Osteosynthesis plate for lumbosacral joint
The plate ( 1 ) has a generally triangular shape and includes two juxtaposed lower holes ( 7 ), intended to receive implantation screw ( 2 ) in the sacrum ( 100 ), and a first upper hole ( 8 ) for receiving an implantation screw ( 2 ) in the fifth lumbar vertebra ( 101 ). According to the invention, the plate ( 1 ) includes an extension ( 6 ) integral therewith, extending its upper side, i.e. protruding from the side opposite the two juxtaposed lower holes ( 7 ), the extension ( 6 ) having a second upper hole ( 15 ) formed in its entirety thereon, for receiving a second screw ( 2 ) intended to be implanted in the fifth lumbar vertebra ( 101 ), and having, at all points of its length, a width not greater than two times the diameter of the second upper hole ( 15 ); the direction in which the extension ( 6 ) protrudes from the plate ( 1 ) is such that the first upper hole ( 8 ) and the second upper hole ( 15 ) are placed on a first line (L 1 ) substantially perpendicular to a second line (L 2 ) passing through the two juxtaposed lower holes ( 7 ).
1. A plate for the osteosynthesis of the lumbosacral joint comprising:
the plate having a contour having a curved triangular shape defining a small end and an opposite large end, the plate including an upper side located on the small end of the triangle, a middle section, lateral sides, a front side, a posterior side, a lower side located on the large end of the triangle, and a concavity facing the posterior side of the plate;
two juxtaposed lower holes located on the lower side of the plate, each one of the lower holes includes a center, the centers of the lower holes are separated by a first distance;
a counterbore located on the middle section of the plate, the counterbore is located above and between the lower holes;
a central hole located on the counterbore;
a first upper hole located on the upper side of the plate and above the counterbore;
an extension integral with the plate, the extension having a width smaller than a width of the upper side of the plate and a length that continuously projects and passes the upper side of the plate longitudinally extending the length of the plate upper side the extension forms an inflexion at the upper end of the plate forming an angle that faces the posterior side of the plate;
a second upper hole formed in the extension, the second upper hole is formed on the entire length of the extension;
a first fastener to be inserted into each one of the lower holes;
a second fastener to be inserted into the first upper hole; and
a third fastener to be inserted into the second upper hole.
2. The plate according to claim 1 , wherein the first and second upper holes include a wall having the shape of a hollow sphere.
3. The plate according to claim 1 , wherein:
the inflexion is an obtuse angle with a zone of the plate to which it is connected, said angle being approximately 155°.
4. The plate according to claim 1 , further comprising at least one sharp projection protruding from lower end of the plate.
5. A plate for the osteosynthesis of the lumbosacral joint comprising:
the plate having a contour having a curved triangular shape defining a small end and an opposite large end, the plate includes an upper side located on the small end of the triangle, a middle section, lateral sides, a front side, a posterior side, a lower side located on the large end of the triangle, and a concavity facing the posterior side of the plate;
two juxtaposed lower holes located on the lower side of the plate, each lower hole includes a center, the centers of the lower holes are separated by a first distance the two juxtaposed lower holes have each a same, identical, first diameter;
a counterbore located on the middle section of the plate, the counterbore is located above and between the lower holes;
a central hole located on the counterbore;
a first upper hole located on the upper side of the plate and above the counterbore; the first upper hole is adapted to receive an implantation screw in the fifth lumbar vertebra, the first upper hole has a second diameter, the second diameter is identical to the first diameter;
an extension integral with the plate, the extension having a width smaller than a width of the upper side of the plate and a length that continuously projects and passes the upper side of the plate longitudinally extending the length of the plate upper side, the extension forms an inflexion at the upper end of the plate forming an angle that faces the posterior side of the plate;
a second upper hole formed in the extension, the second upper hole is formed on the entire length of the extension;
at least one sharp projection integral with the plate and protruding from the lower end of the plate and towards the posterior side of the plate;
a ring placed inside at least one of the first upper hole, the second upper hole, or the lower holes, the ring is made of an elastically deformable material;
a first fastener to be inserted into each one of the lower holes;
a second fastener to be inserted into the first upper hole; and
a third fastener to be inserted into the second upper hole.
6. A plate for the osteosynthesis of the lumbosacral joint comprising:
the plate having a contour having a curved triangular shape defining a small end and an opposite large end, the plate includes an upper side located on the small end of the triangle, a middle section, lateral sides, a front side, a posterior side, a lower side located on the large end of the triangle, and a concavity facing the posterior side of the plate;
two juxtaposed lower holes located on the lower side of the plate, each lower hole includes a center, the centers of the lower holes are separated by a first distance the two juxtaposed lower holes have each a same, identical, first diameter;
an oval counterbore located on the middle section of the plate, the oval counterbore is located above and between the lower holes;
a central hole located on the oval counterbore;
a first upper hole located on the upper side of the plate and above the counterbore; the first upper hole is adapted to receive a first implantation screw in the fifth lumbar vertebra, the first upper hole has a second diameter, the second diameter is identical to the first diameter;
an extension integral with the plate, the extension having a width smaller than a width of the upper side of the plate and a length that continuously projects and passes the upper side of the plate longitudinally extending the length of the plate, upper side the extension forms an inflexion at the upper end of the plate forming an angle that faces the posterior side of the plate;
a second upper hole formed in the extension, the second upper hole is formed on the entire length of the extension; the second upper hole is adapted to receive a second implantation screw in the fifth lumbar vertebra, the second upper hole has a third diameter, the third diameter is identical to the second diameter;
a ring placed inside at least one of the first upper hole, the second upper hole, or the lower holes, the ring is made of an elastically deformable material;
a first fastener to be inserted into each one of the lower holes;
a second fastener to be inserted into the first upper hole; and
a third fastener to be inserted into the second upper hole.
7. The plate according to claim 1 , wherein the plate is hollow and contains a bone graft.
8. The plate according to claim 6 , wherein each ring has an outer surface having a first center and an inner surface having a second center, the first center is offset relative to the second center.