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WO1990002527A1 - Ecarteur spinal - Google Patents

Ecarteur spinal Download PDF

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Publication number
WO1990002527A1
WO1990002527A1 PCT/AU1989/000387 AU8900387W WO9002527A1 WO 1990002527 A1 WO1990002527 A1 WO 1990002527A1 AU 8900387 W AU8900387 W AU 8900387W WO 9002527 A1 WO9002527 A1 WO 9002527A1
Authority
WO
WIPO (PCT)
Prior art keywords
rods
screw thread
hand screw
adjustment means
spinal
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.)
Ceased
Application number
PCT/AU1989/000387
Other languages
English (en)
Inventor
David Keith Livingston Blair
John Raymond Selmes
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.)
Australian Defence Industries Ltd
Original Assignee
Australian Defence Industries Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Australian Defence Industries Ltd filed Critical Australian Defence Industries Ltd
Publication of WO1990002527A1 publication Critical patent/WO1990002527A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025—Joint distractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7077—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine

Definitions

  • the present invention relates to a spinal distractor which enables distraction and realignment of the spine during surgical procedures following serious spinal fracture.
  • Spinal distractors of the prior art typically consist of two oppositely threaded distractor arms mounted in a threaded sleeve.
  • the distractor arms fit into holes drilled in the undamaged vertebral bodies above and below the fracture.
  • the threaded sleeve interacts with the respective distractor arms by means of a left-hand screw thread at one end, and right-hand screw thread at the other. Rotation of the sleeve moves the distractor arms closer together or further apart, depending on the direction of rotation.
  • This type of distractor allows distraction of damaged vertebral bodies, but does not permit easy realignment of the spine. Further, it is very difficult to insert and, hence, use the spinal distractor of the prior art if the fractured vertebral body is "wedged", causing a grossly abnormal angulation of the spine.
  • the present inventors have designed a novel spinal distractor which assists in avoiding a number of the disadvantages of the prior art spinal distractors. DESCRIPTION OF THE INVENTION
  • the present invention consists in a spinal distractor comprising a first and a second rod, each rod being provided with anchoring means at one end thereof, said anchoring means being adapted for insertion into a vertebra; a first adjustment means extending between said first and said second rods and being pivotally connected to the other end of each of said first and said second rods; and a second adjustment means extending between said first and said second rods and being pivotally connected to a point on each of said rods intermediate the one end and the other end.
  • the present invention consists in a spinal distractor kit, said kit comprising;
  • a first and a second rod each of said rods being provided with an anchoring means at one end, said anchoring being adapted for insertion into a vertebra;
  • a first adjustment means adapted for pivotal connection to the other end of the first and second rods
  • a second adjustment means adapted for pivotal connection to a point on each of said rods intermediate the one end and the other end.
  • the first and optionally the second adjustment means comprise a threaded sleeve which interacts with a left-hand screw thread on the first rod and a right-hand screw thread on the second rod.
  • the second adjustment means comprises a pair of arms hingedly interconnected at one end, the other end of each arm being pivotally connected to one of the said first and said second rods, and variation means extending between and connected to each of the arms at a point intermediate the one end and the other end thereof, said variation means enabling the distance between the other ends of the pair of arms to be varied.
  • the two rods lie in a first plane and the variation means in a second plane, with the first and second planes preferably being substantially parallel.
  • the variation means comprises a threaded sleeve which interacts with a left-hand screw thread on one arm and a right-hand screw on the other arm.
  • Figure 1 shows a front perspective view of the spinal distractor of the present invention.
  • Figure 2 shows a front plan view of the spinal distractor of the present invention
  • the spinal distractor 10 consists of a first rod 12, a second rod 14, first adjustment means 16 and second adjustment means 18. Screws 20 adapted for insertion into vertebrae are provided on the lower end of rods 12 and 14.
  • the first adjustment means 16 consists of a threaded sleeve 22 provided with a grip 24, the threaded sleeve 22 passing through connectors 26 and 28.
  • Connectors 26 and 28 are provided internally (not shown) with a left-hand screw thread and a right-hand screw thread respectively which engage the threaded sleeve 22.
  • Connectors 26 and 28 are pivotally connected to rods 12 and 14 respectively. Connector 26 pivots about point 30 and connector 28 pivots about point 32.
  • the second adjustment means 18 consists of a pair of arms 34 and 36 hingedly connected about point 38 and variation means 40.
  • the variation means 40 consists of a threaded sleeve 42 provided with a grip 44, the threaded sleeve 42 passing through engagement means 46 provided on arm 34 and engagement means 48 provided on arm 36.
  • Engagement means 46 and 48 are provided internally (not shown) with a left-hand screw thread and a right-hand screw thread respectively which engage threaded sleeve 42.
  • arm 34 includes a portion 50 which extends substantially at right angles to the remainder of arm 34.
  • arm 36 includes a portion 52 which extends substantially at right angles to the remainder of arm 36.
  • End 54 of portion 50 is connected to rod 12 such that it pivots about point 56.
  • End 58 of portion 52 is connected to rod 14 such that it pivots about point 60.
  • variation means 40 lies in a different plane to that in which rods 12 and 14 lie.
  • a serious spinal fracture generally results in abnormal alignment and shortening of the spine and compression or severing of the spinal cord.
  • the problems faced by a spinal surgeon presented with serious spinal fractures are typically:- (1) Disalignment "front to back" of the spine; (2) Disalignment "side to side” of the spine; (3) Spinal shortening through crushing of the vertebral body;
  • the spinal distractor of the present invention is used in the following manner. Firstly, the screws 20 on rods 12 and 14 are screwed through the pedicles and into the vertebral bodies of the vertebra above and below the fractured vertebra or vertebrae. So that the rods are fixed in the vertebra connection of rotation of a vertebra relative to the longitudinal axis of the spine is then achieved by movement of one of the rods in a manner such that the vertebra in which it is fixed is rotated about the longitudinal axis of the spine until the vertebra is brought into correct "rotational" alignment. The first and second adjustment means 16 and 18 are then attached to rods 12 and 14.
  • the two rods, the spine and the first adjustment means define an irregular four sided figure.
  • the distance between the ends of rods 12 and 14 is varied until rods 12 and 14 are brought parallel to each other thereby resulting in a parallelogram being defined by the rods 12 and 14, first adjustment means 16 and the spine.
  • This manipulation of adjustment means 16 and 18 also serves to pull the intact vertebra above and below the fracture the correct distance apart correcting spinal shortening.
  • first adjustment means 16 is pivoted about points 30 and 32 on rods 12 and 14 respectively and second adjustment means 18 is pivoted about points 56 and 58 the parallelogram previously formed by the rods 12 and 14, first adjustment means 16 and the spine can be converted to a rectangle producing correction of alignment.
  • first adjustment means 16 and the spine can be converted to a rectangle producing correction of alignment.
  • the "back" boarder of the crushed vertebra is squeezed backwards into the spinal canal. This may either sever the spinal cord or compress it (known as canal stenosis) which may cause serious problems to the patient. If the spinal cord is still intact at the level of the crushed vertebra removal of the vertebra compressing the spinal cord at this level is essential to prevent serious complications.
  • the spinal distractor of the present invention allows good access to the spinal canal for removal of such bone and correction of canal stenosis. Once alignment in such plane, angulation, spinal shortening and canal stenosis have been corrected by using the spinal distractor of the present invention on one side of the spine, the opposite side is then fixed in place using a variety of rod fixation systems which are well known in the art.
  • the spinal distractor of the present invention When fixing the opposite side has been achieved the spinal distractor of the present invention is removed and the side from which it was removed is also fixed with the rod system. Bone graft may then be placed so as to fuse the vertebra on either side of the damaged area.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)

Abstract

La présente invention se rapporte à un écarteur spinal (10) destiné à être utilisé lors d'opérations consécutives à des fractures de la colonne vertébrale. L'écarteur spinal (10) comprend une première tige (12) et une seconde tige (14) pourvues chacune à l'une de leurs extrémités d'un organe d'ancrage (20) destiné à être inséré dans une vertèbre. Les tiges (12, 14) sont reliées entre elles à l'autre extrémité par un premier organe de réglage (16), un second organe de réglage (18) reliant les deux tiges en un point situé entre les deux extrémités.
PCT/AU1989/000387 1988-09-09 1989-09-11 Ecarteur spinal Ceased WO1990002527A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AUPJ0352 1988-09-09
AUPJ035288 1988-09-09

Publications (1)

Publication Number Publication Date
WO1990002527A1 true WO1990002527A1 (fr) 1990-03-22

Family

ID=3773359

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/AU1989/000387 Ceased WO1990002527A1 (fr) 1988-09-09 1989-09-11 Ecarteur spinal

Country Status (1)

Country Link
WO (1) WO1990002527A1 (fr)

Cited By (43)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0499037A3 (en) * 1991-02-15 1992-10-21 Pfizer Hospital Products Group, Inc. Spinal fixator reduction frame
EP0528177A2 (fr) 1991-08-17 1993-02-24 Aesculap Ag Fixateur externe pour la correction d'une spondylolisthésis lombaire
WO1995005784A1 (fr) * 1993-08-27 1995-03-02 Fairant, Paulette Materiel ancillaire de pose d'une instrumentation rachidienne
DE19516310A1 (de) * 1995-05-04 1996-11-07 Man Ceramics Gmbh Vorrichtung zur Positionierung von Knochen
US5672175A (en) * 1993-08-27 1997-09-30 Martin; Jean Raymond Dynamic implanted spinal orthosis and operative procedure for fitting
US5733284A (en) * 1993-08-27 1998-03-31 Paulette Fairant Device for anchoring spinal instrumentation on a vertebra
FR2757761A1 (fr) * 1996-12-27 1998-07-03 Stryker France Sa Systeme d'oteosynthese du rachis avec reglage en position
RU2150248C1 (ru) * 1998-07-07 2000-06-10 Государственный научно-клинический центр охраны здоровья шахтеров Устройство для репозиции и фиксации переломов позвонков
US6464705B2 (en) * 1996-02-23 2002-10-15 D. Barclay Slocum Trust Agreement Joint support
WO2005079684A1 (fr) * 2004-02-14 2005-09-01 Crosstrees Medical Inc. Procédés et dispositifs de traitement des fractures et des maladies osseuses
WO2006118998A1 (fr) * 2005-04-29 2006-11-09 Warsaw Orthopedic, Inc. Instrument de compression ou de distraction
WO2007025236A3 (fr) * 2005-08-26 2007-05-03 Innovative Spinal Technologies Instrument d'alignement pour systemes de stabilisation spinale dynamique
WO2007092797A3 (fr) * 2006-02-09 2007-10-18 Warsaw Orthopedic Inc instruments et procedes de derotation rachidienne
WO2009145696A1 (fr) 2008-05-28 2009-12-03 Ortoviva Ab Dispositif et système de déplacement d'os
US7655008B2 (en) 2006-02-09 2010-02-02 Warsaw Orthopedic, Inc. Methods and instruments for spinal derotation
US7722651B2 (en) 2005-10-21 2010-05-25 Depuy Spine, Inc. Adjustable bone screw assembly
US7951175B2 (en) 2005-03-04 2011-05-31 Depuy Spine, Inc. Instruments and methods for manipulating a vertebra
US7951172B2 (en) 2005-03-04 2011-05-31 Depuy Spine Sarl Constrained motion bone screw assembly
US8277453B2 (en) 2009-10-30 2012-10-02 Warsaw Orthopedic, Inc. Instruments and systems for vertebral column manipulation
CN102743216A (zh) * 2012-06-26 2012-10-24 冯其金 胸腰椎体外撑开复位器
US8348952B2 (en) 2006-01-26 2013-01-08 Depuy International Ltd. System and method for cooling a spinal correction device comprising a shape memory material for corrective spinal surgery
US8608746B2 (en) 2008-03-10 2013-12-17 DePuy Synthes Products, LLC Derotation instrument with reduction functionality
US8702713B2 (en) 2011-01-26 2014-04-22 Warsaw Orthopedic, Inc. Instruments and techniques for adjusting relative positioning of bones or bony tissues
US8709015B2 (en) 2008-03-10 2014-04-29 DePuy Synthes Products, LLC Bilateral vertebral body derotation system
WO2015092426A1 (fr) * 2013-12-19 2015-06-25 The University Of Nottingham Dispositif rachidien chirurgical
US9101416B2 (en) 2003-01-24 2015-08-11 DePuy Synthes Products, Inc. Spinal rod approximator
US9402660B2 (en) 2013-09-05 2016-08-02 Warsaw Orthopedic, Inc. Surgical instrument and method
CN105997210A (zh) * 2016-06-08 2016-10-12 常州迪恩医疗器械有限公司 一种脊柱微创多方位矫形外固定装置
WO2017051226A1 (fr) * 2015-09-24 2017-03-30 Swiss Medical Instruments Ag Dispositif distracteur et procédé
US10098665B2 (en) 2012-08-01 2018-10-16 DePuy Synthes Products, Inc. Spine derotation system
US10194958B2 (en) 2016-04-27 2019-02-05 Warsaw Othopedic, Inc. Spinal correction system and method
USD842479S1 (en) 2016-04-27 2019-03-05 Warsaw Orthopedic, Inc. Spinal implant
EP3517062A1 (fr) * 2018-01-26 2019-07-31 Aesculap AG Instrument de repositionnement de la colonne vertébrale et système de repositionnement de la colonne vertébrale
US10543022B2 (en) 2016-10-11 2020-01-28 Warsaw Orthopedic, Inc. Spinal implant system and method
US10646261B2 (en) 2018-07-24 2020-05-12 Warsaw Orthopedic, Inc. Multi-purpose screwdriver and method of use
US10952714B1 (en) 2017-07-14 2021-03-23 OrtoWay AB Apparatus, methods and systems for spine surgery
US10973556B2 (en) 2008-06-17 2021-04-13 DePuy Synthes Products, Inc. Adjustable implant assembly
US11051859B2 (en) 2016-04-27 2021-07-06 Warsaw Orthopedic, Inc. Spinal correction system and method
EP3958757A4 (fr) * 2019-04-23 2022-12-07 Warsaw Orthopedic, Inc. Système et procédé chirurgicaux
US12274430B2 (en) 2019-04-23 2025-04-15 Warsaw Orthopedic, Inc. Surgical system and method
US12303121B2 (en) 2019-04-23 2025-05-20 Warsaw Orthopedic, Inc. Surgical system and method
US12349890B2 (en) 2020-04-09 2025-07-08 Warsaw Orthopedic, Inc. Surgical system and method
US12383335B2 (en) 2019-04-23 2025-08-12 Warsaw Orthopedic, Inc. Surgical system and method

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US3709219A (en) * 1970-11-27 1973-01-09 W Halloran Bone compression device
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Cited By (75)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5219349A (en) * 1991-02-15 1993-06-15 Howmedica, Inc. Spinal fixator reduction frame
EP0499037A3 (en) * 1991-02-15 1992-10-21 Pfizer Hospital Products Group, Inc. Spinal fixator reduction frame
EP0528177A2 (fr) 1991-08-17 1993-02-24 Aesculap Ag Fixateur externe pour la correction d'une spondylolisthésis lombaire
EP0528177A3 (en) * 1991-08-17 1993-05-05 Aesculap Ag Internal fixator for the correction of a lumbar spondyldisthesis
WO1995005784A1 (fr) * 1993-08-27 1995-03-02 Fairant, Paulette Materiel ancillaire de pose d'une instrumentation rachidienne
FR2709248A1 (fr) * 1993-08-27 1995-03-03 Martin Jean Raymond Matériel ancillaire de pose d'une instrumentation rachidienne.
US5672175A (en) * 1993-08-27 1997-09-30 Martin; Jean Raymond Dynamic implanted spinal orthosis and operative procedure for fitting
US5704937A (en) * 1993-08-27 1998-01-06 Paulette Fairant Operative equipment for fixing spinal instrumentation
US5733284A (en) * 1993-08-27 1998-03-31 Paulette Fairant Device for anchoring spinal instrumentation on a vertebra
DE19516310A1 (de) * 1995-05-04 1996-11-07 Man Ceramics Gmbh Vorrichtung zur Positionierung von Knochen
US6464705B2 (en) * 1996-02-23 2002-10-15 D. Barclay Slocum Trust Agreement Joint support
JP2001507259A (ja) * 1996-12-27 2001-06-05 ストリケ、フランス、ソシエテ、アノニム 位置調整のできる脊柱接骨システム
US6090113A (en) * 1996-12-27 2000-07-18 Stryker France S.A. Adjustable osteosynthesis system of the rachis
WO1998029046A1 (fr) * 1996-12-27 1998-07-09 Stryker France S.A. Systeme d'osteosynthese du rachis avec reglage en position
FR2757761A1 (fr) * 1996-12-27 1998-07-03 Stryker France Sa Systeme d'oteosynthese du rachis avec reglage en position
RU2150248C1 (ru) * 1998-07-07 2000-06-10 Государственный научно-клинический центр охраны здоровья шахтеров Устройство для репозиции и фиксации переломов позвонков
US9101416B2 (en) 2003-01-24 2015-08-11 DePuy Synthes Products, Inc. Spinal rod approximator
WO2005079684A1 (fr) * 2004-02-14 2005-09-01 Crosstrees Medical Inc. Procédés et dispositifs de traitement des fractures et des maladies osseuses
US8709044B2 (en) 2005-03-04 2014-04-29 DePuy Synthes Products, LLC Instruments and methods for manipulating vertebra
US9095379B2 (en) 2005-03-04 2015-08-04 Medos International Sarl Constrained motion bone screw assembly
US11849978B2 (en) 2005-03-04 2023-12-26 Medos International Sarl Constrained motion bone screw assembly
US9795416B2 (en) 2005-03-04 2017-10-24 Medos International Sárl Constrained motion bone screw assembly
US11000315B2 (en) 2005-03-04 2021-05-11 Medos International Sarl Constrained motion bone screw assembly
US7951175B2 (en) 2005-03-04 2011-05-31 Depuy Spine, Inc. Instruments and methods for manipulating a vertebra
US7951172B2 (en) 2005-03-04 2011-05-31 Depuy Spine Sarl Constrained motion bone screw assembly
US10172648B2 (en) 2005-03-04 2019-01-08 Medos International Sarl Constrained motion bone screw assembly
US10314624B2 (en) 2005-03-04 2019-06-11 DePuy Synthes Products, Inc. Instruments and methods for manipulating vertebra
US11446066B2 (en) 2005-03-04 2022-09-20 DePuy Synthes Products, Inc. Instruments and methods for manipulating vertebra
US7578822B2 (en) 2005-04-29 2009-08-25 Warsaw Orthopedic, Inc. Instrument for compression or distraction
WO2006118998A1 (fr) * 2005-04-29 2006-11-09 Warsaw Orthopedic, Inc. Instrument de compression ou de distraction
WO2007025236A3 (fr) * 2005-08-26 2007-05-03 Innovative Spinal Technologies Instrument d'alignement pour systemes de stabilisation spinale dynamique
US7951174B2 (en) 2005-10-21 2011-05-31 Depuy Spine, Inc. Adjustable bone screw assembly
US7722651B2 (en) 2005-10-21 2010-05-25 Depuy Spine, Inc. Adjustable bone screw assembly
US8845700B2 (en) 2005-10-21 2014-09-30 DePuy Synthes Products, LLC. Adjustable bone screw assembly
US8348952B2 (en) 2006-01-26 2013-01-08 Depuy International Ltd. System and method for cooling a spinal correction device comprising a shape memory material for corrective spinal surgery
US8221474B2 (en) 2006-02-09 2012-07-17 Warsaw Orthopedic, Inc. Spinal derotation instruments and methods
US7794464B2 (en) 2006-02-09 2010-09-14 Warsaw Orthopedic, Inc. Spinal derotation instruments and methods
US7655008B2 (en) 2006-02-09 2010-02-02 Warsaw Orthopedic, Inc. Methods and instruments for spinal derotation
WO2007092797A3 (fr) * 2006-02-09 2007-10-18 Warsaw Orthopedic Inc instruments et procedes de derotation rachidienne
US8709015B2 (en) 2008-03-10 2014-04-29 DePuy Synthes Products, LLC Bilateral vertebral body derotation system
US8608746B2 (en) 2008-03-10 2013-12-17 DePuy Synthes Products, LLC Derotation instrument with reduction functionality
US9326798B2 (en) 2008-03-10 2016-05-03 DePuy Synthes Products, Inc. Derotation instrument with reduction functionality
US8764800B2 (en) 2008-05-28 2014-07-01 Ortoviva Ab Displacement device, use and system therefore
WO2009145696A1 (fr) 2008-05-28 2009-12-03 Ortoviva Ab Dispositif et système de déplacement d'os
US10973556B2 (en) 2008-06-17 2021-04-13 DePuy Synthes Products, Inc. Adjustable implant assembly
US11992245B2 (en) 2008-06-17 2024-05-28 DePuy Synthes Products, Inc. Adjustable implant assembly
US8277453B2 (en) 2009-10-30 2012-10-02 Warsaw Orthopedic, Inc. Instruments and systems for vertebral column manipulation
US8702713B2 (en) 2011-01-26 2014-04-22 Warsaw Orthopedic, Inc. Instruments and techniques for adjusting relative positioning of bones or bony tissues
CN102743216A (zh) * 2012-06-26 2012-10-24 冯其金 胸腰椎体外撑开复位器
US10098665B2 (en) 2012-08-01 2018-10-16 DePuy Synthes Products, Inc. Spine derotation system
US9402660B2 (en) 2013-09-05 2016-08-02 Warsaw Orthopedic, Inc. Surgical instrument and method
WO2015092426A1 (fr) * 2013-12-19 2015-06-25 The University Of Nottingham Dispositif rachidien chirurgical
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