Method for stabilizing a spine
Spine stabilization devices, systems and methods are provided in which a single resilient member or spring is disposed on an elongate element that spans two attachment members attached to different spinal vertebrae. The elongate element passes through at least one of the two attachment members, permitting relative motion therebetween, and terminates in a stop or abutment. A second resilient member is disposed on the elongate element on an opposite side of the sliding attachment member, e.g., in an overhanging orientation. The two resilient members are capable of applying mutually opposing urging forces, and a compressive preload can be applied to one or both of the resilient members.
1. A method of stabilizing a pair of adjacent spinal vertebrae, comprising the steps of:
implanting first and second pedicle screws to the adjacent spinal vertebrae; and
coupling a dynamic stabilization device with respect to attachment members associated with said first and second pedicle screws, said dynamic stabilization device including an elongate element that defines (i) a bounded region between said first and second pedicle screws, and (ii) an extension region extending beyond at least one of said first and second pedicle screws,
wherein said dynamic stabilization device includes a first dynamic element mounted with respect to said elongate element in the bounded region between said first and second pedicle screws and a second dynamic element mounted with respect to said elongate element in the extension region,
wherein the first and second dynamic elements are arranged to create a compressive preload across the dynamic stabilization device, and
wherein the dynamic stabilization device delivers an axial, non-bending force with respect to the attachment members associated with the first and second pedicle screws.
2. A stabilization method according to claim 1 , further comprising positioning first and second attachment members with respect to said first and second pedicle screws, respectively, and wherein said dynamic stabilization device is coupled with respect to said first and second attachment members.
3. A stabilization method according to claim 1 , further comprising the step of selecting the first and second resilient members to deliver a predetermined force profile.
4. A stabilization method according to claim 1 , wherein the elongate element defines a travel path, and wherein a first attachment member assumes an intermediate position along the travel path.
5. A stabilization method according to claim 1 , wherein the first and second dynamic elements simultaneously apply first and second urging forces with respect to the first and second pedicle screws.
6. A stabilization method according to claim 5 , wherein the first and second urging forces have opposite orientations.
7. A stabilization method according to claim 1 , wherein the first and second dynamic elements comprise axially-oriented springs.
8. A stabilization method according to claim 1 , wherein the elongate element defines a travel path that is substantially straight.
9. A stabilization method according to claim 1 , wherein the elongate element defines a travel path that includes at least one curved segment.
10. A stabilization method according to claim 1 , wherein the elongate element is flexible with respect to transverse bending.
11. A stabilization method comprising:
coupling a stabilization device relative to first and second pedicle screws, the stabilization device defining a first end and a second end spaced from said first end, the stabilization device comprising:
an elongate element defining a bounded region between said first and second pedicle screws having an elongate aspect extending from a position adjacent the first end and a position adjacent the second end extending beyond at least one of said first and second pedicle screws;
a first stop coupled with respect to the elongate element adjacent the first end;
a second stop coupled with respect to the elongate element adjacent the second end;
an attachment member positioned between the first and second stops and movably coupled with respect to the elongate element;
a first resilient member disposed with respect to the elongate element between the first stop and the attachment member; and
a second resilient member disposed with respect to the elongate element between the first attachment member and the second stop;
wherein the first and second resilient members cooperate to deliver a force displacement response to relative movement between the first stop and the attachment member;
wherein the second stop and the second resilient member are cantilevered relative to the attachment member;
wherein the first and second dynamic elements are arranged to create a compressive preload across the stabilization device, and
wherein the stabilization device delivers an axial, non-bending force with respect to the first stop and the attachment member.
12. A stabilization method according to claim 11 , further comprising coupling the first stop with respect to a first pedicle screw, and coupling the attachment member with respect to a second pedicle screw.
13. A stabilization method according to claim 12 , wherein the second resilient member is cantilevered relative to the second pedicle screw.
14. A stabilization method according to claim 12 , wherein the first stop is coupled to the first pedicle screw by way of a first dynamic junction assembly.
15. A stabilization method according to claim 12 , wherein the attachment member is coupled to the second pedicle screw by way of a second dynamic junction assembly.
16. A stabilization method according to claim 12 , wherein the first and second resilient members simultaneously apply first and second urging forces with respect to the first and second pedicle screws.
17. A stabilization method according to claim 11 , wherein the first and second resilient members comprise axially-oriented spring members.
18. A stabilization method according to claim 11 , wherein the elongate element defines a travel path that is selected from the group consisting of a substantially straight travel path and a travel path that includes at least one curved segment.
19. A stabilization method according to claim 11 , wherein the elongate element is flexible with respect to transverse bending.
20. A stabilization method according to claim 11 , wherein the stabilization device delivers a non-linear force displacement response relative to the first stop and the attachment member, the non-linear displacement response being characterized by a first force displacement curve in proximity to a central zone of the spine, a second displacement curve associated with tension of the spine removed from said central zone that differs from said first force displacement curve, and a third displacement curve associated with compression of the spine removed from said central zone that also differs from said first displacement curve.