Spinal stabilization system and method

• US 5,700,292 A
• Filed: 09/15/1995
• Issued: 12/23/1997
• Est. Priority Date: 11/09/1992
• Status: Expired due to Term

• Current Assignee: NYU Hospital For Joint Diseases (New York University)
• Original Assignee: NYU Hospital For Joint Diseases (New York University)
• Inventors: Margulies, Joseph Y.
• Primary Examiner(s): BRITTINGHAM, DEBRA
• Application Number:
  US08/528,801
• Time in Patent Office: 830 Days
• Field of Search: 606/60, 606/61, 606/62, 606/64, 606/53, 606/54, 606/57, 606/71, 606/73, 623/16, 623/17
• US Class Current: 606/251
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/7052 of variable angle or length

Abstract

A spinal stabilization system for fixing vertebrae and sacrum having anterior and posterior aspects. The system comprises a plurality of rods or plates disposed over the vertebrae and/or sacrum, at least one rod or plate disposed anteriorly and at least one disposed posteriorly, and a plurality of bolts and nuts extending laterally through said vertebrae and/or sacrum and attached to the rods.

A method for installing a spinal stabilization system to fix vertebrae and/or sacrum, comprising the steps of: exposing the spine anteriorly and posteriorly to reveal a level of vertebrae and/or sacrum, inserting a pair of beam means through the vertebrae and/or sacrum; repeating the exposing and inserting steps for a next level of vertebrae and/or sacrum; disposing column means over the anterior and posterior aspects of the two levels of vertebrae and/or sacrum; and connecting the ends of the beam means at each vertebrae and/or sacrum level to the column means.

Claims

1. A spinal stabilization system for fixing vertebrae and sacrum bodies having anterior and posterior aspects, said system comprising:

a plurality of substantially rigid, elongated column means for being disposed over the vertebrae or sacrum bodies, at least one of said column means for being disposed over an anterior aspect of said bodies and at least another of said column means for being disposed over a posterior aspect of said bodies; and

a plurality of substantially rigid, elongated beam means, each of said beam means having a length for and extending through said bodies, each of said beam means including an attachment means on each end thereof for attaching each of said ends to said column means.

2. The system as recited in claim 1 wherein said plurality of substantially rigid, elongated beam means extending through the same vertebra are disposed therethrough on different planes and at different angles relative to the same column means.

3. The system as recited in claim 1 wherein said attachment means of said beam means extends through a longitudinal aperture through said beam means, and extends at least from said posterior aspect to said anterior aspect of a vertebra through which said beam means extends.

4. The system as recited in claim 1 wherein said column means is selected from a group consisting of rods or plates and wherein said plurality of column means includes at least a posterior column means and at least an anterior column means and at least one beam means is attached to one posterior column means and to one anterior column means.

5. The system as recited in claim 1, wherein each said beam means comprises separate bolt and nut sections adapted to enter a body of said bodies and adapted to join each other from opposite aspects of said body after at least a portion of said bolt section and said nut section pass through said body, in opposite directions.

6. The system as recited in claim 5, wherein each of said bolt and nut sections has an aperture extending along longitudinal axes thereof.

7. A spinal stabilization system for fixing vertebrae and sacrum bodies having anterior and posterior aspects, said system comprising:

three rod means being disposed over the vertebrae or sacrum bodies, at least one of said rod means being disposed over an anterior aspect of said bodies and at least another of said rod means being disposed over a posterior aspect of said bodies;

a plurality of elongated beam means, each of said beam means having a length for extending through said bodies and each beam mean including attachment means, at each end thereof, for attaching said beam means to a first rod means disposed over said anterior aspect of said bodies and to a second rod means disposed over said posterior aspect of said bodies, at least two of said beam means attached to a rod means disposed over said anterior aspect of said bodies and on different planes extending through a body of said bodies; and

each of said beam means comprising separate bolt and nut sections having longitudinal axes and an aperture, said aperture extending along a longitudinal axis of said nut section, said bolt section and said nut section each comprising a cutting end portion and a front portion, said front portion having a cylindrical periphery externally threaded with cutting edges, said aperture of said nut section having a periphery internally threaded for engaging said externally threaded cutting edges of said front portion of said bolt section.

8. A spinal stabilization system for fixing vertebrae and sacrum bodies having anterior and posterior aspects, said system comprising:

a plurality of substantially rigid, elongated column means for being disposed over said vertebrae or sacrum bodies, at least one of said column means being disposed over an anterior aspect of said bodies and at least another of said column means for being disposed over a posterior aspect of said bodies;

a plurality of substantially rigid, elongated beam means having a length for extending through said bodies and for attaching said beam mean to said column means;

each said beam means comprising separate bolt and nut sections having longitudinal axes which join each other when said sections are inserted into and through an individual said body; and

each of said bolt and nut sections comprising a cutting end portion and a front portion having externally threaded cylindrical periphery with cutting edges, and an aperture through said nut section having an internally threaded cylindrical periphery for engaging said cutting edges of said externally threaded cylindrical periphery of said front portion.

9. A spinal stabilization system as in claim 8 and in which each beam means of said plurality of beam means includes an attachment means at each end of said beam means for attaching said beam means to said column means.

10. The system as recited in claim 8, wherein said bolt sections comprises a middle portion having an externally threaded periphery with cutting edges.

11. The system as recited in claim 10, wherein the diameter of the cylindrical peripheries of the middle portion of said bolt section and said front portion of said nut section are substantially equal.

12. The system as recited in claim 8, wherein each of said bolt and nut sections comprise a rear portion for attaching said rear portions of said bolt and nut sections to said column means.

13. The system as recited in claim 8, further comprising wire means extending through said aperture of said beam means for attaching said column means to said beam means.

14. A spinal stabilization system for securing adjacent vertebra of a vertebral column of the body in fixed relation relative to each other, said system comprising:

a plurality of rod means, each rod means being disposed essentially longitudinally along said vertebral column, at least a first of said rod means, disposed along at least a part of a first longitudinal side of said vertebral column and a second of said rod means disposed along a second longitudinal side of said vertebral column, said first rod means and said second rod means disposed essentially opposite each other across said vertebral column;

a plurality of beam means, each of said beam means having a length at least equal to a distance between said first longitudinal side and said second longitudinal side, each of said beam means inserted laterally through at least adjacent bodies, respectively, of said vertebral column and extending at least from said first longitudinal side to said second longitudinal side, each of said beam means including a first attachment means and a second attachment means, said first attachment means positioned at a first end of said beam means and said second attachment means positioned at a second end of said beam means; and

said first attachment means for attaching each of said beam means to said first rod means and said second attachment means for attaching each of said beam means to said second rod means.

15. A spinal stabilization system as in claim 14 and in which said plurality of rod means further includes a third rod means disposed along a third longitudinal side of said vertebral column and said second attachment means of at least other beam means of said plurality of beam means is coupled to said third rod means for attaching said at least other beam means to said third rod means.

16. A spinal stabilization system as in claim 14 and in which each beam means of said plurality of beam means has a longitudinal axis and said each beam means includes an aperture extending along said length and having an axis common with said longitudinal axis.

17. A spinal stabilization system as in claim 16 and said attachment means includes a wire means, having a second length, and extending through said aperture, for attaching to said rod means for attaching said beam means to said rod means.