusion device main body 1 arrives the position for needing.During operation, first fusion device main body 1 is implanted between upper lower cone, then from otch Place is put into steel plate 2, it is to avoid steel plate 2 is fixed together with fusion device main body 1, it is necessary to open up the situation of larger otch, is reduced The pain of injury of patient.Packing ring 24 is put into the second spherical groove 22 again, screw 3 is then sequentially passed through into packing ring 24, the second spherical groove 22nd, the first connecting hole 12 so that the first spherical fixator 41 is located in first spherical groove 21, and rotates screw 3, will Threaded engagement in the connecting hole 12 of screw 3 and first so that screw 3 is relatively fixed with fusion device main body 1, and ensure now nut It is lax cooperation with packing ring 24, then as needed, the position of adjustment fusion device main body 1, now fusion device main body 1 is using the One spherical fixator 41 is engaged with the first spherical groove 21 and is arbitrarily rotated around steel plate 2, has reached the purpose of debugging.Finally by screw 3 are tightened so that fusion device main body 1 is fixed with respect to steel plate 2.Now, because having additional the packing ring being adapted with the shape of spherical groove 23 24 so that when rotating, the nut of screw 3 can completely fit fusion device main body 1 with steel plate 2.
Embodiment 2
Refer to shown in Fig. 7, another implementation method of self-adapting float combination cervical vertebra Invasive lumbar fusion device of the present invention includes:Melt Clutch main body 1, steel plate 2, screw 3 and spherical bindiny mechanism 4, the screw 3 are solid through steel plate 2 and the spherical bindiny mechanism 4 It is scheduled in the fusion device main body 1, the fixing end that the steel plate 2 passes through the spherical bindiny mechanism 4 and the fusion device main body 1 Rotate connection.
Refer to shown in Fig. 7, Fig. 8 and Fig. 9, the spherical bindiny mechanism 4 includes being arranged on the medial surface of the steel plate 2 The second spherical fixator 42 and be arranged on the fixing end of the fusion device main body 1 and the described second spherical fixator 42 matches The 3rd spherical groove 14 for closing.The position relative with the described second spherical fixator 42 is provided with the 4th on the lateral surface of the steel plate 2 Spherical groove 26, the steel plate 2 is provided with the second through hole through the 4th spherical groove 26 and the second spherical fixator 42 27.The fixing end of the fusion device main body 1 is provided with the second connecting hole 15 through the 3rd spherical groove 14, and the screw 3 is worn Second through hole 27 and second connecting hole 15 is crossed to be fixed with the fusion device main body 1.
Specifically, the fusion device main body 1 is provided with the fusion hole 11 of up/down perforation, and 1 point of the fusion device main body is Fixing end and movable end, the fixing end of the fusion device main body 1 are provided with the 3rd spherical groove 14 for caving inward, described The bottom of three spherical groove 14 is provided with second connecting hole 15, second connecting hole 15 to the fusion direction of hole 11 and is provided with screw thread. The inside and outside two sides in top of the steel plate 2 it is relative be respectively equipped with the second spherical fixator 42 and the 4th spherical groove 26, described second Through hole 27 runs through the 4th spherical groove 26 and the second spherical fixator 42.The screw 3 leads to through second on steel plate 2 Hole 27, and by the described second spherical fixator 42 and the 3rd spherical groove 14, be arranged in the second connecting hole 15 with it is described Fusion device main body 1 is threadably secured.It should be noted that second through hole 27 with diameter greater than on screw 3 screw rod it is straight Footpath and less than the diameter of nut so that fusion device main body 1 relative to steel plate 2 rotate when be will not interfere with certain slewing area.
Refer to shown in Fig. 6, Fig. 7 and Fig. 9, wherein, it is provided with packing ring 24 in the 4th spherical groove 26.The packing ring 24 Shape matches with the shape of the 4th spherical groove 26.So that screw 3 with fusion device main body 1 when rotating, packing ring 24 can be with Slided to adapt to the direction of screw 3 in the second spherical groove 22, so as to ensure that the nut on screw 3 can be with packing ring 24 and steel plate 2 are in fit-state.
It is equipped with please continue to refer to shown in Fig. 7, being additionally provided with the steel plate 2 in some fixing holes 25, each fixing hole 25 Fixing screws 31, some fixing screws 31 are used to be connected with cervical vertebra cone, and each fixing screws 31 are tapping screw.Specifically Say, in the present embodiment, the upper/lower terminal of the steel plate 2 is respectively equipped with two fixing holes 25, and two fixing holes 25 of upper end are oblique Nail, its internal fixing screws 31 are used to be connected with cervical vertebra upper cone, and the fusion device main body 1 is provided with skew nailing groove 13.Make Used time, fixing screws 31 are penetrated from skew nailing hole and squeeze into upper centrum obliquely upward by skew nailing groove 13.Two fixations of lower end Hole 25 is vertical nail, and the fixing screws 31 installed in it squeeze into lower cone perpendicular to steel plate 2.
Installation method will not be repeated here with embodiment 1.
Above specific descriptions of the invention are intended to illustrate with the implementation of specific embodiment, it is impossible to be not understood as to this The limitation of invention, those skilled in the art under the teachings of the present invention, can make various on the basis of the embodiment for describing in detail Variant, these variants should be included within design of the invention.Scope of the present invention is only by described right State and limited.

Claims (8)

1. a kind of self-adapting float combination cervical vertebra Invasive lumbar fusion device, it is characterised in that:Including fusion device main body, steel plate, screw and Spherical bindiny mechanism, the screw is fixed in the fusion device main body through steel plate and the spherical bindiny mechanism, the steel Plate is rotated with the fixing end of the fusion device main body by the spherical bindiny mechanism and is connected;The spherical fixed mechanism includes setting Put the fixing end of the fusion device main body the first spherical fixator and be arranged on the medial surface of the steel plate with it is described The first spherical groove that first spherical fixator is engaged, the position relative with first spherical groove on the lateral surface of the steel plate The second spherical groove is provided with, the steel plate is provided with the first through hole through first spherical groove and second spherical groove, institute Screw is stated to be fixed with the fusion device main body through the first through hole and the first spherical fixator.
2. self-adapting float combination cervical vertebra Invasive lumbar fusion device according to claim 1, it is characterised in that:The spherical fixation Mechanism includes the second spherical fixator being arranged on the medial surface of the steel plate and is arranged on consolidating for the fusion device main body The 3rd spherical groove that fixed end is engaged with the described second spherical fixator.
3. self-adapting float combination cervical vertebra Invasive lumbar fusion device according to claim 2, it is characterised in that:Outside the steel plate The position relative with the described second spherical fixator is provided with the 4th spherical groove on side, and the steel plate is provided with through the described 4th Second through hole of spherical groove and the second spherical fixator, the fixing end of the fusion device main body is provided with through the 3rd ball The connecting hole of shape groove, the screw is fixed through second through hole and the connecting hole with the fusion device main body.
4. the self-adapting float combination cervical vertebra Invasive lumbar fusion device according to claim 1 or 3, it is characterised in that:Described second Packing ring is equipped with spherical groove and the 4th spherical groove.
5. self-adapting float combination cervical vertebra Invasive lumbar fusion device according to claim 4, it is characterised in that:The shape of the packing ring Shape of the shape respectively with second spherical groove and the 4th spherical groove matches.
6. the self-adapting float combination cervical vertebra Invasive lumbar fusion device according to claim 1 or 3, it is characterised in that:Described first The diameter of through hole and second through hole is all higher than on screw the diameter of screw rod and less than the diameter of nut.
7. self-adapting float combination cervical vertebra Invasive lumbar fusion device according to claim 1, it is characterised in that:Set on the steel plate There are some fixing holes, fixing screws are equipped with each fixing hole, some fixing screws are used to be connected with cervical vertebra cone.
8. self-adapting float combination cervical vertebra Invasive lumbar fusion device according to claim 7, it is characterised in that:Used on the steel plate The fixing hole passed through in the fixing screws being connected with cervical vertebra upper cone is skew nailing hole.
CN201510040658.XA 2015-01-27 2015-01-27 Adaptive floating combined cervical interbody fusion cage Expired - Fee Related CN104546095B (en)

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CN108606859B (en) * 2016-12-12 2024-04-02 创生医疗器械(中国)有限公司 Locked lumbar fusion device
CN114469462B (en) * 2022-04-08 2022-07-05 北京大学第三医院(北京大学第三临床医学院) Self-stabilizing atlantoaxial fusion cage

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