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    • 56. 发明授权
    • Adjustable vertebral body replacement
    • 可调椎体更换
    • US06344057B1
    • 2002-02-05
    • US09073081
    • 1998-05-05
    • Louis Marie RabbeLawrence M. Boyd
    • Louis Marie RabbeLawrence M. Boyd
    • A61F244
    • A61F2/30744A61B17/7059
    • An adjustable vertebral body replacement implant and assembly includes a thin-walled cylindrical body configured to span over most of the length between intact vertebrae when damaged or diseased vertebrae have been removed. The cylindrical body defines a hollow interior and includes endplates with end surfaces configured to contact the adjacent vertebra and to engage the cylindrical body therebetween. Said end surface includes a blade or plurality of blades configured to penetrate the adjacent vertebra and to facilitate insertion and removal of the implant. This end surface also defines a bore through said endplate. In one embodiment, an end cap which includes a porous body such as porous tantalum manufactured under the name HEDROCEL® is placed in said bore. The end cap provides strength to carry the vertebral loading while allowing vascularization between the intact vertebral and bone growth material disposed within the implant. In another embodiment, the end cap includes an anchor embedded in the bone growth material. The end cap may also include a positioning surface to align the end cap within the bore.
    • 可调节的椎体替换植入物和组件包括薄壁圆筒体,其被构造成在已经被去除损伤或患病椎骨时跨越完整椎骨之间的大部分长度。 圆柱形主体限定中空的内部并且包括端板,其端面被构造成接触相邻的椎骨并使其与圆柱体接合。 所述端面包括构造成穿透相邻椎骨并有助于植入物的插入和移除的叶片或多个叶片。 该端面还限定穿过所述端板的孔。 在一个实施例中,包括多孔体的端盖,例如以名称HEDROCEL制造的多孔钽被放置在所述孔中。 端盖提供承载椎体载荷的强度,同时允许在植入物内设置的完整的椎骨和骨生长材料之间的血管化。 在另一个实施例中,端盖包括嵌入在骨生长材料中的锚。 端盖还可以包括定位表面以将端盖对准在孔内。
    • 57. 发明授权
    • Anterior spinal instrumentation and method for implantation and revision
    • 前路脊髓手术及植入修复方法
    • US06190388B1
    • 2001-02-20
    • US09487167
    • 2000-01-19
    • Gary K. MichelsonLawrence M. Boyd
    • Gary K. MichelsonLawrence M. Boyd
    • A61B1770
    • A61B17/1671A61B17/1637A61B17/7011A61B17/7032A61B17/7041A61F2/442A61F2/4455A61F2/446A61F2/4611A61F2002/2835A61F2002/30224A61F2002/30235A61F2002/30785A61F2002/30787A61F2002/30797A61F2002/3085A61F2002/4475A61F2002/448A61F2002/449A61F2002/4619A61F2002/4627A61F2002/4681A61F2230/0069
    • A system and method for anterior fixation of the spine utilizes a cylindrical implant engaged in the a intradiscal space at the cephalad and caudal ends of the construct. The implants are cylindrical fusion devices (10) filled with bone material to promote bone ingrowth and fusion of the disc space. An attachment member (40) is connected to each of the fusion devices (10) and bone screws (30) having similar attachment members (33) are engaged in the vertebral bodies of the intermediate vertebrae. A spinal rod (50) is connected to each of the attachment members using an eyebolt assembly (53, 54, 55). In a further inventive method, a revision of the construct is achieved by removing the fusion devices. Each fusion device is engaged by an elongated guide member (62) over which a cylindrical trephine (70) is advanced. The trephine (70) has an inner diameter larger than the diameter of the fusion implant and includes cutting teeth (72) for extracting a core (84) of bone material around the fusion implant. The trephine (70) and guide member (62) are removed along with the bone core (84) containing the fusion implant (10). The trephine (70) is also used to extract a bone dowel from a solid bone mass to be inserted into the space left by the removed bone core (84).
    • 用于脊柱前固定的系统和方法利用一种圆柱形植入物,该圆柱形植入物在构造体的头部和尾端处于椎间盘内空间内。 植入物是填充有骨材料的圆柱形融合装置(10),以促进椎间盘的向内生长和融合。 连接构件(40)连接到每个融合装置(10),并且具有相似附接构件(33)的骨螺钉(30)接合在中间椎骨的椎体中。 使用吊环组件(53,54,55)将脊柱杆(50)连接到每个附接构件。 在另一发明的方法中,通过去除融合装置来实现构建体的修订。 每个融合装置由细长的引导构件(62)接合,圆柱形环钻(70)在该引导构件上前进。 环钻(70)的内径大于融合植入物的直径,并且包括切割齿(72),用于提取融合植入物周围的骨材料芯(84)。 将环钻(70)和引导构件(62)与含有融合植入物(10)的骨芯(84)一起被移除。 环钻(70)还用于从固体骨块提取骨榫,以将其插入被移除的骨芯(84)留下的空间中。