Adjustable coupling systems for spinal stabilization members

• US 8,372,121 B2
• Filed: 02/08/2007
• Issued: 02/12/2013
• Est. Priority Date: 02/08/2007
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Capote, Marco Dagoberto, Bono, Frank
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): Cumberledge, Jerry
• Application Number:
  US11/703,958
• Publication Number:
  US 20080195100A1
• Time in Patent Office: 2,196 Days
• Field of Search: 606/260, 606/53, 606/57, 606/58, 606/60, 606/246, 606250-278, 606/282, 606/90, 606/105, 403/322.1, 403/322.2
• US Class Current: 606/260
• CPC Class Codes: A61B 17/7091 for applying, tightening or removing longitudinal element-to-bone anchor locking elements, e.g. caps, set screws, nuts or wedges
• CPC Class Codes: A61B 17/8863 Apparatus for shaping or cutting osteosynthesis equipment by medical personnel
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter

Abstract

A spinal stabilization system includes a first stabilization member and a second stabilization member engaged to one another in end-to-end fashion. A coupling system adjustably secures the stabilization members in axial position relative to one another while allowing the relative axial positioning to be adjusted to accommodate growth or other condition or arrangement.

Claims

1. A spinal stabilization system, comprising:

a first elongated stabilization member positionable along at least one vertebra and extending along a longitudinal axis between a first end and an opposite second end;

a second elongated stabilization member positionable along at least one other vertebra and extending along said longitudinal axis between a first end and an opposite second end, wherein said first end of said first stabilization member and said second end of said second stabilization member are positioned adjacent to one another;

a first bone anchor engageable to the at least one vertebra and engaged to the second end of the first stabilization member;

a second bone anchor engageable to the at least one other vertebra and engaged to the first end of the second stabilization member; and

a coupling system including a first member having a first end engaged to an end portion at said first end of said first stabilization member, wherein said first member includes a first wall section around said first passage adjacent said first end of said first member and a second wall section around said first passage that is spaced away from said first end of said first member, said first wall section defining a greater width than said second wall section and said first member further comprising a tapered wall section extending between said first wall section and said second wall section; and

a second end engaged to said second end of said second stabilization member, wherein said coupling system further includes a lock coupled between said first member and said end portion of said first stabilization member that has a locked position configured to maintain a relative axial positioning of said first and second stabilization members, wherein said lock includes a lock body extending about said end portion of said first stabilization member and a locking element configured to enter into at least one opening in said lock body when in a locked position wherein said lock body and said end portion are received in a first passage opening at said first end of said first member;

said lock further includes a biasing member biasing said lock body into said first passage to said locked position, and

said tapered wall section contacts said locking element and forces said locking element into said at least one opening in said lock body to contact said end portion of said first stabilization member in said first passage of said first member, and

said lock being movable along said longitudinal axis to release said end portion of said first stabilization member from said first member to allow the relative axial positioning of said first and second stabilization members to be adjusted.

2. The spinal of claim 1, wherein said end portion of said first stabilization member includes a second member to said first end of said first stabilization member and said second member is engaged to said first member with said lock.

3. The spinal stabilization system of claim 2, wherein said second member includes a first end portion having a receiving passage to receive said first end of said first stabilization member therein and at least one engaging member engageable to said first end portion to secure said first end of said first stabilization member in said receiving passage, said second member further including a second end portion extending from said first end portion, said second end portion being axially received in a first passage of said first member.

4. The spinal stabilization system of claim 3, wherein said lock includes a lock body in said first passage between said second end portion and said first member.

5. The spinal stabilization system of claim 4, wherein lock body includes an outer end extending outwardly from said first passage at a first end of said first member and said lock body includes an inner end in said first passage of said first member, said lock body further including at least one outer opening adjacent said outer end and further comprising a locking element in said at least one outer opening contacting said second end portion of said second member and said first end of said first member in said locked position.

6. The spinal stabilization system of claim 5, wherein said first end of said first member includes an inwardly tapered wall section contacting said locking element in said locked position.

7. The spinal stabilization system of claim 6, further comprising a biasing element engaged between said first member and said lock body biasing said lock body toward said locked position.

8. The spinal stabilization system of claim 6, wherein said second end portion of said second member includes a series of grooves extending thereabout and spaced axially along said second end portion for said locking element.

9. The spinal stabilization system of claim 3, wherein said first member includes a second passage opposite said first passage, and said second end of said second stabilization member is axially received in said second passage and further comprising an engaging member engageable with said first member to secure said second stabilization member in said second passage.

10. The spinal stabilization of claim 1, wherein said first end of said first stabilization member is axially received in a first passage extending into said first member from a first end of said first member and said second end of said second stabilization member is axially received in a second passage of said first member that opens at a second end of said first member opposite said first end of said first member.

11. The spinal stabilization system of claim 10, wherein said first member includes at least one trans-axial bore and further comprising at least one engaging member engaging said first member in said bore to secure said second stabilization member in said second passage.

12. The spinal stabilization system of claim 11, wherein said first member includes a solid partition wall between said first and second passages.

13. The spinal stabilization system of claim 11, wherein said first and second passages and said first and second stabilization members are in axial alignment along said longitudinal axis.

14. The spinal stabilization system of claim 1, wherein said lock body is movable against said biasing member to align said at least one opening and said locking element with said first wall section and allow said end portion to axially translate in said first passage to adjust relative axial positioning of said first and second stabilization members.

15. The spinal stabilization system of claim 1, wherein said at least one opening includes a plurality of openings about said lock body and said lock includes a locking element associated with each of said plurality of openings.

16. The spinal stabilization system of claim 1, wherein said first and second elongated spinal stabilization members each include a spinal rod portion extending along the respective vertebra.

17. The spinal stabilization system of claim 1, wherein said lock extends outwardly from said first end of said first member to a cap, said cap being connected to said lock and configured for grasping to displace said lock along said longitudinal toward said first elongated member to release said end portion from said locked position, wherein said first stabilization member extends along said longitudinal axis through and outwardly from said cap in a direction away from said second stabilization member.

18. The spinal stabilization of claim 1, wherein said first and second elongated stabilization members include a combined length from said second end of said first stabilization member to said first end of said second stabilization member sized to at least extend across a spinal disc space to vertebrae adjacent the spinal disc space.

19. A spinal stabilization system, comprising:

a first elongated stabilization member positionable along at least one vertebra and extending along a longitudinal axis between a first end and an opposite second end;

a second elongated stabilization member positionable along at least one other vertebra and extending along said longitudinal axis between a first end and an opposite second end, wherein said first end of said first stabilization member and said second end of said second stabilization member are positioned adjacent to one another, wherein said first and second elongated stabilization members include a combined length from said second of said first stabilization member to said first end of said second stabilization member sized to at least extend across a spinal disc space to vertebrae adjacent the spinal disc space; and

a coupling system including a lock, a first member having a first end engaged to an end portion at said first end of said first stabilization member and a second end engaged to said second end of said second stabilization member, wherein said end portion of said first stabilization member is engaged in a passage of said first member by said lock being axially biased to a locked position to maintain a relative axial positioning of said first and second stabilization members,

wherein said coupling system includes a lock body in said first passage between said end portion of said first stabilization member and said first member, said coupling member further including a biasing member engaged between said first member and said lock body to normally bias said lock body to said locked position, and

said coupling system being operable to release said end portion from said locked portion to allow the relative axial positioning of said first and second stabilization members to be adjusted.

20. The spinal stabilization system of claim 19, wherein said coupling system includes at least one opening in said lock body and at least one locking element in said at least one opening, said at least one locking element engaging both of said end portion and said first member in said locked position.

21. The spinal stabilization system of claim 19, wherein said first member includes a second passage extending along said longitudinal axis and opening at a second end of said first member opposite said first end of said first member and said second end of said second stabilization member is received in said second passage.

22. The spinal stabilization system of claim 21, wherein said first member includes at least one bore extending transversely to said longitudinal axis and in communication with said second passage and further comprising an engaging member engaged to said first member in said at least one bore and engaging said second stabilization member in said second passage.

23. The spinal stabilization system of claim 19, wherein said first and second elongated spinal stabilization members each include a spinal rod portion extending along the respective vertebra.

24. The spinal stabilization system of claim 19, wherein said lock extends outwardly from said first end of said first member to a cap, said cap being connected to said lock and configured for grasping to displace said lock along said longitudinal toward said first elongated stabilization member and against said axial bias to release said end portion from said locked position, wherein said first stabilization member extends along said longitudinal axis through and outwardly from said cap in a direction away from said second stabilization member.

25. The spinal stabilization system of claim 19, further comprising:

a first bone anchor engageable to the at least one vertebra and engaged to the second end of the first stabilization member; and

a second bone anchor engageable to the at least one other vertebra and engaged to the first end of the second stabilization member.