JPH067390A - 椎間板内部補綴 - Google Patents

椎間板内部補綴

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Publication number
JPH067390A
JPH067390A JP5050583A JP5058393A JPH067390A JP H067390 A JPH067390 A JP H067390A JP 5050583 A JP5050583 A JP 5050583A JP 5058393 A JP5058393 A JP 5058393A JP H067390 A JPH067390 A JP H067390A
Authority
JP
Japan
Prior art keywords
prosthesis
plate
plates
bone screw
intervertebral disc
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP5050583A
Other languages
English (en)
Other versions
JP3181131B2 (ja
Inventor
Karin Buettner-Janz
カリン・ビュットナー−ヤンツ
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Waldemar Link GmbH and Co KG
Original Assignee
Waldemar Link GmbH and Co KG
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Filing date
Publication date
Application filed by Waldemar Link GmbH and Co KG filed Critical Waldemar Link GmbH and Co KG
Publication of JPH067390A publication Critical patent/JPH067390A/ja
Application granted granted Critical
Publication of JP3181131B2 publication Critical patent/JP3181131B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30138Convex polygonal shapes
    • A61F2002/30156Convex polygonal shapes triangular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30576Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30621Features concerning the anatomical functioning or articulation of the prosthetic joint
    • A61F2002/30639Features concerning the anatomical functioning or articulation of the prosthetic joint having rolling elements between both articulating surfaces
    • A61F2002/30642Features concerning the anatomical functioning or articulation of the prosthetic joint having rolling elements between both articulating surfaces having a single rolling (or sliding) ball articulating between two cups
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30621Features concerning the anatomical functioning or articulation of the prosthetic joint
    • A61F2002/30649Ball-and-socket joints
    • A61F2002/30663Ball-and-socket joints multiaxial, e.g. biaxial; multipolar, e.g. bipolar or having an intermediate shell articulating between the ball and the socket
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/3082Grooves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30841Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30891Plurality of protrusions
    • A61F2002/30892Plurality of protrusions parallel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
    • A61F2002/443Intervertebral or spinal discs, e.g. resilient made of articulated components having two transversal endplates and at least one intermediate component
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0017Angular shapes
    • A61F2230/0023Angular shapes triangular

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

(57)【要約】 【目的】 顕著な脊柱前わんの場合であっても、椎間板
のスペース内に確実に固定できる椎間板内部補綴を提供
する。 【構成】 椎間板内部補綴は、二つの椎骨の間に挿入さ
れて用いられる。この補綴は、二枚のプレート1,2を
備え、その間にコア3を有する。プレート1,2の少な
くとも一方の前端縁には、ボーンスクリューの取り付け
手段8,10〜12が設けられる。ボーンスクリュー9
は、そのプレート1,2の面に対してほぼ直角に受け入
れられる。補綴関節の中心は、椎骨エンドプレートの中
心よりも後方へずらされている。

Description

【発明の詳細な説明】
【0001】
【産業上の利用分野】本発明は、底部プレートと上部プ
レートとを備えて二つの椎骨の間に挿入される椎間板内
部補綴に関し、特に、その底部プレートないし上部プレ
ートが、少なくとも一本のボーンスクリューを受け入れ
る手段を備えた椎間板内部補綴に関する。
【0002】
【従来の技術】既知の椎間板内部補綴では、椎骨と面す
るプレート外側面に歯ないし突起部が設けられており、
これらが椎骨の表面にくい込いこむことによって、椎間
板のスペース内に補綴が固定される(欧州特許公開公報
第176728/1988、W.リンク『LINK Zwichenwirb
elendoprothese Model SB-Charite』/FR−A−26
59226)。一般に、この技術は、脊柱前わん(lord
osis)が進行した結果、椎間板のスペースがくさび型状
に前方へ開いた場合であっても有効なものとされる。し
かしながら、椎骨のエンドプレートが、波打ったり、湾
曲したりしているような場合は、その歯が十分にくい込
まずに、歯の有効性が失せてしまうようなことがある。
歯を用いた固定をおこなうために、補綴の腹部側端にい
くつかのブラケットを設ける手段が知られている。これ
らのブラケットは、プレートの面にほぼ直角に延び、ボ
ーンスクリューを通すためのボア穴が設けられている
(欧州特許公開公報第298233号、および、欧州特
許公告公報第179696号)。しかしながら、ブラケ
ットおよびスクリューの頭部は、椎骨の前面から前方へ
突出しており、その椎骨のすぐ近くを通る血管に傷をつ
けてしまう虞れがある。
【0003】
【発明の開示】本発明の目的は、上述した問題点を回避
し、特に、顕著な脊柱前わんの場合であっても、椎間板
のスペース内にしっかりと固定できる椎間板内部補綴を
提供することにある。
【0004】本発明の目的は、底部プレートないし上部
プレートに対して実質的に直角となるように、ボーンス
クリューを受け入れる手段を設けることによって達成さ
れる。また、補綴関節の中心を椎骨のエンドプレートの
中心よりも後方へずらすことにより、ボーンスクリュー
を、底部プレートないし上部プレートの前端縁の部分に
受け入れることができる。
【0005】関節の中心を後方へずらすことは、補綴を
前方へ押し出す力、すなわち、椎骨のスペースがくさび
型に開いていることによって生ずる前方への力を弱め
る。また、この中心のずれによって、ボーンスクリュー
を受け入れるための手段は、補綴の前方部分に設けるこ
とができる。本発明の特許請求の範囲に係るこれら二つ
の特性は、補綴を固定する目的のために、特に有効に協
働し合うものとして認識されている。すなわち、一方に
おいては、腹部側端縁の方向へ補綴に作用する力を弱
め、また、他方においては、椎骨のすぐ前方にある血管
と接触することなく確実な固定を達成する。
【0006】本明細書において、『プレートの面に対し
て直角に』と述べたのは、プレートに対する方向であっ
て、プレートと共に用いられるスクリューの方向、もし
くはプレート内に設けられたボア穴の方向を全て含んで
いる。その方向は、底部プレート、もしくは上部プレー
ト上の垂直線から、30度を超えてずれないようにされ
るのが好ましい。このように、プレートの面に対してボ
ーンスクリューのコースをいくぶん傾けることも、本発
明の範囲に含まれる。このことは、椎骨の腹部側端縁の
比較的近くにボーンスクリューが挿入されるときに特に
好都合である。すなわち、そのような場合には、ボーン
スクリューを椎骨の中心に向かっていくぶん傾けて挿入
することができる。
【0007】底部プレート上、もしくは上部プレート上
にスクリューを固定することは、特に問題にされるよう
なことはない。ボーンスクリューを受け入れる手段は、
補綴の少なくとも一方のプレートの前方(腹部側)端側
に配置されている。これは、関節の中心が後方へずらさ
れているために可能となる。このプレート前方の端部分
は、最も広いスペースであって、最も取り付け易い部分
である。しかしながら、ボーンスクリューを受け入れる
手段を、プレートの前端縁の側部領域に設けることも本
発明の範囲に含まれる。ボーンスクリューを受け入れる
手段は、プレートの面に対してほぼ直角に明けられたボ
ア穴として設けられる。また、プレートの端縁に向かっ
て開いた凹部であって、取り付け用スクリューと協働
し、補綴の前方へのずれ、もしくは前方斜め方向へのず
れを更に回避する凹部も有効な手段とされる。いずれの
場合においても、後方へのずれは起こらない。ボア穴も
しくは凹部は、特別のブラケットに形成されてもよい。
このブラケットは、補綴プレートの面内で突出し、その
プレートの端縁より前へ出るものである。これらのボア
穴もしくは凹部は、取り付けの後にスクリューの頭部が
突出しないように、スクリューの頭部を全体的に、もし
くは部分的に受け入れるような形状ないし外形を備え
る。これらの穴もしくは凹部は、特別のねじ込み方向に
対しても適用できる。
【0008】底部プレートもしくは上部プレートが、複
数のスクリュー取り付け手段を備えることは有効であ
り、特に、左右対称に配置された一対の形で、スクリュ
ー取り付け手段が設けられることは有益である。
【0009】
【実施例】本発明の好適な実施例を図1〜5を参照して
説明する。この補綴は、上部プレート1および底部プレ
ート2を備える。これらプレートは金属からなり、鏡像
関係の形状となるように形成される。これらのプレート
の間には、ポリエリレンからなる補綴コア3が置かれ
る。補綴プレート1,2と補綴コア3とは、球形湾曲面
4を介して協働する。コア3には、エッジリム5が設け
られている。このエッジリムにより、コアの移動範囲が
制限され、範囲の限界位置においても補綴の結合が確実
になされる。また、別の実施例においては、コアが一方
のプレートにしっかりと固定される。
【0010】補綴プレート1,2のエンドプレート6
は、椎骨の端面と接する。これらのエンドプレートに
は、複数(例えば6本)の歯7が設けられており、取り
付け時において、これらの歯は、椎骨内へくい込み、補
綴を本来の位置に固定する。
【0011】図1〜3に示す第1の実施例においては、
ボーンスクリュー9を受け入れるためのボア穴8が設け
られている。これらのボア穴は、腹部から背部に通る椎
骨中心面の両側に対称となるように配置され、補綴プレ
ート1,2の前端縁の部分に設けられる。ボア穴8およ
びそれに対応するスクリュー9は、補綴プレート1,2
の面に対して直角となるように設けられる。
【0012】図3に示すように、補綴関節の中心は、椎
骨エンドプレートの中心よりも後方へずれている。この
ずれにより、補綴プレート1,2の腹部側端縁の部分
に、ボーンスクリュー9を受け入れるのに十分なスペー
スが提供される。
【0013】図4に示す実施例において、ボーンスクリ
ューのためのボア穴は、補綴プレート1,2の端縁部分
へずれている。これにより、ボア穴は、端縁側が開いた
ノッチもしくは刻み目10にされている。図1〜3に示
す実施例は力伝達部分が大きいものであったのに比べ
て、この実施例ではそのスペースが節約される。補綴を
後方へ移動させるような力が作用するとは考えられない
ので、端縁側へ開いた凹部は、補綴を固定するのに十分
である。
【0014】最後に示す図5の実施例も有効なものであ
る。この実施例では、ボーンスクリューのためのボア穴
12が、特別のブラケット11に設けられる。このブラ
ケット11は、補綴プレート1,2の面の前方へ突出し
ている。この配置は、関節の中心13が後方へ大きくず
れる必要がある場合に、特に有効である。
【図面の簡単な説明】
【図1】 補綴の第1実施例の中央断面図であり、補綴
は二つの椎骨の間に位置する。
【図2】 図1に示す補綴の正面図。
【図3】 椎骨上に位置する補綴の上部プレートの平面
図。
【図4】 補綴プレートの第2実施例の平面図であり、
補綴は端へ開いたスクリュー用の凹部を備える。
【図5】 補綴プレートの第3実施例の平面図であり、
スクリュー用の穴は、ブラケット内に設けられている。
【符号の説明】
1 補綴プレート(上部) 2 補綴プ
レート(底部) 3 補綴コア 4 湾曲面 5 エッジリム 6 エンド
プレート 7 歯 8 ボア穴 9 ボーンスクリュー 10 ノッ
チ 11 ブラケット 12 ボア
穴 13 関節の中心

Claims (2)

    【特許請求の範囲】
  1. 【請求項1】 二つの椎骨の間に挿入され、底部プレー
    ト(2)と上部プレート(1)とを備え、該底部プレー
    トないし該上部プレートが、少なくとも一本のボーンス
    クリュー(9)を受け入れるための手段(8)を備える
    椎間板内部補綴において、 上記手段(8,10〜12)が、該補綴の少なくとも一
    方のプレート(1,2)の、前端縁中ないし前端縁上に
    形成されて上記ボーンスクリューを該プレート(1,
    2)の面に対してほぼ直角に受け入れ、 該補綴の関節の中心が、椎骨エンドプレートの中心より
    も後方へずらされることを特徴とする椎間板内部補綴。
  2. 【請求項2】上記ボーンスクリューを受け入れるための
    手段が、プレート(1,2)の面に対して直角に延びる
    少なくとも一つのボア穴(8)を備える請求項1記載の
    椎間板内部補綴。
JP05058393A 1992-03-13 1993-03-11 椎間板内部補綴具 Expired - Lifetime JP3181131B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE4208115-7 1992-03-13
DE4208115A DE4208115A1 (de) 1992-03-13 1992-03-13 Bandscheibenendoprothese

Publications (2)

Publication Number Publication Date
JPH067390A true JPH067390A (ja) 1994-01-18
JP3181131B2 JP3181131B2 (ja) 2001-07-03

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US (1) US5556431A (ja)
EP (1) EP0560140B1 (ja)
JP (1) JP3181131B2 (ja)
AT (1) ATE165726T1 (ja)
DE (2) DE4208115A1 (ja)
ES (1) ES2117064T3 (ja)

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US5556431A (en) 1996-09-17
JP3181131B2 (ja) 2001-07-03
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