System and method for aligning vertebrae in the amelioration of aberrant spinal column deviation conditions

• US 9,668,788 B2
• Filed: 08/26/2016
• Issued: 06/06/2017
• Est. Priority Date: 12/30/2004
• Status: Active Grant

• Current Assignee: Mark A. Barry
• Original Assignee: Mark A. Barry
• Inventors: Barry, Mark A.
• Primary Examiner(s): Hammond, Ellen C
• Application Number:
  US15/249,261
• Publication Number:
  US 20160361098A1
• Time in Patent Office: 284 Days
• CPC Class Codes: A61B 17/7002 Longitudinal elements, e.g. rods
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7049 Connectors, not bearing on the vertebrae, for linking longitudinal elements together A61B17/7055, A61B17/7053, A61B17/7019 take precedence
• CPC Class Codes: A61B 17/7076 for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
• CPC Class Codes: A61B 17/7077 for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
• CPC Class Codes: A61B 17/7079 Tools requiring anchors to be already mounted on an implanted longitudinal or transverse element, e.g. where said element guides the anchor motion
• CPC Class Codes: A61B 17/708 with tubular extensions coaxially mounted on the bone anchors
• CPC Class Codes: A61B 2017/564 Methods for bone or joint treatment
• CPC Class Codes: A61B 2017/567 Joint mechanisms or joint supports in addition to the natural joints and outside the joint gaps
• CPC Class Codes: A61B 2017/681 Alignment, compression, or distraction mechanisms

Abstract

A system for applying a manipulative force to a target region of a spinal column during a surgical procedure is provided with at least four pedicle screws, at least four elongated levers configured to temporarily engage with the pedicle screws, a linking member configured to link at least two of the elongated levers in a axial direction such that they move in unison, and a cross-linking member configured to link at least two of the elongated levers in a transverse direction such that they move in unison. When the system is assembled, it permits an operator to move the at least four elongated levers in unison to simultaneously rotate the at least four pedicle screws about a spinal column roll axis. Related methods are also provided.

Claims

1. A system for applying a manipulative force to a target region of a spinal column during a surgical procedure, the system comprising:

a first pedicle screw having a proximal portion and a distal portion, the distal portion of the first pedicle screw being configured to be implanted into a first pedicle of a first vertebra;

a second pedicle screw having a proximal portion and a distal portion, the distal portion of the second pedicle screw being configured to be implanted into a second pedicle of the first vertebra;

a third pedicle screw having a proximal portion and a distal portion, the distal portion of the third pedicle screw being configured to be implanted into a first pedicle of a second vertebra;

a fourth pedicle screw having a proximal portion and a distal portion, the distal portion of the fourth pedicle screw being configured to be implanted into a second pedicle of the second vertebra;

a first elongated lever having a proximal portion and a distal portion, the distal portion of the first elongated lever being configured to temporarily engage with and provide leverage itself to the proximal portion of the first pedicle screw;

a second elongated lever having a proximal portion and a distal portion, the distal portion of the second elongated lever being configured to temporarily engage with and provide leverage itself to the proximal portion of the second pedicle screw;

a third elongated lever having a proximal portion and a distal portion, the distal portion of the third elongated lever being configured to temporarily engage with and provide leverage itself to the proximal portion of the third pedicle screw;

a fourth elongated lever having a proximal portion and a distal portion, the distal portion of the fourth elongated lever being configured to temporarily engage with and provide leverage itself to the proximal portion of the fourth pedicle screw;

a linking member configured to link at least two of the elongated levers in a axial direction such that they move in unison; and

a cross-linking member configured to link at least two of the elongated levers in a transverse direction such that they move in unison,

wherein the system, when assembled, permits an operator to move the first, second, third and fourth elongated levers in unison to simultaneously rotate the first, second, third and fourth pedicle screws about a spinal column roll axis.

2. The system of claim 1, further comprising:

a fifth pedicle screw having a proximal portion and a distal portion, the distal portion of the fifth pedicle screw being configured to be implanted into a first pedicle of a third vertebra;

a sixth pedicle screw having a proximal portion and a distal portion, the distal portion of the sixth pedicle screw being configured to be implanted into a second pedicle of the third vertebra;

a fifth elongated lever having a proximal portion and a distal portion, the distal portion of the fifth elongated lever being configured to temporarily engage with the proximal portion of the fifth pedicle screw; and

a sixth elongated lever having a proximal portion and a distal portion, the distal portion of the sixth elongated lever being configured to temporarily engage with the proximal portion of the sixth pedicle screw,

wherein the system, when assembled, permits an operator to move the first, second, third, fourth, fifth and sixth elongated levers in unison to simultaneously rotate the first, second, third, fourth, fifth and sixth pedicle screws about a spinal column roll axis.

3. A system for applying a manipulative force to a target region of a spinal column during a surgical procedure, the system comprising:

a first pedicle screw having a proximal portion and a distal portion, the distal portion of the first pedicle screw being configured to be implanted into a first pedicle of a first vertebra;

a second pedicle screw having a proximal portion and a distal portion, the distal portion of the second pedicle screw being configured to be implanted into a second pedicle of the first vertebra;

a third pedicle screw having a proximal portion and a distal portion, the distal portion of the third pedicle screw being configured to be implanted into a first pedicle of a second vertebra;

a fourth pedicle screw having a proximal portion and a distal portion, the distal portion of the fourth pedicle screw being configured to be implanted into a second pedicle of the second vertebra;

a first elongated lever having a proximal portion and a distal portion, the distal portion of the first elongated lever being configured to temporarily engage with the proximal portion of the first pedicle screw;

a second elongated lever having a proximal portion and a distal portion, the distal portion of the second elongated lever being configured to temporarily engage with the proximal portion of the second pedicle screw;

a third elongated lever having a proximal portion and a distal portion, the distal portion of the third elongated lever being configured to temporarily engage with the proximal portion of the third pedicle screw;

a fourth elongated lever having a proximal portion and a distal portion, the distal portion of the fourth elongated lever being configured to temporarily engage with the proximal portion of the fourth pedicle screw;

a linking member configured to link at least two of the elongated levers in a axial direction such that they move in unison; and

a cross-linking member configured to link at least two of the elongated levers in a transverse direction such that they move in unison,

wherein the system, when assembled, permits an operator to move the first, second, third and fourth elongated levers in unison to simultaneously rotate the first, second, third and fourth pedicle screws about a spinal column roll axis,

wherein the first, second, third and fourth pedicle screws each comprise a channel configured to receive a spinal rod.

4. A system for applying a manipulative force to a target region of a spinal column during a surgical procedure, the system comprising:

a first pedicle screw having a proximal portion and a distal portion, the distal portion of the first pedicle screw being configured to be implanted into a first pedicle of a first vertebra;

a second pedicle screw having a proximal portion and a distal portion, the distal portion of the second pedicle screw being configured to be implanted into a second pedicle of the first vertebra;

a third pedicle screw having a proximal portion and a distal portion, the distal portion of the third pedicle screw being configured to be implanted into a first pedicle of a second vertebra;

a fourth pedicle screw having a proximal portion and a distal portion, the distal portion of the fourth pedicle screw being configured to be implanted into a second pedicle of the second vertebra;

a first elongated lever having a proximal portion and a distal portion, the distal portion of the first elongated lever being configured to temporarily engage with the proximal portion of the first pedicle screw;

a second elongated lever having a proximal portion and a distal portion, the distal portion of the second elongated lever being configured to temporarily engage with the proximal portion of the second pedicle screw;

a third elongated lever having a proximal portion and a distal portion, the distal portion of the third elongated lever being configured to temporarily engage with the proximal portion of the third pedicle screw;

a fourth elongated lever having a proximal portion and a distal portion, the distal portion of the fourth elongated lever being configured to temporarily engage with the proximal portion of the fourth pedicle screw;

a linking member configured to link at least two of the elongated levers in a axial direction such that they move in unison;

a cross-linking member configured to link at least two of the elongated levers in a transverse direction such that they move in unison,

wherein the system, when assembled, permits an operator to move the first, second, third and fourth elongated levers in unison to simultaneously rotate the first, second, third and fourth pedicle screws about a spinal column roll axis,

a spinal rod configured to extend in an axial direction between at least the first pedicle screw and the third pedicle screw; and

spinal rod engagement mechanisms provided on the proximal portions of the first and third pedicle screws configured to secure the spinal rod to the proximal portions of the first and third pedicle screws.

5. A system for applying a manipulative force to a target region of a spinal column during a surgical procedure, the system comprising:

a first pedicle screw having a proximal portion and a distal portion, the distal portion of the first pedicle screw being configured to be implanted into a first pedicle of a first vertebra;

a second pedicle screw having a proximal portion and a distal portion, the distal portion of the second pedicle screw being configured to be implanted into a second pedicle of the first vertebra;

a third pedicle screw having a proximal portion and a distal portion, the distal portion of the third pedicle screw being configured to be implanted into a first pedicle of a second vertebra;

a fourth pedicle screw having a proximal portion and a distal portion, the distal portion of the fourth pedicle screw being configured to be implanted into a second pedicle of the second vertebra;

a first elongated lever having a proximal portion and a distal portion, the distal portion of the first elongated lever being configured to temporarily engage with the proximal portion of the first pedicle screw;

a second elongated lever having a proximal portion and a distal portion, the distal portion of the second elongated lever being configured to temporarily engage with the proximal portion of the second pedicle screw;

a third elongated lever having a proximal portion and a distal portion, the distal portion of the third elongated lever being configured to temporarily engage with the proximal portion of the third pedicle screw;

a fourth elongated lever having a proximal portion and a distal portion, the distal portion of the fourth elongated lever being configured to temporarily engage with the proximal portion of the fourth pedicle screw;

a linking member configured to link at least two of the elongated levers in a axial direction such that they move in unison; and

a cross-linking member configured to link at least two of the elongated levers in a transverse direction such that they move in unison,

wherein the system, when assembled, permits an operator to move the first, second, third and fourth elongated levers in unison to simultaneously rotate the first, second, third and fourth pedicle screws about a spinal column roll axis,

wherein the first, second, third and fourth elongated levers are each configured to extend away from their respective pedicle screws along a longitudinal axis of the respective pedicle screw.

6. A system for applying a manipulative force to a target region of a spinal column during a surgical procedure, the system comprising:

a first pedicle screw having a proximal portion and a distal portion, the distal portion of the first pedicle screw being configured to be implanted into a first pedicle of a first vertebra;

a second pedicle screw having a proximal portion and a distal portion, the distal portion of the second pedicle screw being configured to be implanted into a second pedicle of the first vertebra;

a third pedicle screw having a proximal portion and a distal portion, the distal portion of the third pedicle screw being configured to be implanted into a first pedicle of a second vertebra;

a fourth pedicle screw having a proximal portion and a distal portion, the distal portion of the fourth pedicle screw being configured to be implanted into a second pedicle of the second vertebra;

a first elongated lever having a proximal portion and a distal portion, the distal portion of the first elongated lever being configured to temporarily engage with the proximal portion of the first pedicle screw;

a second elongated lever having a proximal portion and a distal portion, the distal portion of the second elongated lever being configured to temporarily engage with the proximal portion of the second pedicle screw;

a third elongated lever having a proximal portion and a distal portion, the distal portion of the third elongated lever being configured to temporarily engage with the proximal portion of the third pedicle screw;

a fourth elongated lever having a proximal portion and a distal portion, the distal portion of the fourth elongated lever being configured to temporarily engage with the proximal portion of the fourth pedicle screw;

a linking member configured to link at least two of the elongated levers in a axial direction such that they move in unison;

a cross-linking member configured to link at least two of the elongated levers in a transverse direction such that they move in unison,

wherein the system, when assembled, permits an operator to move the first, second, third and fourth elongated levers in unison to simultaneously rotate the first, second, third and fourth pedicle screws about a spinal column roll axis, and

multiple handles located on a construct formed by the first, second, third and fourth elongated levers linked together by the linking member and the cross-linking member, such that a manipulative force can be applied to the multiple handles individually or simultaneously.