IMPLANT ORTHOPAEDIC

SPINE SURGERY

Presented By:
 Suatu peralatan medis yang terbuat dari bahan
metal, dibuat untuk menggantikan struktur dan
fungsi suatu bagian biologis. Adapun
permukaan implant yang kontak dengan tubuh
bisa terbuat dari bahan biomedis.

 IMPLANT SPINE adalah perangkat yang

ditempatkan sebagai pengganti tulang untuk
menyangga dan menstabilkan tulang belakang.

 Implant spine ditempatkan di dalam tubuh

(internal)
 STABILITATION
- TRAUMA
- CONGENITAL
- DEGENERATIF
- TUMOR

 PENYANGGA VERTEBRAE

 RASA NYAMAN
 FUSION
# Descectomy intracerebral discus

 NON-FUSION
 ROTARY
 DIAMOND
 Implementation Standard Upcoming
Implant
procedure materials materials
Cage Anterior/posterior Titanium Bioactive glass
interbody fusion - Restores PEEK Silicon nitride
height of collapsed disc Ceramic Apatite-Wollastonite
from injury, DDD, or
Acrylic poly(ε-
scoliosis.
caprolactone)+HA
(biodegradable)
Screws Pedicle screw fixation - Titanium (Ti6Al4V) Carbonated apatite
Holds vertebrae together to doped with:
attach plates and rods. HA
CaP
ECM
Tantalum
Rods Spinal fusion - Adds Titanium Ti-Mo
stability to a spinal CoCr Oxygen-modified
implant. Used for scoliosis beta-type Ti-Cr
correctional surgery. PEEK Biodegradable
Stainless steel materials
Nitinol
Plates Spinal stabilization Titanium Biodegradable
materials
Materials Advantages Disadvantages Application
Stainless steel Very strong Corrosion Scoliosis correction (rods)
Very stiff Relatively poor biocompatibility Formerly used in screws; now
mostly replaced by titanium
Easily doped/alloyed to be stronger High artifacts in imaging

Inexpensive
Titanium Lightweight Relatively Expensive Screws
Strong Some artifacts during imaging Rods
Flexible Plates
Biocompatible Cages
Easily doped/alloyed to be stronger

PEEK Lightweight Low Young’s modulus Rods

Flexible Some grafting issues, but improved Cages
Relatively Inexpensive with coatings Disc replacement
Biocompatible
Easily doped/coated for improved
grafting
Low artifacts on imaging
CoCr Strong Relatively expensive Adolescent scoliosis correction
Flexible High artifacts on imaging (rods) to provide a more flexible
Biocompatible buttress for the spine to curve
about.
Ceramic Relatively inexpensive Brittle Used in cage biomaterials
Biocompatible Grafting issues, but can be improved Doped with A/W
Ware resistant with coating/doping
Easily doped
Nitinol Strong Relatively expensive Not frequently used, but can be
“Memory metal” (shape recovery) Sometimes not stiff enough for implemented for young
proper correction scoliosis correctional surgery.

Tantalum High frictional characteristics Very expensive Not frequently used due to its
price.
Low Young’s modulus Not stuff enough for some spinal Has primarily been phased out
 CAGES
 PLATES
 RODS
CERVICAL CAGES
ANTERIOR CERVICAL PLATES
 PEDICLE SCREW

 ROD BAR SOLID

 NUTS

 CROSS LINK
INSERTION IMPLANT
 AWL
 PEDICLE PROBE
 FILLER
 TUPPER
 SCREW DRIVER
 MONOAXIAL
 POLYAXIAL
 MONOAXIAL REDUCTION
 POLYAXIAL REDUCTION
INDIKASI
 MODERATE VERTEBRA
 SIMPLE
INDIKASI
 VERTEBRA LORDOSIS
 SCOLIOSIS