WO2006101655B1 - Apparatus and method for dynamic vertebral stabilization - Google Patents
Apparatus and method for dynamic vertebral stabilizationInfo
- Publication number
- WO2006101655B1 WO2006101655B1 PCT/US2006/006233 US2006006233W WO2006101655B1 WO 2006101655 B1 WO2006101655 B1 WO 2006101655B1 US 2006006233 W US2006006233 W US 2006006233W WO 2006101655 B1 WO2006101655 B1 WO 2006101655B1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- vertebra
- resilient
- resilient member
- stabilization system
- stabilizer
- Prior art date
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
1. A stabilization system for controlling relative motion between a first vertebra and a second vertebra, the stabilization system comprising: a first stabilizer comprising: a resilient member configured to be coupled to extend along a first direction to transmit tension and compression between the first and second vertebrae; a first member having a substantially rigid construction, the first member extending along the first direction to keep the resilient member substantially straight; and a locking component positionable to lock the first stabilizer to substantially prevent extension of the second vertebra with respect to the first vertebra.
2. The stabilization system of claim 1, wherein the first stabilizer comprises a second member that slidably engages the first member such that the first and second members cooperate to keep the resilient member substantially straight.
3. The stabilization system of claim 2, wherein the second member telescopically engages the first member.
4. The stabilization system of claim 3, wherein the first and second members are hollow, wherein the resilient member is positioned within a cavity defined by engagement of the first and second members .
5. The stabilization system of claim 1, wherein the first member comprises an end attachable to a pedicle of one of the first vertebra and the second vertebra.
-34-
6. The stabilization system of claim 5, wherein the end is attachable to the pedicle such that the end can rotate about at least one axis with respect to the pedicle after attachment of the end to the pedicle.
7. The stabilization system of claim 5, further comprising a second stabilizer comprising: a second resilient member configured to be coupled to extend along a second direction to transmit tension and compression between the first and second vertebrae; and a second member having a substantially rigid construction, the second member extending along the second direction to keep the second resilient member substantially straight; wherein the second member comprises a second end attachable to a second pedicle of one of the first vertebra and the second vertebra such that the first and second stabilizers are attachable in a generally symmetrical manner across a sagittal plane of the first and second vertebrae.
8. The stabilization system of claim 1, wherein the resilient member comprises a helical spring.
9. The stabilization system of claim 8, wherein the helical spring comprises a resilient portion and an end attachable to a pedicle of one of the first vertebra and the second vertebra, wherein the resilient portion and the end are integrally formed with each other.
10. The stabilization system of claim 1, wherein the first member is substantially coaxial with the resilient member.
11. The stabilization system of claim 10, wherein the resilient member comprises a resilient portion having a bore,
-35- wherein the first member extends through the bore along at least an entire length of the resilient portion.
12. The stabilization system of claim 1, wherein the locking component is configured to cooperate with the first stabilizer to substantially prevent all relative motion of the first and second vertebrae .
13. The stabilization system of claim 1, further comprising a crosslink comprising: a first end coupled to the first stabilizer; and a second end extending from the first stabilizer, wherein the second end is substantially secured with respect to one of the first and second vertebrae to restrict axial rotation of the first vertebra with respect to the second vertebra.
14. A method for controlling relative motion between a first vertebra and a second vertebra, the method comprising: exposing at least a portion of the first and second vertebrae ; positioning a resilient member to extend along a first direction to transmit tension and compression between the first and second vertebrae; positioning a first member having a substantially rigid construction to extend along the first direction to keep the resilient member substantially straight; and positioning a locking component to lock either the resilient member or the firs member to substantially prevent extension of the second vertebra with respect to the first vertebra.
15. The method of claim 14, further comprising positioning a second member in telescopic engagement with the first member to extend along the first direction such that the first and second members cooperate to keep the resilient member substantially straight, wherein the first and second members are hollow, wherein the resilient member is positioned within a cavity defined by engagement of the first and second members .
16. The method of claim 14, wherein the first member comprises an end, the method further comprising attaching the end to a pedicle of one of the first vertebra and the second vertebra .
17. The method of claim 16, wherein attaching the end to the pedicle comprises enabling the end to rotate about at least one axis with respect to the pedicle after attachment of the end to the pedicle.
18. The method of claim 16, further comprising: positioning a second resilient member to extend along a second direction to transmit tension and compression between the first and second vertebrae; and positioning a second member having a substantially rigid construction to extend along the second direction to keep the second resilient member substantially straight; wherein positioning the second member comprises attaching a second end of the second member to a second pedicle of one of the first vertebra and the second vertebra such that the first and second members are attachable in a generally symmetrical manner across a sagittal plane of the first and second vertebrae.
19. The method of claim 14, wherein the resilient member comprises a helical spring comprising a resilient portion and an end integrally formed with the resilient portion, wherein positioning the first resilient member comprises attaching the
-37- end to a pedicle of one of the first vertebra and the second vertebra .
20. The method of claim 14, wherein the first member is substantially coaxial with the resilient member, wherein the resilient member comprises a resilient portion having a bore, wherein the first member extends through the bore along at least an entire length of the resilient portion.
21. The method of claim 14, wherein the resilient member and the first member are incorporated into a first stabilizer, the method further comprising: 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.
-38-
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP06735764.0A EP1850808B1 (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 | ||
US11/087,115 US7361196B2 (en) | 2005-02-22 | 2005-03-22 | Apparatus and method for dynamic vertebral stabilization |
US11/087,115 | 2005-03-22 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2006101655A1 WO2006101655A1 (en) | 2006-09-28 |
WO2006101655B1 true WO2006101655B1 (en) | 2006-12-07 |
Family
ID=36913753
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2006/006049 WO2006091572A2 (en) | 2005-02-22 | 2006-02-22 | Apparatus and method for dynamic vertebral stabilization |
PCT/US2006/006233 WO2006101655A1 (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/US2006/006049 WO2006091572A2 (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) | EP1850808B1 (en) |
WO (2) | WO2006091572A2 (en) |
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2006
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- 2006-02-22 WO PCT/US2006/006049 patent/WO2006091572A2/en active Application Filing
- 2006-02-22 EP EP06720926.2A patent/EP1850805B1/en not_active Not-in-force
- 2006-02-22 WO PCT/US2006/006233 patent/WO2006101655A1/en active Application Filing
-
2008
- 2008-02-15 US US12/070,256 patent/US7625393B2/en not_active Expired - Fee Related
-
2009
- 2009-09-16 US US12/560,776 patent/US8974499B2/en not_active Expired - Fee Related
- 2009-10-21 US US12/582,977 patent/US8226687B2/en not_active Expired - Fee Related
-
2015
- 2015-03-06 US US14/640,490 patent/US9486244B2/en not_active Expired - Fee Related
-
2016
- 2016-10-11 US US15/290,805 patent/US9949762B2/en not_active Expired - Fee Related
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8551142B2 (en) | 2004-10-20 | 2013-10-08 | Exactech, Inc. | Methods for stabilization of bone structures |
US8226690B2 (en) | 2005-07-22 | 2012-07-24 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for stabilization of bone structures |
US8523865B2 (en) | 2005-07-22 | 2013-09-03 | Exactech, Inc. | Tissue splitter |
US8096996B2 (en) | 2007-03-20 | 2012-01-17 | Exactech, Inc. | Rod reducer |
Also Published As
Publication number | Publication date |
---|---|
US7361196B2 (en) | 2008-04-22 |
EP1850808A4 (en) | 2011-03-30 |
US7604654B2 (en) | 2009-10-20 |
US20170027613A1 (en) | 2017-02-02 |
EP1850805B1 (en) | 2017-07-05 |
US8226687B2 (en) | 2012-07-24 |
US20060189983A1 (en) | 2006-08-24 |
US9486244B2 (en) | 2016-11-08 |
EP1850805A2 (en) | 2007-11-07 |
EP1850805A4 (en) | 2011-03-30 |
EP1850808B1 (en) | 2018-11-21 |
US9949762B2 (en) | 2018-04-24 |
WO2006091572A2 (en) | 2006-08-31 |
US7625393B2 (en) | 2009-12-01 |
EP1850808A1 (en) | 2007-11-07 |
WO2006091572B1 (en) | 2007-08-02 |
WO2006091572A3 (en) | 2007-06-07 |
WO2006101655A1 (en) | 2006-09-28 |
US20060189984A1 (en) | 2006-08-24 |
US8974499B2 (en) | 2015-03-10 |
US20100042153A1 (en) | 2010-02-18 |
US20100010544A1 (en) | 2010-01-14 |
US20090099607A1 (en) | 2009-04-16 |
US20150173801A1 (en) | 2015-06-25 |
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