TRANSVERSE SHIFT SCREW TAIL, TRANSVERSE ADJUSTABLE SPINAL SCREW, AND IMPLANTATION METHOD

Abstract

A transverse shift screw tail, a transverse adjustable spinal screw, and an implantation method. The screw comprises a screw tail and a screw seat, the screw seat has a rod groove used for placing a connecting rod, which is recessed downwards from the top of the screw seat and radially penetrates the screw seat, a bottom of the rod groove is a curved surface adapted to an outer circumferential surface of the connecting rod, and the rod groove is provided with a locking thread fit with a locking bolt. The screw tail comprises a fixing column capable of being screwed into a vertebral body and a platform located at an end portion of the fixing column, the platform is provided with the installation head used for connecting with the screw seat, and an eccentric distance is provided between a center of the installation head and an axis of the fixing column.

Claims

1. A transverse shift screw tail (1), characterized in that the screw tail (1) comprises a fixing column (11) capable of being screwed into a vertebral body (6) and a platform (12) located at an end portion of the fixing column (11), the platform (12) is provided with an installation head (13) used for connecting with a screw seat (2), an eccentric distance is provided between a center of the installation head (13) and an axis of the fixing column (11).

2. The transverse shift screw tail (1) according to claim 1, characterized in that an eccentric distance between the center of the installation head (13) and the axis of the fixing column (11) ranges 1 mm-5 mm.

3. The transverse shift screw tail (1) according to claim 1, characterized in that an outer circumferential surface of the fixing column (11) is provided with a thread.

4. The transverse shift screw tail (1) according to claim 1, characterized in that an outer surface of the installation head (13) is a spherical surface and a top of the installation head (13) is provided with an inwards recessed noncircular installation adjusting hole (14).

5. A transverse adjustable spinal screw, characterized in that the screw comprises the screw tail (1) according to claim 1 and a screw seat (2) installed on an installation head (13) of the screw tail (1), a top of the screw seat (2) is provided with a rod groove (21) used for placing a connecting rod (3), the rod groove (21) is recessed downwards from the top of the screw seat (2) and radially penetrates the screw seat (2), a bottom of the rod groove (21) is a curved surface adapted to an outer circumferential surface of the connecting rod (3), and a side surface of the rod groove (21) is provided with a locking thread (22) fit with a locking bolt (4).

6. The transverse adjustable spinal screw according to claim 5, characterized in that the screw seat (2) comprises a screw seat sleeve (23) and a slidable tensioning ring (24) which is sleeve-mounted into the screw seat sleeve (23), the slidable tensioning ring (24) is sleeve-mounted onto the installation head (13) of the screw tail (1), the rod groove (21) is located at one end, far away from the slidable tensioning ring (24), of the screw seat sleeve (23).

7. The transverse adjustable spinal screw according to claim 6, the slidable tensioning ring (24) is provided with a ball socket (25) for placing the installation head (13), the ball socket (25) is provided with an opening (26) facing to the installation head (13), and a diameter of the opening (26) is smaller than a maximum diameter of the installation head (13).

8. The transverse adjustable spinal screw according to claim 7, a circumferential surface of the ball socket (25) is provided with a plurality of extension grooves (27) which are uniformly distributed along a circumferential direction, and the extension grooves (27) extend from the opening (26) to an end corresponding to the opening (26).

9. The transverse adjustable spinal screw according to claim 7, characterized in that one end, facing to the screw tail (1), of an inner circumferential surface of the screw seat sleeve (23) is provided with a limiting ring (28) and an inner circumferential surface of the limiting ring (28) is fit with an outer circumferential surface of the opening (26) of the ball socket (25).

10. The transverse adjustable spinal screw according to claim 7, characterized in that a portion, corresponding to the ball socket (25), of the inner circumferential surface of the screw seat sleeve (23) is provided with an inwards recessed loose section (29) and a gap is kept between the loose section (29) and an outer circumferential surface of the ball socket (25).

11. The transverse adjustable spinal screw according to claim 6, characterized in that a sidewall of the slidable tensioning ring (24) is further provided with at least one limiting groove (210) which extends downwards from a top, and the screw seat sleeve (23) is provided with a limiting screw (211) corresponding to the limiting groove (210).

12. The transverse adjustable spinal screw according to claim 6 characterized in that one end, facing to the rod groove (21), of the slidable tensioning ring (24) is provided with an arc groove (212), an inner circumferential surface of the arc groove (212) corresponds to the bottom of the rod groove (21), and when the slidable tensioning ring (24) is installed in place, the inner circumferential surface of the arc groove (212) protrudes out of the bottom of the rod groove (21).

13. A method for implanting a transverse adjustable spinal screw into a vertebral body, the transverse adjustable spinal screw being the transverse adjustable spinal screw according to claim 5, characterized in that the method comprises the following steps: 1) determining a screwing-in point P of each screw on the vertebral body (6) and screwing the screw tail (1) of each screw into the vertebral body (6) from the preset screwing-in point P; 2) setting a placement position of the connecting rod (3) on the vertebral body (6) and marking the placement position of the connecting rod (3) as a reference line L; 3) rotating the platform (12) to enable the center of the installation head (13) to approach the reference line L to the utmost extent; 4) installing the screw seat (2) on the installation head (13) of each screw tail (1) and rotating the screw seats (2) to enable the axis of the rod grooves (21) of the screw seats (2) to be located on the same line; 5) inserting the connecting rod (3) into the rod grooves (21) to enable all screw seats (2) to be integrally connected; and 6) installing the locking bolt (4) at the top of each screw seat (2), the locking bolt (4) stretching into the rod groove (21) and being fit with the locking thread (22) in the rod groove (21).

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0030] FIG. 1 illustrates a structural schematic view of a fixed-angle screw in the prior art.

[0031] FIG. 2 illustrates a structural schematic view of a variable-angle screw in the prior art.

[0032] FIG. 3 illustrates a structural schematic view of a transverse shift screw tail in the present invention.

[0033] FIG. 4 illustrates a front view of the transverse shift screw tail illustrated in FIG. 3.

[0034] FIG. 5 illustrates a structural schematic view of a transverse adjustable spinal screw in the present invention.

[0035] FIG. 6 illustrates a structural schematic view of a screw seat of the transverse adjustable spinal screw illustrated in FIG. 5.

[0036] FIG. 7 illustrates a stereoscopic schematic view of the screw seat illustrated in FIG. 6.

[0037] FIG. 8 illustrates a structural schematic view of a slidable tensioning ring illustrated in FIG. 6.

[0038] FIGS. 9-14 illustrate schematic views of steps of a method for implanting the transverse adjustable spinal screw illustrated in FIG. 5.

[0039]

TABLE-US-00001 Description of component mark numbers 1 Screw tail 11 Fixing column 12 Platform 13 Installation head 14 Installation adjusting hole 2 Screw seat 21 Rod groove 22 Locking thread 23 Screw seat sleeve 24 Slidable tensioning ring 25 Ball socket 26 Opening 27 Extension groove 28 Limiting ring 29 Loose section 210 Limiting groove 211 Limiting screw 212 Arc groove 3 Connecting rod 4 Locking bolt 5 Special screwdriver for holding screw tail 6 Vertebral body

DETAILED DESCRIPTIONS OF THE PREFERRED EMBODIMENTS

[0040] The implementation modes of the present invention will be described below through specific embodiments. One skilled in the art can easily understand other advantages and effects of the present invention according to contents disclosed by the description.

[0041] Please refer to FIG. 3 to FIG. 14. It shall be noted that the structures, scales, sizes and the like illustrated in the drawings of the description are only used for cooperating with the contents disclosed by the description to allow one skilled in the art to understand and read instead of limiting the implementable limitation conditions of the present invention, and thus have no technical substantive meanings; and any structural modifications, changes of scaling relations or adjustments to sizes shall still fall into the scope which can be covered by the technical contents disclosed by the present invention under the situation that the effects which can be produced by the present invention and the purposes which can be achieved by the present invention are not influenced. In addition, direction or quantification words such as above, below, left, right, middle and one cited in the description are just used for facilitating clear description instead of limiting the implementable scope of the present invention. Changes or adjustments of relative relations thereof shall also be deemed as the implementable scope of the present invention under the situation that the technical contents are not substantively changed.

[0042] As illustrated in FIG. 3 to FIG. 4, the present invention provides a transverse shift screw tail 1, the screw tail 1 comprises a fixing column 11 capable of being screwed into a vertebral body 6 and a platform 12 located at an end portion of the fixing column 11, the platform 12 is provided with an installation head 13 used for connecting with a screw seat 2, and an eccentric distance is provided between a center of the installation head 13 and an axis of the fixing column 11.

[0043] By adopting the eccentric installation head 13, the position of the installation head 13 can be adjusted by rotating the fixing column 11, such that the center of the installation head 13 is enabled to approach the reference line L (i.e., the placement position of the connecting rod 3) to the utmost extent, thus the screw seat 2 installed on the installation head 13 can be enabled to be located on the same line as much as possible, all screw seats 2 can be connected through one connecting rod 3, the spinal screws are located at the optimal positions on the spine and the spine is not caused to be improperly distorted.

[0044] A range of the eccentric distance D between the center of the installation head 13 and the axis of the fixing column 11 is 1 mm-5 mm, and the range of the eccentric distance D substantially satisfies a range that the screw tail 1 rotates for circle, such that the installation head 13 can approach the requirement of reference line L to the utmost extent.

[0045] In order to facilitate the fixation of the screw tail 1 into the vertebral body 6, an outer circumferential surface of the fixing column 11 is provided with a thread.

[0046] An outer surface of the installation head 13 is preferably a spherical surface and a top of the installation head 13 is provided with an inwards recessed noncircular installation adjusting hole 14. A cross section of the installation adjusting hole 14 is preferably hexagonal, and thus a hexagonal screwdriver can be inserted into the installation adjusting hole 14 and used for adjusting the position of the installation head 13.

[0047] As illustrated in FIG. 5 to FIG. 8, the present invention provides a transverse adjustable spinal screw, comprising the above-mentioned screw tail 1 and a screw seat 2 installed on an installation head 13 of the screw tail 1, a top of the screw seat 2 is provided with a rod groove 21 used for placing a connecting rod 3, the rod groove 21 is recessed downwards from the top of the screw seat 2 and radially penetrates the screw seat 2, a bottom of the rod groove 21 is a curved surface adapted to an outer circumferential surface of the connecting rod 3, and a side surface of the rod groove 21 is provided with a locking thread 22 fit with a locking bolt 4.

[0048] Since the screw seat 2 has a certain transverse shift relative to the fixing column 11 of the screw tail 1, if the screw seat 2 is installed on the screw tail 1 in advance, when the screw tail 1 is rotated, the movement periphery of the screw seat 2 is larger and the operation is not facilitated. Therefore, the present invention provides a design of a screw seat, assembly that after the screw tail 1 is fixed on the vertebral body 6, the screw seat 2 is installed on the screw tail 1. The screw seat 2 installed on the installation head 13 is capable of rotating on the installation head 13 such that axis of the rod grooves 21 of a plurality of screw seats 2 form a line, and the connecting rod 3 can be placed in the rod grooves 21 to connect the plurality of rod grooves 21 together. In order to fix the connecting rod 3, a locking bolt 4 is installed at the top of the rod groove 21 and the locking bolt is fit with the locking thread 22 on the side surface of the rod groove 21.

[0049] One specific structure of the screw seat 2 is as follow: the screw seat 2 comprises a screw seat sleeve 23 and a slidable tensioning ring 24 which is sleeve-mounted into the screw seat sleeve 23, the slidable tensioning ring 24 is sleeve-mounted onto the installation head 13 of the screw tail 1, and the rod groove 21 is located at one end, far away from the slidable tensioning ring 24, of the screw seat sleeve 23.

[0050] The slidable tensioning ring 24 is provided with a ball socket 25 for placing the installation head 13, the ball socket 25 is provided with an opening 26 facing to the installation head 13, and a diameter of the opening 26 is smaller than a maximum diameter of the installation head 13. The installation head 13 can rotate at a plurality of angles in the ball socket 25 such that the screw seat 2 can be adjusted at a plurality of angles.

[0051] A circumferential surface of the ball socket 25 is provided with a plurality of extension grooves 27 which are uniformly distributed along a circumferential direction, and the extension grooves 27 extend from the opening 26 to one end corresponding to the opening 26. The ball socket 25 which is provided with the extension grooves is petal-shaped. In the process that the installation head 13 is placed into the ball socket 25 through the opening 26, by arranging the arrangement of the extension groove 27, enables the ball socket 25 to have certain elasticity and can be slightly outwards extended to guarantee smooth installation of the installation head 13; and when the connecting rod 3 is installed into the rod grooves 21, the connecting rod 3 will apply certain pressure to the slidable tensioning ring 24, the arrangement of the extension grooves 27 enables the ball socket 25 to have certain elasticity, and the length of the slidable tensioning ring 24 in an axial direction be properly changed to adapt to the installation of the connecting rod 3.

[0052] In order to prevent the slidable tensioning ring 24 from falling out of the screw seat sleeve 23, one end, facing to the screw tail 1, of an inner circumferential surface of the screw seat sleeve 23 is provided with a limiting ring 28 and an inner circumferential surface of the limiting ring 28 is fit with an outer circumferential surface of the opening 26 of the ball socket 25.

[0053] A portion, corresponding to the ball socket 25, of the inner circumferential surface of the screw seat sleeve 23 is provided with an inwards recessed loose section 29 and a gap is kept between the loose section 29 and an outer circumferential surface of the ball socket 25, so as to provide a space for deformation of the ball socket 25.

[0054] A side wall of the slidable tensioning ring 24 is further provided with at least one limiting groove 210 which extends downwards from a top, and the screw seat sleeve 23 is provided with a limiting screw 211 corresponding to the limiting groove 210. When the slidable tensioning ring 24 is inserted into a predetermined position in the screw seat sleeve 23, the limiting screw 211 is clamped at the bottom of the limiting groove 210 to lock relative positions of the slidable tensioning ring 24 and the screw seat sleeve 23.

[0055] One end, facing to the rod groove 21, of the slidable tensioning ring 24 is provided with an arc groove 212, an inner circumferential surface of the arc groove 212 corresponds to the bottom of the rod groove 21, and when the slidable tensioning ring 24 is installed in place, the inner circumferential surface of the arc groove 212 protrudes out of the bottom of the rod groove 21. After the connecting rod 3 is installed into the rod groove 21, the locking bolt 4 is installed from the top of the rod groove 21. Since the inner circumferential surface of the arc groove 212 protrudes out of the bottom of the rod groove 21, the connecting rod 3 will apply certain pressure to the arc groove 212 to enable the slidable tensioning ring 24 to move downwards, and at this moment, the ball socket 25 is deformed and then locks the installation head 13, so that the overall structure of the transverse adjustable spinal screw is more stable.

[0056] A method for implanting the transverse adjustable spinal screw into a vertebral body comprises the following steps:

[0057] 1) determining a screwing-in point P of each screw on a vertebral body 6 and screwing screw tail 1 of each screw into the vertebral body 6 from the preset screwing-in point P;

[0058] 2) setting a placement position of a connecting rod 3 on the vertebral body 6 and marking the placement position of the connecting rod 3 as a reference line L;

[0059] 3) inserting a hexagonal screwdriver into an installation adjusting hole 14 and rotating the platform 12 to enable the center of an installation head 13 to approach the reference line L to the utmost extent;

[0060] 4) putting the installation head 13 of each screw tail 1 into a ball socket 25 of a screw seat 2 to enable the screw tail 1 to be connected with a screw seat 2, rotating the screw seat 2 to enable axis of rod grooves 21 of all screw seats 2 to be located on the same line;

[0061] 5) inserting the connecting rod 3 into the rod grooves 21 to enable all screw seats 2 to be integrally connected; and

[0062] 6) installing the locking bolt 4 at the top of each screw seat 2, wherein the locking bolt 4 stretches into the rod groove 21 and is fit with the locking thread 22 in the rod groove 21, and at this moment, the connecting rod 3 will apply certain pressure to an arc groove 212, so that a slidable tensioning ring 24 moves downwards, and the ball socket 25 locks the installation head 13 after the ball socket 25 is deformed.

[0063] To sum up, according to the transverse shift screw tail, the transverse adjustable spinal screw and the implantation method provided by the present invention, by designing a brand new screw, the screw seats are connected linearly, the installation process of the connecting rod is enabled to be reliable and effective, the spine is prevented from being improperly distorted, the difficulty of operation by the doctor is reduced and the operation effect is improved. Therefore, the present invention effectively overcomes various disadvantages of the prior art and thus has a great industrial utilization value.

[0064] The above-mentioned embodiments are just used for exemplarily describing the principle and effect of the present invention instead of limiting the present invention. One skilled in the art may make modifications or changes to the above-mentioned embodiments without departing from the spirit and scope of the present invention. Therefore, all equivalent modifications or changes made by those who have common knowledge in the art without departing from the spirit and technical thought disclosed by the present invention shall be still covered by the claims of the present invention.