Spine stabilization system and method
View Patent ↗A stabilization system for the spine that includes an elongated member, preferably an elastic cord, and a plurality of attachment mechanisms, preferably lamina hooks. The stabilization system is configured to extend across a plurality of spinal motion segments to dynamically couple the motion segments in a manner that places the system in tension to apply a compression force to the posterior of the spine. The system and method may have particular application after a laminectomy or laminoplasty procedure.
1. A method of stabilizing a spine, the method comprising the steps of:
removing at least a portion of a lamina of a first vertebra so as to define a removed segment of the spine;
securing a first hook member of a spine stabilizing system to a first laminar portion of a second vertebra that is superior to the first vertebra, the spine stabilization system comprising an elongated member having a first end region and a second end region, the first hook member attached to the first end region, a second adjustable hook member moveably attached to the elongated member, and
passing the elongated member beneath a spinous process of a third vertebra, the third vertebra being inferior with respect to the first vertebra; and
securing the second hook member to a second lamina portion of the second vertebra such that the a portion of the elongate member spans the removed segment of the spine.
2. The method of claim 1 further comprising stretching the elongated member to provide tension to the hook members.
3. The method of claim 1 further comprising the step of adjusting an effective length of the elongated member.
4. The method of claim 3 wherein the step of adjusting the effective length of the elongated member is performed after the second hook member is secured to the second lamina portion of the second vertebra.
5. The method of claim 3 wherein adjusting the effective length of the elongated member comprises adjusting the second hook member along a length of the elongated member to a selected position.
6. The method of claim 1 , further comprising adjusting the second hook member along the elongated member to a selected position.
7. The method of claim 1 wherein the step of removing at least a portion of the lamina comprises one of a laminectomy, laminoplasty, or a laminotomy.
8. A method of stabilizing a spine, the method comprising the steps of:
removing at least a portion of a lamina of a first vertebra so to define a removed segment of the spine;
securing a first attachment mechanism of a spine stabilization system to a second vertebra, the second vertebra spaced from the first vertebra along a first direction along the spine, the spine stabilization system comprising an elongated member having a first end and a second end spaced from the first end along a central axis, the first attachment mechanism attached to the elongated member, a second attachment mechanism moveably attached to the elongated member between the first attachment mechanism and the second end; and
securing the second attachment mechanism to a third vertebra, the third vertebra spaced from the second vertebra along a second direction that is opposite to the first direction along the spine such that a portion of the elongate member spans at least a portion of the removed segment of the spine; and
placing tension on the first and second attachment mechanisms.
9. The method of claim 8 further comprising stretching the elongated member to provide tension to the attachment mechanisms.
10. The method of claim 9 wherein the first attachment mechanism is a first hook, the second attachment mechanism is a second hook, and the method further comprises attaching the first hook to a first lamina and a second hook to a second lamina.
11. The method of claim 8 further comprising the step of adjusting the effective length of the elongated member.
12. The method of claim 11 wherein the step of adjusting the effective length of the elongated member is performed after the second attachment mechanism is attached to the third vertebra.
13. The method of claim 8 , further comprising fixing the second attachment mechanism to a selected location on the elongated member.
14. The method of claim 8 , wherein the step of removing at least a portion of the lamina comprises one of a laminectomy, laminoplasty, or a laminotomy.