Flexible fastening system
A flexible implant system includes a flexible implant, an implant housing, and an implant set screw. The flexible implant is configured to loop around a portion of a bony element. The implant housing includes a housing body defining a rod passage configured to receive an rod. The housing body also defines an implant passage that receives a portion of the flexible implant. The implant set screw engages the flexible implant within the implant passage to fix the flexible implant to the implant housing.
1 . A method for securing a spinal rod to a bony element, comprising:
looping a flexible member around the bony element;
positioning the spinal rod in a first passage of a housing of unitary construction;
passing a portion of the flexible member through a second passage of the housing in a first direction, the flexible member being separable from the housing;
tensioning the flexible member about the bony element; and
advancing a securement member along an axis in a second direction transverse to the first direction to secure at least one of the spinal rod within the first passage via a third passage and the flexible member within the second passage via a fourth passage to the housing,
wherein the third passage and the fourth passage are substantially parallel.
2 . The method of claim 1 , further comprising trimming an excess portion of the flexible member.
3 . The method of claim 1 , wherein tensioning the flexible member includes engaging a tensioning instrument to the flexible member and to the housing.
4 . The method of claim 1 , wherein tensioning the flexible member about the bony element occurs prior to advancing the securement member.
5 . The method of claim 1 , wherein the second direction is substantially perpendicular to the first direction.
6 . The method of claim 1 , wherein the third passage and the securement member are threaded.
7 . The method of claim 1 , wherein the securement member is a set screw.
8 . The method of claim 1 , wherein the first passage is configured to extend circumferentially around the spinal rod received therein except at an open region.
9 . A spinal fixation method, comprising:
passing a first portion of a flexible member around a portion of a vertebra;
inserting first and second ends of the flexible member into a first passage of an implant housing;
positioning a spinal rod in a second passage of the implant housing via a third passage extending transverse to the second passage;
tensioning the flexible member with a tensioning instrument coupled to the flexible member and the implant housing; and
locking the flexible member within the first passage by threading a securement member in a fourth passage extending transverse to the first passage.
10 . The method of claim 9 , further comprising trimming an excess portion of the flexible member.
11 . The method of claim 9 , wherein tensioning the flexible member about the vertebra occurs prior to advancing the securement member.
12 . The method of claim 9 , wherein the second passage extends along a first direction and the fourth passage extends along a second direction, wherein the second direction is substantially perpendicular to the first direction.
13 . The method of claim 9 , wherein the fourth passage and the securement member are threaded.
14 . The method of claim 9 , wherein the securement member is a set screw.
15 . A spinal fixation method, comprising:
passing at least one of a first end and a second end of a flexible member around a portion of a vertebra;
inserting the first and second ends of the flexible member in a first passage of an implant housing;
positioning a spinal rod in a second passage of the implant housing;
tensioning the flexible member with a tensioning instrument coupled to the flexible member and the implant housing; and
locking the spinal rod within the second passage by threading a securement member in a third passage extending transverse to the first passage.
16 . The method of claim 15 , further comprising trimming an excess portion of the flexible member.
17 . The method of claim 15 , wherein tensioning the flexible member about the portion of the vertebra occurs prior to advancing the securement member.
18 . The method of claim 15 , wherein the second passage extends along a first direction and the third passage extends along a second direction, wherein the second direction is substantially perpendicular to the first direction.
19 . The method of claim 15 , wherein the third passage and the securement member are threaded.