Posterior cervical fixation system

• US 9,387,013 B1
• Filed: 03/01/2012
• Issued: 07/12/2016
• Est. Priority Date: 03/01/2011
• Status: Active Grant

• Current Assignee: Nuvasive Incorporated
• Original Assignee: Nuvasive Incorporated
• Inventors: Shoshtaev, Eugene, Bannigan, Shaeffer, Brotman, Michael
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): Eckman, Michelle C.
• Application Number:
  US13/410,213
• Time in Patent Office: 1,594 Days
• Field of Search: 606 70- 71, 606280-299, 606250-253, 606267-270
• US Class Current: 1/1
• CPC Class Codes: A61B 17/7013 the shape of the element being adjustable before use adjustable length plates A61B17/7014
• CPC Class Codes: A61B 17/7037 wherein pivoting is blocked when the rod is clamped
• 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 17/705 for linking adjacent ends of longitudinal elements
• CPC Class Codes: A61B 17/7052 of variable angle or length
• CPC Class Codes: A61B 17/7055 connected to sacrum, pelvis or skull
• CPC Class Codes: A61B 17/7056 Hooks with specially-designed bone-contacting part
• CPC Class Codes: A61B 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• CPC Class Codes: A61B 17/7082 for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws driving other bone screws A61B17/8875
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence

Abstract

A posterior cervical fixation system including an occipital plate member, a cross connector, a pair of elongated spinal rods and a plurality of polyaxial screws. The occipital plate member configured for fixing to an occipital bone comprises an aperture to receive a bone anchor member to secure the occipital plate member to the occipital bone and at least one rod clamping element dimensioned to receive at least one spinal rod. The cross connector secures the pair of elongated spinal rods to vertebral bodies. The cross connector includes a pair of collet connectors and a cross bar that is configured to secure the pair of elongated spinal rods in a desired distance. Each polyaxial screw has an anchor head associated with a fastening member. The pair of elongated spinal rods is configured to extend along the vertebral bodies between the occipital plate member and at least one of the polyaxial screws.

Claims

1. An occipital cervical fixation system for securing a first elongated spinal rod and a second elongated spinal rod to spine, comprising:

an occipital plate member having an upper surface and a lower surface, the occipital plate member comprising;

a main body portion having a first surface, a second surface and a centerline axis, said first and second surfaces include an opening and a recessed portion, said centerline axis having a plurality of openings, said lower surface of said occipital plate member configured to contact a portion of an occipital bone, said main body portion further includes a first end, wherein a portion of the first end extends away from and perpendicular to the centerline axis and a second end, wherein a portion of the second end extends away from and perpendicular to the centerline axis;

a plurality of bone anchor members dimensioned to fix said occipital plate member to the occipital bone by inserting said bone anchor members through said plurality of openings along said centerline axis;

a first rotating housing rotatably coupled to said first surface, the first rotating housing having a lower portion with a first hole, the lower portion being situated in the first surface recessed portion with the first hole aligned with the first surface opening, the first rotating housing rotating relative to the main body about a first rotational axis extending through the first hole and first surface opening;

a second rotating housing rotatably coupled to said second surface, the second rotating housing having a lower portion with a second hole, the lower portion being situated in the second surface recessed portion with the second hole aligned with the second surface opening, the second rotating housing rotating relative to the main body about a second rotational axis extending through the second hole and second surface opening;

a first rod clamping element dimensioned to couple said occipital plate member to a first elongated spinal rod, said first rod clamping element extending laterally beyond said first end of said main body portion, said first rod clamping element includes a first clamp portion having a rod receiving end configured to receive said first elongated spinal rod therein and a first body portion extending medially from the first clamp portion, the first body portion having a pin slot that receives a first pin coupled to the first rotating housing such that the first rod clamping element translates relative to the first rotating housing and perpendicular to the first rotating axis, the first clamp portion being offset laterally to the first rotating housing and first rotating axis;

a second rod clamping element dimensioned to couple said occipital plate member to a second elongated spinal rod, said second rod clamping element extending laterally beyond said second end of said main body portion, said second rod clamping element includes a second clamp portion having a rod receiving end configured to receive said second elongated spinal rod therein and a second body portion extending medially from the second clamp portion, the second body portion having a pin slot that receives a second pin coupled to the second rotating housing such that the second rod clamping element translates relative to the second rotating housing and perpendicular to the second rotating axis, the second clamp portion being offset laterally to the second rotating housing and second rotating axis;

a first locking element to lock said first elongated spinal rod within said rod receiving end of said first rod clamping element;

a second locking element to lock said second elongated spinal rod within said rod receiving end of said second rod clamping element;

a first locking feature configured inhibit rotation of said first rotating housing relative to said main body portion and translation of said first rod clamping element relative to said first rotating housing;

a second locking feature configured inhibit rotation of said second rotating housing relative to said main body portion and translation of said second rod clamping element relative to said second rotating housing; and

a plurality of polyaxial screws, each said polyaxial screw having an anchor head associated with a fastening member.

2. The occipital cervical fixation system of claim 1, wherein said fastening member of said plurality of polyaxial screws is inserted in the vertebral bodies by facing said anchor head upwards to receive said elongated spinal rod.

3. The occipital cervical fixation system of claim 1, wherein said elongated spinal rod is effectively locked in said anchor head by connecting a cross connector to said anchor head.

4. The occipital cervical fixation system of claim 1, wherein said main body portion includes a plurality of channels disposed therein to provide flexibility to said occipital plate member.

5. The occipital cervical fixation system of claim 1, wherein when said first and second rod clamping elements are moved to a desired position within said first and second rotating housings, said first and second rotating housings are rotated to desired positions within said recessed portion.

6. The occipital cervical fixation system of claim 1, wherein said first and second rod clamping elements translate medially and laterally relative to said first and second rotating housings rotates to achieve a collapsed state and an expanded state.

7. The occipital cervical fixation system of claim 1, wherein when said first and second rod clamping elements and said first and second rotating housings are moved to the desired position, both said first and second rod clamping elements and said first and second rotating housings are locked in place by threading said first and second locking features into said first and second rotating housings.

8. The occipital cervical fixation system of claim 1, wherein when said first and second elongated spinal rods are in place within said rod receiving ends of said rod clamping elements, said rod clamping elements are locked onto the respective elongated spinal rods with said locking element.

9. The occipital cervical fixation system of claim 1, wherein each of said bone anchor members includes at least one bone screw, nail, pin, or hook.

10. The occipital cervical fixation system of claim 1, wherein both said first and second locking features includes at least one locking screw and lock nut.

11. The occipital cervical fixation system of claim 1, wherein said first and second locking elements comprises a set screw.