Sacral implant system

• US 6,197,028 B1
• Filed: 08/13/1993
• Issued: 03/06/2001
• Est. Priority Date: 10/05/1990
• Status: Expired due to Term

• Current Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Original Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Inventors: Ashman, Richard B., Ray, R. Charles
• Primary Examiner(s): Isabella, David J.
• Application Number:
  US08/929,660
• Time in Patent Office: 2,762 Days
• Field of Search: 606/61, 606/69, 606/70, 623/17.11, 623/17.15, 623/16.11
• US Class Current: 606/301
• CPC Class Codes: A61B 17/7041 with single longitudinal rod offset laterally from single row of screws or hooks A61B17/7044 takes precedence
• 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

Abstract

A sacral implant system includes first and second sacral plates that are affixed on opposite sides of the sacrum adjacent the lumbosacral junction. The sacral plates include at least a pedicle and an oblique mounting means for rigidly affixing the sacral plates to the sacrum. First and second fixation rods extend in a superior direction along the lumbar portion of the spine. One or more connecting members tie the rods together. The superior most vertebra to be fixed is tied to the implant system with a special fixation plate and pedicle screw. Conventional vertebra hooks can also be used as necessary. Intermediate vertebra are tied to the system with a straight fixation plate and pedicle screw.

Claims

1. A sacral plate for use in a sacral implant system comprising:

a plate having a posterior surface and an anterior surface, said anterior surface being configured to be positioned against the posterior surface of the sacrum adjacent the lumbosacral junction, said sacral plate having means for attaching to a fixation rod, said sacral plate also having a pedicle and oblique mounting means for rigidly fixing said sacral plate to said sacrum at a location lateral from the sagittal plane, each of said pedicle and oblique mounting means including a cylindrical bore, the cylindrical bore of said pedicle mounting means having an axis that extends in a medical and anterior direction relative to the sacral plane, the cylindrical bore of said pedicle mounting means being positioned medially relative to the cylindrical bore of said oblique mounting means.

2. The sacral plate of claim 1, wherein said axis of said pedicle mounting means is oriented in the medial direction at an angle of about 0°

to 20°

relative to a line orthogonal to the sacral plane.

3. The sacral plate of claim 2, wherein said axis of said pedicle mounting means is oriented in the medial direction at an angle of about 15°

relative to a line orthogonal to the sacral plane.

4. The sacral plate of claim 1, wherein the cylindrical bore of said oblique mounting means has an axis extending in a lateral, anterior and inferior direction relative to the sacral plane.

5. The sacral plate of claim 4, wherein said axis of said oblique mounting means, when viewed in the sacral plane is offset in the inferior direction at an angle of about 30°

to about 60°

relative to a lateral line in said sacral plane and is offset in the lateral direction from about 30°

to about 45°

relative to a line orthogonal to said sacral plane.

6. The sacral plate of claim 5, wherein said axis is offset inferior at an angle of about 45°

relative to a lateral line in the sacral plane and is offset laterally at an angle of about 30°

relative to a line orthogonal to the sacral plane.

7. A sacral plate for use in a sacral implant system comprising:

a plate having a posterior surface and an anterior surface, said anterior surface being configured to be positioned against the posterior surface of the sacrum adjacent the lumbosacral junction, said sacral plate having means for attaching to a fixation rod, said sacral plate also having at least a pedicle and oblique mounting means for rigidly fixing said sacral plate to said sacrum at a location lateral from the sagittal plane, each of said pedicle and oblique mounting means including a fixation screw having a lower threaded portion, a head, and a cylindrical section intermediate said head and said threaded portion, said plate including cylindrical bores corresponding to each of said pedicle and oblique mounting means, each of said bores having a diameter slightly greater than a respective cylindrical section enabling said cylindrical section to rotate and reciprocate in said bore while substantially eliminating angular movement of said screw relative to said plate, said cylindrical bore of said oblique mounting means having an axis extending in a lateral, anterior and inferior direction relative to said sacral plate, said axis when viewed in the sacral plane being offset in the inferior direction at an angle of about 30°

to about 60°

relative to a lateral line in said sacral plane and is offset in the lateral direction from about 30°

to about 45°

relative to a line orthogonal to said sacral plane.

8. The sacral plate of claim 7, wherein said axis of said oblique mounting means is offset inferior at an angle of about 45°

relative to a lateral line in the sacral plane and is offset laterally at an angle of about 30°

relative to a line orthogonal to the sacral plane.