Spinal fixation plates

• US 9,039,775 B2
• Filed: 06/07/2013
• Issued: 05/26/2015
• Est. Priority Date: 03/31/2003
• Status: Expired due to Term

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Fraser, Robert D., Malone, John D., Serhan, Hassan A., Techiera, Richard C.
• Primary Examiner(s): LAWSON, MATTHEW JAMES
• Application Number:
  US13/912,969
• Publication Number:
  US 20130274810A1
• Time in Patent Office: 718 Days
• Field of Search: 606 70- 71, 606 79- 86 R, 606280-299, 623 1711- 1716
• US Class Current: 623/17.16
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8047 wherein the additional element surrounds the screw head in the plate hole A61B17/8052 takes precedence
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 2017/564 Methods for bone or joint treatment
• CPC Class Codes: A61B 2017/681 Alignment, compression, or distraction mechanisms
• CPC Class Codes: A61F 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• CPC Class Codes: A61F 2002/30228 Cylinders of elliptical or oval basis
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30563 having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30904 serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit

Abstract

Spinal fixation plates for maintaining adjacent vertebrae in and fixed position are provided. In an exemplary embodiment, the plate includes opposed superior and inferior portions that are angled in a direction anterior to an anterior face of a mid-portion of the plate. The plate also includes a curvature formed therein about a longitudinal axis in a sagittal plane thereof. In use, when the plate is attached to adjacent vertebrae, the angle of the superior and inferior portions and the curvature in the plate are effective to position one or more thru-bores formed in the superior and inferior portions at the anterior rims of the adjacent vertebrae. In another embodiment, a spinal fixation plate is provided that is adapted to engage and mate to a fusion cage or other vertebral implant disposed between adjacent vertebra. The present invention also provides spinal fixation kits or assemblies, and methods for implanting the same.

Claims

1. A spinal fixation assembly, comprising:

a fusion cage having an anterior face and an opposite posterior face, and a superior face and an opposite inferior face, the fusion cage being configured to be positioned between adjacent vertebrae such that the superior face contacts an endplate of a superior vertebra and the inferior face contacts an endplate of an inferior vertebra; and

a spinal fixation plate having

an anterior face and an opposite posterior face,

at least one bone screw aperture extending through the anterior and posterior faces for receiving a bone screw configured to mate the spinal fixation plate to bone, the at least one bone screw aperture being obliquely angled relative to the posterior and anterior faces of the spinal fixation plate,

a central opening being disposed substantially at a center of the spinal fixation plate, and

first and second arms extending outward from the posterior face of the plate in a direction substantially perpendicular to the posterior face of the plate, the first and second arms being configured to slidably engage the fusion cage and hold the posterior face of the spinal fixation plate in contact with the anterior face of the fusion cage such that a portion of the cage is received between the first and second arms and such that the first and second arms extend across the superior and inferior faces of the fusion cage; and

a screw that is received in the central opening of the spinal fixation plate.

2. The spinal fixation assembly of claim 1, wherein the at least one bone screw aperture comprises first and second bone screw apertures positioned on opposite sides of the central opening.

3. The spinal fixation assembly of claim 2, further comprising at least one bore formed in the fusion cage, and the screw being configured to extend through the central opening in the spinal fixation plate for mating the spinal fixation plate and the fusion cage.

4. The spinal fixation assembly of claim 1, wherein the first and second arms each have a central longitudinal axis that is non-parallel to a central longitudinal axis of the at least one bone screw aperture.

5. The spinal fixation assembly of claim 1, wherein the fusion cage includes first and second arm-seating recesses formed therein and configured to receive the first and second arms of the spinal fixation plate.

6. The spinal fixation assembly of claim 1, wherein the superior and inferior faces of the fusion cage include bone engaging surface features formed thereon.

7. The spinal fixation assembly of claim 1, wherein the at least one bone screw aperture has an inner sidewall that is substantially concave for polyaxially seating a bone screw.

8. The spinal fixation assembly of claim 1, wherein the first and second arms extend substantially parallel to one another.

9. The spinal fixation assembly of claim 1, further comprising at least one pin configured to lock the spinal fixation plate relative to the fusion cage, thereby preventing the spinal fixation plate from moving relative to the fusion cage in the direction substantially perpendicular to the posterior face of the fusion cage.

10. The spinal fixation assembly of claim 9, wherein, when the at least one pin locks the spinal fixation plate relative to the fusion cage, the at least one pin is disposed substantially parallel to the posterior face of the spinal fixation plate.

11. The spinal fixation assembly of claim 10, wherein the at least one pin is configured to lock onto the fusion cage when at least one of the first and second arms fully extend into the fusion cage and the anterior face of the spinal fixation plate directly contacts the posterior face of the fusion cage.

12. The spinal fixation assembly of claim 10, wherein the at least one pin consists of first and second pins.

13. A spinal fixation assembly, comprising:

a fusion cage configured to be positioned between adjacent vertebrae and having

a superior face and an inferior face, and first, and second opposed faces, and

first and second arm-receiving recesses formed therein;

a spinal fixation plate having

first and second screw bores extending therethrough at an oblique angle relative to first and second opposed faces of the spinal fixation plate,

an opening disposed along a horizontal longitudinal axis of the spinal fixation plate between the first and second screw bores, the opening receiving a screw having a head that contacts the spinal fixation plate, and

first and second arms extending outward from the second face of the spinal fixation plate, and configured to extend into the arm-receiving recesses in the fusion cage; and

a screw that is received in the opening of the spinal fixation plate.

14. The spinal fixation assembly of claim 13, further comprising first and second bone screws configured to extend through the first and second screw bores in the spinal fixation plate for mating the spinal fixation plate to bone.

15. The spinal fixation assembly of claim 13, wherein the first and second arms extend substantially perpendicular to the second face of the spinal fixation plate having the first and second screw bores formed therein.

16. The spinal fixation assembly of claim 13, wherein the first and second arms extend substantially parallel to one another.

17. The spinal fixation assembly of claim 13, wherein the first and second screw bores each have a central longitudinal axis that extends non-parallel to a longitudinal axis of each of the first and second arms.

18. The spinal fixation assembly of claim 13, wherein the first and second screw bores each have an inner sidewall that is substantially concave, and the assembly further comprises first and second bone screws each having a head with a substantially convex outer surface for polyaxial seating within the first and second screw bores.

19. The spinal fixation assembly of claim 13, wherein the first and second arms are configured to slide into engagement with the fusion cage.

20. A spinal fixation assembly, comprising:

a fusion cage having superior and inferior bone-contacting surfaces, and at least one arm-guide formed therein;

a spinal fixation plate having first and second bone screw bores formed therein, and at least one arm formed thereon and configured to extend into the at least one arm-guide in the fusion cage, the first and second screw bores each having a central longitudinal axis that extends at an acute angle relative to first and second faces of the spinal fixation plate; and

first and second bone screws configured to extend respectively through the first and second bone screw bores for mating the spinal fixation plate to bone;

wherein the spinal fixation plate includes an opening formed therein and positioned along a horizontal longitudinal axis of the plate, the opening being configured to receive a screw;

wherein the first and second bone screw bores are offset from the horizontal longitudinal axis, the first bone screw bore being positioned on a first side of the horizontal longitudinal axis and the second bone screw bore being positioned on a second side of the horizontal longitudinal axis;

wherein the at least one arm-guide is configured to hold the spinal fixation plate in contact with the fusion cage via an interference fit between the at least one arm and the at least one arm-guide;

wherein, when the first and second bone screws are disposed through the first and second bone screw bores, a distance between each of the first and second bone screws and one of the superior and inferior surfaces of the fusion cage increases in a direction from the second face of the spinal fixation plate to distal ends of the first and second bone screws.

21. The spinal fixation assembly of claim 20, wherein the at least one arm has a central longitudinal axis that is non-parallel to a central longitudinal axis of each of the first and second bone screw bores.

22. The spinal fixation assembly of claim 20, wherein, when the at least one arm of the spinal fixation plate is coupled to the at least one arm guide, the at least one arm is flush with an outer surface of the fusion cage.

23. The spinal fixation assembly of claim 20, wherein the superior and inferior surfaces of the fusion cage include bone engaging surface features formed thereon.

24. The spinal fixation assembly of claim 20, wherein the first and second bone screw bores each have an inner sidewall that is substantially concave, and wherein the first and second bone screws each have a head with a substantially convex outer surface for seating within the first and second bone screw bores.

25. The spinal fixation assembly of claim 20, further comprising a central bore formed in the fusion cage, wherein the opening formed in the spinal fixation plate is configured to be coaxially aligned with the central bore.

26. The spinal fixation assembly of claim 20, further comprising at least one pin configured to lock the spinal fixation plate relative to the fusion cage, thereby preventing the spinal fixation plate from moving relative to the fusion cage in the direction substantially perpendicular to a first face of the fusion cage.

27. The spinal fixation assembly of claim 26, wherein, when the at least one pin locks the spinal fixation plate relative to the fusion cage, a longitudinal axis of the at least one pin is disposed substantially parallel to the first face of the spinal fixation plate.

28. A spinal fixation assembly, comprising:

a fusion cage having superior and inferior bone-contacting surfaces, and at least one arm-guide formed therein;

a spinal fixation plate having first and second bone screw bores formed therein, and at least one arm formed thereon and configured to extend into the at least one arm-guide in the fusion cage, the first and second screw bores each having a central longitudinal axis that extends at an acute angle relative to first and second faces of the spinal fixation plate; and

first and second bone screws configured to extend respectively through the first and second bone screw bores for mating the spinal fixation plate to bone;

wherein the spinal fixation plate includes an opening formed therein and positioned along a horizontal longitudinal axis of the plate, the opening being configured to receive a screw;

wherein the first and second bone screw bores are offset from the horizontal longitudinal axis, the first bone screw bore being positioned on a first side of the horizontal longitudinal axis and the second bone screw bore being positioned on a second side of the horizontal longitudinal axis;

wherein the at least one arm-guide is configured to hold the spinal fixation plate in contact with the fusion cage via an interference fit between the at least one arm and the at least one arm-guide;

wherein the at least one arm comprises first and second arms that extend substantially parallel to one another.