Pedicle screw systems and methods of assembling/installing the same
View Patent ↗The pedicle screw system may be used for fixation of spinal segments and may be advantageous when minimally invasive surgery (MIS) techniques are employed. The pedicle screw system includes a tulip assembly comprising of a tulip body, a inner member, and an expansion member. Installation of the pedicle screw system into pedicles of the spine, for example, includes inserting the pedicle screw into a portion of the spine and then coupling the tulip assembly to the pedicle screw. The tulip assembly may be locked onto the pedicle screw before a distraction rod is placed in the tulip assembly. After the rod is placed in the tulip assembly, the tulip body and the inner member can be rotated relative to one another to lock the rod into the tulip assembly. In addition, the relative rotation may also provide additional locking of the tulip assembly to the pedicle screw.
1. A bone fixation assembly for fixation of vertebral bodies, said bone fixation assembly comprising:
a pedicle screw having a head and a threaded portion; and
a tulip body configured to receive said pedicle screw and a rod, said tulip body comprising a tapered wall that defines at least a portion of a central bore extending along an axis of said tulip body;
said tulip body also having a rod capture channel opening through an end of said tulip body and in communication with said central bore;
said rod capture channel having a rod reception portion and a rod securing portion, said rod securing portion of said rod capture channel being defined by two opposing surfaces extending at least partially about said axis of said tulip body so that said rod can pass between said two opposing surfaces and be received in said rod securing portion of said rod capture channel;
an expansion member received on said head for locking said tulip body onto said head, said expansion member received on said head and compressing on said head in response to longitudinal relative movement of said expansion member along said tapered wall;
wherein said tulip body is configured to be free to move polyaxially on said head of the pedicle screw after said pedicle screw is screwed into bone and prior to said compression;
said rod reception portion of said rod capture channel receiving said rod and when there is rotation of said tulip body, said rod becomes captured and locked in said rod securing portion of said rod capture channel;
said locking of said expansion member on said head being separate from and prior to said locking of said rod in said tulip body when said bone fixation assembly as fixed to at least one of the vertebral bodies.
2. The bone fixation assembly of claim 1 , wherein said tulip body comprises:
an outer body defining said central bore; and
a plurality of extension members disposed on said outer body, said plurality of extension members defining said rod capture channel.
3. The bone fixation assembly of claim 2 , wherein said tulip body further comprises:
a top portion and a bottom portion;
wherein said rod capture channel is defined in said top portion of said tulip body.
4. The bone fixation assembly of claim 3 , wherein said expansion member further comprises a head reception member disposed in said bottom portion of said tulip body; wherein said head reception member is configured to expandably receive said head of said pedicle screw;
and wherein said bottom portion of said tulip body includes said tapered wall, which is configured to selectively compress said on head reception member to retain said head portion of said pedicle screw.
5. The bone fixation assembly of claim 4 , wherein said head reception member comprises a split ring.
6. The bone fixation assembly of claim 5 , further comprising an inner member;
wherein said inner member is sized to be disposed in said tulip body.
7. The bone fixation assembly of claim 2 , wherein said plurality of extension members mirrors an outer profile of said tulip body.
8. The bone fixation assembly of claim 7 , wherein said; rod securing portion is transverse to said rod reception portion.
9. A bone fixation assembly comprising:
a tulip assembly, said tulip assembly comprising:
a pedicle screw having a head and a threaded portion;
a tulip body configured to receive a rod, said tulip body including an outer body, said outer body comprising a tapered wall that defines at least a portion of a central bore extending along an axis of said tulip body, and a plurality of extension members disposed on said outer body, said plurality of extension members defining a rod capture channel;
wherein said rod capture channel defined by said plurality of extension members includes a rod reception portion and a rod securing portion, said rod securing portion being in communication with said rod reception portion and transverse to said rod reception portion; said rod securing portion of said rod capture channel being defined by two opposing surfaces extending at least partially about said axis of said tulip body so that said rod can pass between said two opposing surfaces and be received in said rod securing portion of said rod capture channel; and
wherein said rod capture channel opens through an end of said tulip body and in communication with said central bore
an expansion member received on said head for locking said tulip body onto said head, said expansion member received on said head and compressing said head in response to longitudinal relative movement of said expansion member along said tapered wall;
said rod reception portion of said rod capture channel receiving said rod and when there is rotation of said tulip body, said rod becomes captured and locked in said rod securing portion of said rod capture channel;
said locking of said expansion member on said head being separate from and prior to said locking of said rod in said tulip body when said bone fixation assembly as fixed to at least one of the vertebral bodies.
10. The bone fixation assembly of claim 9 , wherein said plurality of extension members mirrors an outer profile of said tulip body.
11. The bone fixation assembly of claim 9 , wherein said tulip body further comprises:
a top portion and a bottom portion;
wherein said rod capture channel is defined in said top portion of said tulip body.
12. The bone fixation assembly of claim 3 , wherein said expansion member further comprises a head reception member disposed in said bottom portion of said tulip body; wherein said head reception member is configured to expandably receive said head of said pedicle screw;
and wherein said bottom portion of said tulip body includes said tapered wall, which is configured to selectively compress said head reception member to retain said head portion of said pedicle screw.