WO2006091572B1 - Apparatus and method for dynamic vertebral stabilization - Google Patents

Apparatus and method for dynamic vertebral stabilization

Info

Publication number
WO2006091572B1
WO2006091572B1 PCT/US2006/006049 US2006006049W WO2006091572B1 WO 2006091572 B1 WO2006091572 B1 WO 2006091572B1 US 2006006049 W US2006006049 W US 2006006049W WO 2006091572 B1 WO2006091572 B1 WO 2006091572B1
Authority
WO
WIPO (PCT)
Prior art keywords
vertebra
stabilizer
vertebrae
hollow
respect
Prior art date
Application number
PCT/US2006/006049
Other languages
French (fr)
Other versions
WO2006091572A2 (en
WO2006091572A3 (en
Inventor
Wade T Fallin
Daniel E Gerbec
Joel Dever
Original Assignee
Stryker Spine
Wade T Fallin
Daniel E Gerbec
Joel Dever
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Stryker Spine, Wade T Fallin, Daniel E Gerbec, Joel Dever filed Critical Stryker Spine
Priority to EP06720926.2A priority Critical patent/EP1850805B1/en
Publication of WO2006091572A2 publication Critical patent/WO2006091572A2/en
Publication of WO2006091572A3 publication Critical patent/WO2006091572A3/en
Publication of WO2006091572B1 publication Critical patent/WO2006091572B1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7026—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form
    • A61B17/7028—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form the flexible part being a coil spring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • A61B17/7007—Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7025—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a sliding joint
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7049—Connectors, not bearing on the vertebrae, for linking longitudinal elements together
    • A61B17/7052—Connectors, not bearing on the vertebrae, for linking longitudinal elements together of variable angle or length

Abstract

A posterior vertebral stabilizer (70, 270) has a resilient member (120, 274) such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod (74) extending through the spring, or by a telescoping assembly (272) that encases the resilient member (274). The ends (92, 94) of the stabilizer (70, 270) are attachable to pedicles of adjacent vertebrae so that the stabilizer (70, 270) adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers (70, 270) may be used, and may be connected together by a crosslink (180) designed to limit relative rotation of the stabilizers (70, 270). Thus, the stabilizers (70, 270) may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers (70, 270) help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw (160, 340) or other component may be used to further restrict flexion and extension.

Claims

AMENDED CLAIMS received by the International Bureau on 22 May 2007(22.05.2007)
1. A method for locking relative positions of first and second vertebrae, the method comprising: providing access to a first stabilizer comprising a hollow first member attached to the first vertebra, a hollow second member attached to the aecond vertebra and telescopically engaged withthe first member such that the second member is translatable toward and away from the first member to permit stabilized motion of the second vertebra with respect to the first vertebra, and a first resilient member positioned within a. cavity defined by engagement of the first and second members, such that the first and second members cooperate to keep the first resilient member substantially straight ; and coupling a first locking component to lock the first stabilizer to substantially prevent translation of the second member toward and away from the first member.
2. The method of claim 1, wherein coupling the first locking component to lock the first stabilizer comprises substantially arresting relative translation of the first and second vertebrae.
3. The method of claim 1, wherein coupling the first locking component to lock the first stabilizer comprises substantially arresting extension and compression of the first resilient member,
4. The method of claim 1, further comprising: providing acσeas to a second stabiliser comprising a hollow third member attached to the first vertebra, a hollow fourth member attached to the second vertebra and telescopically engaged withthe third member such that the fourth member is translatable toward and away from the third
AMENDED SHEET (ARTICLE 19)
-29 - member to permit stabilized motion of the second vertebra with respect to the fiist vertebra, and a second resilient member positioned within a cavity defined by engagement of the first and second members, such that the first and second member cooperate to keep the resilient member substantially straight; and coupling a second locking component to lock the second stabilizer to substantially prevent translation of the fourth member toward and away from the third member.
5. The method of claim 4, wherein coupling the first and second locking components to lock the first stabilizer substantially prevents all relative motion of the first and second vertebrae .
6. A method for restricting axial rotation of a first vertebra with respect to a second vertebra, the method comprising: providing access to a first stabilizer comprising a hollow first member, a hollow second member teleacopically engaged with the first member such that the second member is translatable toward and away from the first member/ and a first resilient member positioned within a cavity defined by engagement of the first and second member, such that the first and second members cooperate to keep the resilient member substantially straight; attaching the first member to the first vertebra; attaching the second member stabilizer to the second vertebra; coupling a first end of a crosslink to the first stabilizer; and substantially securing a second end of the crosslink with respect to one of the first and second vertebrae such that the second end extends from the stabilizer to restrict axial rotation of the first vertebra with respect to the second vertebra.
7. The method of claim 6, further comprising a second stabilizer comprising: providing access to a second stabilizer comprising a hollow third member, a hollow fourth member telescαpically engaged with the third member such that the fourth member is translatable toward and away from the third member, and a second resilient member positioned within a cavity defined by engagement of the third and fourth member, such that the third and fourth members cooperate to keep the resilient member substantially straight; attaching the third member to the firat vertebra; and attaching the fourth member to the second vertebra; wherein substantially securing the second end of the crosslink with respect to one of the first and second vertebrae comprises coupling the second end to the second stabilizer,
θ. The raef-iod of claim 6, wherein substantially securing the second end with respect to one of the first and aecond vertebrae restricts lateral bending of the first vertebra with respect to the second vertebra.
AMENDED SHEET (ARTICLE 19)
PCT/US2006/006049 2005-02-22 2006-02-22 Apparatus and method for dynamic vertebral stabilization WO2006091572A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP06720926.2A EP1850805B1 (en) 2005-02-22 2006-02-22 Apparatus for dynamic vertebral stabilization

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US65529805P 2005-02-22 2005-02-22
US60/655,298 2005-02-22
US11/087,434 2005-03-22
US11/087,434 US7604654B2 (en) 2005-02-22 2005-03-22 Apparatus and method for dynamic vertebral stabilization

Publications (3)

Publication Number Publication Date
WO2006091572A2 WO2006091572A2 (en) 2006-08-31
WO2006091572A3 WO2006091572A3 (en) 2007-06-07
WO2006091572B1 true WO2006091572B1 (en) 2007-08-02

Family

ID=36913753

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2006/006233 WO2006101655A1 (en) 2005-02-22 2006-02-22 Apparatus and method for dynamic vertebral stabilization
PCT/US2006/006049 WO2006091572A2 (en) 2005-02-22 2006-02-22 Apparatus and method for dynamic vertebral stabilization

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2006/006233 WO2006101655A1 (en) 2005-02-22 2006-02-22 Apparatus and method for dynamic vertebral stabilization

Country Status (3)

Country Link
US (7) US7604654B2 (en)
EP (2) EP1850805B1 (en)
WO (2) WO2006101655A1 (en)

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US9949762B2 (en) 2018-04-24
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US7361196B2 (en) 2008-04-22
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US20150173801A1 (en) 2015-06-25
WO2006101655A1 (en) 2006-09-28

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