Bone plate system and related methods
A bone plate system for use in an “open door” laminoplasty procedure, including a bone plate, a first fixation element, and at least one second fixation element. The bone plate is elongated and has a generally curved shape such that the plate has an associated radius of curvature. The plate is sized and dimensioned to span a gap between a pair of bony segments, for example a pair of bony segments constituting a divided lamina. The first and second fixation elements are each configured to securely attach the bone plate to the bony segments. The bone plate has a first end including a generally U-shaped slot extending therein such that the open end of the slot comprises a first terminal end of the plate.
1. A method for enlarging a spinal canal, comprising:
inserting a first fixation element into a first lamina of a vertebrae;
after inserting the first fixation element into the first lamina of the vertebrae, forming a trough through the first lamina of the vertebra adjacent to a first lateral mass to completely separate the first lamina from the lateral mass;
forming a hinge groove into a second lamina of the vertebrae adjacent to a second lateral mass without separating the second lamina from the second lateral mass;
coupling a first end of a bone plate to the first fixation element and the first lamina;
lifting the first lamina away from the first lateral mass to create an enlarged configuration of the spinal canal;
coupling a second end of the bone plate with a second fixation element to the first lateral mass to maintain the spinal canal in the enlarged configuration.
2. The method of claim 1 , wherein the lamina is lifted using the bone plate.
3. The method of claim 1 , wherein the lamina is lifted using a secondary instrument.
4. The method of claim 3 , wherein the secondary instrument is a curette or a nerve hook.
5. The method of claim 1 , further comprising determining proper placement of the first fixation element using a template tool.
6. The method of claim 1 , wherein the first end of the bone plate comprises a pair of flanges defining a U-shaped slot.
7. The method of claim 1 , wherein the bone plate is introduced to the first lamina at an oblique angle, then rotated into position such that the second end of the bone plate is adjacent to the first lateral mass.