CN110811803B - Cervical vertebra anterior oblique transverse fixing steel plate - Google Patents
Cervical vertebra anterior oblique transverse fixing steel plate Download PDFInfo
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- CN110811803B CN110811803B CN201911033971.5A CN201911033971A CN110811803B CN 110811803 B CN110811803 B CN 110811803B CN 201911033971 A CN201911033971 A CN 201911033971A CN 110811803 B CN110811803 B CN 110811803B
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- plate
- main body
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- auxiliary plate
- screw hole
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- 229910000831 Steel Inorganic materials 0.000 title claims abstract description 22
- 239000010959 steel Substances 0.000 title claims abstract description 22
- 229910001069 Ti alloy Inorganic materials 0.000 claims abstract description 8
- 239000000956 alloy Substances 0.000 claims abstract description 8
- 210000000988 bone and bone Anatomy 0.000 claims description 13
- 230000001054 cortical effect Effects 0.000 claims description 10
- 239000011159 matrix material Substances 0.000 claims description 3
- 230000000694 effects Effects 0.000 claims description 2
- 210000000278 spinal cord Anatomy 0.000 claims description 2
- 230000004927 fusion Effects 0.000 description 6
- 230000033001 locomotion Effects 0.000 description 4
- 230000008901 benefit Effects 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 206010018852 Haematoma Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 210000004446 longitudinal ligament Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000001009 osteoporotic effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 210000002385 vertebral artery Anatomy 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/809—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a cervical vertebra anterior oblique transverse fixing steel plate which comprises a main body plate and auxiliary plates, wherein a plurality of through holes are formed in the middle of a plate body of the main body plate, threaded holes are formed between the upper edge and the lower edge of the plate body of the main body plate and the through holes in the middle of the plate body of the main body plate, at least 4 auxiliary plates are arranged on the left side and the right side of the plate body of the main body plate respectively, the auxiliary plates are hinged with the main body plate, a threaded hole is formed in each auxiliary plate, a spine is arranged on the inner side of each auxiliary plate, the length range of the spine is 2-3 mm, the width of the upper part and the width of the lower part of the plate body of the main body plate are the same, the upper part and the lower part of the plate body of the main body plate are narrower than those of the middle part of the plate body plate, the main body plate is made of a titanium alloy material, and the auxiliary plates are made of the titanium alloy material. The cervical vertebra anterior fixing steel plate is simple in structure, convenient and fast to operate, more stable in overall structure and higher in fixing strength compared with a traditional cervical vertebra anterior fixing steel plate.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a cervical vertebra anterior oblique transverse fixing steel plate.
Background
The anterior cervical steel plate fixation is a common internal fixation instrument for anterior cervical fusion, after intervertebral disc and anterior longitudinal ligament are removed, pressure reduction and bone grafting bed preparation are completed, a fusion device is implanted, and finally a steel plate is arranged to tighten screws.
The fusion device mainly plays a supporting role, and the steel plate is used as a bone fracture plate and mainly plays a role in stabilizing and fixing.
The cervical vertebrae of the human body still move after the operation, including several movements of forward flexion, backward extension, left and right lateral flexion and left and right rotation. If these movements are repeated over a long period of time, the steel plate may loosen and the screw may be withdrawn.
It is noted that the pullout resistance of a screw is related to the screw thread, the depth of the screw channel, and the strength of the bone (e.g., cancellous, cortical, osteoporotic).
In the movement of the cervical vertebra of a human body, the fusion device is supported when the cervical vertebra is bent forwards, the front part mainly has pressure, the fusion device is very resistant to pressure, the rear ligament muscle joint composite structure part has tension, and the tension structure is very strong because the rear part is not operated, so the cervical vertebra is very stable.
When the cervical vertebra stretches backwards, the tension is opposite, the front tends to stretch, the pressure is at the back, the connecting force between the adjacent vertebral bodies is lost due to the fact that the ligament and the intervertebral disc in the front are cut off, the cervical vertebra is connected with the screw by the steel plate completely, the cervical vertebra is not as stable as the stretching backwards, the steel plate can generate the tension, and the screw can have a pull-out force. How to improve steel sheet screw fixation strength, prevent that the screw from extracting, the tension structural strength in the place ahead when increasing the motion of stretching backward is a problem that exists at present.
Disclosure of Invention
The invention aims to provide the cervical vertebra anterior oblique transverse fixing steel plate which is simple in structure, stable in whole and strong in fixing strength.
In order to achieve the purpose, the invention is realized by adopting the following technical scheme:
the utility model provides a fixed steel sheet of cervical vertebra front approach slant horizontal shape, includes main part board and subplate, and main part board body middle part is provided with a plurality of through-holes, respectively is equipped with a screw hole between border and the middle part through-hole about the main part board body, the subplate has 4 at least, and the main part board body left and right sides sets up 2 subplates respectively at least, the subplate all articulates with the main part board, the subplate body all is provided with a screw.
Preferably, the inner sides of the auxiliary plates are provided with a spike.
Furthermore, the length range of the spine is 2 mm-3 mm.
Preferably, the main plate is made of a titanium alloy material, and the sub-plate is made of a titanium alloy material.
Preferably, the through holes are arranged in a matrix, and the through holes are circular.
Preferably, the width of the upper part and the lower part of the main body board body are the same, and the middle part of the main body board body is narrower than the upper part and the lower part.
Preferably, the number of the auxiliary plates is 4, and the auxiliary plates are respectively a first auxiliary plate, a second auxiliary plate, a third auxiliary plate and a fourth auxiliary plate.
Furthermore, there are 4 screw holes, be first screw hole, second screw hole, third screw hole and fourth screw hole respectively.
Further, first screw is located first auxiliary plate body the latter half, the second screw is located second auxiliary plate body the latter half, the third screw is located third auxiliary plate the upper half, the fourth screw is located fourth auxiliary plate the latter half.
Further, first subplate is located the main part body left side of half, the second subplate is located the main part body right side of half, the third subplate is located the left side of main part body the latter half, the fourth subplate is located the right side of main part body the latter half.
The invention has the following beneficial effects:
1. compared with the traditional anterior cervical fixing steel plate, the number of screws and the length of screw channels are increased, so that the overall stability is improved;
2. when in use, 2 oblique long screws penetrate through the two layers of hard cortical bones, so that the anti-pull-out force and the stability of the screws are improved;
3. the auxiliary plates arranged on the two sides of the main body plate increase the attaching area with vertebral bones to form an encircling effect, thereby increasing the stability;
4. the inner side of the auxiliary plate is provided with sharp spines which can pierce cortical bones when in use and can increase the tensile strength when the cervical vertebra steel plate is in contact with the cortical bones when being stretched;
5. although long screws penetrate through two layers of cortical bone obliquely in use, the spinal cord in the vertebral canal cannot be damaged;
6. the operation complexity and high risk of reverse pedicle screws in the past means are avoided, so that the risk of death of injured vertebral arteries is avoided;
7. the circular through-hole that a plurality of array that the mainboard middle part set up was arranged is keeping under the circumstances of fixed intensity, and the contact of intervertebral space bone grafting region and soft tissue around, thereby it promotes intervertebral fusion to do benefit to blood and supplies hematoma formation.
Drawings
FIG. 1 is a front view of the present invention;
FIG. 2 is a top view of the present invention;
fig. 3 is a schematic cross-sectional view of the present invention in use.
In the figure: 1-main body plate, 3-through hole, 4-threaded hole, 6-spine, 7-long screw, 8-short screw, 9-vertebral body, 10-vertebral hole, 11-first subplate, 12-second subplate, 13-third subplate, 14-fourth subplate, 15-first screw hole, 16-second screw hole, 17-third screw hole and 18-fourth screw hole.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail below with reference to the accompanying drawings.
The utility model provides a fixed steel sheet of cervical vertebra front path slant horizontal shape, includes main part board 1 and subplate, and 1 board body middle part of main part board is provided with a plurality of through-holes 3, respectively is equipped with a screw hole 4 between border and the middle part through-hole 3 about 1 board body of main part board, the subplate has 4 at least, and 1 board body left and right sides of main part board set up 2 subplates respectively at least, the subplate all articulates with main part board 1, the subplate board body all is provided with a screw.
As shown in fig. 1 and 2, the widths of the upper and lower parts of the main body plate 1 are the same, the middle part of the main body plate 1 is narrower than the upper and lower parts, the through holes 3 are arranged in a matrix, the through holes 3 are circular, and there are 4 sub-plates, namely a first sub-plate 11, a second sub-plate 12, a third sub-plate 13 and a fourth sub-plate 14; the number of the screw holes is 4, and the screw holes are respectively a first screw hole 15, a second screw hole 16, a third screw hole 17 and a fourth screw hole 18; the first screw hole 15 is located first auxiliary plate 11 board body the latter half, the second screw hole 16 is located second auxiliary plate 12 board body first half, third screw hole 17 is located third auxiliary plate 13 first half, fourth screw hole 18 is located fourth auxiliary plate 14 the latter half.
The inner sides of the auxiliary plates are respectively provided with a spine 6, and the length range of the spine 6 is 2 mm-3 mm.
The main plate 1 is made of a titanium alloy material, and the auxiliary plate is made of a titanium alloy material.
When in use, as shown in figure 3, the auxiliary plates at the two sides of the main body plate 1 are clamped by a special tool, so that the spine 6 pierces into the cone; then, manually operating a long screw 7 with the diameter matched with the screw hole to penetrate into the cone 9 along a certain angle through the screw hole, and enabling the long screw 7 to penetrate through the cortical layer in front of the opposite side; finally, the short screw 8 with the diameter matched with the threaded hole is screwed into the cone 9 through the threaded hole, the length of the short screw 8 is limited, and the short screw cannot penetrate into the vertebral hole 10.
The positions of the tightened short screw 8, the tightened long screw 7, the main body plate 1 and the auxiliary plate are not changed, and the whole body is stably locked.
The present invention is capable of other embodiments, and various changes and modifications may be made by one skilled in the art without departing from the spirit and scope of the invention.
Claims (2)
1. The utility model provides a fixed steel sheet of horizontal shape of anterior cervical vertebra slant which characterized in that: the auxiliary plate is hinged with the main body plate, the auxiliary plate body is provided with a screw hole, the auxiliary plates arranged on the two sides of the main body plate increase the attaching area with vertebral bones, and form an encircling effect, so that the stability is increased;
the through holes are arranged in a matrix shape and are circular;
the widths of the upper part and the lower part of the main body plate body are the same, and the middle part of the main body plate body is narrower than the upper part and the lower part;
the inner sides of the auxiliary plates are respectively provided with a spine, the length range of the spine is 2-3 mm, the spine is designed on the inner side of the auxiliary plate, the spine can puncture cortical bones when in use, and the spine can contact with the cortical bones when the cervical vertebra steel plate is stretched to increase the tensile strength of the cervical vertebra steel plate;
the auxiliary plate is provided with 4 auxiliary plates which are respectively a first auxiliary plate, a second auxiliary plate, a third auxiliary plate and a fourth auxiliary plate, the number of screw holes is 4, the screw holes are respectively a first screw hole, a second screw hole, a third screw hole and a fourth screw hole, the first screw hole is positioned on the lower half part of the plate body of the first auxiliary plate, the second screw hole is positioned on the upper half part of the plate body of the second auxiliary plate, the third screw hole is positioned on the upper half part of the third auxiliary plate, the fourth screw hole is positioned on the lower half part of the fourth auxiliary plate, the first auxiliary plate is positioned on the left side of the upper half part of the plate body of the main body plate, the second auxiliary plate is positioned on the right side of the upper half part of the plate body of the main body plate, the third auxiliary plate is positioned on the left side of the lower half part of the plate body of the main body plate, and the fourth auxiliary plate is positioned on the right side of the lower half part of the plate body of the main body;
compared with the existing anterior cervical fixing steel plate, the number of screws and the length of screw channels are increased, so that the overall stability is improved;
when in use, 2 oblique long screws penetrate through the two layers of hard cortical bones, so that the anti-pull-out force and the stability of the screws are improved; in use, the long screw penetrates through two layers of cortical bone obliquely, but does not damage spinal cord in the vertebral canal.
2. The anterior cervical oblique transverse fixation plate of claim 1, wherein: the main body plate is made of a titanium alloy material, and the auxiliary plate is made of a titanium alloy material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911033971.5A CN110811803B (en) | 2019-10-29 | 2019-10-29 | Cervical vertebra anterior oblique transverse fixing steel plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911033971.5A CN110811803B (en) | 2019-10-29 | 2019-10-29 | Cervical vertebra anterior oblique transverse fixing steel plate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110811803A CN110811803A (en) | 2020-02-21 |
| CN110811803B true CN110811803B (en) | 2021-12-03 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201911033971.5A Active CN110811803B (en) | 2019-10-29 | 2019-10-29 | Cervical vertebra anterior oblique transverse fixing steel plate |
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| Country | Link |
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| CN (1) | CN110811803B (en) |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2875347Y (en) * | 2006-02-28 | 2007-03-07 | 孔琦 | Cervical vertebrae front steel plate fusion device |
| CN101123922A (en) * | 2004-09-02 | 2008-02-13 | 芯赛斯公司 | Track-plate carriage system |
| WO2008092422A1 (en) * | 2007-01-30 | 2008-08-07 | Ulrich Gmbh & Co. Kg | Plate-implant, in particular for use on a spinal column |
| CN101496733A (en) * | 2009-03-17 | 2009-08-05 | 史亚军 | Minimally invasive dual-locking implantation system for cervical vertebra |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB0617707D0 (en) * | 2006-09-08 | 2006-10-18 | Depuy Int Ltd | A bone plate for fixation to a patient's vertebrae |
| CN101411642B (en) * | 2008-11-24 | 2010-09-15 | 张为 | System for fixing anterior cervical and capable of preventing overcompensation movement |
| DE102013104887B4 (en) * | 2013-05-13 | 2021-03-18 | Aap Implantate Ag | Osteosynthesis plate and segment for an osteosynthesis plate |
| CN203591317U (en) * | 2013-10-09 | 2014-05-14 | 上海市同济医院 | Dynamic cervical vertebra fixing steel plate |
| CN108635033B (en) * | 2018-07-20 | 2020-11-06 | 河北医科大学第三医院 | Internal fixing device for thoracolumbar anterior treatment |
| CN109875668A (en) * | 2019-04-03 | 2019-06-14 | 广东施泰宝医疗科技有限公司 | Assembly type Thoracolumbar disk Anterior fixation system |
-
2019
- 2019-10-29 CN CN201911033971.5A patent/CN110811803B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101123922A (en) * | 2004-09-02 | 2008-02-13 | 芯赛斯公司 | Track-plate carriage system |
| CN2875347Y (en) * | 2006-02-28 | 2007-03-07 | 孔琦 | Cervical vertebrae front steel plate fusion device |
| WO2008092422A1 (en) * | 2007-01-30 | 2008-08-07 | Ulrich Gmbh & Co. Kg | Plate-implant, in particular for use on a spinal column |
| CN101496733A (en) * | 2009-03-17 | 2009-08-05 | 史亚军 | Minimally invasive dual-locking implantation system for cervical vertebra |
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| Publication number | Publication date |
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| CN110811803A (en) | 2020-02-21 |
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