Apparatus and method for dynamic vertebral stabilization
View Patent ↗A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension.
1. A stabilization system for controlling relative motion between a first vertebra and a second vertebra, the stabilization system comprising:
a first stabilizer comprising:
a resilient member configured to be coupled to extend along a first direction to transmit tension and compression between the first and second vertebrae;
a first member having a substantially rigid construction, the first member extending along the first direction to keep the resilient member substantially straight;
a second member that slidably engages the first member such that the first and second members cooperate to keep the resilient member substantially straight; and
a locking component positionable to lock the first stabilizer to substantially prevent extension of the second vertebra with respect to the first vertebra.
2. The stabilization system of claim 1 , wherein the second member telescopically engages the first member.
3. The stabilization system of claim 2 , wherein the first and second members are hollow, wherein the resilient member is positioned within a cavity defined by engagement of the first and second members.
4. The stabilization system of claim 1 , wherein the first member comprises an end attachable to a pedicle of one of the first vertebra and the second vertebra.
5. The stabilization system of claim 4 , wherein the end is attachable to the pedicle such that the end can rotate about at least one axis with respect to the pedicle after attachment of the end to the pedicle.
6. The stabilization system of claim 4 , further comprising a second stabilizer comprising:
a second resilient member configured to be coupled to extend along a second direction to transmit tension and compression between the first and second vertebrae; and
a second member having a substantially rigid construction, the second member extending along the second second direction to keep the second resilient member substantially straight;
wherein the second member comprises a second end attachable to a second pedicle of one of the first vertebra and the second vertebra such that the first and second stabilizers are attachable in a generally symmetrical manner across a sagittal plane of the first and second vertebrae.
7. The stabilization system of claim 1 , wherein the resilient member comprises a helical spring.
8. The stabilization system of claim 7 , wherein the helical spring comprises a resilient portion and an end attachable to a pedicle of one of the first vertebra and the second vertebra, wherein the resilient portion and the end are integrally formed with each other.
9. The stabilization system of claim 1 , wherein the first member is substantially coaxial with the resilient member.
10. The stabilization system of claim 9 , wherein the resilient member comprises a resilient portion having a bore, wherein the first member extends through the bore along at least an entire length of the resilient portion.
11. The stabilization system of claim 1 , wherein the locking component is configured to cooperate with the first stabilizer to substantially prevent all relative motion of the first and second vertebrae.
12. The stabilization system of claim 1 , further comprising a crosslink comprising:
a first end coupled to the first stabilizer; and
a second end extending from the first stabilizer, wherein the second end is substantially secured with respect to one of the first and second vertebrae to restrict axial rotation of the first vertebra with respect to the second vertebra.
13. A method for controlling relative motion between a first vertebra and a second vertebra, the method comprising:
exposing at least a portion of the first and second vertebrae;
positioning a resilient member to extend along a first direction to transmit tension and compression between the first and second vertebrae;
positioning a first member having a substantially rigid construction to extend along the first direction to keep the resilient member substantially straight;
positioning a second member in telescopic engagement with the first member to extend along the first direction such that the first and second members cooperate to keep the resilient member substantially straight, wherein the first and second members are hollow and, wherein the resilient member is positioned within a cavity defined by engagement of the first and second members; and
positioning a locking component to lock either the resilient member or the first member to substantially prevent extension of the second vertebra with respect to the first vertebra.
14. The method of claim 13 , wherein the first member comprises an end, the method further comprising attaching the end to a pedicle of one of the first vertebra and the second vertebra.
15. The method of claim 14 , wherein attaching the end to the pedicle comprises enabling the end to rotate about at least one axis with respect to the pedicle after attachment of the end to the pedicle.
16. The method of claim 14 , further comprising:
positioning a second resilient member to extend along a second direction to transmit tension and compression between the first and second vertebrae; and
positioning a second member having a substantially rigid construction to extend along the second direction to keep the second resilient member substantially straight;
wherein positioning the second member comprises attaching a second end of the second member to a second pedicle of one of the first vertebra and the second vertebra such that the first and second members are attachable in a generally symmetrical manner across a sagittal plane of the first and second vertebrae.
17. The method of claim 13 , wherein the resilient member comprises a helical spring comprising a resilient portion and an end integrally formed with the resilient portion, wherein positioning the first resilient member comprises attaching the end to a pedicle of one of the first vertebra and the second vertebra.
18. The method of claim 13 , wherein the first member is substantially coaxial with the resilient member, wherein the resilient member comprises a resilient portion having a bore, wherein the first member extends through the bore along at least an entire length of the resilient portion.
19. The method of claim 13 , wherein the resilient member and the first member are incorporated into a first stabilizer, the method further comprising:
coupling a first end of a crosslink to the first stabilizer; and
substantially securing a second end of the crosslink with respect to one of the first and second vertebrae such that the second end extends from the stabilizer to restrict axial rotation of the first vertebra with respect to the second vertebra.
20. A stabilization system for controlling relative motion between a first vertebra and a second vertebra, the stabilization system comprising:
a first stabilizer comprising:
a resilient member configured to be coupled to extend along a first direction to transmit tension and compression between the first and second vertebrae;
a first member having a substantially rigid, construction, the first member extending along the first direction to keep the resilient member substantially straight; and
a locking component positionable to lock the first stabilizer to substantially prevent extension of the second vertebra with respect to the first vertebra, wherein the locking component is configured to cooperate with the first stabilizer to substantially prevent all relative motion of the first and second vertebrae.