Apparatus for straightening spinal columns

• US 4,696,290 A
• Filed: 03/31/1986
• Issued: 09/29/1987
• 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): Rosenbaum, C. Fred
• Assistant Examiner(s): SHEDD, CHARLES W
• Application Number:
  US06/846,018
• Time in Patent Office: 547 Days
• Field of Search: 128/92 YP, 128/92 YM, 128/92 YF, 128/92 YE, 128/69
• US Class Current: 606/286
• CPC Class Codes: A61B 17/686 Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
• 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 vertebrae 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 use with fasteners for maintaining vertebrae in a desired relationship, said apparatus comprising:

an elongated plate for connecting at least two vertebrae, said elongated plate having a first major side surface for facing the vertebrae and a second major side surface extending generally parallel to said first major side surface, said first and second major side surfaces having first and second minor side surfaces extending therebetween;

said elongated plate also having at least one elongated slot extending therethrough and intersecting said first and second major side surfaces and located along the longitudinal central axis of said elongated plate, said slot being capable of receiving a fastener therein at any one of a plurality of locations along the slot and which fastener is connectable with a vertebra; and

said slot being defined by opposed slot surfaces extending longitudinally of said elongated plate and arcuate recesses in said opposed slot surfaces and spaced therealong, the recesses in one of said opposed slot surfaces being aligned with the recesses in the other of said opposed slot surfaces to define said plurality of locations, said recesses comprising means for blocking sliding movement of aid elongated plate relative to the fastener and of said elongated plate relative to the vertebrae when the fastener is located in a pair of aligned recesses.

2. An apparatus as set forth in claim 1 wherein each of said recesses has a frustoconical configuration for engaging an exterior surface of the fastener to center the fastener relative to said recess.

3. An apparatus as defined in claim 1 wherein each of said recesses is defined by a frustoconical surface which extends between said second major side surface and one of said opposed slot surfaces defining said slot, said elongated plate being of sufficient length to span at least three adjacent vertebrae and including a plurality of slots located along the longitudinal central axis of said elongated plate, and each of said plurality of slots being disposed along said elongated plate to receive a fastener connectable with a vertebra therethrough.

8. An apparatus as defined in claim 1 wherein said opposed slot surfaces are substantially perpendicular to said second major side surface.

4. An apparatus for maintaining vertebrae in a desired relationship, said apparatus comprising:

an elongated plate for connecting at least two vertebrae, said elongated plate having a first major side surface for facing the vertebrae and a second major side surface extending generally parallel to said first major side surface, said first and second major side surfaces having first and second minor side surfaces extending therebetween;

a pair of fasteners for connecting said elongated plate to the vertebrae, each of said pair of fasteners for connecting said elongated plate to a respective one of the vertebrae;

said elongated plate also having at least one elongated slot extending therethrough and intersecting said first and second major side surfaces and located along the longitudinal central axis of said elongated plate, said slot being capable of receiving at least one of said fasteners therein at any one of a plurality of locations along the slot; and

said slot being defiend by opposed slot surfaces extending longitudinally of said elongated plate and arcuate recesses in said opposed slot surfaces and spaced therealong, the recesses in one of said opposed slot surfaces being alinged with the recesses in the other of said opposed slot surfaces to defined said plurality of locations, said recesses comprising means for blocking sliding movement of said elongated plate relative to said fasteners and sliding movement of said elongated plate relative to the vertebrae when a fastener engages a recess.

5. An apparatus as set forth in claim 4 wherein each of said recesses has a frustoconical configuration for engaging an exterior surface of said fasteners to center each fastener relative to said recess.

6. An apparatus as defined in claim 4 wherein each of said recesses is defined by a frustoconical surface which extends between said second major side surface and one of said opposed slot surfaces defining said slot, said elongated plate being of sufficient length to span at least three adjacent vertebrae and including a plurality of slots located along the longitudinal central axis of said elongated plate, and each of said plurality of slots being disposed along said elongated plate to receive one of said fasteners connectable with a vertebra therethrough.

7. An apparatus comprising:

an elongated plate for connecting at least two vertebrae, said elongated plate having a first major side surface for facing the vertebrae and a second major side surface extending generally parallel to said first major side surface, said first and second major side surfaces having first and second minor side surfaces extending therebetween;

said elongated plate also having at least one elongated slot extending therethrough and intersecting said first and second major side surfaces, said elongated slot being located along the longitudinal central axis of said elongated plate; and

said slot being defined by opposed slot surfaces extending longitudinally of said elongated plate and arcuate surfaces forming recesses in said opposed slot surface and spaced therealong, the arcuate surface in one of said opposed slot surfaces being aligned with the arcuate surfaces in the other of said parallel surfaces to define a fastener seat, said fastener seat comprising means for blocking sliding movement of said elongated plate relative to a fastener and of said elongated plate relative to a vertebra when the fastener is located in a fastener seat and clamps the elongated plate to the vertebrae.