System and method for dynamic vertebral stabilization
View Patent ↗An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed.
1. A stabilization system for controlling relative motion between a first vertebra and a second vertebra, the stabilization system comprising:
a first stabilizer including:
an arm having a long axis and being coupled to a housing, wherein the housing is adapted to engage with a first anchoring member; and
a resilient member coupled to the arm, the resilient member including a planar spring, at least a portion of which is configured to flex out-of-plane in a first direction in response to movement of the vertebrae towards one another and out-of-plane in a second opposing direction in response to movement of the vertebrae away from one another, the planar spring being predisposed to resist such flexion out-of-plane, wherein the housing includes an opening offset from the long axis of the arm, the opening being adapted to receive the first anchoring member.
2. The stabilization system of claim 1 , wherein the housing includes a chamber and the resilient member is positioned inside the chamber.
3. The stabilization system of claim 2 , wherein the first stabilizer further includes a first articulation component configured to articulate to permit polyaxial relative rotation of the arm.
4. The stabilization system of claim 3 , wherein the first articulation component includes a semispherical surface and a socket within which the semispherical surface is rotatable.
5. The stabilization system of claim 1 , further comprising first and second anchoring members adapted to engage with the arm and the first and second vertebra, respectively, wherein the first anchoring member is offset from the second anchoring member in a direction extending transverse to the long axis of the arm.
6. A stabilization system for controlling relative motion between a first vertebra and a second vertebra, the stabilization system comprising:
a first stabilizer including:
an arm having a long axis and being coupled to a housing, wherein the housing is adapted to engage with a first anchoring member connectable to the first vertebrae; and
a resilient member coupled to the arm, the resilient member including a planar spiral spring, wherein at least a portion of the planar spiral spring is predisposed to resist flexion when being moved out-of-plane in response to relative motion between the vertebrae,
and wherein the housing includes an opening offset from the long axis of the arm, the opening being adapted to receive the first anchoring member.
7. The stabilization system of claim 6 , wherein the arm is adapted to attach to a first coupling, the first coupling being configured to engage with a second anchoring member connectable to the second vertebra.
8. The stabilization system of 7 , wherein the second anchoring member includes a yoke and a fixation member polyaxially coupled to the yoke, the first coupling being positioned within the yoke of the second anchoring member.
9. The stabilization system of claim 6 , wherein the housing includes a chamber and the resilient member is positioned inside the chamber.
10. The stabilization system of claim 9 , wherein at least a portion of the planar spiral spring of the first stabilizer is configured to flex out-of-plane in a first direction in response to movement of the vertebrae towards one another, and out-of-plane in a second opposing direction in response to movement of the vertebrae away from one another.
11. The stabilization system of claim 6 , wherein a portion of the arm is engaged to a center of the planar spiral spring of the first stabilizer.
12. The stabilization system of claim 11 , wherein a threaded section extends from the portion of the arm and the planar spiral spring includes a threaded inner ring, the threaded section being engaged with the threaded inner ring.
13. A stabilization system for controlling relative motion between a first vertebra and a second vertebra, the stabilization system comprising:
a first stabilizer including:
an arm having a long axis and being coupled to a housing, wherein the housing is adapted to engage with a first anchoring member connectable to the first vertebra; and
a resilient member coupled to the arm, the resilient member including a planar spring, at least a portion of the spring being predisposed to resist flexion when being moved out-of-plane in response to relative motion between the first and second vertebrae,
wherein the first stabilizer includes a first articulation component configured to articulate to permit polyaxial relative rotation of the arm,
and wherein the housing includes an opening offset from the long axis of the arm, the opening being adapted to receive the first anchoring member.
14. The stabilization system of claim 13 , wherein the housing includes a chamber and the resilient member of the first stabilizer is positioned inside the chamber.
15. The stabilization system of claim 13 , wherein the first articulation component includes a semispherical surface and a socket within which the semispherical surface is rotatable.
16. The stabilization system of claim 13 , further comprising a second stabilizer, the stabilizer including:
a first coupling adapted to be attached to a second anchoring member connectable to the second vertebra;
a second coupling adapted to be attached to a third anchoring member connectable to the third vertebra; and
a resilient member configured to be coupled to the first and second couplings to transmit resilient force between the first and second couplings, the resilient member including a planar spring.
17. The stabilization system of claim 16 , wherein at least one of the planar springs of the first and second stabilizers is configured to flex out-of-plane in a first direction in response to movement of the vertebrae towards one another, and out-of-plane in a second opposing direction in response to movement of the vertebrae away from one another, the planar spring being predisposed to resist such flexion out-of-plane.
18. The stabilization system of claim 16 , further comprising a rigid connector having third and fourth couplings that are substantially rigidly connected, the third coupling being adapted to engage with the third anchoring member and the fourth coupling being adapted to engage with a fourth anchoring member connectable to a fourth vertebra.
19. The stabilization system of claim 16 , wherein the second and third anchoring members are substantially aligned along an axis extending through the first and second couplings, and the first anchoring member is offset from the second and third anchoring members in a direction extending transverse to the axis.