Odontoid fracture dynamic compression apparatus and method
View Patent ↗A cervical fixation system and method for repairing odontoid fractures includes securing an anterior plate to caudal portion of C2 body below the odontoid neck. The anterior plate houses lag screw within a posterior shaft. A cannulated fixation device crosses the fracture site with fixation into the cephalad fragment. The lag screw can be pulled caudally into the plate with a compression screw to apply a compression force across the fracture site.
1. A cervical fixation system comprising:
a plate including a plate surface for fixation to a surface of a cervical body, wherein the plate includes a plurality of voids formed in the plate, wherein the voids are positioned to allow fixation of the plate to the cervical body and the plate further includes a shaft coupled to a posterior surface of the plate;
a first fastening device and a second fastening device, wherein the first and second fastening devices are configured to be received by one or more voids formed in the plate, wherein the fastening devices are configured to secure the plate to the surface of the cervical body; and
a fixation device configured to be housed in the shaft, wherein the fixation device is configured to be secured across at least a portion of the cervical body and an odontoid of the cervical body and the fixation device includes a compression screw to apply a compression force across at least a portion of the cervical body and the odontoid of the cervical body;
wherein the first fastening device and the second fastening device are configured to be attached to the same cervical body having the odontoid to which the fixation device is secured across.
2. The system of claim 1 , wherein the voids formed in the plate are angled in an inferior to superior and a medial to lateral orientation.
3. The system of claim 2 , wherein at least one of the voids includes a first end having a threaded portion to lock in place the first fastening device or second fastening device.
4. The system of claim 1 , wherein the first fastening device includes at least one 25 locking screw.
5. The system of claim 1 , wherein the shaft is formed in the plate.
6. The system of claim 1 , wherein the shaft is attached to the plate.
7. The system of claim 1 , wherein the fixation device further includes a cannulated and headless lag screw.
8. The system of claim 7 , wherein the cannulated lag screw is configured to receive the compression screw.
9. The system of claim 7 , wherein the compression screw is housed within the 10 fixation device.
10. The system of claim 1 , wherein the shaft includes flattened lateral sides to block rotation of a lag screw within the posterior shaft.
11. The system of claim 1 , wherein the plate is configured to contour an anterior surface of a C2 cervical body that is below a neck associated with the odontoid.
12. The system of claim 1 , wherein the shaft is configured to allow a lag screw to slide in a cephalad direction and a caudal direction within the posterior plate.
13. The system of claim 12 , wherein the lag screw has a cannulated center portion having one or more threads to accept the compression screw at a caudal end of the lag screw.