Load bearing flexible spinal connecting element
View Patent ↗Devices and methods for spinal stabilization include first and second anchor assemblies engageable to respective ones of first and second vertebrae and a connecting element engageable to the first and second anchor assemblies. The connecting element includes opposite first and second end members and a bumper assembly between the end members that flexibly connects the end members so the connecting element can provide dynamic stabilization of the spinal column when engaged to the anchor assemblies.
1. A method for assembling a connecting element for stabilizing a spinal column segment, comprising:
providing a first end member with a first rod portion and a first end wall at an end of the first rod portion, the first rod portion including a bore extending therealong that opens at the first end wall;
providing a second end member with a second rod portion and a second end wall at an end of the second rod portion, the second rod portion including a bore extending therealong that opens at the second end wall;
positioning the first rod portion and the second rod portion along respective ones of first and second axial extensions extending alone a longitudinal axis of a bumper assembly until the first and second end walls engage respective ends of a bumper portion between the first and second axial extensions and an end of each of the axial extensions remote from the bumper portion is positioned adjacent a respective outer end of the first and second rod portions remote from the corresponding end wall of the respective rod portion, wherein the bumper portion includes an outer wall extending between the ends of the bumper portion; and
pivoting the first and second end members relative to one another by compressing the bumper portion between the first and second end walls and flexing at least one of the first and second axial extensions relative to the bumper portion while radially constraining the outer wall of the bumper portion about the longitudinal axis within at least one of the first and second end members, wherein:
each of the rod portions extends from the respective end wall to an outer end of the rod portion along the longitudinal axis opposite the end wall;
each of the axial extensions extends from the bumper portion to an end adjacent a respective outer end of the rod portions;
the ends of the axial extensions are each engaged to a constraining member, the constraining members each being engaged with the respective outer end of the rod portions; and
the bores of the rod portions each open at the outer end of the respective rod portion and the constraining members each include an inner sleeve positioned in the opening of the axial bore of the respective rod portion and an outer sleeve defining a lip in abutting engagement with the outer end of the respective rod portion.
2. The method of claim 1 , wherein at least one of the first and second end walls includes a flange extending axially from an outer edge of the at least one end wall toward the other end wall, and positioning the first rod portion and the second rod portion includes positioning the flange along the outer wall of the bumper portion.
3. The method of claim 1 , wherein the axial extensions each include a length along the longitudinal axis that is greater than a length of the bumper portion along the longitudinal axis.
4. The method of claim 1 , wherein the rod portions and the end walls are rigid and the bumper portion and axial extensions are flexible and resilient.
5. The method of claim 1 , wherein the end walls each define a flat, disc shape extending radially outwardly from the respective rod portion.
6. The method of claim 1 , wherein the end walls extend radially outwardly from the respective rod portion to an outer edge, the outer edge of at least one of the end walls including a flange extending axially therefrom along the outer wall of the bumper portion.
7. The method of claim 1 , wherein the bumper portion and the first and second axial extensions together form a one piece flexible member.
8. A connecting element for a dynamic spinal stabilization system, comprising:
a bumper assembly including a cylindrical bumper portion and a first axial extension extending along a longitudinal axis in a first direction from said bumper portion and a second axial extension extending along said longitudinal axis in a second direction from said bumper portion opposite said first direction, wherein said bumper portion extends outwardly from each of said first and second axial extensions and said bumper portion and said first and second axial extensions together form a one piece flexible member;
a first end member including a first end wall engaged to said bumper portion, said first end wall extending outwardly about a first rod portion, said first rod portion extending along said longitudinal axis from said first end wall and including an axial bore for receiving said first axial extension of said bumper assembly; and
a second end member including a second end wall engaged to said bumper portion opposite said first end wall, said second end wall extending outwardly about a second rod portion, said second rod portion extending along said longitudinal axis from said second end wall and including an axial bore for receiving said second axial extension of said bumper assembly, wherein:
each of said rod portions extends from said respective end wall to an outer end of said rod portion along said longitudinal axis opposite said end wall;
each of said axial extensions extends from said bumper portion to an end adjacent a respective outer end of said rod portions;
said ends of said axial extensions are each engaged to a constraining member, said constraining members each being engaged with said respective outer end of said rod portions; and
said axial bores each open at said outer end of said respective rod portion and said constraining members each include an inner sleeve positioned in said opening of said axial bore of said respective rod portion and an outer sleeve defining a lip in abutting engagement with said outer end of said respective rod portion.
9. The connecting element of claim 8 , wherein
said first and second rod portions are rigid and said bumper portion and said first and second axial extensions are comprised of a flexible, resilient material permitting said first and second rod portions to move relative to one another.
10. The connecting element of claim 8 , wherein said first and second rod portions and said first and said axial extensions are curved along said longitudinal axis.
11. The connecting element of claim 8 , wherein said end walls each define a flat, disc shape extending radially outwardly from said respective rod portion.
12. The connecting element of claim 8 , wherein said end walls extend radially outwardly from said respective rod portion to an outer edge, said outer edge of at least one of said end walls including a flange extending axially therefrom along a sidewall of said bumper portion.
13. The connecting element of claim 12 , wherein said bumper portion is radially constrained about said longitudinal axis within said flange of said at least one end wall.