201039796 六、發明說明： 【發明所屬之技術領域】 尤指—種可灌注醫 本發明係有關一種脊椎固定系統 療填充物料之脊椎固定系統。 【先前技術】 Ο ◎ 傳統的脊椎手術，通常將複數個骨釘植人㈣中， 此固定骨骼之相對位置。骨 釭，X S 夕都/、疋—般之實體 、 至一脊椎椎體内後，僅是1 之間的間距及r 僅疋藉由該螺針螺牙牙 骨中’卡固於該椎體内固定=皮質骨及内層鬆 人的體重、活動此種螺釘在手術後會因 或是其它因素，：有長、嚴重骨質疏鬆(即鬆質骨疏. 穩定之門題' 缺充足骨質可供咬合，而無法固 問題。造成骨釘鬆脫之情形。 構二:二上述缺點’有許多發明利用改變骨釘的〗 接觸表面，二:Γ固性，如EP0714643利用具有微紋^ 用硬質倒约般突部Ί _間的接觸面積、DE19801219身 部為鑛#形狀=1繞於f釘㈣圍排列，且倒釣般； 用倒釣的—脫、㈣料觸71觀矛 利用膨脹锶乂 易從骨中鬆脫、台灣專利M30649; 承隹丁的概令，/± 1 述發明皆A > ή "吏月釘能更省力且牢固的固定。上 的，但目前的骨▲ 、’σ構^減低β釘於術後鬆脫的目 於骨頭，因屮典大夕為金屬材料製成’其強度原本就大 Μ此骨釘與晋β 0曰^ 、之間、里過長時間的磨耗，常常會使 201039796 骨釘從骨中鬆脫’而造成患者更大的傷害。 習知技藝針對月質疏鬆病患，遂發展併用骨水泥及骨 釘的方法，注入骨水泥於骨骼中，再以骨釘穿過骨板並鑽 入注有骨水泥之骨絡處，當骨釘表面之螺紋與骨骼嵌合 時’其間空隙係由月水泥所填充’且骨水泥可固化，使骨 釘與疏鬆骨骼之結合較為牢固。然而，骨水泥之固化特性 亦可能造成骨釘之釘桿部位無法完全鑽入骨骼或是鑽入骨 钉時破壞以固化之骨水泥結構等情況，因此骨釘及骨板仍 有鬆脫之虞。 如台灣專利M306498、M346406、267342，或其他相 類似專利等，其僅是利用—空心骨釘中轴上之通孔灌入 面療填充物料，像是骨水泥（b〇ne cenient)等，其中醫療填 充物料大多為術前調製成漿狀，術後成固狀的骨水泥，灌 入骨釘後至該患部，增加骨釘之穩定度，但此種設計在實 * ’所灌入之骨水泥因為黏稠度高，如果通孔開的太小 的話’骨水泥會累積於該出口處，或所灌入的骨水泥成刺 狀（spike)，對於該骨釘周邊該骨骼可咬合骨質增加沒有幫 助，對於骨釘的穩定度也有限。 本發明脊椎固定系統，在中空固定裝置上結合一包覆 〇 ’可於灌注醫療填充物料時，有限度的控制醫療填充 &料的/藿注範圍，使醫療填充物料於灌注完成後，與包覆 ^件开/成一團狀結構，該團狀結構可進一步將本發明脊椎 固定系統固定於脊椎骨上。 201039796 【發明内容】 本發明之一目的，在据徂 捉仏—種脊椎固定系統。 本發明之另一目的，在裎桩^ ^ 钕七、—種利用骨連結裝置以連 結複數個中空固定裝置的脊椎固定系統。 本發明之另-目的，在提供—種利用骨連結裝置以連 結-個中空固^裝置和-個固定|置的脊椎固定系統。 本發明之再一目的，在提供 权供一種具有中空固定裝 Ο ο 脊椎固定系統。 本發明之又一目的，在揾徂 ^ η ^ 仕杈ί' —種具有包覆部件的脊 固定系統。 本發明之還一目的，在接徂 __^ 隹钕供—種可塞入或灌入醫療填 充物料的脊椎固定系統。 、 本發明之再一目的，在提供—^ 從供種可經由中空固定裝置 塞入或灌入醫療填充物料的脊椎固定系統。 本發明之又一目的，在提供一 π 1’、 種可經由中空固定裝置 將醫療填充物料塞入或灌入包霜 " ι復邛件的脊椎固定系統。 本發明之還一目的，在提供一 1,s種將醫療填充物料注入 包覆部件後，該包覆部件可膨 议I丨卞j唇脹之舍椎固定系統。 本發明之再一目的，名祖/4+ ^ ,^ 的在^供一種將醫療填充物料注入 包覆部件後，該醫療填充物料 — U化卡5於骨骼之脊椎固 疋系統。 本發明之又一目站，产 、 在提i、一種包覆部件可有限卢 制醫療填充物料的灌n …百限度控 寸的廣庄粑圍之及椎固定系統。 本發明之還一目的，在 u 種儿成灌注醫療填充物 5 201039796 料後’ 系統。 包覆部件及 醫療填充物料形成團狀結 構之脊椎固定 本發明之又一 物料形成之團狀結 固定系統。 目的，在提供一種包覆部件及醫療填充 構可卡合於骨絡之脊椎固定系統之脊椎 一種脊椎固定系統，其包括： 複數個固定褒置，近端為連結端，其遠端用以固定待 固定的脊椎骨節； 一骨連結裳i ’其與該等固定裂置的連結端連結； 其特徵在： 山該等固定裝置，其中至少一者為中空固定裝置，其近 端為連結端，遠端為灌注端’且該或該等中空固定裝置， 進一步矣士人_ j _ 、σ σ匕覆部件，用以經由該中空固定裝置的灌注 端塞入或灌入醫療填充物料於該包覆部件中，使該醫療 填充物料於灌注完成後成團狀。 述〇固又裝置，其可為任意習知之固定裝置，如骨 ’、’丁及/或中空固定裝置，例如參見下列圖式及其說 明。 上述該骨連結裝置可為任意習知 豆 為單，，例如骨板，或多個部件所:::::結桿、 迫緊裝置、接合槽、桿件或骨鉤（請參見B 4a、4b、4c、 4d ' 4e)〇 述°玄中二固定裝置之連結$，其可用以連結任意習 月連、口裝置’使該脊椎固定***可於灌注醫療填充物 201039796 料後’可將手術部位的骨絡固定於該膨脹且固化的包覆部 件與裝置於該中工固定裝置之連結端的骨連結裝置，以增 加該脊椎固定系統的穩定度。 上述該中空固定裝詈夕诘认 罝之連結端，其與骨連結裝置之結 合方式可為任意習知之結合方式，如一體成形（請參見圖 3b、3C、3d、3e)、鎖合、卡合或螺合。 上述該中空固定裝置’其連結端與灌注端之間的桿 Ο Ο 身，可為具有各種類型之紋路…環狀紋、直條紋，斑 點紋或網狀紋（請參見圖3b、 je ' 3d)，用以增加該中空固 定裝置與骨之間的摩擦力， 產生滑動。 ㈣中空固定裝置不易於術後 上述該中空固定裝置之灌注端，其可為 之灌注端，如具有複數條細縫的灌'、主墙… 式 注端（請參見圖5卜5〇， /:或複數個孔洞的灌 佳。 /、有複數條細縫的灌注端為較 上述該包覆部件，其可 身、灌注端或連結端1固定於桿二=固定裳置的桿 上述該中”U置與包覆部件之結合 習知結合方式，以該中介〜 式可為任意 槽，該環狀凹槽係“將該包覆部 身:有―環狀凹 的桿身’纟中將包覆部件固定於 疋於中空固定震置 為任意習知之結合方式…及凹槽的結合方式可 乃式，如錨釘、扣環、、 綁（請參見圖8a、8b、心 。_5、 ° 勒合或綑 、8d)。以錨釘或扣援达± 上述該包覆部件，Α <衮為較佳。 “為元全包覆或部份包覆 201039796 固定裝置之灌注端。 V 匕覆。卩件，其可為任意習知之包覆部件，如彈 性包覆部件、網狀包覆部件、多孔包覆部件或金屬包覆部 件（請參見圖7a、7b、7e、7d)。 述°亥l覆°卩件，其可為任意形狀之包覆部件，如圓 柱狀、圓錐狀、球形、類球形或類立方體。 上述該醫療填充物料，其於灌注完成後成團狀’其中 該團狀可為任意習知夕m ^ 〜s知之團狀，如圓柱狀、圓錐狀、球形、 類球形或類立方體，以圓柱狀為較佳。 上述該醫療填充物料，其可為任意習知醫療填充物 料，諸如移植用碎骨（bone _)，骨科用取代物（― substltutes)、骨水泥（b〇ne 、及/或其混合物 (顏㈣、組合物（compositi〇n)、複合物（c_p〇刪等參 彻146,侧鳩8嶋。一般而 § ’上述醫療填充物料，可换用I 士+ +古 』抹用早純填入之醫療填充物料， 諸如移植用碎骨，例如自體骨。⑽)或異體骨 (allograft)，但以其固化卡人对m 化卞口效果顯然相對較差；因此，上 述醫療填充物料，以㈣至少含可固結之_的醫療殖充 物料為較佳，諸如聚料式的醫療填充物料，或塞入上述移 植用碎骨後’#灌入可固結之襞料，使該襞料實質上充滿 整個團狀結構，甚至使團狀結構再稍 、 儆％脹’以強化固化 卡δ效果；一般而言，以直接採用漿 & +式的醫療填充物料 為更佳。此處所謂桌料式的醫療填充物 科’係指可在使用 時或使用前調配成漿料’於灌入團妝社 '°構後適當時間内固 201039796 結之醫療填充物料，諸如上述之骨科用取代物（bone substitutes)、骨水泥（bone cement)、及/或其混合物 (mixture)、組合物（composition)、複合物（C0mp0Site)等。上 述醫療填充物料’以具有骨傳導作用（osteo_e〇nductive)、 及/或骨引導作用（osteo_inductive)者為較佳，諸如習知的 HA類骨填充物；以具有骨引導作用者為較佳，諸如SrHA 類醫療填充物料，參見TW-097141700。熟知此項技藝人士 均知上述醫療填充物料，除習知醫療填充物料外，可代以 任何就習知醫療填充物料重新組合或修正之醫療填充物 料’甚至任，¾具有等效之新開發醫療填充物料。 上述該中空固定裝置，其可為一段式或多段式組合， 若為一段式，該中空固定裝置為整體中空，若為多段式， 遠端灌注端為中空，其餘各端可為中空或實心（請參見圖 2M，各段間可以任意習知之結合方式結合，如鎖合、卡合 戈螺合（清參見圖6b、6c)。 上述該中空固定裝置之連結端，其可進一步含一迫緊 機制，該迫緊機制可於連結骨連結裝置時，用以調整該骨 連結裝置與團狀醫療填充物料之間的距離，以加 該 脊椎固定系統的穩定性。 人 一種脊椎固定系統，其包括： 中二固疋裝置，其近端為連結端，遠端為灌注端； 一包覆部件，其與該中空固定裝置結合；及 ， 一醫療填充物料； 其特徵在：該醫療填充物料可經由該中空固定裝置的 201039796 灌注端，塞入或灌入該包覆部件中，使該醫療填充物料於 灌注完成後成團狀。 ' 上述該中空固定裝置、包覆部件、醫療填充物料、固 定裝置、骨連結裝置，如前所述。 本發明脊椎固定系統之手術方法，其包括： (1)於脊椎骨節上開創一孔洞； ⑺將脊椎固定系統放人該孔洞中，並使該脊椎固 定系統的骨連結裝置裸露於脊椎骨節之外； (3 ) 放入灌注裝置； (4 )將醫療填充物料經由灌注裝置及中空固定裝置 灌入包覆部件中； (5 )將醫療填充物料及包覆部件灌注成團狀； (6 ) 抽離灌注裝置。 述步驟1可採用任意習知的開創孔洞步驟，例如參 見 TW-557785。 〆 上述步驟2任意習知的置入步驟’例如採用套管將嘴 :固定系統放入該孔洞中，參見圖1〇a，或直接將脊㈣ 系統放入孔洞，例如參見圖12a。 上述步驟3可採用任意習知放人灌注裝置的步驟，如 如參見圖l〇a。 上述步驟4、5可採用任意習知的灌注步驟，其特徵再 利用包覆邛件有限度的控制醫療填充物料的灌注範圍。 ::步驟“可採用任意習知抽離灌注裝置的步驟。 "月方法可進—步含步驟7,其係以骨連結裝置使 10 201039796 脊椎固定系統結合骨連結裝置 【實施方式】 圖1 a為本發明脊椎固定系 立固 糸統一個較佳具體例的結合干 忍圖。其中標m 1〇〇為中空固定裝置，u 、 為灌注端，130為桿身，該桿身矛 .、、、'，Ό知，12〇 仵身表面網紋，200為包覆部件， 210為固定環，22〇為阻擋部件。 兵中中空固定裝置1〇〇 一體成型，固定環220用以將句& 4 Ο —姑里 將包覆部件固定於中空固 疋裝置100的桿身130。 圖1 b為本發明脊椎固定糸姑 疋糸統—個完成灌注的較佳具 - 體例不意圖。其中標號1〇〇為t $ g] # _ φ Τ二囡疋裝置，11〇為連結 端，120為灌注端，130為桿身 ' ^ ⑽為包覆部件，210為 固疋環，2 2 0為阻撞部件，3 〇 〇為醫|ώ & 巧醫療填充物料。其中醫療 填充物料300經由中空固定裝置 ^ ’、 命 罝100之灌注端120灌入包 覆部件200 ’且醫療填充物料3〇〇脾4 U〇將包覆部件200灌滿， 〇 形成一團狀。 圖2a為本發明脊椎固定***一 予死個較佳具體例的分解示 其中標號1〇0為中空固定裝置，…為連結端，120 為灌注端，130為桿身，131為環狀凹槽，_為包覆部件， 21〇為固定環，220為阻擋部件，2 為則阻擋元件，222 為後阻擋元件。其中該固定環2〖〇用 衣10用以將包覆部件200固 定於中空固定裝置1〇〇的環狀凹槽131。 圖2b為本發明脊椎固定系統另一個較佳具體例的分 解示意圖。其中標號110為連結部件，U1為連結部件11〇 201039796 的結合端，12〇為灌注部件，121危灌注 A俨必ηπ桃. 件的結合端’ 13 1 為衣狀凹槽，200為包覆部#，21〇為 部件，221 & κ 疋长，220為阻擋 ^ 為雜以件，222為後阻播元件。其中中空固 疋裝置分為連結部# ! 1〇與灌注 二 部件m與灌注部件120以螺合方式結合。 連、-、。 210用以將包覆邱 八中該固定％ 復4件200固疋於中空固定奘 凹槽131。 U又裴置100的環狀 圖3&、儿、3。、3(1、>為本發明 空固定裝置桿身紋路的示意圖。 種中 ,^ π 國a顯不.骨連結裝置盥 工4疋裝置為一體成型，桿身u '± ^ 〇 古％虹加· I…、双路，灌注端1 20 有複數個孔洞，以利醫療填 部件。® 3b顯示：骨連”20省入包覆 L與中空固定裝置為-體成 扣身13〇具有環狀紋路，灌注端12() tt v 以利醫療填充物料從灌、、主端”:：有複數個孔洞， 有吉2 固定裝置為一體成型，桿身130具 有直條紋路，灌注媸 料H 有複數個孔洞，以利醫療填充物 科攸灌注端i20灌入脅瑨 匕覆4件。圖3d顯示··骨連結裝置與 中工固定裝置為—體成型 杆身130具有斑點紋路，灌注 & 1 20有複數個孔洞 一菊 以利醫療填充物料從灌注端12〇灌 已*覆部件。圖3e顯千.a Α ^ , ，，肩不.月連結裝置與中空固定裝置為一 體成i ’桿身丨3〇且有 /、有網狀紋路，灌注端120有複數個孔 '同以利醫療填充物料 卞+ «各注端120灌入包覆部件。 圖 4a、4b、4e、4r! m ^ 、4 e為本發明脊椎固定系統之中空 固疋裝置與4種骨連社 _ 。展置、纟α合的較佳具體例示意圖。圖 12 201039796 4a顯示：骨連結裝置4〇〇為接合槽，與中空固定裝置為螺 合，桿身130具有網狀紋路，灌注端12〇有複數個孔洞， 以利醫療填充物料從灌注端12〇灌入包覆部件。圓顯 示·月連釔裝置400為連結桿，與中空固定裝置為螺合， 才干身1 30具有網狀紋路，灌注端丨2〇有複數個孔洞，以利 醫療填充物料從灌注端12〇灌入包覆部件。圖4c顯示：骨 連結裝置400為連結桿，且該連結桿4〇〇與迫緊裝置 0連結，與中空固定裝置為螺合，桿身130具有網狀紋路， 灌注端120有複數個孔洞，以利醫療填充物料從灌注端12〇 灌入包覆部件。圖4d顯示··骨連結裝置4〇〇為骨板，與中 •空固定裝置為螺合，桿身130具有網狀紋路，灌注端12〇 ,有複數個孔洞，以利醫療填充物料從灌注端12〇灌入包覆 部件。圖4e顯示：骨連結裝置4〇〇為接合槽且該接合槽 400藉由桿件500與連結鈎43〇結合，與中空固定裝置為 螺合，桿身Ϊ30具有網狀紋路，灌注端12〇有複數個孔洞， 〇 以利醫療填充物料從灌注端1 20灌入包覆部件。 圖5a、5b、5c為本發明脊椎固定系統之中空固定裝置 的3種灌注端較佳具體例示意圖。其中標號则為中^固 定裝置’ 120為灌注端。圖5a顯示：灌注端120並無孔洞 或細縫。圖5b顯示：灌注端12〇有複數條細缝，以利醫療 填充物料從灌注端120灌入包覆部件。圖5b顯示：灌注端 120有複數個孔洞，以利醫療填充物料從灌注端—灌入 包覆部件。 圖6a、6b、6c為本發明脊椎固定系統3種中空固定裝 13 201039796 置的結合方式的較佳具體例示意圖。其中標號1〇〇為中空 固疋裝置’ 110為連結部件，丨丨i為連結部件丨丨〇的結合端， 120為灌注部件，121為灌注部件12〇的結合端。圖心顯 不.中空固定裝置1 〇〇為一體成型。圖6b顯示··連結部件 11 〇與灌注部# 120以螺合的方式結合。圖6c顯示：連結 部件110與灌注部件120以卡合的方式結合。 圖7a、7b、7c、7d為本發明脊椎固定系統4種包覆部 件的較佳具體例示意圖。其中標號則為包覆部件。圖^ 顯示：包覆部件20G為網狀包覆部件。圖％顯示：包覆邻 件200為PET#f包覆部件。圖〜顯示：包覆部件⑽ 為金屬包覆部件。圖7d顯示：包覆部件2〇〇為彈性包覆部 圖83、外、8^8£1為本發明脊椎固定系統4種包覆部 件與中空固定裝置結合的較佳具體例示意圖。其中標號⑽ 為桿身，20G為包覆部件，21()為固定環 身⑶與包覆部請犧方式結合。圖= =與包覆部件2。〇以螺合方式結合。圖8c顯示:桿身η。 ” I覆部件200以迫緊方式結合。 顯不.桿身130與 匕僳部件200以綑綁方式結合。 件與，為本發明脊椎固定系統3種金屬包覆部 二:Γ置結合的較佳具體例示意圖。其中標㈣ p 為包覆部件，210為固定環。圖8a顯干.包 二部件2::金屬包覆部件，桿身13。與包覆部件以 田”丁方式結合。圖8b顯示：包覆部件糊為金屬包覆部件， 14 201039796 桿身1 30與包覆部件2〇〇 、^ 矛、σ万式結合。圖8c顯示··包 覆部件200為金屬包覆部件 卞件身130與包覆部件200以 迫緊方式結合。 圖m〇b、10c、10d、10e、1〇f為本發明脊椎固定 系統與彈性包覆部件的手術步驟示意圖。其中標號ι〇〇為 〇 中空固定裝置’ 120為結合端’ 為包覆部件，则為醫 療填充物料，骨連結裝置，川結合端，_為管件， 700為灌注|置，800為脊椎骨，90〇為組合裝置。圖10a 顯示：灌注裝置700、中空固定裝置1〇〇及包覆部件_ 接放入管件600 t，並藉由管件_植人已打好孔洞的脊 椎骨刚。圖⑽顯示：灌注裝置·、中空固定裝置咖201039796 VI. Description of the invention: [Technical field to which the invention pertains] In particular, the invention relates to a spinal fixation system for a spinal fixation system for filling materials. [Prior Art] Ο ◎ Traditional spinal surgery usually involves multiple bones implanted in (4), which fixes the relative positions of the bones. Osteophytes, XS eves, and 疋-like bodies, after a vertebrae, only a distance between 1 and r only by the screw in the shank of the screw Fixation = weight of cortical bone and inner layer pine, activity of this kind of screw after surgery or other factors: long, severe osteoporosis (ie cancellous bone sparse. stable door problem) lack of sufficient bone for occlusion Can not fix the problem. Causes the loosening of the bone nail. Structure 2: Two of the above shortcomings 'There are many inventions that use the modified contact surface of the bone nail, two: tamping, such as EP0714643 using micro-pattern ^ with hard reversal The contact area between the _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Loose from the bone, Taiwan patent M30649; Cheng Ding's decree, /± 1 describes the invention A > ή "吏月钉 can be more labor-saving and firm fixation. The upper, but the current bone ▲, ' σ constitutive ^ reduce the β nail in the postoperative loosening of the bone, because the classic day of the day is made of metal material 'the original strength The excessive wear of this bone nail and the golden β 0曰^, between the bones and the nails, often causes the 201039796 bone nail to loosen from the bone and cause more damage to the patient. The traditional technique is aimed at the lupus erythematosus. Suffering, developing and using bone cement and bone nails, injecting bone cement into the bone, then passing the bone nail through the bone plate and drilling into the bone cemented bone, when the thread on the surface of the nail is fused with the bone At the time, the gap is filled with moon cement and the bone cement can be solidified, so that the combination of the nail and the loose bone is firmer. However, the curing characteristics of the bone cement may also cause the nail portion of the nail to not fully penetrate the bone or It is the bone cement structure that is destroyed and solidified when the nail is drilled, so the bone nail and the bone plate are still loose. For example, Taiwan patents M306498, M346406, 267342, or other similar patents, etc., are only utilized - hollow The through hole on the shaft of the bone nail is poured into the surface treatment filling material, such as bone cement (b〇ne cenient), wherein the medical filling material is mostly prepared into a slurry before surgery, and the cement is cemented after the operation. After the nail is inserted into the affected part Increase the stability of the nail, but this kind of design is in the bone cement that is poured into the body because of the high viscosity. If the through hole is too small, the bone cement will accumulate at the exit, or the bone to be poured. The cement is spiked, which does not help the bone to increase the bone mass in the periphery of the nail, and the stability of the nail is limited. The spinal fixation system of the present invention can be combined with a covering on the hollow fixing device. When the medical filling material is poured, the medical filling & material/injection range is limited, so that the medical filling material is opened/formed into a mass structure after the filling is completed, and the mass structure can further The spinal fixation system is invented on the vertebra. 201039796 SUMMARY OF THE INVENTION One object of the present invention is to capture a spinal fixation system. Another object of the present invention is to use a bone joining device to connect a plurality of hollow fixation devices to the spinal fixation system in the iliac pile. Another object of the present invention is to provide a spinal fixation system that utilizes a bone attachment device to connect a hollow fixation device and a fixed fixation. Still another object of the present invention is to provide a spinal fixation system having a hollow fixation device. Still another object of the present invention is to provide a ridge fixing system having a covering member in 揾徂^ η ^ 仕杈. Still another object of the present invention is to provide a spinal fixation system that can be inserted or filled into a medical filling material at the __^. Still another object of the present invention is to provide a spinal fixation system from which a medical filler material can be inserted or filled through a hollow fixture. It is yet another object of the present invention to provide a π 1' spine fixation system for inserting or filling a medical filling material into a frosting " ι 邛 经由 via a hollow fixture. Still another object of the present invention is to provide a 1, s type of medical filler material into a coated component which can inflate the iliac fixation system. According to still another object of the present invention, after the medical filler material is injected into the covering member, the medical filler material is applied to the bone fixation system of the skeleton. Another station of the present invention, the production, the mention of i, a coated component can be limited to the filling of the medical filling material, the limit of the control of the Guangzhuang Weiwei and the spinal fixation system. Still another object of the present invention is to infuse a medical filler 5 201039796 after the system. The covering member and the medical filling material form a spine fixing of the mass structure. The material forming the mass knot fixing system of the present invention. A purpose is to provide a spinal fixation system for a spine fixation system in which a covering member and a medical filling structure can be engaged with a bone fixation system, comprising: a plurality of fixed devices, the proximal end is a connecting end, and the distal end is fixed a vertebral segment to be fixed; a bone linker's connection with the fixedly split joint ends; the feature is: a mountain such fixed device, at least one of which is a hollow fixture, the proximal end of which is a joint end, The distal end is a perfusion end' and the or the hollow fixation device, further a gentleman _ j _ , σ σ 匕 covering member for inserting or pouring medical filling material into the bag via the perfusion end of the hollow fixing device In the covering part, the medical filling material is agglomerated after the completion of the pouring. The tamping device can be any conventional fixation device such as a bone, a can and/or a hollow fixation device, see for example the following figures and their description. The bone joining device may be any conventional bean, such as a bone plate, or a plurality of components: ::::: a knot, a pressing device, a joint groove, a rod or a bone hook (please refer to B 4a, 4b, 4c, 4d ' 4e) narration ° Xuanzhong two fixed device connection $, which can be used to connect any Xi Yuelian and mouth device 'to make the spinal fixation system can be poured after the medical filling 201039796' can be operated The bone of the site is fixed to the expanded and solidified covering member and the bone joining device at the joint end of the mechanical fastening device to increase the stability of the spinal fixation system. The connection end of the hollow fixing device can be combined with the bone joining device in any conventional manner, such as integral forming (see FIGS. 3b, 3C, 3d, 3e), locking, card Combined or screwed. The above-mentioned hollow fixing device's rod-shaped body between the connecting end and the pouring end can have various types of lines... ring pattern, straight stripe, speckle pattern or mesh pattern (see Fig. 3b, je ' 3d). ) for increasing the friction between the hollow fixture and the bone to produce slippage. (4) The hollow fixing device is not easy to postoperatively the perfusion end of the hollow fixing device, and the perfusion end thereof may be the perfusion end, such as a filling with a plurality of slits, and a main wall... (see Figure 5, 5, / : or a plurality of holes are filled well. /, the plurality of slits are filled at the end of the cover member, and the body, the perfusion end or the joint end 1 is fixed to the rod 2 = fixed skirt rod. The combination of U and the covering member is conventionally combined, and the intermediate type can be any groove, and the annular groove is "the covering body: the shaft having the annular recess" The covering member is fixed to the hollow fixed mounting in any conventional combination manner... and the combination of the grooves can be used, such as anchors, buckles, and ties (see Figures 8a, 8b, heart. _5, ° Pull or bundle, 8d). Use the anchor or the fastener to reach the above-mentioned cover member, Α <衮 is preferred. “Full or partially covered the perfusion end of the 201039796 fixture. V 匕A cover member, which may be any conventionally wrapped member such as an elastic covering member, a mesh covering member, a porous bag Covering parts or metal-clad parts (see Figures 7a, 7b, 7e, 7d). The covering parts can be any shape of the covering parts, such as cylindrical, conical, spherical, spheroidal Or a cube-like material. The medical filling material is agglomerated after completion of the infusion. The mass of the mass may be any conventional shape, such as a cylindrical shape, a conical shape, a spherical shape, a spherical shape or a class. The cube is preferably cylindrical. The medical filling material described above may be any conventional medical filling material, such as bone for transplantation (bone _), substitute for orthopedics (-substltutes), bone cement (b〇ne) And / or a mixture thereof (yan (4), composition (compositi〇n), complex (c_p〇 deleted, etc., 146, side 鸠 8 嶋. General and § 'The above medical filling materials, can be exchanged for I + + The ancient smear uses medical filling materials that are filled in as early as pure, such as bones for transplantation, such as autologous bone (10) or allograft, but the effect of curing the card on the m-mouth is obviously relatively poor; , the above medical filling material, to (4) at least a doctor with a sturdy Preferably, the filling material is a medical filling material such as a polymeric material, or after the above-mentioned bone graft for transplanting is used, the entangled entangled material is poured into the lumps, so that the mash substantially fills the entire lumpy structure, or even The lumps of the lumps are slightly 、 胀 以 以 以 以 以 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 强化 ; ; ; Refers to the medical filling materials that can be used at the time of use or before use to form a slurry in the appropriate time after filling into the group makeup, such as the above-mentioned bone substitutes (bone substitutes), bone cement (bone Cement), and/or a mixture thereof, a composition, a composite (C0mp0Site), and the like. The above-mentioned medical filling material 'is preferably osteosynthesis (or osteo_inductive), and/or osteo-inductive (such as a conventional HA-type bone filler; preferably having a bone guiding effect, For example, SrHA-type medical filling materials, see TW-097141700. Those skilled in the art are aware that the above-mentioned medical filling materials, in addition to the conventional medical filling materials, can be substituted for any medical filling materials that are recombined or modified with respect to conventional medical filling materials, even if they are equivalent to newly developed medical treatments. Fill the material. The hollow fixing device may be a one-stage or multi-stage combination. If it is a one-piece type, the hollow fixing device is hollow as a whole. If it is a multi-stage type, the distal perfusion end is hollow, and the other ends may be hollow or solid ( Referring to FIG. 2M, the segments can be combined by any conventional combination, such as locking and snapping (see Figures 6b and 6c). The connecting end of the hollow fixing device can further include a pressing mechanism. The tightening mechanism can be used to adjust the distance between the bone connecting device and the mass medical filling material when the bone connecting device is coupled to increase the stability of the spinal fixation system. A spinal fixation system includes: The second solid-fixing device has a proximal end as a connecting end and a distal end as a perfusion end; a covering member coupled to the hollow fixing device; and a medical filling material; wherein the medical filling material is The 201039796 perfusion end of the hollow fixture is inserted or poured into the covering member to make the medical filling material agglomerate after the filling is completed. 'The above hollow fixing device, the package The component, the medical filling material, the fixing device, the bone connecting device, as described above. The surgical method of the spinal fixation system of the present invention comprises: (1) creating a hole in the spine joint; (7) placing the spinal fixation system in the hole And erecting the bone connecting device of the spinal fixation system outside the vertebrae; (3) placing the infusion device; (4) pouring the medical filling material into the covering member via the infusion device and the hollow fixing device; The medical filling material and the covering member are infused into a dough; (6) the pumping device is removed. The step 1 can be carried out by any conventional opening step, for example, see TW-557785. Into the step 'for example, a cannula is used to place the mouth: fixing system into the hole, see Fig. 1a, or directly insert the ridge (4) system into the hole, see for example Fig. 12a. The above step 3 can be performed by any conventional release. The steps of the device are as shown in Fig. 1A. The above steps 4 and 5 can adopt any conventional infusion step, and the characteristics thereof can be used to control the perfusion range of the medical filling material by the limited degree of the covering member. ::Step "You can use any of the conventional steps of withdrawing the perfusion device. "The monthly method can be advanced - step 7 with a bone-joining device to make the 10 201039796 spinal fixation system combined with the bone-joining device [embodiment] Figure 1 a is a combination of a preferred embodiment of the spine fixation system of the present invention, wherein the standard m 1〇〇 is a hollow fixture, u is a perfusion end, 130 is a shaft, and the shaft is spear. ,, ', know, 12 body surface texture, 200 is the covering part, 210 is the fixed ring, 22 is the blocking part. The hollow fixing device in the soldier is integrally formed, the fixing ring 220 is used to The sentence & 4 Ο - The gull fixes the covering member to the shaft 130 of the hollow fixing device 100. Fig. 1 b is a preferred embodiment of the spine-fixing acupuncture system of the present invention for completing perfusion - the system is not intended. Wherein the label 1〇〇 is t $ g] # _ φ Τ 囡疋 device, 11 〇 is the connection end, 120 is the perfusion end, 130 is the shaft body ^ ^ (10) is the covering part, 210 is the solid 疋 ring, 2 2 0 is the blocking component, 3 is the medical | ώ & The medical filling material 300 is poured into the covering member 200' via the perfusion end 120 of the hollow fixing device, and the medical filling material 3 spleen 4 U 〇 fills the covering member 200, and the 〇 forms a mass . 2a is an exploded view of a preferred embodiment of the spinal fixation system of the present invention, wherein the reference numeral 1〇0 is a hollow fixing device, ... is a connecting end, 120 is a perfusion end, 130 is a shaft, and 131 is an annular groove. , _ is the covering part, 21 〇 is the fixing ring, 220 is the blocking part, 2 is the blocking element, and 222 is the rear blocking element. The fixing ring 2 is used to fix the covering member 200 to the annular groove 131 of the hollow fixing device 1〇〇. Fig. 2b is a schematic exploded view of another preferred embodiment of the spinal fixation system of the present invention. Wherein reference numeral 110 is a joint member, U1 is a joint end of the joint member 11〇201039796, 12〇 is a potting member, 121 is infused with a ηπ桃 peach. The joint end of the piece is 13 1 is a garment-like groove, and 200 is a cladding. Department #, 21〇 is the part, 221 & κ 疋 long, 220 is blocking ^ for the miscellaneous pieces, 222 is the rear blocking component. The hollow solid-state device is divided into a joint portion #! 1〇 and the potting two member m and the potting member 120 are screwed together. even,-,. 210 is used to fix the fixed portion 4 of the cover member in the hollow cover groove 131. U is also set to ring 100. Figure 3 & 3(1), which is a schematic diagram of the shaft of the air-fixing device of the present invention. Among the species, ^ π country a is not visible. The bone connecting device is completed and the device is integrally formed, and the shaft u '± ^ 〇古% Hongjia·I..., two-way, perfusion end 1 20 has multiple holes for medical filling parts.® 3b shows: bone connection” 20 provinces into the cover L and hollow fixtures - body buckles 13〇 Ring pattern, perfusion end 12 () tt v to facilitate medical filling material from the irrigation, the main end":: There are a plurality of holes, the Ji 2 fixing device is integrally formed, the shaft 130 has a straight stripe road, perfusion material H There are a plurality of holes to facilitate the filling of the sputum i20 into the sacral sacs. The Fig. 3d shows that the osseointegration device and the locomotive fixture have a speckle pattern, the perfusion & 1 20 has a plurality of holes and a chrysanthemum to facilitate the filling of the material from the perfusion end 12 to the already covered part. Figure 3e shows a thousand.a Α ^ , ,, shoulder not. The monthly connection device and the hollow fixture are integrated into one 'The shaft is 3丨 and has / mesh pattern, the perfusion end 120 has a plurality of holes' with the same medical Material 卞 + « Each injection end 120 is poured into the cladding part. Figures 4a, 4b, 4e, 4r! m ^, 4 e are the hollow solid-state device of the spinal fixation system of the present invention and four kinds of bone joints _. Figure 12 201039796 4a shows that the bone connecting device 4 is an engaging groove, which is screwed with the hollow fixing device, the shaft 130 has a mesh pattern, and the filling end 12 has a plurality of holes. The Eli medical filling material is poured into the covering member from the filling end 12〇. The round display·monthly connecting device 400 is a connecting rod, and is screwed with the hollow fixing device, and the dry body 1 30 has a mesh pattern, and the perfusion end is 2 There are a plurality of holes for the medical filling material to be poured into the covering member from the filling end 12〇. Fig. 4c shows that the bone connecting device 400 is a connecting rod, and the connecting rod 4〇〇 is connected with the pressing device 0, and is hollow. The fixing device is screwed, the shaft 130 has a mesh pattern, and the filling end 120 has a plurality of holes for the medical filling material to be poured into the covering member from the filling end 12〇. Figure 4d shows that the bone connecting device 4 The bone plate is screwed with the medium and empty fixing device, and the shaft 130 has a net The shape line, the perfusion end 12 〇, has a plurality of holes to facilitate the filling of the medical filling material from the filling end 12 into the covering member. Figure 4e shows that the bone joining device 4 is an engaging groove and the engaging groove 400 is supported by the rod The member 500 is coupled with the connecting hook 43〇, and is screwed with the hollow fixing device. The shaft body 30 has a mesh pattern, and the filling end 12 has a plurality of holes for the medical filling material to be poured into the covering member from the filling end 120. Figures 5a, 5b, and 5c are schematic views showing three preferred embodiments of the perfusion end of the hollow fixation device of the spinal fixation system of the present invention. Wherein the reference numeral is a medium fixing device '120 is a perfusion end. Figure 5a shows that the perfusion end 120 has no holes or slits. Figure 5b shows that the perfusion end 12 has a plurality of slits to facilitate filling of the medical filler material from the perfusion end 120 into the cladding member. Figure 5b shows that the perfusion end 120 has a plurality of holes for the medical filling material to be poured from the perfusion end into the cladding member. 6a, 6b, and 6c are schematic views showing a preferred embodiment of a combination of three kinds of hollow fixing devices 13 201039796 of the spinal fixation system of the present invention. Here, reference numeral 1 is a hollow solid-state device '110 is a joint member, 丨丨i is a joint end of the joint member ,, 120 is a potting member, and 121 is a joint end of the potting member 12''. The figure is not visible. The hollow fixture 1 is integrally formed. Fig. 6b shows that the coupling member 11 is joined to the pouring portion #120 by screwing. Fig. 6c shows that the joining member 110 and the pouring member 120 are engaged in a snap fit manner. 7a, 7b, 7c, and 7d are schematic views showing a preferred embodiment of four kinds of covering members of the spinal fixation system of the present invention. The label is the covering component. Figure ^ shows that the covering member 20G is a mesh covering member. Figure % shows that the cladding member 200 is a PET #f cladding member. Figure ~ shows that the covering member (10) is a metal coated member. Fig. 7d shows that the covering member 2 is an elastic covering portion. Fig. 83, Fig. 83, Fig. 83, Fig. 8 is a schematic view showing a preferred embodiment of the four kinds of covering members of the spinal fixation system and the hollow fixing device. The reference numeral (10) is the shaft, the 20G is the covering member, and the 21 () is the fixing ring (3) combined with the covering portion. Figure = = with the cladding part 2. 〇 is combined by screwing. Figure 8c shows the shaft η. The I covering member 200 is combined in a tight manner. The shaft 130 and the cymbal member 200 are combined in a binding manner. The present invention is a metal covering portion of the spinal fixation system of the present invention. A schematic diagram of a specific example, wherein the standard (four) p is a covering member, 210 is a fixing ring. Figure 8a is dry. The second member 2:: metal coated member, the shaft 13. The combined with the covering member in the field. Fig. 8b shows that the covering member paste is a metal coated member, 14 201039796 The shaft 1 30 is combined with the covering member 2〇〇, ^ spear, and σ million. Fig. 8c shows that the covering member 200 is a metal covering member. The body 130 and the covering member 200 are joined in a tight manner. Figures m〇b, 10c, 10d, 10e, 1〇f are schematic illustrations of the surgical steps of the spinal fixation system and the elastic covering member of the present invention. Wherein the label ι〇〇 is the hollow hollow fixture '120 is the joint end' as the covering part, then the medical filling material, the bone connecting device, the Chuan joint end, the _ is the tube piece, the 700 is the perfusion|set, the 800 is the vertebra, 90 〇 is a combined device. Fig. 10a shows that the perfusion device 700, the hollow fixture 1 and the covering member _ are placed in the tubular member 600 t, and the vertebral vertebrae which have been punched by the tube member are implanted. Figure (10) shows: perfusion device, hollow fixture
及包覆部# 20G植人已打好孔洞的脊椎骨8⑽，並抽離管 件600。圖10c顯示：醫療填充物料3〇〇由灌注裝置 灌入中空固定裝置1〇〇,再經由灌注端12〇灌入包覆部件 2〇〇。圖i〇d顯示：醫療填充物料300與包覆部件2〇〇已灌 注成團狀。圖10e顯示：灌注完成後，將灌注裝置7〇〇抽 離。圖10f顯示：將骨連結裝置400鎖入中空固定裝置1〇〇。 圖11a、lib、11c為本發明脊椎固定系統與具有迫緊 機制的骨連結裝置的結合示意圖。其中標號.丨〇〇為中空固 定裝置，300為醫療填充物料，400為骨連結裝置。圖 顯示：團狀醫療填充物料300與一體成型之中空固定裝置 100及骨連結裝置4〇〇將脊椎固定係統固定於脊椎骨上 圖Ub顯示：脊椎固定系統利用中空固定裝置1〇〇與骨連 結裝置400之間的卡合迫緊機制，將脊椎固定系統固定於 15 201039796 脊椎骨上。圖llc顯示：脊椎固定系統利用中空固定裝置 1 00與骨連結裝置4〇〇 1 j α承σ迫緊機制，將脊椎固定 系統固定於脊椎骨上。 圖12a、12b、12e為本發明脊椎固Μ統與pET材質 包覆部件的手術步驟示意圖。其中標號⑽為中空固定裝 置，120為灌注端，300為醫療填充物料，7〇〇為灌注裝置， _為脊椎骨，12a顯示：灌注裝置7〇〇將中空固定裝置 100植入已打好孔洞的脊椎骨800。圖I2b顯示·醫療填充 物料300由灌注裝i 700灌入中空固定裝置1〇〇 ,經由灌 端120灌入包覆部件。圖i 2c顯示：醫療填充物料3⑽ 已完全灌注成團狀。 圖13a、i3b、13c、nd、13e為本發明脊椎固定系統 y具有迫緊機制的骨連結裝置的手術步驟示意圖。其中標 號1 00為_空固定襞置，200為包覆部件，300為醫療填充 物料400為骨連結裝置，700為灌注裝置，800為脊椎骨， 0為組合裝置。圖13a顯示：灌注裝置7〇〇將中空固定裝 置1 〇〇植入已打好孔洞的脊椎骨800。圖13b顯示：醫療 真充物料300由灌注裝置700灌入中空固定裝置1 〇〇，經 由/霍'主端灌入包覆部件。圖13c顯示：醫療填充物料300 已凡王'瞿注成團狀。圖1 3d顯示：將骨連結裝置400鎖入 中工固定裳置1〇〇。圖Ue顯示：骨連結裝置4〇0已完整組 裝於中空固定裝置1〇〇。 圖14b、14c為本發明脊椎固定系統與金屬彈包 覆部件的手術步驟示意圖。其中標號1 00為中空固定裝 16 201039796And the cladding part #20G implanted the vertebra 8 (10) of the hole and pulled away from the tube 600. Fig. 10c shows that the medical filling material 3 is poured into the hollow fixing device 1 by the filling device, and then poured into the covering member 2 through the filling end 12〇. Figure i〇d shows that the medical filling material 300 and the covering member 2〇〇 have been filled into a dough. Figure 10e shows that after the perfusion is completed, the perfusion device 7 is evacuated. Figure 10f shows the locking of the bone joining device 400 into the hollow fixture 1 . Figures 11a, lib, and 11c are schematic views showing the combination of the spinal fixation system of the present invention and the bone coupling device having the tightening mechanism. Wherein the reference numeral is a hollow fixing device, 300 is a medical filling material, and 400 is a bone joining device. The figure shows that the mass medical filling material 300 and the integrally formed hollow fixing device 100 and the bone connecting device 4 are fixed on the vertebrae of the spinal fixation system. Ub shows that the spinal fixation system utilizes the hollow fixation device 1 and the bone coupling device. The tightening mechanism between the 400 fixes the spinal fixation system to the vertebrae of 15 201039796. Figure 11 shows that the spinal fixation system uses a hollow fixation device 100 and a bone attachment device 4〇〇 1 j α to compress the stenosis mechanism to secure the spinal fixation system to the vertebrae. 12a, 12b, and 12e are schematic views showing the surgical steps of the spinal fixation system and the pET material covering member of the present invention. The reference numeral (10) is a hollow fixing device, 120 is a perfusion end, 300 is a medical filling material, 7 is a perfusion device, _ is a vertebra, and 12a shows: a perfusion device 7 〇〇 implants the hollow fixation device 100 into a hole that has been punched. Vertebra 800. Figure I2b shows that the medical filling material 300 is poured into the hollow fixture 1 from the filling station i 700 and filled into the cladding member via the filling end 120. Figure i 2c shows that the medical filling material 3 (10) has been completely infused into a dough. Figures 13a, i3b, 13c, nd, and 13e are schematic views of the surgical procedure of the bone joining device having the tightening mechanism of the spinal fixation system y of the present invention. Wherein the symbol 100 is an empty fixed device, 200 is a covering member, 300 is a medical filling material 400 is a bone joining device, 700 is a perfusion device, 800 is a vertebra, and 0 is a combined device. Fig. 13a shows that the perfusion device 7 〇〇 implants the hollow fixation device 1 〇〇 into the vertebra 800 that has been punched. Fig. 13b shows that the medical true filling material 300 is poured into the hollow fixing device 1 by the filling device 700, and is poured into the covering member via the main end. Figure 13c shows that the medical filling material 300 has been smashed into a mass. Fig. 1 3d shows that the bone joining device 400 is locked into the middle working fixed position 1 〇〇. Figure Ue shows that the bone joining device 4〇0 has been completely assembled in the hollow fixing device 1〇〇. 14b and 14c are schematic views showing the surgical steps of the spinal fixation system and the metal elastic covering member of the present invention. Wherein the label 1 00 is a hollow fixture 16 201039796
件，300為醫療填充物料，400為骨連結 裝置，800為脊椎骨。圖14a顯示：包覆 *覆部件，灌注裝置700將中空固定裝置 洞的脊椎骨800。圖1 4b顯示：醫療填充 :置700灌入中空固定裝置100，經由灌 置，200為包覆部件， 裝置，700為灌注裝置 /主端/瞿入金屬包覆部件2〇〇，並撐開金屬包覆部件。圖 顯不.醫療填充物料300已完全灌注且將金屬包覆部件2〇〇 撐開成團狀。 圖15為本發明脊椎固定系統與骨釘結合示意圖。其中 標號100為中空固定裝置，3〇〇為醫療填充物料，4〇〇為骨 連結裝置’ 500為桿件，910為骨釘。其中該中空固定裝置 100藉由骨連結裝置400及桿件500，與骨釘910結合。 【圖式簡單說明】 圖1 a為本發明脊椎固定系統一個較佳具體例的結合示 〇 意圖。 圖lb為圖la完成灌注的較佳具體例示意圖。 圖2 a為本發明脊椎固定系統一個較佳具體例的分解示 圖2b為本發明脊椎固定系統另一個較佳具體例的分 解示意圖。 圖3a、3b、3c、3d、3e為本發明脊椎固定系統5種中 空固定裝置桿身紋路的示意圖。 圖4a、4b、乜、4d、扑為本發明脊椎固定系統之中空 17 201039796 固定裝置與4種骨造么士 # 丄人 月連結裝置結合的較佳具體例示专闇 圖 5a、5b、盔士八 口口 X, ^ 圖。 c為本發明脊椎固定“之中空 的3種灌注端較佳具體例示意圖。 、置 圖H6C為本發明脊椎固定系統3種中空固定壯 置的結合方式的較佳具體例示意圖。 衣 圖7a、7b、7c、7d為本發明脊椎固定系統 件的較佳具體例示意圖。 ^覆部3, 300 is a medical filling material, 400 is a bone connecting device, and 800 is a vertebra. Fig. 14a shows: a coated member, a perfusion device 700 that will hollow the fixation device's vertebra 800. Figure 1 4b shows: medical filling: 700 is filled into the hollow fixture 100, through the filling, 200 is the covering part, the device, 700 is the filling device / main end / smashing the metal covering part 2 〇〇, and open Metal coated parts. The figure shows that the medical filler material 300 has been completely filled and the metal coated component 2 is stretched into a dough. Figure 15 is a schematic view showing the combination of the spinal fixation system and the bone nail of the present invention. The reference numeral 100 is a hollow fixing device, 3 is a medical filling material, 4 is a bone connecting device '500 is a rod member, and 910 is a bone nail. The hollow fixation device 100 is coupled to the bone nail 910 by the bone coupling device 400 and the rod member 500. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1a is a schematic illustration of a preferred embodiment of a spinal fixation system of the present invention. Figure lb is a schematic diagram of a preferred embodiment of the completion of perfusion of Figure la. Fig. 2a is an exploded perspective view of a preferred embodiment of the spinal fixation system of the present invention. Fig. 2b is a schematic exploded view of another preferred embodiment of the spinal fixation system of the present invention. 3a, 3b, 3c, 3d, and 3e are schematic views of the shaft lines of five kinds of hollow fixing devices of the spinal fixation system of the present invention. 4a, 4b, 乜, 4d, 中空 为本 为本 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 Eight mouths X, ^ figure. c is a schematic diagram of a preferred embodiment of the three kinds of hollow perfusion ends of the spine fixation of the present invention. Figure H6C is a schematic diagram of a preferred embodiment of the three types of hollow fixation of the spinal fixation system of the present invention. 7b, 7c, and 7d are schematic diagrams of preferred embodiments of the spinal fixation system of the present invention.
圖8a、8b、8C、8d為本發明脊椎固定系統4種包 件與中空固定裝置結合的較佳具體例示意圖。 / P8a, 8b, 8C, and 8d are schematic views showing a preferred embodiment of the combination of the four kinds of packages of the spinal fixation system and the hollow fixing device. / P
圖9a、9b、9c為本發明脊椎固定系統3種金屬包 件與中空固定裝置結合的較佳具體例示意圖。 是D 圖l〇a、10b、l〇c、10d、1〇e、1〇f為本發明脊椎固定 系統與彈性包覆部件的手術步驟示意圖。 疋 圖Ha、lib、lie為本發明脊椎固定系統與具有迫緊 機制的骨連結裝置的結合示意圖。 圖12a、12b、12c為本發明脊椎固定系統與pET材質 包覆部件的手術步驟示意圖。 圖13a、13b、13c' 13d、13e為本發明脊椎固定系統 與具有迫緊機制的骨連結裝置的手術步驟示意圖。 圖14a、14b、14c為本發明脊椎固定系統與金屬彈包 覆部件的手術步驟示意圖。 圖1 5為本發明脊椎固定系統與骨釘結合示意圖。 18 201039796 【主要元件符號說明】 101 定裝置 110 連結端 111 結合端 120 灌注端 121 結合端 130 桿身 13 1 環狀凹槽 200 包覆部件 210 固定環 220 阻擋部件 221 前阻撞元件 222 後阻擋元件 301 醫療填充物料 401 骨連結裝置 410 結合端 420 迫緊裝置 430 連結釣 510 桿件 600 管件 700 灌注裝置 800 脊椎骨 900 組合裝置 910 骨釘 〇 199a, 9b, and 9c are schematic views showing a preferred embodiment of the combination of three metal packages and a hollow fixing device of the spinal fixation system of the present invention. D is a schematic view of the surgical procedure of the spinal fixation system and the elastic covering member of the present invention.疋 Figures Ha, lib, and lie are schematic diagrams of the combination of the spinal fixation system of the present invention and the bone coupling device having a pressing mechanism. 12a, 12b, and 12c are schematic views showing the surgical steps of the spinal fixation system and the pET material covering member of the present invention. Figures 13a, 13b, 13c' 13d, 13e are schematic illustrations of the surgical procedure of the spinal fixation system of the present invention and a bone attachment device having a compression mechanism. Figures 14a, 14b, and 14c are schematic views showing the surgical steps of the spinal fixation system and the metal elastic covering member of the present invention. Figure 15 is a schematic view showing the combination of the spinal fixation system and the bone nail of the present invention. 18 201039796 [Description of main components] 101 Fixing device 110 Connecting end 111 Bonding end 120 Pouring end 121 Bonding end 130 Shaft 13 1 Annular groove 200 Covering member 210 Fixing ring 220 Blocking member 221 Front blocking element 222 Rear blocking Element 301 Medical Filling Material 401 Bone Attachment 410 Bonding End 420 Tightening Device 430 Connecting Fishing 510 Rod 600 Pipe 700 Infusion Device 800 Vertebra 900 Combination Device 910 Bone Nail 〇 19