Systems and methods for posterior dynamic stabilization of the spine
View Patent ↗Systems and devices for dynamically stabilizing the spine are provided. The systems include a superior component for attachment to a superior vertebra of a spinal motion segment and an inferior component for attachment to an inferior vertebral of a spinal motion segment. The interconnection between the two components enables the spinal motion segment to move in a manner that mimics the natural motion of the spinal motion segment. Methods are also provided for stabilizing the spine and for implanting the subject systems.
1. A system for stabilizing at least one spinal motion segment comprising a superior vertebra and an inferior vertebra, the system comprising:
a left and a right superior bone anchor configured to couple to the superior vertebra, each superior bone anchor comprising a first strut having a proximal end and a distal end, wherein the distal end of the first strut includes an abutment having a first engagement portion, and wherein at least the first struts move independently of one another;
a left and a right inferior bone anchor configured for attachment to the inferior vertebra, each inferior bone anchor comprising a second strut having a proximal end and a distal end, wherein the distal end of the second strut includes a second engagement portion configured to slidably engage with the first engagement portion of the abutment of the distal end of the superior bone anchor, and wherein the configuration of the second engagement portion relative to the first engagement portion limits relative motion between the first and the second strut; and
a tension band extending between the superior bone anchor and the inferior bone anchor.
2. The system of claim 1 , wherein the distal end of at least one of the first struts has a convex surface and the distal end of at least one of the second struts has a concave surface configured to receive the convex surface of at least one of the first struts.
3. The system of claim 2 , wherein the convex and concave surfaces are reciprocally rounded.
4. The system of claim 2 , wherein the convex and concave surfaces are reciprocally angular.
5. The system of claim 1 , wherein the distal end of at least one of the first struts has a concave surface and the distal end of at least one of the second struts has a convex surface configured to receive the concave surface of at least one of the first struts.
6. The system of claim 1 , wherein the tension band is positioned posteriorly to the struts.
7. The system of claim 1 , wherein the tension band is positioned laterally of the struts.
8. The system of claim 1 , wherein the superior bone anchor is configured for attachment at the pedicle of the superior vertebra and the inferior bone anchor is configured for attachment to the pedicle of the inferior vertebra.
9. The system of claim 1 , wherein the system is configured for implantation without the removal of any portion of the spinal motion segment.
10. A system for stabilizing at least one spinal motion segment comprising a superior vertebra and an inferior vertebra, the system comprising:
a left and a right superior bone anchor configured to couple to the superior vertebra, each superior bone anchor comprising a first strut having a proximal end and a distal end, wherein the distal end of the first strut includes an abutment having a first engagement portion, and wherein at least the first struts move independently of one another;
a left and a right inferior bone anchor configured for attachment to the inferior vertebra, each inferior bone anchor comprising a second strut having a proximal end and a distal end, wherein the distal end of the second strut includes a second engagement portion configured to slidably engage with the first engagement portion of the abutment of the distal end of the superior bone anchor, and wherein the configuration of the second engagement portion relative to the first engagement portion limits relative motion between the first and the second strut; and
a tension band extending between the superior bone anchor and the inferior bone anchor, wherein the tension band is positioned posteriorly to the struts.
11. The system of claim 10 , wherein the distal end of at least one of the first struts has a convex surface and the distal end of at least one of the second struts has a concave surface configured to receive the convex surface of at least one of the first struts.
12. The system of claim 10 , wherein the distal end of at least one of the first struts has a concave surface and the distal end of at least one of the second struts has a convex surface configured to receive the concave surface of at least one of the first struts.
13. The system of claim 10 , wherein the superior bone anchor is configured for attachment at the pedicle of the superior vertebra and the inferior bone anchor is configured for attachment to the pedicle of the inferior vertebra.
14. The system of claim 10 , wherein the system is configured for implantation without the removal of any portion of the spinal motion segment.
15. A method for stabilizing at least one spinal motion segment comprising a superior vertebra and an inferior vertebra, the method comprising:
attaching a superior bone anchor to the superior vertebra, the superior bone anchor comprising a first strut having a proximal end and a distal end, wherein the distal end of the first strut includes an abutment;
attaching an inferior bone anchor to the inferior vertebra, the inferior bone anchor comprising a second strut comprising an engagement portion slidably engaged with the abutment of the distal end of the first strut of the superior bone anchor;
limiting motion between the superior and inferior bone anchors by the configuration of the abutment relative to the engagement portion, wherein the abutment and the engagement portion are in an unconstrained configuration to allow flexion, extension, axial rotation and lateral bending motions while limiting anterior and lateral translation between the superior and inferior vertebrae;
allowing at least the first strut to move independently of one another; and
extending a tension device substantially parallel to the strut between the superior bone anchor and the inferior bone anchor.
16. The method of claim 15 , wherein attachment of each of the components to the vertebrae comprises using a pedicle screw.
17. The method of claim 15 , wherein the components are attached without resecting any portion of the spinal motion segment.
18. The method of claim 15 , wherein the tension device is a ligament.
19. The method of claim 15 , further comprising guiding the distal end of the strut through a u-shaped abutment.
20. The method of claim 15 , wherein limiting transverse motion between the superior bone anchor and the inferior bone anchor includes a slot shaped abutment configuration.