Spinal Facet Bone Screw System
A spinal facet bone screw system provides tactile feedback to the user during installation to aid in determining when one or more components of the spinal facet bone screw system have been installed or implanted. The spinal facet bone screw system has a spinal facet screw and a washer. Tactile installation feedback is provided at an interface between a friction surface of the head of the spinal facet screw and a friction surface of the pocket of the washer to determine when the spinal facet screw has reached its full insertion depth. The bottom or undersurface of the washer that abuts a spinal facet bone or other spinal component during installation may be configured and/or textured to further provide tactile installation feedback as between the washer and the bone or other spinal component.
1 . A spinal facet bone screw system comprising:
a spinal facet bone screw having a threaded shank and a head, the head having a spherical underside with a first friction surface; and
a washer having first and second ends, a bore extending through the washer from the first end to the second end, a spherical pocket in the first end, and a second friction surface on the spherical pocket;
the first and second friction surfaces providing tactile feedback in response to an application of torque during installation of the spinal facet bone screw system to aid in determining when the spinal facet bone screw system has reached an implantation depth.
2 . The spinal facet bone screw system of claim 1 , wherein the first and second friction surfaces each comprise one of a surface finish, texture, roughening, coating or overspray.
3 . The spinal facet bone screw system of claim 1 , wherein the second end of the washer includes a plurality of teeth.
4 . The spinal facet bone screw system of claim 3 , wherein the plurality of teeth extend from the bore radially outwardly and arched to an edge of the second end.
5 . The spinal facet bone screw system of claim 1 , wherein the second end of the washer includes a third friction surface.
6 . The spinal facet bone screw system of claim 5 , wherein the third friction surface comprises one of a surface finish, texture, roughening, coating or overspray.
7 . The spinal facet bone screw system of claim 5 , wherein the second end of the washer includes serrations.
8 . The spinal facet bone screw system of claim 7 , wherein the serrations extend from the bore radially outwardly and arched to an edge of the second end.
9 . A spinal implant for immobilizing a spinal facet joint between adjacent vertebrae, the spinal implant comprising:
a spinal facet bone screw having a threaded shank and a head, the head having a spherical undersurface and a drive socket in an upper end thereof; and
a washer having first and second ends, a bore extending through the washer from the first end to the second end, a spherical pocket in the first end, a second friction surface on the spherical pocket, and a third friction surface on the second end;
the first, second and third friction surfaces providing tactile feedback in response to an application of torque during installation of the spinal facet bone screw system to aid in determining when the spinal facet bone screw system has reached an implantation depth.
10 . The spinal implant of claim 9 , wherein the first, second and third friction surfaces each comprise one of a surface finish, texture, roughening, coating or overspray.
11 . The spinal implant of claim 10 , wherein the second end of the washer includes serrations.
12 . The spinal implant of claim 11 , wherein the serrations extend from the bore radially outwardly and arched to an edge of the second end of the washer.
13 . The spinal implant of claim 10 , wherein the washer further includes a skirt extending from an upper surface of the pocket to the edge of the second end.
14 . The spinal implant of claim 13 , wherein the spinal facet bone screw and the washer are formed of titanium or stainless steel.
15 . A method for immobilizing a spinal facet joint between adjacent vertebrae, the method comprising:
providing a spinal facet bone screw having a threaded shank and a head, the head having a spherical undersurface and a drive socket in an upper end thereof;
providing a washer having first and second ends, a bore extending through the washer from the first end to the second end, a spherical pocket in the first end, a second friction surface on the spherical pocket, and a third friction surface on the second end; and
installing the spinal facet bone screw and washer into bones of a spinal facet joint between adjacent vertebrae by applying torque to the spinal facet bone screw, the first, second and third friction surfaces providing tactile feedback in response to the application of torque to aid in determining when the spinal facet bone screw system has reached an implantation depth.