Method for stabilizing a motion segment of the spine of a patient
View Patent ↗A dynamic stabilization device includes end caps that define a bore for receiving a corresponding bone screw therethrough. A spacer is engaged between each end cap and a cable passes through each of the components and is placed in tension to couple the spacer between the two end caps. The spacer is formed of a material that allows some flexible movement after implantation. An alternative stabilization device includes a spacer over-molded about two bushings defining the bores. According to a method of use, a stabilization device is passed along guide wires through a small incision. Once the device is in contact with the vertebrae, the bone screws are advanced along the guide wires and driven into the bone. One fastener bore may include a camming surface that causes distraction of the vertebrae as the bone screw is threaded into the vertebral bone.
1. A method for stabilizing a motion segment of the spine of a patient, comprising the steps of:
making an incision at the location of the motion segment;
introducing through said incision a K-wire into at least two vertebrae to be stabilized;
placing a stabilization device onto each K-wire, the stabilization device having rigid end pieces defining a bore corresponding to each K-wire and a spacer attached to and disposed between the end pieces;
advancing the stabilization device through said incision by moving each end piece along a respective K-wire until the stabilization device contacts the vertebrae;
advancing a bone screw onto each K-wire;
threading each bone screw into a corresponding vertebra to anchor the stabilization device to the vertebrae.
2. The method for stabilizing of claim 1 , wherein:
the bore of at least one end piece is elongated and configured to move the head of one bone screw away from the spacer as the bone screw is threaded into the corresponding vertebra; and
the step of threading each bone screw includes threading the one bone screw into the bone until the head of the bone screw has moved to the end of the elongated bore farthest away from the spacer.
3. The method for stabilizing of claim 2 , further comprising:
determining the distance between the pedicles of adjacent vertebrae to be instrumented;
the stabilization device is selected so that the distance between the farthest end of the elongated bore in the one end piece and the bore in the other end piece is greater than the determined distance between the pedicles; and
the bone screws are threaded into the pedicles.
4. The method for stabilizing of claim 1 , wherein the stabilization device is placed through the incision at an angle relative to the incision.