Bone anchor apparatus and method
A bone anchor can include an elongated body and a plurality of separate elements. The bone anchor can be configured to be insertable into bone. The bone anchor can be coupleable to a spine treatment apparatus. The bone anchor can be revisable so that after a treatment interval attached to a spine treatment apparatus, the spine treatment apparatus can be detached and the bone anchor revised by removing the plurality of separate elements from the bone thus allowing a new anchor to be implanted in the bone.
1. A revisable bone anchor system comprising:
an elongated body configured for insertion into a vertebral body comprising outer cortical bone and inner cancellous bone, the elongated body comprising:
a head having a proximal end and a distal end, the head defining a first separate and fixed bore and a second separate and fixed bore, the two separate and fixed bores extending at divergent angles from one another through the head; and
a first extension portion and a second extension portion;
the elongated body comprising a fully implanted configuration wherein the distal end of the head is configured to abut against an exterior of the cortical bone, the first extension portion extends through the first separate and fixed bore beyond the distal end of the head at a first angle with respect to the head and the second extension portion extends through the second separate and fixed bore beyond the distal end of the head at a second angle with respect to the head, wherein the first and second extension portions are configured for insertion through the cortical bone and into the cancellous bone, and wherein the first and second extensions portions are non-parallel, so as to provide substantial resistance to axial pull-out of the elongated body when fully implanted in bone,
wherein at least one of the extension portions has an interior passageway for allowing a fluid flow therethrough, and
wherein the head comprises a hole extending in a first direction, the hole configured to lockingly engage with a rod for stabilizing a spine segment portion, wherein proximal ends of the extension portions reside proximal to the hole in the fully implanted configuration,
wherein the head comprises a height in a second direction, the second direction transverse to the first direction, and wherein the head comprises a width in a third direction, the third direction transverse to the first direction and transverse to the second direction,
wherein the head has a height less than the first and second extension portions in the second direction and a width less than the first and second extension portions the third direction.
2. The anchor system of claim 1 , wherein the head is configured to maintain the first and second extension portions at the first and second angles.
3. The anchor system of claim 2 , wherein the head is separable from the first and second extension portions.
4. The anchor system of claim 1 , wherein the first and second extension portions are separable.
5. The anchor system of claim 1 , wherein at least one of the extension portions has a threaded outer surface.
6. The anchor system of claim 1 , wherein at least one of the extension portions is non-threaded.
7. The anchor system of claim 6 , wherein each of the extension portions has an interior passageway for allowing a fluid flow therethrough.
8. The anchor system of claim 1 , wherein the interior passageway communicates with a plurality of open terminations in an exterior of the extension portion having the interior passageway.
9. The anchor system of claim 1 , wherein the elongated body has a proximal transverse dimension and a distal transverse dimension that is at least twice the dimension of the proximal transverse dimension, wherein the distal transverse dimension is provided by distal ends of the first and second extension portions.
10. The anchor system of claim 1 , wherein the first and second extension portions are configured for separate insertion and withdrawal from the elongated body to permit a revision procedure.
11. The anchor system of claim 1 , wherein at least one of the first and second extension portions is configured to be inserted through one of the bores in the head.
12. The anchor system of claim 1 , wherein proximal ends of the first and second extension portions are laterally adjacent to one another.
13. The anchor system of claim 1 , wherein the bores in the head are threaded, wherein the first extension portion and the second extension portion include threads on a proximal end thereof configured to engage with one of the bores in the head.
14. The anchor system of claim 1 , wherein the first and second extensions portions extend at divergent angles from one another relative to the head, wherein the first and second angles are defined by the bores in the head.