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    • 69. 发明授权
    • Minimal exposure posterior spinal interbody instrumentation and technique
    • 最小暴露后路脊柱体内仪器和技术
    • US06200322B1
    • 2001-03-13
    • US09373835
    • 1999-08-13
    • Charles L. BranchLawrence M. BoydEddie F. Ray, III
    • Charles L. BranchLawrence M. BoydEddie F. Ray, III
    • A61B1758
    • A61B17/1757A61B2017/0256A61F2/442A61F2/4455A61F2/4611A61F2002/2839A61F2002/30224A61F2002/30774A61F2002/30777A61F2002/30797A61F2002/30866A61F2002/4623A61F2002/4627A61F2002/4687A61F2230/0069
    • A surgical method for preparing a site for implantation of a spinal implant into a disc space in which the disc space is first distracted by a novel stepped distractor, followed by insertion of a novel guide sleeve including a proximal portion having an uninterrupted side wall and a distal portion having a side wall defining a longitudinal opening extending along its entire length. The guide sleeve is seated adjacent the disc space with the longitudinal opening positioned opposite the dural region of the spine to provide a working channel to the disc space. A cutting tool is then inserted through the guide sleeve to remove tissue and bone laterally extending into the interior of the guide sleeve through the longitudinal opening, but only as much as necessary for passage of the spinal implant. In a further embodiment, a protective barrier, including a pair of overlapping, flexible leaf members, is operably attached to the inside surface of the guide sleeve and positioned across the longitudinal opening to separate the inner region of the guide sleeve from the outer surgical environment.
    • 一种用于将脊柱植入物植入椎间盘空间的部位的手术方法,其中椎间盘空间首先由新的阶梯式牵引器分心,随后插入包括近侧部分的新型引导套筒,该近端部分具有不间断的侧壁和 远侧部分具有限定沿其整个长度延伸的纵向开口的侧壁。 导向套筒位于盘片空间附近,其纵向开口定位成与脊柱的硬脑膜区域相对,以向盘片空间提供工作通道。 然后,切割工具通过引导套筒插入,以通过纵向开口横向延伸到引导套筒的内部中的组织和骨骼,但是只有通过脊柱植入物所必需的那样多。 在另一个实施例中,包括一对重叠的柔性叶片构件的保护性屏障可操作地附接到引导套筒的内表面并且横跨纵向开口定位,以将引导套筒的内部区域与外部手术环境分开 。