as may in particular be seen from fig1 a prosthesis comprising a place holder or dummy element 1 is formed as a cylinder jacket - shaped member . in the manner shown in fig1 the cylinder jacket comprises rhombus - shaped apertures 2 having their longitudinal diagonal extending parallel to the cylinder axis . respective adjacent rows 3 , 4 of such rhombuses are mutually offset by half of the rhombus height . in this manner a grid of band strips 5 , 6 is formed which intersect each other with an acute angle and which are inclined by respective identical angles with respect to the longitudinal diagonal of the rhombuses . it is thus achieved that a load acting onto the place holder in the direction of its longitudinal axis is taken up in uniform manner . the upper edge 7 and the lower edge 8 are each formed such that approximately v - shaped teeth 9 , 10 or 11 , 12 , respectively project upwards and downwards in the plane of the jacket parallel to the cylinder axis . the ends 13 of the teeth are bezelled or chamfered such that both chamfered faces intersect with an angle of approximately 45 ° such that a type of cutting edge is formed . in the embodiment shown in the fig1 and 2 the jacket is formed by rolling up a correspondingly designed / sheet material and especially sheet metal strip . the two overlapping ends are interconnected by means of a screw 14 . it is generally possible to reinforce the wall of the jacket by using two windings in the manner shown in fig3 . in operation the place holder is inserted in axial direction between the remaining vertebrae / body or bone pieces in place of a removed vertebra / body or bone piece . the diameter and the axial length of the jacket are selected such that the jacket fits between the remaining pieces in that manner that these pieces keep their original distance from each other . the teeth 9 , 10 and 11 , 12 , respectively , of the place holder engage the surface of the adjacent vertebrae / body or bones , respectively , in that manner that a torsional movement of the one adjacent part with respect to the other adjacent part is transferred to the respective other adjacent part or braked or reduced , respectively , by means of the projecting teeth . at least the interior of the jacket is filled with bone cement through the apertures . if desired , that much bone cement may be introduced that the cement penetrates outwardly through the apertures and a molding at the outside is performed . preferably the bone cement is filled in after insertion of the above described jacket . however , it is also possible to fill the interior space of the jacket before insertion thereof . in the modified embodiments shown in the fig4 and 5 corresponding parts are referred to by the respective identical reference sign . this embodiment differs from the above described in that cylindrical rings 15 , 16 having an outer diameter which conforms to the respective inner diameter of the cylindrical jacket - shaped member are provided at the two opposed ends of the cylindrical body . the cylinder jacket is rigidly connected with the close lying ring 15 , 16 by means of respective screws 17 . the outwardly directed side 18 of the respective ring 15 , 16 has a distance d from the adjacent edge 7 or 8 , respectively . this distance is preferably in the order of 0 . 5 to 2 mm . in inserting the jacket the ends projecting beyond the respective ring are pressed into the adjacent bone when subjected to load . the adjacent ring prevents a further penetration into the adjacent bone . the desired value of the distance d is determined by the intended way of use and the depth of penetration desired therefor . as may be seen from the fig4 and 5 , the dimensions of the rhombus - shaped apertures are selected such that the thread of a pedicle screw may be screwed into the aperture . thus , an additional simple fixation between the place holder and the respective adjacent vertebrae / body or bone pieces may be achieved . in the above described embodiments the cross - section is circular . preferably the cross - section is chosen as a function of the cross - section of the parts to be connected . for connection of vertebrae / body in the lumbal region the member preferably comprises a kidney - shaped cross - section shown in fig6 or an oval cross - section shown in fig7 . the embodiment shown in the fig8 and 9 additionally comprises a bottom plate 19 at the bottom side and a corresponding top plate at the opposite side . the bottom plate and the top plate are each grid - shaped . the adjacent rings 15 and 16 , respectively , serve as abutments . this embodiment is particularly suitable for the connection of porous bones . by means of the bottom plate and top plate , respectively , it is prevented that the place holder sinks too far into e . g . the vertebrae / body cover plate . the bottom plate and top plate , respectively , preferably comprise a grid - shaped structure shown as an example in fig8 . as mentioned above , the interior may be filled with bone cement . in place of the filling with bone cement , however , it is also possible to insert a piece of bone from the patient or from another source into the interior of the place holder such that the place holder has a supporting function around the inserted bone piece . both when filling with bone cement and when inserting the bone piece a particularly secure connection with the above described place holder is achieved . in addition , a safe protection of the spinal cord channel against ejected bone cement or bone pieces is achieved . while the invention has been described in preferred form it is not limited to the precise nature shown as various modifications may be made without departing from the scope of the appended claims .
a prosthesis in the form of a hollow , cylindrical jacket for insertion in the gap between adjacent bone ends , the jacket being provided with reticulated sides and with toothed ends for engagement with the bone ends .