Apparatus, method and system for the treatment of spinal conditions and fixation of pelvis and long bones

• US 6,017,343 A
• Filed: 12/29/1998
• Issued: 01/25/2000
• Est. Priority Date: 10/08/1993
• Status: Expired due to Term

• Current Assignee: Chaim Rogozinski
• Original Assignee: Chaim Rogozinski
• Inventors: Rogozinski, Chaim
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US09/222,729
• Time in Patent Office: 392 Days
• Field of Search: 606/61, 606/69, 606/72, 606/73, 606/60, 606/70, 606/71, 606/79, 606/104, 606/105
• US Class Current: 606/279
• 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 17/701 Longitudinal elements with a non-circular, e.g. rectangular, cross-section A61B17/7005, A61B17/7007 take precedence
• CPC Class Codes: A61B 17/7011 Longitudinal element being non-straight, e.g. curved, angled or branched adjustable length longitudinal elements A61B17/7014; A61B17/7019 takes precedence, e.g. coil springs
• CPC Class Codes: A61B 17/7019 Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
• CPC Class Codes: A61B 17/7035 Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
• CPC Class Codes: A61B 17/7038 to a different extent in different directions, e.g. within one plane only
• 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 17/7055 connected to sacrum, pelvis or skull
• CPC Class Codes: A61B 17/80 Cortical plates , i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/8605 Heads, i.e. proximal ends projecting from bone
• CPC Class Codes: C07C 67/03 by reacting an ester group with a hydroxy group
• CPC Class Codes: C07C 67/52 by change in the physical state, e.g. crystallisation
• CPC Class Codes: C07C 67/54 by distillation
• CPC Class Codes: C07C 69/82 Terephthalic acid esters

Abstract

An apparatus, method and system for treating spinal conditions by moving or spatially fixing at least one vertebra relative to another vertebra. The invention includes a link member the ends of which are configured to be secured to adjacent vertebrae and which are offset from a central portion of the link member. The link members can be in the form of a C-shaped or V-shaped rod or plate to form the offset. The offset provides increased bone volume that can be used for grafts or fusion. Attachment structure in the form of bone screws, bolts, or hook members are provided to secure the link members to respective vertebrae or other bones. A plurality of link members can be connected in chain-like fashion to connect multiple points on a plurality of vertebrae or other bones even though those points are nonlinear. In another aspect of the invention, a multi-directional attachment member is provided and may be used with the link members to form a spinal implant or external bone fixation system.

Claims

1. A method for treating spinal conditions by moving or spatially fixing at least a first vertebra relative to a second vertebra while leaving exposed at least a lateral marginal area of the lamina of one of said vertebrae, the method including steps of:

fixing a first attachment member to the first vertebra at a selected position;

fixing a second attachment member to the second vertebra at a selected position;

providing at least one one-piece spinal implant link member having an apertured first end, an apertured second end, and an offset middle portion, the first and second ends of the link member defining an open space therebetween which space is disposed adjacent the middle portion and extends away from the middle portion to a line connecting the apertures in the ends of the link member;

attaching said first end of said at least one link member to said first attachment member which is fixed to the first vertebra; and

attaching said second end of said at least one link member to said second attachment member which is fixed to the second vertebra so that a force is exerted on the first vertebra by said at least one link member;

whereby a lateral marginal area of the lamina of one of said vertebrae is exposed by said space of said link member and provides an area for performing a bone graft.

2. The method of claim 1, wherein one of the steps of respectively fixing the first and second attachment members to the first and second vertebra includes fixing a threaded bolt to the vertebra, and said at least one link member is attached to the bolt by placing one of the apertured ends of the link member on said bolt and placing a locking nut over the link member.

3. A method for treating spinal conditions by moving or spatially fixing at least a first vertebra relative to a second vertebra while leaving exposed at least a lateral marginal area of the lamina of one of said vertebrae, the method including steps of:

positioning a first laminar hook member on the first vertebra at a selected position;

positioning a second laminar hook member on the first vertebra at another selected position;

providing at least first and second one-piece spinal implant link members, each member having an apertured first end, an apertured second end, and an offset middle portion, the first and second ends of each link member defining a space therebetween which space is disposed adjacent the middle portion and extends away from the middle portion to a line connecting the apertures in the ends of each link member;

attaching the first end of said first link member to the first laminar hook member and attaching the second end of said first link member to the second laminar hook member to capture a portion of the first vertebra between the respective hook members;

attaching one end of the second link member to the second vertebra; and

attaching the first link member to the second link member with one of the ends of the first link member overlying the other end of the second link member;

whereby a lateral marginal area of the lamina of one of said vertebra is exposed by the space defined by the offset middle portion of at least one of the link members to provide an area for performing a bone graft.

4. A method for treating spinal conditions according to claim 3, further including the step of positioning a spacer sleeve on an extended portion of at least one of the hook members to space the first link member on said extended portion a selected distance from a pad portion of the at least one hook member, said pad portion extending transversely from said extended portion and engaging the lamina of the first vertebra.