Posterior Cervical Fixation System

• US 20190314061A1
• Filed: 06/26/2019
• Published: 10/17/2019
• Est. Priority Date: 03/01/2011
• Status: Active Grant

• Current Assignee: Nuvasive Incorporated
• Original Assignee: Nuvasive Incorporated
• Inventors: Shoshtaev, Eugene, Bannigan, Shaeffer, Brotman, Michael
• Granted Patent: US 11,123,110 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/7013 the shape of the element being adjustable before use adjustable length plates A61B17/7014
• CPC Class Codes: A61B 17/7037 wherein pivoting is blocked when the rod is clamped
• CPC Class Codes: A61B 17/7049 Connectors, not bearing on the vertebrae, for linking longitudinal elements together A61B17/7055, A61B17/7053, A61B17/7019 take precedence
• CPC Class Codes: A61B 17/705 for linking adjacent ends of longitudinal elements
• CPC Class Codes: A61B 17/7052 of variable angle or length
• CPC Class Codes: A61B 17/7055 connected to sacrum, pelvis or skull
• CPC Class Codes: A61B 17/7056 Hooks with specially-designed bone-contacting part
• CPC Class Codes: A61B 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• CPC Class Codes: A61B 17/7082 for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws driving other bone screws A61B17/8875
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence

Abstract

A posterior cervical fixation system including an occipital plate member, a cross connector, a pair of elongated spinal rods and a plurality of polyaxial screws. The occipital plate member configured for fixing to an occipital bone comprises an aperture to receive a bone anchor member to secure the occipital plate member to the occipital bone and at least one rod clamping element dimensioned to receive at least one spinal rod. The cross connector secures the pair of elongated spinal rods to vertebral bodies. The cross connector includes a pair of collet connectors and a cross bar that is configured to secure the pair of elongated spinal rods in a desired distance. Each polyaxial screw has an anchor head associated with a fastening member. The pair of elongated spinal rods is configured to extend along the vertebral bodies between the occipital plate member and at least one of the polyaxial screws.

Claims

1. A cross connector of a posterior cervical fixation system, the cross connector comprising:

a first connector comprising a first collet head, a first recess to receive an anchor head of a first bone fastener, one or more first cutouts to receive a first elongate spinal rod therethrough, a first clamp with a first spherical pocket, and a first locknut;

a second connector comprising a second collet head, a second recess to receive the anchor head of a second bone fastener, one or more second cutouts to receive a second elongate spinal rod therethrough, a second clamp with a second spherical pocket, and a second locknut; and

a cross bar that connects the first connector and the second connector and secures the first and second elongate spinal rods to vertebral bodies of a spine and by a pre-determined distance to each other, the cross bar having a first end surrounded with a first ball spring collar and a second end surrounded with a second ball spring collar,

wherein the first spherical pocket receives the first ball spring collar therewithin and allows rotation of the first connector in an axial plane of the system.

2. The cross connector of claim 1, wherein the first connector further comprises a first conical passage at least partially surrounding the first spherical pocket.

3. The cross connector of claim 2, wherein the first conical passage permits the cross bar to be angularly adjusted relative to the first clamp.

4. The cross connector of claim 1, wherein the first locknut is configured to allow snap-fit engagement of the first connector with the anchor head of the first bone fastener and the first end of the cross bar.

5. The cross connector of claim 1, wherein the first connector is configured to lock the first elongate spinal rod in the anchor head of the first bone fastener by connecting the first connector to the anchor head.

6. The cross connector of claim 1, wherein the first clamp includes a first portion placed above the first collet head, and the first locknut tightens over the first portion of the first clamp thereby locking the first end of the cross bar to the first clamp.

7. The cross connector of claim 1, wherein the first clamp includes a second portion attached to the first portion and housing the first spherical pocket therewithin, the second portion located on a side of the first collet head, and wherein the first spherical pocket comprises an inner spherical surface.

8. The cross connector of claim 1, wherein the first or second bone fastener is a ployaxial screw.

9. The cross connector of claim 1, wherein the first spherical pocket allows the cross bar to translate therethrough thereby reaching the pre-determined distance between the first and second elongate spinal rods prior to locking the cross bar to the first connector.

10. The cross connector of claim 1, wherein the first and second elongate spinal rods are configured to extend along posterior aspects of the spine lateral to spinous processes.

11. The cross connector of claim 1 is configured to be installed on the first and second bone fasteners after the first and second bone fasteners are secured to the vertebral bodies and the first and second elongate spinal rods are received in the anchor head of the first and second bone fasteners.

12. The cross connector of claim 1, wherein the rotation of the first connector in an axial plane of the system provides stability to the cross connector when the first bone fastener is positioned deeper than the second bone fastener in the vertebral bodies.

13. A cross connector of a posterior cervical fixation system, the cross connector comprising:

a first connector comprising a first collet head, a first recess to receive an anchor head of a first bone fastener, one or more first cutouts to receive a first elongate spinal rod therethrough, a first clamp with a first spherical pocket, a first conical passage at least partially surrounding the first spherical pockets, and a first locknut;

a second connector comprising a second collet head, a second recess to receive the anchor head of a second bone fastener, one or more second cutouts to receive a second elongate spinal rod therethrough, and a second clamp with a second spherical pocket, and a second locknut; and

a cross bar that secures the first and second elongate spinal rods to vertebral bodies of a spine and by a pre-determined distance to each other, the cross bar having a first end surrounded with a first ball spring collar and a second end surrounded with a second ball spring collar,

wherein the first spherical pocket receives the first ball spring collar therewithin and allows rotation of the first connector in an axial plane of the system, and wherein the first conical passage permits the cross bar to be angularly adjusted relative to the first clamp.

14. The cross connector of claim 13, wherein the first locknut is configured to allow snap-fit engagement of the first connector with the anchor head of the first bone fastener and the first end of the cross bar.

15. The cross connector of claim 13, wherein the first connector is configured to lock the first elongate spinal rod in the anchor head of the first bone fastener by connecting the first connector to the anchor head.

16. The cross connector of claim 13, wherein the first clamp includes a first portion placed above the first collet head, and the first locknut tightens over the first portion of the first clamp thereby locking the first end of the cross bar to the first clamp.

17. The cross connector of claim 13, wherein the first clamp includes a second portion attached to the first portion and housing the first spherical pocket therewithin, the second portion located on a side of the first collet head, and wherein the first spherical pocket comprises an inner spherical surface.

18. The cross connector of claim 13, wherein the first spherical pocket allows the cross bar to translate therethrough thereby reaching the pre-determined distance between the first and second elongate spinal rods prior to locking the cross bar to the first connector.

19. The cross connector of claim 13, wherein the first and second elongate spinal is configured to extend along posterior aspects of the spine lateral to spinous processes.

20. A cross connector of a posterior cervical fixation system, the cross connector comprising:

a first connector comprising a first collet head to receive an anchor head of a first bone fastener from a bottom thereof and to receive a first elongate spinal rod therethrough, a first clamp with a first spherical pocket, a first conical passage at least partially surrounding the first spherical pockets, and a first locknut;

a second connector configured to receive an anchor head of a second bone fastener and a second elongate spinal rod; and

a cross bar that secures the first and second elongate spinal rods to vertebral bodies and by a pre-determined distance to each other, the cross bar having a first end surrounded with a first ball spring collar and a second end surrounded with a second ball spring collar,

wherein the first spherical pocket receives the first ball spring collar therewithin and allows rotation of the first connector in an axial plane of the system, and wherein the first and second elongate spinal rods are configured to extend along posterior aspects of the spine lateral to spinous processes.