Device and method for percutaneous placement of lumbar pedicle screws and connecting rods

• US 7,306,603 B2
• Filed: 12/17/2002
• Issued: 12/11/2007
• Est. Priority Date: 08/21/2002
• Status: Expired due to Term

• Current Assignee: Theken Spine LLC (Orthofix Medical Inc.)
• Original Assignee: Innovative Spinal Technologies, Inc. (Integra LifeSciences Holdings Corporation)
• Inventors: Boehm, Frank H. Jr., Meinick, Benedetta D.
• Primary Examiner(s): Ramana; Anuradha
• Application Number:
  US10/320,989
• Publication Number:
  US 20040039384A1
• Time in Patent Office: 1,820 Days
• Field of Search: 606/53, 606/60, 606/61, 606/72, 606/73, 606/96, 600/425, 600/407, 403/331
• US Class Current: 606/279
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/7002 Longitudinal elements, e.g. rods
• CPC Class Codes: A61B 17/7004 with a cross-section which varies along its length A61B17/7019 takes precedence
• CPC Class Codes: A61B 17/7005 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit in the screw or hook heads
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7037 wherein pivoting is blocked when the rod is clamped
• CPC Class Codes: A61B 17/7085 for insertion of a longitudinal element down one or more hollow screw or hook extensions, i.e. at least a part of the element within an extension has a component of movement parallel to the extension's axis
• CPC Class Codes: A61B 17/90 Guides therefor
• CPC Class Codes: A61B 2017/32004 having a laterally movable cutting member at its most distal end which remains within the contours of said end
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072

Abstract

A minimally invasive method for stabilizing adjacent vertebrae to be fused is accomplished with a device configured to interlink the pedicles of the adjacent vertebrae and including multiple pedicle screws. Each of the pedicle screws has a screw head configured to receive a connecting rod in a position, in which the rod and the receiving pedicle screw are vertically aligned.

Claims

1. A method of stabilizing the spine of a patient, comprising the steps of:

identifying and marking landmarks each corresponding to an entry point to respective pedicles of at least two vertebra of the spine;

guiding screws each through a respective entry point into the respective pedicles of the at least two vertebra;

guiding a pin, provided on a leading end of a connecting rod and extending perpendicular to a longitudinal axis thereof, through a pair of aligned recesses formed in a screw head of a first screw to mount the connecting rod on the first screw;

coupling the leading end of the connecting rod to the first screw head with the pin in a first position of the connecting rod, in which the connecting rod is aligned with the first screw; and

displacing the connecting rod about the pin at the leading end thereof so that a trailing end of the connecting rod engages a second screw of a second vertebrae in a final position of the connecting rod.

2. The method of claim 1, wherein the screws each are percutaneously placed into the pedicles of the first and second vertebra on a same side of the length of the spine.

3. A spinal surgical kit, comprising:

a plurality of screws, each configured to be percutaneously placed into a respective one of at least two pedicles to be interlinked; and

at least one connecting rod having a longitudinal axis, a leading end, and a pin positioned proximal to the leading end, the leading end coupled with a first screw so that the connecting rod is able to pivot about a longitudinal axis of the pin between a first position, in which the connecting rod is generally parallel to a longitudinal axis of the first screw, and a final position, in which the connecting rod is generally transverse to the longitudinal axis of the first screw such that the connecting rod bridges the first screw and a second screw,

wherein a first screw head has a pair of opposed recesses such that the pin when seated in the recesses rotatably mounts the connecting rod to the first screw head.

4. The spinal surgical kit of claim 3, wherein the first and second screws each has a stem widening from a distal tip to a proximal top thereof and provided with an external thread configured to have a pitch maintaining bone purchase, each of the screws being configured to be passed into a respective pedicle without complete tapping or drilling of the respective pedicle.

5. The spinal surgical kit of claim 3, wherein the first and second screws each has a screw head and a rotating component located between and coupled to the top of the stem and the screw head and operative to provide relative rotational motion between the stem and the screw head.

6. The spinal surgical kit of claim 5, wherein the rotating component includes a joint ball assembly having a ball formed on the top of the stem of each screw and a socket receiving the ball formed in a bottom of the screw head of each screw.

7. The spinal surgical kit of claim 3, wherein the connecting rod has one of a straight or curved shape, and the screw heads of the first and second screws are rotatably adjustable relative to one another upon placing the screws in the pedicles to receive the leading and trailing ends of the connecting rod.

8. A medical system comprising:

first and second pedicle screws, each screw having a screw head rotatably coupled thereto, each screw head having at least one slot, and the first screw head having a pair of aligned recesses spaced uniformly from the at least one slot; and

a connecting rod, having a longitudinal axis, the connecting rod coupled to a pin which is located in proximity to a leading end of the connecting rod, wherein the pin is seated in the pair of recesses so that the connecting rod is rotatably mounted to the first screw head thereby enabling the connecting rod to pivot about a longitudinal axis of the pin to engage the at least one slot of the second screw head.

9. The spinal surgical kit of claim 8, wherein the leading end of the connecting rod is detachably coupled to the screw head of the first screw.

10. A spinal surgical kit, comprising:

a plurality of screws each configured to be placed into a respective one of at least two pedicles to be interlinked;

wherein a first screw of the plurality of screws has a screw head having a pair of opposed recesses;

at least one connecting rod having a leading end and a pin positioned proximal to the leading end, wherein the pin is seated in the opposed recesses so that the connecting rod is rotatably mounted to the first screw head such that the connecting rod is able to pivot about a longitudinal axis of the pin between a first position, in which the connecting rod is generally parallel to a longitudinal axis of the first screw, and a final position, in which the connecting rod is generally transverse to the longitudinal axis of the first screw such that the connecting rod bridges the first screw and a second screw.

11. The spinal surgical kit of claim 10, wherein the connecting rod has one of a straight or a curved shape, and the screw heads of the first and second screws are rotatably adjustable relative to one another upon placing the screws in the pedicles to receive the leading and trailing ends of the connecting rod.

12. The spinal surgical kit of claim 10, further comprising a joint ball assembly on each screw, the joint ball assembly having a ball formed on the top of the stem of each screw and a socket receiving the ball formed in a bottom of the screw head of each screw.

13. The spinal surgical kit of claim 10, wherein the leading end of the connecting rod is detachably coupled to the screw head of the first screw.

14. A medical system comprising:

first and second pedicle screws, each screw having a screw head coupled thereto,

a pin formed as an integral part of the first screw head,

a connecting rod having a longitudinal axis, the connecting rod permanently coupled to the pin so that the connecting rod is rotatably coupled to the first screw head, thereby enabling the connecting rod to pivot about a longitudinal axis of the pin between a first position wherein the longitudinal axis of the connecting rod is generally parallel to a longitudinal axis of the first screw and a second position wherein the longitudinal axis of the connecting rod is generally transverse to the longitudinal axis of the first screw such the connecting rod bridges the first screw and the second screw.