Apparatus for straightening spinal columns

• US 4,611,581 A
• Filed: 12/16/1983
• Issued: 09/16/1986
• Est. Priority Date: 12/16/1983
• Status: Expired due to Term

• Current Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Original Assignee: AcroMed Corp (Johnson & Johnson)
• Inventors: Steffee, Arthur D.
• Primary Examiner(s): Peshock, Robert
• Assistant Examiner(s): Shedd, C. W.
• Application Number:
  US06/562,438
• Time in Patent Office: 1,005 Days
• Field of Search: 128/92 B, 128/69, 128/92 BB, 128/92 R
• US Class Current: 606/292
• CPC Class Codes: A61B 17/7007 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence

Abstract

An improved apparatus is provided to reduce the extent of displacement between adjacent vertebrae in a person'"'"'s spinal column and to subsequently maintain the vertebrae in a reduced displacement relationship. When the apparatus is to be installed, holes are formed in the displaced vertebra and in vetebrae on opposite sides of the displaced vertebra. Force transmitting members are mounted in the holes in the vertebrae. A spinal plate is then positioned on the spinal column with the force transmitting members extending outwardly through slots in the spinal plate. Nuts are tightened on the force transmitting members connected with vertebrae on opposite sides of the displaced vertebra to anchor the spinal plate in place. A nut on the force transmitting member connected with the displaced vertebra is then tightened to pull the displaced vertebra to a desired position. In one embodiment of the invention, the force transmitting member has a relatively large diameter helix which engages a side wall of the hole in the displaced vertebra. In another embodiment of the invention, an insert is positioned in a hole in the displaced vertebra and expanded by the force transmitting member to securely grip the vertebra.

Claims

1. An apparatus for maintaining vertebrae in a desired relationship, said apparatus comprising an elongated plate having one side with surface means for engaging first and second vertebrae disposed on opposite sides of a third vertebra and for bridging the space between the first and second vertebrae, first fastener means for securing said plate to the first vertebra with said surface means in abutting engagement with the first vertebra, second fastener means for securing said plate to the second vertebra with said surface means in abutting engagement with the second vertebra, and third fastener means for securing said plate to the third vertebra with said surface means in abutting engagement with the third vertebra and with said plate spanning the space between the first and second vertebrae, said third fastener means including a force transmitting member and a nut, said force transmitting member having a first end portion which is received in an opening formed in the third vertebra to connect the force transmitting member with the third vertebra and a second end portion which extends through an opening in said plate and has an external thread, said nut being disposed in engagement with the external thread on said second end portion of said force transmitting member and with said plate, said nut being rotatable relative to said force transmitting member and said plate to press the third vertebra against said plate without rotating said force transmitting member relative to the third vertebra.

2. An apparatus as set forth in claim 1 wherein said elongated plate includes a pair of parallel and longitudinally extending side sections having a length sufficient to engage at least threee adjacent vertebrae, said side sections being connected by a plurality of cross sections.

3. An apparatus as set forth in claim 1 wherein said plate includes a plurality elongated slot means extending along the longitudinal central axis of said plate, one of said slot means defining the opening through which the second end portion of said force transmitting member extends, said first, second and third fastener means extending through said slot means at locations determined by the size of the first, second and third vertebrae.

4. An apparatus as set forth in claim 1 wherein said first end portion of said force transmitting member includes a helix which has a crest diameter which is greater than a crest diameter of the external thread on said second end portion of said force transmitting member and a root diameter which is less than the root diameter of the external thread on said second end portion of said force transmitting member, said helix having flank surface means projecting radially outwardly through the side surface of the opening formed in the third vertebra to securely connect said force transmitting member with the third vertebra.

5. An apparatus as set forth in claim 1 wherein said third fastener means includes an insert which is disposed in the opening in the third vertebra in a telescopic relationship with the first end portion of said force transmitting member, said insert having internal thread means for engaging an external thread on said first end portion of said force transmitting member, said insert having external ridge means for engaging the third vertebra, and said ridge means including a plurality of ridges extending radially outward for engaging said opening.

6. An apparatus as set forth in claim 5 wherein said insert includes a plurality of sections which are movable from a contracted condition to an expanded condition to increase the exterior size of said insert, said insert including cam surface means connected with said sections for cooperating with the first end portion of said force transmitting member to move said sections from the contracted condition to the expanded condition under the influence of forces applied against said cam surface means by the first end portion of said force transmitting member.

7. An apparatus as set forth in claim 1 wherein said plate includes surface means for defining a slot which extends along the third vertebra and through which said third fastener means extends to enable the position of said plate to be adjusted relative to said third fastener means.

8. An apparatus as set forth in claim 7 wherein said slot includes surface means for engaging said nut to hold said nut against sidewise movement relative to said plate as said nut is rotated relative to said force transmitting member.