Bilateral vertebral body derotation system
View Patent ↗The disclosed embodiments provide a system including an implant assembly and an instrument configured to work in conjunction to manipulate vertebral bodies to affect derotation. The implant assemblies include a removable attachment element that allows for the attachment of the instrument. The instrument is configured to attach to two implant assemblies that have been inserted bilaterally into a vertebral body. When the instrument is attached to the implant assemblies, forces applied to the instrument are translated and transferred to the implant assemblies and the vertebral body into which the implant assemblies have been inserted thereby providing a rotational force on the vertebral body.
1. An instrument for manipulating a vertebral body, the instrument comprising:
a first arm having a proximal end and a distal end, the distal end configured to engage a removable attachment element of a first implant assembly implanted in a vertebral body, said distal end of said first arm creating a pin joint with the first implant assembly that facilitates derotation of the vertebral body; and
a second arm pivotably connected to the first arm having a proximal end and a distal end, the distal end configured to engage a removable attachment element of a second implant assembly implanted bilaterally from the first implant assembly in the vertebral body,
wherein the removable attachment element of the first implant assembly and the removable attachment element of the second implant assembly are configured to be removable from the first implant assembly and the second implant assembly implanted in the vertebral body, respectively; and
wherein the removable attachment elements comprise one or more detachable tabs extending from at least one of the implant assemblies.
2. The instrument of claim 1 , further comprising a handle disposed at the proximal end of at least one of the first or second arms.
3. The instrument of claim 1 , wherein the distal ends of the first and second arms pivotably engage the removable attachment elements of the first and second implant assemblies.
4. The instrument of claim 3 , wherein the distal ends of the first and second arms comprise feet for engaging through holes of the removable attachment elements of the first and second implant assemblies thereby forming the pin joint.
5. The instrument of claim 1 , wherein the proximal end of at least one of the first or second arm further comprises a connection element configured to engage a connector for connecting the instrument to another instrument.
6. An implant assembly for use in bilateral vertebral body manipulation, the implant assembly comprising:
a bone anchor having a proximal head and a distal shaft extending along a longitudinal axis configured to engage bone;
a body configured to engage the proximal head of the bone anchor and engage a spinal fixation element;
a removable attachment element extending from the body for connecting the implant assembly to an arm of an instrument configured to manipulate the implant assembly in a bilateral arrangement, wherein the removable attachment element is configured to be removable from the implant assembly implanted in the vertebral body; and
wherein the removable attachment element comprises one or more tabs extending from the body that are detachable and wherein the one or more tabs include a thru-hole configured to engage a distal end of an instrument to create a pin joint facilitating derotation of the vertebral body.
7. The implant assembly of claim 6 wherein implant assembly is a polyaxial screw.