A bone screw ( 10 ) having a lead portion ( 12 ) and a tail portion ( 14 ), each comprising a root and a thread ( 22, 24 ) (having a thread lead) formed on the root. The thread on each of the lead and tail portions has an approximately constant diameter along a significant portion of its length. The diameter of the thread on the tail portion is greater than that of the thread on the lead portion, and in which the thread lead of the thread on the lead portion is equal to the thread lead of the thread on the tail portion. The screw can be used to achieve fixation to a vertebra with an anterior approach.
1. A bone screw having a lead portion and a tail portion, and an intermediate transition portion, each of the lead portion and the tail portion comprising a root and a helical thread formed on the root, the thread on the lead portion having a diameter and the thread of the tail portion having a diameter wherein the diameter of the thread on the tail portion is greater than that of the thread on the lead portion, wherein the thread on the lead portion extends to a distal end of the screw, wherein the lead portion includes a first section in which the thread of the lead portion is of a constant diameter and a second section closer to the distal end of the screw in which the thread of the lead portion is of a reduced diameter relative to the thread of the lead portion that is of a constant diameter,
wherein the intermediate transition portion is configured between the threads of the lead portion and the tail portion,
wherein the tail portion is provided with a socket end, wherein the socket end of the tail portion is adapted to be flush with the surface of the bone or under the surface of the bone after the bone screw is fully inserted,
wherein the thread on the lead portion of the screw is a double-start thread and the thread on the tail portion of the screw is a single-start thread, and in which the thread pitch of the thread on the tail portion is greater than the thread pitch of the thread on the lead portion, and wherein the single-start thread on the tail portion is a continuation of one of the threads of the double-start thread on the lead portion,
wherein the thread aspect ratio of the thread on the tail portion is greater than the thread aspect ratio of the thread on the lead portion,
wherein the lead portion and the tail portion are formed from a single block of metal,
wherein a bore extends through the bone screw throughout its entire length.
2. A bone screw as claimed in claim 1 , in which the thread on the lead portion of the screw is a multi-start thread.
3. A bone screw as claimed in claim 2 , in which the number of starts of the thread on the lead portion is equal to the ratio of the thread pitch of the thread on the tail portion to the thread pitch of the thread on the lead portion.
4. A bone screw as claimed in claim 1 , wherein the lead portion and tail portion of the bone screw comprises a stainless steel alloy.
5. A bone screw as claimed in claim 1 , wherein the lead portion and tail portion of the bone screw comprises titanium.
6. A bone screw as claimed in claim 1 , in which the diameter of the root of the tail portion is greater than the diameter of the root of the lead portion.
7. A bone screw as claimed in claim 1 , wherein the lead portion and the tail portion of the bone screw comprises a titanium alloy.
8. A bone screw as claimed in claim 1 , wherein the bone screw has a distal tip that is tapered.
9. A bone screw as claimed in claim 1 , wherein the socket end of the bone screw comprises a hexagonal socket.
10. A bone screw having a lead portion and a tail portion, and an intermediate transition portion, each of the lead portion and the tail portion comprising a root and a helical thread formed on the root, the thread of the lead portion having a diameter and the thread of the tail portion having a diameter wherein the diameter of the thread on the tail portion is greater than that of the thread on the lead portion, wherein the intermediate transition portion is configured between the threads of the lead portion and the tail portion, and wherein a root diameter of the lead portion is less than a root diameter of the tail portion and wherein the thread on the lead portion of the screw is a double-start thread and the thread on the tail portion of the screw is a single-start thread, and wherein the thread pitch of the thread on the tail portion is greater than the thread pitch of the thread on the lead portion, wherein the single-start thread on the tail portion is a continuation of one of the threads of the double-start thread on the lead portion, and wherein the thread aspect ratio of the thread on the tail portion is greater than the thread aspect ratio of the thread on the lead portion, wherein the lead portion and the tail portion are formed from a single block of metal, wherein the thread on the lead portion extends to a distal end of the screw, wherein the lead portion includes a first section in which the thread of the lead portion is of a constant diameter, wherein a bore extends through the bone screw throughout its entire length.