Spinal implant and method for restricting spinal flexion

• US 7,458,981 B2
• Filed: 03/09/2005
• Issued: 12/02/2008
• Est. Priority Date: 03/09/2004
• Status: Active Grant

• Current Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford Management Co.)
• Original Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford Management Co.)
• Inventors: Bennett, Ian, Alamin, Todd, Cahill, Colin, Crisostomo, Ralph, Arensdorf, Pat, Fielding, Louie
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): WOODALL, NICHOLAS W
• Application Number:
  US11/076,469
• Publication Number:
  US 20050216017A1
• Time in Patent Office: 1,364 Days
• Field of Search: 606/61, 606/74
• US Class Current: 606/279
• CPC Class Codes: A61B 17/7062 Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs rib fixation devices A61B17/8076; Tools for such devices

Abstract

A spinal implant system for restricting flexion of a spine includes an elongate band proportioned to engage at least two spinous processes. During use, the band is positioned engaging the spinous processes at a spinal segment of interest, where it restricts flexion at the segment. The length and tension of the band may be adjustable following to implantation using percutaneous or transcutaneous means.

Claims

1. A method for restricting flexion of a spinal segment comprising:

providing first and second implant components, each implant component comprising an inelastic cable having a free end region and an elastic member coupled to the inelastic cable away from the free end region;

accessing a segment of a spine comprising a first vertebrae with a spinous process and a second vertebrae with a spinous process, wherein said spinous processes are separated by a space and the spinal segment undergoes extension and flexion causing the spinous processes to move into and away from the space, respectively;

positioning the first implant component such that the free end region of the inelastic cable is disposed over a top of the spinous process of the first vertebrae and orienting the elastic member of the first implant component along one side of the space between the spinous processes of the first and second vertebrae;

positioning the second implant component such that the free end region of the inelastic cable is disposed over a bottom of the spinous process of the second vertebrae and orienting the elastic member of the second implant component along an opposite side of the space between the spinous processes, wherein the first and second implant components are not attached to each other prior to positioning;

forming the first and second implant components into a loop structure by connecting the free end region of the inelastic cable of the second implant component with the elastic member of the first implant component and by connecting the free end region of the inelastic cable of the first implant component with the elastic member of the second implant component, the loop structure thereby encircling the spinous processes of the first and second vertebrae, wherein the loop structure is formed after the first and second implant components have been positioned over the spinous processes; and

adjusting the tightness of the loop structure over the spinous processes to elastically limit spreading of the spinous processes and flexion of the spinal segment, wherein the elastic members lie outside of the space between the spinous processes to thereby allow substantially unrestricted extension of the spinal segment.

2. The method according to claim 1, wherein adjusting the tightness of the loop structure comprises adjusting the effective length of the inelastic cables between the first and second elastic members.

3. The method according to claim 2, wherein adjusting the effective length of the inelastic cables is performed prior to the cables being connected to the elastic members.

4. The method according to claim 2, wherein adjusting the effective length of the inelastic cables is performed after the cables are connected to the elastic members.

5. The method according to claim 2, wherein at least the inelastic cables are in tension during flexion of the spinal segment.

6. The method according to claim 1, further comprising selecting a patient with pain resulting from flexion of the spinal segment.