Spinal-column plate implant
The invention relates to a plate-implant for use in osteosynthesis, comprising at least one first plate component with throughbores for receiving fastening screws and a connection means, at least one second plate component with throughbores for receiving fastening screws and a receiving means for receiving a connection means. According to the invention, each plate component is slidable in one direction relative to the other plate component, the plate components being provided with a device limiting their slide path relative to each other. The device comprises a clamping screw ( 18 ) having a thread and a screw head and, in the mounted state of the two plate components ( 2, 3 ), the thread cooperates with the connection means ( 5 ) and the screw head with a longitudinal borehole ( 14 ) provided in the second plate component ( 3 ) in such a way that a clamping effect is obtained between the screw head and the longitudinal borehole ( 14 ) and between the connection means ( 5 ) and the receiving means ( 6 ).
1. A plate implant for use in osteosynthesis between a pair of adjacent vertebrae, the implant comprising:
at least one first end plate having a longitudinally extending tongue-shaped connector formed with a threaded bore, the first end plate being formed with holes for receiving screws fastening the first end plate to one of the vertebrae;
at least one second end plate having a longitudinally extending seat for receiving the connector and holes for receiving screws fastening the second end plate to the other of the vertebrae, mutually engaging surfaces of the seat and extension being smooth, the second end plate being formed at the seat with a longitudinally elongated tapered slot having longitudinally extending side flanks, each end plate being able to slide longitudinally toward and away from the other end plate with sliding of the connector in a longitudinal direction in the seat between a starting position with the end plates spaced longitudinally apart and an end position with the end plates longitudinally closely juxtaposed;
formations on the end plates that engage each other in the end position and limit longitudinal sliding of the end plates toward one another; and
a clamping screw formed with a screwthread fittable in the threaded bore of the connector, the screw having a screw head and, when the two end plates are fitted together, the screwthread fitting with the threaded bore of the connector and the screw head fitting in the elongated slot with the head bearing on the side flanks such that a clamping effect occurs between the screw head and the elongated slot and between the connector and the seat, the two end plates and the clamping screw being constructed such that the clamping effect does not completely block relative sliding in or against the longitudinal direction while increasing in a direction corresponding to longitudinal separation of the plates due to the transverse convergence of the side flanks, thereby permitting relative limited longitudinal separation of the respective vertebrae with increasing resistance to separation as the end plates separate longitudinally.
2. The plate implant according to claim 1 , further comprising:
at least one extension plate between the first end plate and the second end plate, the extension plate having
bores for receiving fastening screws,
a seat for receiving the connector of the first end plate,
an extension-plate connector, and
an elongated slot for receiving another clamping screw and for limiting sliding.
3. The plate implant according to claim 2 wherein the end plates and the extension plate are made of plastic.
4. The plate implant according to claim 2 wherein the end plates and the extension plate are curved in both their longitudinal extension and in their transverse extension.
5. The plate implant according to claim 1 wherein the tongue-shaped connector is made on a face turned toward the respective vertebra or bone to be inset from an inner face of the first end plate.