CERVICAL SPINE IMPLANT SYSTEM AND METHOD

• US 20090177237A1
• Filed: 09/24/2008
• Published: 07/09/2009
• Est. Priority Date: 01/04/2008
• Status: Abandoned Application

• Current Assignee: Spartek Medical Inc.
• Original Assignee: Spartek Medical Inc.
• Inventors: Zucherman, James F., Hsu, Ken Y.
• Application Number:
  US12/237,109
• Publication Number:
  US 20090177237A1
• Time in Patent Office: Days
• US Class Current: 606/280
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61F 2/4405 for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes devices implanted between spinous or transverse processes A61B17/7062
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30934 Special articulating surfaces
• CPC Class Codes: A61F 2002/449 comprising multiple spinal implants located in different intervertebral spaces or in different vertebrae

Abstract

Systems and methods for treating medical conditions affecting the spine using posterior plating techniques wherein two or more motion preservation plates are used to create joints between adjacent lateral masses. Additionally, embodiments of a facet spacer guide can be used to create a pilot hole in a lateral mass to facilitate screw fixation therein.

Claims

1. A posterior plating device to position vertebrae, said device comprising:

a first motion preservation plate and a second motion preservation plate, each motion preservation plate being adapted to be attached to lateral masses of adjacent vertebrae;

wherein each motion preservation plate includes a top surface and a bottom surface;

wherein the bottom surface of the first motion preservation plate is in sliding engagement with the top surface of the second motion preservation plate to distract adjacent vertebrae; and

wherein at least one motion preservation plate includes a buttress on the anterior engagement surface of the at least one motion preservation plate to increase purchase on a bone.

2. The device of claim 1 wherein at least on buttress is a spike that is inserted directly into the bone.

3. The posterior plating device of claim 1, wherein at least one of the motion preservation plates includes nested screw slots.

4. The posterior plating device of claim 1, wherein the bottom surface of each motion preservation plate is convex.

5. The posterior plating device of claim 1, wherein the top surface of each motion preservation plate is concave to accept the bottom surface of an adjacent motion preservation plate.

6. The posterior plating device of claim 1, wherein each motion preservation plate is tapered, the top surface being wider than the bottom surface.

7. The posterior plating device of claim 1 comprising at least three motion preservation plates arranged in a series to distract adjacent vertebrae.

8. The device of claim 1 comprising at least one spike that is inserted directly in the bone on the anterior engagement surface of each motion preservation plate.

9. The device of claim 1 wherein the first motion preservation plate comprises two rounded bottom surfaces that are mated to two recesses located on the top surface of the second motion preservation plate.

11. The posterior plating device of claim 7, wherein at least one motion preservation plate includes a channel to accept the sliding strut.

12. The posterior plating device of claim 7, wherein the top surface of each motion preservation plate is concave.

13. The posterior plating device of claim 7, wherein each motion preservation plate is tapered, the top surface being wider than the bottom surface.

14. The posterior plating device of claim 7, the sliding strut having the shape of an oval ring.

15. The posterior plating device of claim 7, the sliding strut having the shape of an anchor, wherein the bottom surface of the sliding strut is wider than the top surface of the sliding strut.

16. The posterior plating device of claim 7, wherein at least one motion preservation plate includes nested screw slots.

17. The posterior plating device of claim 7, further comprising at least three motion preservation plates arranged in a series on adjacent vertebrae, each motion preservation plate being distracted from the adjacent motion preservation plate through the use of sliding struts.

19. The facet spacer guide of claim 1 further comprising a handle.

20. The facet spacer guide of claim 1 further comprising a side plate.

21. The facet spacer guide of claim 1 further comprising a plurality of apertures.

22. The facet spacer guide of claim 1 further comprising a plurality of intervertebral wedges.

10. A posterior plating device to position vertebrae, said device comprising:

a first motion preservation plate and a second motion preservation plate, each motion preservation plate being adapted to be attached to adjacent lateral masses of the vertebrae;

wherein each motion preservation plate includes a top surface and a bottom surface;

a sliding strut attached to the posterior aspect of the first motion preservation plate, said sliding strut having a top surface and a bottom surface; and

wherein the bottom surface of the sliding strut is in sliding engagement with the top surface of the second motion preservation plate to distract the adjacent vertebrae.

18. A facet spacer guide to facilitate lateral mass screw insertion techniques, said facet spacer guide comprising:

a base plate having at least one intervertebral wedge and at least one aperture;

said facet spacer guide adapted to allow the base plate to be located adjacent to posterior aspects of lateral masses of adjacent vertebrae while the at least one intervertebral wedge is placed between a superior articular facet and a inferior articular facet of the adjacent vertebrae; and

wherein the at least one aperture can accept a device to create a hole.

23. A posterior plating device, said device comprising:

a first motion preservation plate and a second motion preservation plate, each motion preservation plate being adapted to be attached to lateral masses of adjacent vertebrae;

wherein each motion preservation plate includes a top surface and a bottom surface; and

wherein the bottom surface of the first motion preservation plate is in engagement with the top surface of the second motion preservation plate to position adjacent vertebrae.