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    • 11. 发明授权
    • Methods and apparatus for fusionless treatment of spinal deformities
    • 脊柱畸形融合治疗方法与装置
    • US5951553A
    • 1999-09-14
    • US892604
    • 1997-07-14
    • Randall BetzMichael C. ShermanTroy Drewry
    • Randall BetzMichael C. ShermanTroy Drewry
    • A61B17/70A61B17/80
    • A61B17/885A61B17/7044A61B17/8095A61B17/7032A61B17/7041
    • The treatment and correction of spinal deformities, such as scoliosis, is accomplished without the need for fusion of the intervertebral disc space. A surgical technique is provided in which opening and closing osteotomies are created in the affected vertebrae. Correction devices are provided which hold the osteotomies in either their closed or open orientations. The correction devices include staples holding the vertebral body on opposite sides of the body to retain the osteotomies in their desired orientation. In the opening osteotomies, the correction devices include a wedge member that is disposed within the opened wedge osteotomy and in contact with the vertebral body. The correction devices also include connection members which can be used to engage the devices to an elongated member spanning the spine, such as a spinal rod. Once bone union has occurred in the instrumented vertebrae, the spinal rod can be disconnected from the correction devices and removed from the patient. In another aspect of the invention, curvature deformities in two planes can be corrected using the same techniques and devices.
    • 脊柱畸形的治疗和矫正如脊柱侧凸在不需要椎间盘融合的情况下完成。 提供了一种手术技术,其中在受影响的椎骨中产生开闭截骨术。 提供校正装置,其将截骨固定在封闭或敞开的方位。 校正装置包括将身体保持在身体的相对侧上的钉,以将截骨保持在其期望的取向。 在开放性截骨术中,矫正装置包括楔形构件,其设置在开放的楔形截骨中并与椎体接触。 校正装置还包括可用于将装置接合到跨越脊柱的细长构件(例如脊椎杆)的连接构件。 一旦在仪器化的椎骨中发生骨结合,脊柱杆可以与校正装置断开并从患者身上移除。 在本发明的另一方面,可以使用相同的技术和装置来校正两个平面中的曲率畸变。
    • 13. 发明授权
    • Multi-axial bone screw assembly
    • 多轴骨螺钉总成
    • US5885286A
    • 1999-03-23
    • US798872
    • 1997-02-11
    • Michael C. ShermanTroy Drewry
    • Michael C. ShermanTroy Drewry
    • A61B17/58A61B17/70A61B19/00
    • A61B17/7037A61B17/7032A61B2090/037
    • A multi-axial bone engaging fastener assembly includes a bone screw having a partially spherical head. The bone screw head is truncated at an upper surface in which a tool receiving recess is defined. The assembly includes a receiver member including a central bore that defines a tapered recess to receive the head of the bone screw. The bore of the receiver member also defines a channel communicating with the recess and configured to receive a spinal rod therein. A portion of the channel is threaded to receive a set screw above the rod. The assembly also includes a crown member disposed between the rod and the head of the bone screw. As the set screw is tightened into the receiver member, the set screw compresses the rod against the crown member, which presses the head of the bone screw into the tapered recess. In one embodiment, the head of the bone screw includes a flared edge that penetrates at least the crown member as the assembly is tightened. In another embodiment, the bone screw head includes a plurality of circumferential ridges configured to bite into the crown member. In a further aspect, the crown member is threaded to be inserted into the receiver member by threading through the threaded portion of the receiver member.
    • 多轴骨接合紧固件组件包括具有部分球形头部的骨螺钉。 骨螺钉头在限定工具容纳凹部的上表面处被截断。 组件包括接纳件,该接收器构件包括限定用于接收骨螺钉头部的锥形凹部的中心孔。 接收器构件的孔还限定了与凹部连通且被构造成在其中容纳脊柱杆的通道。 通道的一部分被螺纹接纳在杆上方的固定螺钉。 组件还包括设置在杆和骨螺钉的头部之间的冠部构件。 当定位螺钉被紧固到接收器构件中时,定位螺钉将杆压靠在冠部构件上,该冠部件将骨螺钉的头部压入锥形凹槽中。 在一个实施例中,骨螺钉的头部包括当组件被紧固时至少穿过冠部构件的扩口边缘。 在另一个实施例中,骨螺钉头包括构造成咬入冠部构件的多个周向脊。 在另一方面,冠部件通过穿过接收器构件的螺纹部分被螺纹地插入接收器构件中。
    • 15. 发明申请
    • Crosslink interconnection of bone attachment devices
    • 骨连接装置的交联连接
    • US20070270809A1
    • 2007-11-22
    • US11401822
    • 2006-04-10
    • Troy DrewryWilliam NullMarc Paul
    • Troy DrewryWilliam NullMarc Paul
    • A61F2/30
    • A61B17/7052A61B17/7032
    • An apparatus comprises a pair of bone attachment devices and a crosslink device for a spinal fixation system or other implant arrangement. The bone attachment devices include a head with socket to receive a spinal rod or other elongate element and the crosslink device includes a pair of bridging members each having an end section for connecting with the bone attachment devices. An interconnection device situated between the bridging members receives the bridging members and allows translational and rotational freedom therebetween while being operable to secure the bridging members in position relative to one another. A pair of engaging members are structured to engage the head of the respective bone attachment device and bear against the respective adjacent end of crosslink device to lock the crosslink and the bone attachment device in a rigid construct are also included.
    • 一种装置包括一对骨附着装置和用于脊柱固定系统或其它植入装置的交联装置。 骨附接装置包括具有用于接收脊柱杆或其它细长元件的插座的头部,并且交联装置包括一对桥接构件,每个桥接构件具有用于与骨附接装置连接的端部部分。 位于桥接构件之间的互连装置接收桥接构件并且允许它们之间的平移和旋转自由度,同时可操作以将桥接构件相对于彼此固定就位。 一对接合构件被构造成接合相应的骨骼附接装置的头部并且抵靠交联装置的相应的相邻端部以将交联锁定并且将骨骼附接装置锁定在刚性结构体中。
    • 18. 发明授权
    • Multi-angle bone screw assembly using shape-memory technology
    • 使用形状记忆技术的多角度骨螺钉组件
    • US06454773B1
    • 2002-09-24
    • US09944662
    • 2001-08-31
    • Michael C. ShermanTroy Drewry
    • Michael C. ShermanTroy Drewry
    • A61B1770
    • A61B17/7037A61B17/7032A61B17/7038A61B2017/00867Y10S411/909Y10S606/911
    • In one embodiment, a spinal fixation assembly includes an elongated member, such as a spinal rod, configured for placement adjacent the spine and a bone engaging fastener, such as a bone screw having a lower portion configured for engaging a vertebra and a head that is at least partially spherical. The assembly further includes a receiver member defining a bore therethrough from a top end to a bottom end, a recess for receiving the head of the bone screwing fastener therein, and a lower opening at said bottom end of the receiver member through which the bone screw extends. The recess is configured to at permit pivoting of the bone screw within the receiver member until the head is fixed within the recess. The receiver member also includes a channel communicating with the bore and having an upper opening at the top end of the receiver member for insertion of the spinal rod into the channel. In one embodiment, two compression members are provided, each being formed of a temperature responsive material and having a first configuration at a first temperature and a different second configuration at a different second temperature in which the compression member contracts about a portion of the receiver member to thereby compress the receiver member about both the head of the bone screw within the recess and the spinal rod within the channel.
    • 在一个实施例中,脊柱固定组件包括细长构件,例如脊骨杆,其构造成用于邻近脊柱放置,以及骨接合紧固件,例如骨螺钉,其具有构造成用于接合椎骨的下部分和头部, 至少部分是球形的。 所述组件还包括限定从顶端到底端穿过其中的孔的接收器构件,用于容纳所述骨螺钉紧固件的头部的凹部,以及在所述接收器构件的所述底端处的下开口,所述骨螺钉 延伸。 该凹部构造成允许骨螺钉在接收器构件内枢转,直到头部固定在凹槽内。 接收器构件还包括与孔连通并且在接收器构件的顶端具有用于将脊柱杆插入通道中的上开口的通道。 在一个实施例中,提供两个压缩构件,每个压缩构件由温度响应材料形成,并且在不同的第二温度下具有在第一温度和不同的第二构造的第一构型,其中压缩构件围绕接收构件的一部分收缩 从而将接收器构件围绕凹槽内的骨螺钉的头部和通道内的脊柱杆压缩。