Abstract:
A space holder in particular for a vertebra or an intervertebral disk is provided. The space holder comprises a jacket (1) having apertures (9, 10) and a first and second edge (7, 8). The edge has circumferentially adjacent recesses (9, 10; 9&#39;, 10&#39;) each extending in direction towards the other edge and a stop provided at at least one of the edges spaced from the outer edge. In order to provide for an easy manufacture and operation of the space holder the stop is formed by a member (11, 13, 16, 22) having an outer contour corresponding to the inner contour of the jacket (1) and nose-like projections (15) for engaging the recesses (9, 10) are provided at those locations of the periphery of the stop which correspond to the recesses (9, 10; 9&#39;, 10&#39;).

Description:
This is a continuation of application Ser. No. 08/581,149 filed on Dec. 29, 1995, now U.S. Pat. No. 5,702,451. 
    
    
     FIELD OF THE INVENTION 
     The invention relates to a space holder for use with a vertebra or an intervertebral disk. 
     BACKGROUND OF THE INVENTION 
     Such a space holder is disclosed for example in document EP-B-O 268 115. This space holder comprises a stop formed by a ring on its inner side spaced from the corresponding free end of the jacket. The ring is connected with the jacket by means of bolts. In a particular embodiment a base plate comprising openings is mounted on the ring. 
     It is the object of the invention to simplify the space holder and make it more universally applicable. 
     SUMMARY OF THE INVENTION 
     In accord with the present invention, a space holder is provided, in particular, a vertebra or an intervertebral disk. The space holder comprises a jacket having apertures and a first and second edge. The edge has circumferentially adjacent recesses, each extending in a direction toward the opposite edge and a stop member is provided at least at one of the edges at a distance from that edge. The stop member is formed having an outer contour corresponding to the inner contour of the jacket. The stop member has nose-like projections at locations along its periphery corresponding to the recesses. Thus, the projections can engage the recesses. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     FIG. 1 is a side view of the jacket of the space holder; 
     FIG. 2 is a top view of a first embodiment of the member to be connected with the jacket; 
     FIG. 3 is a top view of a second embodiment of the member; 
     FIG. 3a is a sectional view along line IIIA--IIIA in FIG. 3; 
     FIG. 4 is a top view of a third embodiment of the member; 
     FIG. 5 is a sectioned lateral view along line V--V in FIG. 4; 
     FIG. 6 is a sectional view along line VI--VI in FIG. 7 through a further modified embodiment; 
     FIG. 7 is a top view of that embodiment; 
     FIG. 8 shows a section along line VIII--VIII in FIG. 9; 
     FIG. 9 is a top view of that further embodiment; 
     FIG. 10 shows a section along line X--X in FIG. 11; and 
     FIG. 11 is a top view of that further embodiment. 
    
    
     DESCRIPTION OF PREFERRED EMBODIMENTS 
     Further features and advantages of the invention will stand out from the description of embodiments with reference to the Figures. 
     As shown in particular in FIG. 1 the space holder comprises a closed jacket 1. The cross-section perpendicular to the longitudinal axis 2 of the jacket 1 is shaped in usual manner, in particular cylindrical, oval or kidneyshaped. In the manner shown in FIG. 1 the jacket 1 comprises diamond-shaped apertures 3, 4 having a longitudinal diagonal extending parallel to the jacket axis 2. Adjacent rows 3, 4 of such diamonds are mutually offset by half a diamond height. In this manner a grid is formed having webs 5, 6 intersecting at an acute angle and including equal angles with the longitudinal diagonal of the diamonds 3, 4. The upper edge 7 and the lower edge 8 both extend in a plane perpendicular to the longitudinal axis 2. The size of the diamonds 3, 4 and of the webs 5, 6 defining the diamonds is selected so that there is an integral number of diamonds in peripheral direction. The edges 7, 8 generate always an even number of V-shaped recesses 9, 10 or 9&#39;, 10&#39;, respectively, formed by the respective diamond base in peripheral direction. Owing to the above-described geometry the respective edge is quasi centrically symmetric to a point on the longitudinal axis 2 lying in the plane of the edge. 
     The first embodiment of a member 11 forming a stop shown in FIG. 2 is formed as a plate-shaped ring. The outer contour of the ring 12 corresponds to the inner contour of the jacket 1. Its dimensions are selected so that it can be pressed into the interior of the jacket but may also be pressed out again if desired, i.e. there is a frictional fit between the ring and the jacket 1. Equidistant projecting noses 15 are provided at the outer edge of the ring 12 in peripheral direction. The distance between two noses in peripheral direction equals the distance between two peripherally adjacent V-shaped recesses 9, 10. The cross-dimensions of the noses 15 in the plane of the plate are such that the noses fit smoothly into the base of the V-shaped recesses 9, 10. The length of the projecting noses corresponds to about the wall thickness of the associated jacket. 
     In use the jacket 1 is brought to the desired length by severing the upper edge 7 and the lower edge 8. Then one ring 12 is pressed into the interior of the jacket at the upper end and a second ring is pressed into the jacket interior at the lower end in such a manner that the noses 15 of the rings engage the corresponding basis of the associated V-shaped recesses 9, 10 and 9&#39;, 10&#39;, respectively. 
     Owing to the integral number of the V-shaped recesses and the central symmetry resulting therefrom one and the same member 11 may be used irrespective of the severing at the edge 7 or at the lowered edge 7&#39; indicated in broken lines. If the edge is formed at the location 7&#39; rather than at the location 7, then the ring 12 is inserted after rotation around its longitudinal axis, whereby using only one kind of rings the stock-keeping is reduced and the operation is simplified. 
     FIG. 3 shows a member 13 of a modified embodiment. Again it is a plate wherein the holes are formed by bore-shaped holes 14 distributed over the plate. All further features correspond to the member 11. 
     The FIGS. 4 and 5 show a member 16 according to a third embodiment. This member again comprises a plate which corresponds to the embodiment shown in FIG. 3 as regards the holes 14 and the noses 15. An outer ring 17 is arranged around the plate. As best shown in FIG. 5, the outer ring has a ring wall extending perpendicular to the plane of the plate and therefore parallel to the outer surface of the jacket 1. The length of the noses 15 is selected so as to be longer than the thickness of the jacket 1 just by an amount to form a clearance 18 between the plate, the noses and the ring which allows pushing the member onto the corresponding free end 7, 8 of the jacket 1 to fit the noses 15 into the base of the respective corresponding V-shaped recesses 9, 10, 9&#39;, 10&#39;. The inner surface of the ring 17 then sits close to the outer surface of the jacket 1. 
     In the FIGS. 6 and 7 a member 19 according to a further embodiment is shown. It has a plate-shaped ring 12 which is identical with the ring shown in FIG. 2. As best shown in FIG. 6 an edge portion 20 having an outer contour which corresponds to the inner contour of the jacket 1 is provided on one surface of this ring and the free end of the edge portion 20 opposite to the plate 12 has equidistant prongs 21 in circumferential direction. The height of the prongs 21 above the plate 12 is so that when inserted the prongs extend beyond the edge 7 or 8, resp., of the jacket 1 almost to their base. 
     The embodiment of a member 22 shown in FIGS. 8 and 9 differs from the previously described embodiment only in that the base of the prongs is not in a plane parallel to the plate 12, but in a plane which is inclined with respect to the plate 12. The edge formed by the prongs lies also in a plane which is inclined with respect to the plate plane of the ring 12. The inclination is preferably between 8 and 10°. 
     The embodiment of the member 24 shown in FIGS. 10 and 11 differs from the embodiment according to FIGS. 8 and 9 in that the edge portion 20 is inclined with respect to the plane of the plate, i.e. with an angle other than 90° with respect to the plate plane of the ring 12. 
     In operation both embodiments, i.e. the members 19 and 22, respectively, are inserted into the jacket in the same manner as the previously described embodiments so that the projecting noses 15 of the ring 12 lie in the lowermost parts of the V-shaped recesses 9, 10 and the prongs extend outwardly beyond the edge of the jacket. In the embodiment shown in FIGS. 6 and 7 the prongs 21 or 21&#39; may be cut to different lengths, for example along the broken line 23 to form a wedge-shaped insert. Similarly the edge of the member 22 can be cut so that the predetermined angle between the outer edge and the plate-shaped ring 12 is varied. In this manner it is possible to obtain, using few basic members, space holders having different wedge angles. 
     The outer contour of the respective rings 12 and 13 is, of course, determined as a function of the respective inner contour of the associated jacket. 
     According to modifications of the above-described particularly preferred embodiments the recesses of the edge may have other shapes in place of the V-shape, for example U-shaped or slit-shaped recesses.