CN107212918A - It is a kind of to prevent from resetting the internal fixation device of spine lost - Google Patents

It is a kind of to prevent from resetting the internal fixation device of spine lost Download PDF

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Publication number
CN107212918A
CN107212918A CN201710551421.7A CN201710551421A CN107212918A CN 107212918 A CN107212918 A CN 107212918A CN 201710551421 A CN201710551421 A CN 201710551421A CN 107212918 A CN107212918 A CN 107212918A
Authority
CN
China
Prior art keywords
nail
connecting plate
resetting
vertebral arch
pedicle
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.)
Pending
Application number
CN201710551421.7A
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Chinese (zh)
Inventor
王信
王怡
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Affiliated Hospital of Zunyi Medical University
Original Assignee
Affiliated Hospital of Zunyi Medical University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Affiliated Hospital of Zunyi Medical University filed Critical Affiliated Hospital of Zunyi Medical University
Priority to CN201710551421.7A priority Critical patent/CN107212918A/en
Publication of CN107212918A publication Critical patent/CN107212918A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • 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
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8605Heads, i.e. proximal ends projecting from bone
    • A61B17/861Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/862Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the periphery of the screw head
    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8625Shanks, i.e. parts contacting bone tissue
    • 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
    • A61B2017/564Methods for bone or joint treatment
    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B2017/8655Pins or screws or threaded wires; nuts therefor with special features for locking in the bone

Abstract

The invention discloses a kind of internal fixation device of spine for preventing from resetting and losing, it includes pedicle of vertebral arch and fixes nail, backbone connecting plate and locating shim, the pedicle of vertebral arch fixes nail and is at least set to two, two pedicles of vertebral arch fix the both sides that nail is slidably connected at the backbone connecting plate, the pedicle of vertebral arch, which fixes nail, includes the head of a nail and the rivet nut being connected with the head of a nail, the locating shim is provided with through hole, the sliding groove being distributed along the backbone connecting plate long side direction is offered in the middle part of the backbone connecting plate, the sliding groove includes upper hopper chute and gliding groove, the locating shim is slidably connected in the gliding groove, the rivet nut sequentially passes through the upper hopper chute, the through hole and the backbone connecting plate are connected and locating shim activity is between the head of a nail and the gliding groove upper surface, a kind of internal fixation device of spine for preventing that reset from losing that the present invention is provided has simple to operate, prevent from resetting the advantage lost.

Description

It is a kind of to prevent from resetting the internal fixation device of spine lost
Technical field
The present invention relates to medical instruments field, more particularly to a kind of internal fixation device of spine for preventing from resetting loss.
Background technology
Spine fracture is the common wound of field of orthopaedics, and its incidence is about 5%-6%.When external force acts on certain in backbone When one centrum fractures, the fore-and-aft distance of centrum diminishes, so as to produce terminal plate of vertebral body fracture, interverbebral disc rearward charges into compressing The nerve fiber or intraspinal tube spinal cord of surrounding, have a strong impact on the quality of life of patient.At present, with the hair of internal fixation of spine technology Exhibition, it is very universal using the regression of steel plate screw treatment pathologic, spinal trauma in cervical vertebra, thoracic vertebrae and lumbar vertebrae.By decades Development, occur in that the structure design of a variety of internal fixation device of spine.Research shows that the use of internal fixation of spine technology can increase Plus bone fusion rate, increase anti-rotation intensity, axial load and resist and stretch Qu Li.Due to the special physiological structure of human spine and activity Frequency, design for spinal internal fixation system and manufacture require high, do not require nothing more than with good biomechanical strength, together When also required firm screw anti-receding device.
Existing regulation internal fixation device of spine typically can all realize the reset of centrum, and the centrum after reset is consolidated It is fixed, centrum can be made to recover its original height.But, in practical operation, vertebral fracture is carried out using internal fixation device of spine After reset, in the fixation procedure of locking nut and screw, reset can be produced and lost so that it is original that centrum does not recover its completely Curve, reset effect is bad.Therefore, how to reduce reset of the internal fixation device of spine in operating process is resetted to lose so that Centrum obtains satisfied orthopedic reset effect, is the technical problem that those skilled in the art are badly in need of solving at present.
The content of the invention
It is an object of the invention to overcome shortcoming and deficiency of the prior art there is provided one kind it is simple to operate, prevent reset The internal fixation device of spine of loss.
To achieve these goals, the invention provides a kind of internal fixation device of spine for preventing from resetting and losing, it includes Pedicle of vertebral arch fixes nail, backbone connecting plate and locating shim, and the pedicle of vertebral arch fixes nail and is at least set to two, two pedicles of vertebral arch Fixed nail is slidably connected at the both sides of the backbone connecting plate, and the pedicle of vertebral arch, which fixes nail, to be included the head of a nail and be connected with the head of a nail The rivet nut connect, the locating shim is provided with through hole, offers in the middle part of the backbone connecting plate long along the backbone connecting plate Edge direction distribution sliding groove, the sliding groove include upper hopper chute and gliding groove, the locating shim be slidably connected at it is described under In chute, the rivet nut sequentially passes through the upper hopper chute, the through hole and is connected with the backbone connecting plate and the locating shim Activity is between the head of a nail and the gliding groove upper surface, the one side of the locating shim and the gliding groove upper surface Provided with lower positioning tooth, the gliding groove upper surface is provided with upper positioning tooth, when the lower positioning tooth is engaged with the upper positioning tooth, The relative position that the pedicle of vertebral arch is fixed between nail and the backbone connecting plate is locked.
As the improvement of above-mentioned technical proposal, the head of a nail includes through hole and the compression bullet in the through hole Spring, retaining fixture block, the retaining fixture block are set to two, and two retaining fixture blocks are separately mounted to the two ends of the through hole, The compression spring is squeezed between two retaining fixture blocks.
As the improvement of above-mentioned technical proposal, the side wall of the upper hopper chute, which is offered, is provided with snap fit in neck, the neck, The snap fit is engaged with the retaining fixture block.
As the improvement of above-mentioned technical proposal, the retaining fixture block includes cylinder and is connected to the cylinder ends Tapered protrusion, the tapered protrusion is provided with the compressive plane seamlessly transitted.
As the improvement of above-mentioned technical proposal, the backbone connecting plate is at least set to two, and adjacent two backbones connect Transverse connection is provided between fishplate bar, the transverse connection is flexibly connected with the backbone connecting plate.
As the improvement of above-mentioned technical proposal, the rivet nut includes rivet nut body and twist set along rivet nut body Rivet nut body surface between screw thread, the two neighboring screw thread is provided with some lines of creeping, line and the screw thread of creeping Direction of rotation is parallel.
As the improvement of above-mentioned technical proposal, line equidistantly distributed of being creeped described in some is two neighboring described to climb Xing Wen Between space D 1, wherein 0 μm≤D1≤500 μm.
As the improvement of above-mentioned technical proposal, a diameter of D2 that the pedicle of vertebral arch fixation is followed closely, wherein 4.5mm≤D2≤ 6.0mm, the length that the pedicle of vertebral arch fixes nail is L, wherein 30mm≤L≤50mm.
Present invention also offers a kind of application method for preventing from resetting the internal fixation device of spine lost, it includes following step Suddenly:
S1, determine that according to spinal trauma position pedicle of vertebral arch fixes the installation site of nail;
Pedicle of vertebral arch is fixed nail through locating pad by S2, regulation pedicle of vertebral arch after fixing the position relative to backbone connecting plate of nail Piece and backbone connecting plate are hammered into and had determined that in the centrum of position;
Two neighboring backbone is connected by transverse connection after S3, the relative position of the two neighboring backbone connecting plate of regulation Plate is fixedly connected;
In a kind of step S3 of the application method of above-mentioned internal fixation device of spine for preventing reset from losing, when the retaining of the head of a nail When fixture block is sticked into the neck of upper hopper chute side wall, S3 steps are completed.
A kind of internal fixation device of spine for preventing from resetting loss that the present invention is provided, compared with prior art, with such as Lower beneficial effect:This prevents the pedicle of vertebral arch for resetting the internal fixation device of spine lost from fixing nail and hammering into after vertebra centrum, by fixed The upper positioning tooth occlusion of the lower positioning tooth of position pad and the gliding groove of backbone connecting plate is fixed make it that relative position is locked between the two Extremely, reach prevents pedicle of vertebral arch from fixing nail and occurring to loosen and ultimately result in the problem of reset is lost long-term effectively.
Brief description of the drawings
In order to illustrate the technical solution of the embodiments of the present invention more clearly, will simply be situated between to the accompanying drawing of embodiment below Continue.
Fig. 1 is a kind of stereogram for preventing from resetting the internal fixation device of spine lost provided in an embodiment of the present invention;
Fig. 2 is the profile of retaining fixture block provided in an embodiment of the present invention and backbone connecting plate fastening state;
Fig. 3 is a kind of side view for preventing from resetting the internal fixation device of spine lost provided in an embodiment of the present invention;
Fig. 4 is a kind of section for preventing from resetting the sliding groove for the internal fixation device of spine lost provided in an embodiment of the present invention Figure;
Fig. 5 is the structural representation for the rivet nut that pedicle of vertebral arch provided in an embodiment of the present invention fixes nail;
Fig. 6 is a kind of structural representation for preventing from resetting the retaining fixture block for the internal fixation device of spine lost.
Wherein, 1- pedicles of vertebral arch fix nail;The 11- heads of a nail;111- compression springs;112- retaining fixture blocks;112a- tapered protrusions; 112b- cylinders;12- rivet nuts;121- screw threads;122- creeps line;2- backbone connecting plates;21- sliding grooves;211- upper hopper chutes; 212- gliding grooves;The upper positioning tooths of 212a-;22- necks;3- transverse connections;4- locating shims;Positioning tooth under 41-.
Embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete Site preparation is described, it is clear that described embodiment is only a part of embodiment of the invention, rather than whole embodiments.It is based on Embodiment in the present invention, it is every other that those of ordinary skill in the art are obtained under the premise of creative work is not made Embodiment, belongs to the scope of protection of the invention.
Referring to shown in Fig. 1-Fig. 6, the invention provides a kind of internal fixation device of spine for preventing from resetting and losing, it includes vertebra Nut fixes nail 1, backbone connecting plate 2 and locating shim 4, and the pedicle of vertebral arch fixes nail 1 and is at least set to two, two vertebral arch Root fixes the both sides that nail 1 is slidably connected at the backbone connecting plate 2, the pedicle of vertebral arch fix nail 1 include the head of a nail 11 and with it is described The rivet nut 12 that the head of a nail 11 is connected, the locating shim 4 is provided with through hole (not shown), the backbone connecting plate 2 Portion offers the sliding groove 21 being distributed along the long side direction of backbone connecting plate 2, and the sliding groove 21 includes upper hopper chute 211 with Chute 212, the locating shim 4 is slidably connected in the gliding groove 212, and the rivet nut 12 sequentially passes through the upper hopper chute 211st, the through hole is connected with the backbone connecting plate 2 and the activity of the locating shim 4 is in the head of a nail 11 and the gliding groove Between 212 upper surfaces, the one side of the locating shim 4 and the upper surface of gliding groove 212 is provided with lower positioning tooth 41, described The upper surface of gliding groove 212 is provided with upper positioning tooth 212a, described when the lower positioning tooth 41 is engaged with the upper positioning tooth 212a The relative position that pedicle of vertebral arch is fixed between nail 1 and the backbone connecting plate 2 is locked.One kind that the present invention is provided, which prevents from resetting, loses Internal fixation device of spine, compared with prior art, have the advantages that:This prevents from resetting the internal fixation of spine lost The pedicle of vertebral arch of device is fixed nail 1 and hammered into after vertebra centrum, by under the lower positioning tooth 41 and backbone connecting plate 2 of locating shim 4 The upper positioning tooth 212a occlusions of chute 212 are fixed make it that relative position is locked between the two, and reach prevents vertebral arch long-term effectively Root fixes nail 1 and occurs to loosen and ultimately result in the problem of reset is lost.
More preferably, in the present embodiment, the head of a nail 11 includes through hole and the compression bullet in the through hole Spring 111, retaining fixture block 112, the retaining fixture block 112 are set to two, and two retaining fixture blocks 112 are separately mounted to described pass through The two ends of through hole, the compression spring 111 is squeezed between two retaining fixture blocks 112.The side wall of the upper hopper chute 211 is opened Provided with neck, be provided with snap fit in the neck, the snap fit be engaged with the retaining fixture block 112 it is locked, to reach vertebral arch Root fixes the locked effect of fixation of nail 1, it is to avoid pedicle of vertebral arch is fixed the generation of nail 1 and loosened to be lost so as to cause to reset.
More preferably, in the present embodiment, the retaining fixture block 112 includes cylinder 112b and is connected to the cylinder The tapered protrusion 112a of 112b ends.The tapered protrusion 112a is provided with the compressive plane seamlessly transitted, is fixed in pedicle of vertebral arch under nail 1 During nail, tapered protrusion 112a compressive plane is squeezed in the snap fit surface in neck under the active force of compression spring 111 So that tapered protrusion 112a is slowly sticked into neck, and on the inside of the snap fit that neck is fully entered to compressive plane, tapered protrusion 112a Engage with snap fit, reach the locked effect of fixation of pedicle of vertebral arch fixation nail 1, to avoid the generation loosening of pedicle of vertebral arch fixation nail 1 from leading Cause to reset and lose.
More preferably, in the present embodiment, the backbone connecting plate 2 is at least set to two, adjacent two backbone connections Transverse connection is provided between plate 2, the transverse connection is flexibly connected with the backbone connecting plate 2.Specifically, laterally connecting Fitting includes transverse connecting rod and is arranged on the fixing device at the transverse connecting rod two ends, and the fixing device is connected with backbone Plate 2 is flexibly connected, and fixing device is provided with locking mechanism, and backbone connecting plate 2 can coordinate fixing device to be moved to after correct position It is locked by locking mechanism so that described to prevent that resetting the internal fixation device of spine lost forms firm overall structure, Avoid resetting the problem of losing.
More preferably, in the present embodiment, the rivet nut 12 includes the body of rivet nut 12 and twist set along the body of rivet nut 12 The body surface of rivet nut 12 between the screw thread 121 put, the two neighboring screw thread 121 is described to climb provided with some lines 122 of creeping Row line 122 is parallel with the direction of rotation of screw thread 121.Specifically, creeped described in some the equidistantly distributed of line 122, adjacent two The individual space D 1 climbed between Xing Wen, draws 0 μm≤D1≤500 μm, the model of the space D 1 by experimenter's many experiments The good effect of creeping for promoting osteocyte can be reached by enclosing, and contributed to osteocyte to fix nail 1 with pedicle of vertebral arch and merged, form bone and melt Close day state and can reach the problem of preventing the generation loosening of pedicle of vertebral arch fixation nail 1 long-term effectively and ultimately result in reset loss.Enter One step, in order to reach good biocompatibility, the rivet nut 12 of pedicle of vertebral arch fixation nail 1 can select medical metal and be made, simultaneously Coupled computer three-dimensional modeling is manufactured.
It should be noted that the pedicle of vertebral arch fixes a diameter of D2, wherein 4.5mm≤D2≤6.0mm, the vertebra of nail 1 The length that nut fixes nail 1 is L, wherein 30mm≤L≤50mm, and experiment proves that the pedicle of vertebral arch of the size range is fixed nail 1 and had Good mechanical strength, it is easy to be implanted into centrum, with preferable intensity and toughness.
Present invention also offers a kind of application method for preventing from resetting the internal fixation device of spine lost, it includes following step Suddenly:
S1, determine that according to spinal trauma position pedicle of vertebral arch fixes the installation site of nail 1;
Specifically, staff fixes the installation site of nail 1 according to the part mark pedicle of vertebral arch of patient spine wound, so as to The pedicle of vertebral arch of next step fixes the installation of nail 1.
S2, regulation pedicle of vertebral arch are fixed behind the position relative to backbone connecting plate 2 of nail 1 pedicle of vertebral arch fixing nail 1 through fixed Position pad 4 and backbone connecting plate 2 are hammered into and had determined that in the centrum of position;
Specifically, regulation section pedicle of vertebral arch fixes the position relative to backbone connecting plate 2 of nail 1 first, then to pedicle of vertebral arch Fixed nail 1 carries out pushing work, when the retaining fixture block 112 of the head of a nail 11 is sticked into the neck of the side wall of upper hopper chute 211, pedicle of vertebral arch The work that hammers into of fixed nail 1 is completed.
Two neighboring backbone is connected by transverse connection after S3, the relative position of the two neighboring backbone connecting plate 2 of regulation Fishplate bar 2 is fixedly connected;
Specifically, transverse connection includes transverse connecting rod and is arranged on the fixing device at the transverse connecting rod two ends, Fixing device is combined connection with backbone connecting plate 2 by staff, and backbone connecting plate 2 can coordinate fixing device to be moved to suitable position Postpone and be locked by locking mechanism so that be described to prevent that resetting the internal fixation device of spine lost forms firm overall knot Structure, it is to avoid reset the problem of losing.
A kind of internal fixation device of spine for preventing from resetting loss that the present invention is provided, compared with prior art, with such as Lower beneficial effect:This prevents the pedicle of vertebral arch for resetting the internal fixation device of spine lost from fixing nail 1 and hammering into after vertebra centrum, by fixed The upper positioning occlusion of the lower positioning tooth 41 and backbone connecting plate 2 of position plate is fixed, and relative position is locked between the two, and reach has for a long time Prevent to effect pedicle of vertebral arch from fixing nail 1 and occurring to loosen and ultimately result in the problem of reset is lost.
In the description of the invention, it is to be understood that indicating position or the position such as term " on ", " under ", "left", "right" Relation is, based on orientation shown in the drawings or position relationship, to be for only for ease of the description present invention and simplify description, without referring to Show or imply that the device or element of meaning must have specific orientation and specific azimuth configuration and operation, it is thus impossible to It is interpreted as limitation of the present invention.In addition, " first ", " second " are merely due to describe purpose, and it is not intended that indicate or imply Relative importance or the implicit quantity for indicating indicated technical characteristic.Therefore, define " first ", the feature of " second " can To express or implicitly include one or more this feature.In description of the invention, unless otherwise indicated, " multiples' " contains Justice is two or more.
In the description of the invention, it is necessary to illustrate, unless otherwise clearly defined and limited, term " installation " " phase Even " " connection " etc. should be interpreted broadly, for example, it may be being fixedly connected or being detachably connected, or be integrally connected; Can be mechanical connection or electrical connection;Can be joined directly together, can also be indirectly connected with by intermediary, can be with It is the connection of two element internals.For the ordinary skill in the art, concrete condition can be regarded and understands above-mentioned term Concrete meaning in the present invention.
Described above is the preferred embodiment of the present invention, it is noted that for those skilled in the art For, on the premise of principle of the present invention is not departed from, some improvements and modifications can also be made, these improvements and modifications It should be regarded as protection scope of the present invention.

Claims (8)

1. a kind of prevent from resetting the internal fixation device of spine lost, it is characterised in that fixes nail, backbone connecting plate including pedicle of vertebral arch And locating shim, the pedicle of vertebral arch, which is fixed to follow closely, is at least set to two, and two pedicles of vertebral arch fix nails and are slidably connected at the ridge The both sides of post connecting plate, the pedicle of vertebral arch, which fixes nail, includes the head of a nail and the rivet nut being connected with the head of a nail, the locating shim It is provided with the sliding groove for offering and being distributed along the backbone connecting plate long side direction in the middle part of through hole, the backbone connecting plate, institute Stating sliding groove includes upper hopper chute and gliding groove, and the locating shim is slidably connected in the gliding groove, and the rivet nut is worn successively Cross the upper hopper chute, the through hole be connected with the backbone connecting plate and the locating shim activity the head of a nail with it is described under Between tongue upper surface, the one side of the locating shim and the gliding groove upper surface is provided with lower positioning tooth, the downslide Groove upper surface is provided with upper positioning tooth, when the lower positioning tooth is engaged with the upper positioning tooth, and the pedicle of vertebral arch fixes nail and institute State the relative position locking between backbone connecting plate.
2. according to claim 1 prevent from resetting the internal fixation device of spine lost, it is characterised in that:The head of a nail includes Through hole and compression spring in the through hole, retaining fixture block, the retaining fixture block are set to two, described in two only The two ends that fixture block is separately mounted to the through hole are moved back, the compression spring is squeezed between two retaining fixture blocks.
3. according to claim 2 prevent from resetting the internal fixation device of spine lost, it is characterised in that:The upper hopper chute Side wall, which is offered, is provided with snap fit in neck, the neck, the snap fit is engaged with the retaining fixture block.
4. according to claim 2 prevent from resetting the internal fixation device of spine lost, it is characterised in that:The retaining fixture block Including cylinder and the tapered protrusion for being connected to the cylinder ends, the tapered protrusion is provided with the compressive plane seamlessly transitted.
5. according to claim 1 prevent from resetting the internal fixation device of spine lost, it is characterised in that:The backbone connection Plate is at least set to be provided with transverse connection, the transverse connection and institute between two, adjacent two backbone connecting plates State the flexible connection of backbone connecting plate.
6. according to claim 1 prevent from resetting the internal fixation device of spine lost, it is characterised in that:The rivet nut includes Rivet nut body surface between rivet nut body and the screw thread twist set along rivet nut body, the two neighboring screw thread is provided with Some lines of creeping, the line of creeping is parallel with the screw thread rotation direction.
7. according to claim 6 prevent from resetting the internal fixation device of spine lost, it is characterised in that:Climbed described in some Row line equidistantly distributed, the two neighboring space D 1 climbed between Xing Wen, wherein 0 μm≤D1≤500 μm.
8. according to claim 1 prevent from resetting the internal fixation device of spine lost, it is characterised in that:The pedicle of vertebral arch is consolidated Surely a diameter of D2 followed closely, wherein 4.5mm≤D2≤6.0mm, the pedicle of vertebral arch fix the length of nail for L, and wherein 30mm≤L≤ 50mm。
CN201710551421.7A 2017-07-07 2017-07-07 It is a kind of to prevent from resetting the internal fixation device of spine lost Pending CN107212918A (en)

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CN106539615A (en) * 2016-10-25 2017-03-29 天津市新中医疗器械有限公司 A kind of child's bone malformation is orthopedic to use eight letter stencils

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