Device and method for correcting a spinal deformity
View Patent ↗A device and method for correcting a spinal deformity are provided. A spinal implant for correcting a spinal deformity includes a multipoint connector that connects to at least one vertebra of a spine at a plurality of locations and a force directing device that applies a force to the vertebra through the multipoint connector. The force directing device may include a rod which extends generally along an axis of the spine and a force directing member which is adjustably coupled to both the rod and the multipoint connector and which applies a corrective force to the at least one vertebra.
1. A correction system for a spine having an abnormal curvature, the spine including an upper vertebra, a lower vertebra, and an intermediate vertebra, the intermediate vertebra having an undesired translational and rotational orientation and being located between the upper and lower vertebrae, the system comprising:
a rod having a longitudinal axis, a first portion, a second portion, and a medial portion between the first and second portions;
a first rod anchor adapted to couple the first portion of the rod to the upper vertebra;
a second rod anchor adapted to couple the second portion of the rod to the lower vertebra; and
a stabilizer comprising
a vertebral anchor adapted to be coupled to the intermediate vertebra on a first side of the spine,
a lever member having a first end coupled to the vertebral anchor and a second end spaced apart from the rod and adapted to extend to a second side of the spine opposite the first side of the spine, between the rod and the vertebral anchor, and
a force directing member coupled to the second end of the lever member and to the medial portion of the rod,
wherein the stabilizer is adjustable to vary a distance between the intermediate vertebra and the medial portion of the rod, wherein the stabilizer is configured to derotate and alter the translational orientation of the intermediate vertebra.
2. The system of claim 1 , wherein the vertebral anchor is adapted to be coupled to the intermediate vertebra at a posterior location.
3. The system of claim 1 , wherein the lever member is adapted to extend in a generally lateral direction toward the second side of the spine.
4. The system of claim 1 , further comprising a multi-angle connection disposed between the medial portion of the rod and the second end of the lever member.
5. The system of claim 4 , wherein the multi-angle connection is interposed between the force directing member and the second end of the lever member.
6. The system of claim 1 , wherein the stabilizer is adapted to be coupled to the intermediate vertebra at two spaced-apart posterior locations.
7. The system of claim 1 , wherein the force directing member is flexible.
8. The system of claim 1 , further comprising a second stabilizer substantially similar to the first stabilizer, the second stabilizer being adapted to form a second connection between a second intermediate vertebra and the medial portion of the rod, wherein the second stabilizer is adjustable to vary a distance between the second intermediate vertebra and the medial portion of the rod, wherein the second stabilizer is configured to alter the rotational and translational orientation of the second intermediate vertebra.
9. The system of claim 1 , wherein the abnormal curvature has a convex aspect and a concave aspect, the first side of the spine corresponding to the concave aspect of the abnormal curvature, and further wherein the rod is adapted to be positioned along the convex aspect of the abnormal curvature and the stabilizer is adapted to alter the rotational and translational orientation of the intermediate vertebra by pushing on the convex aspect of the abnormal curvature.
10. The system of claim 1 , wherein the abnormal curvature has a convex aspect and a concave aspect, the first side of the spine corresponding to the convex aspect of the abnormal curvature, and further wherein the rod is adapted to be positioned along the concave aspect of the abnormal curvature and the stabilizer is adapted to alter the rotational and translational orientation of the intermediate vertebra by pulling on the concave aspect of the abnormal curvature.
11. The system of claim 1 , further comprising a coupling mechanism adapted to couple the force directing member to the medial portion of the rod.
12. The system of claim 11 , wherein the coupling mechanism is adapted to clamp the medial portion of the rod.
13. The system of claim 11 , wherein the coupling mechanism includes at least one of a screw, a cam, a ratcheting mechanism, and a clamp mechanism for clamping the medial portion of the rod.
14. The system of claim 11 , wherein the vertebral anchor includes a pedicle screw, the lever member includes an elongate member, the force directing member defines a length between the coupling mechanism and second end of the lever member, and the coupling mechanism is adapted to adjust the length of the force directing member.
15. The system of claim 1 , wherein the force directing member includes at least one of a wire, a rod, a spring, and an elastic band.
16. A spinal implant for correcting a deformity comprising:
a rod having a longitudinal axis, a first end portion, a second end portion, and a medial portion located between the first end portion and the second end portion;
a force directing member extending from the rod, the force directing member being coupled to the rod at a first position along the medial portion of the rod; and
a vertebral connector comprising a vertebral anchor configured to connect to a vertebra and a lever member coupled to the vertebral anchor, the lever member being coupled to the force directing member at a second position spaced apart laterally from the vertebral anchor and spaced apart from the first position,
wherein the force directing member is adapted to apply a translational and derotating force on the vertebral connector that is adjustable by a user.
17. The implant of claim 16 , wherein the rod is substantially rigid.
18. The implant of claim 16 , wherein the rod is a telescoping rod.
19. The implant of claim 16 , further comprising a coupling member configured to couple the force directing member to the medial portion of the rod.
20. The implant of claim 19 , wherein the coupling member is slidable along the rod.
21. The implant of claim 20 , further comprising a locking member configured to prevent longitudinal movement of the coupling member with respect to the rod at least when the locking member is engaged.
22. The implant of claim 16 , wherein the vertebral connector is coupled to the force directing member at a position generally orthogonal to the position on the rod to which the force directing member is coupled.
23. The implant of claim 16 , further comprising a plurality of said vertebral connectors, wherein each said vertebral connector is configured to connect to a different vertebra.
24. The implant of claim 23 , further comprising a plurality of said force directing members, wherein each said force directing member extends from a different position along the medial portion toward a different vertebral connector.
25. The implant of claim 24 , wherein a length of each of the force directing members is adjustable independent of adjustment of one or more other force directing members.