Distraction/compression posterior rod system
View Patent ↗A spinal fixation device that includes a first engagement member. The first engagement member includes a first body and at least one extension. The first body includes a first aperture for receipt of a fastener. The at least one extension extends outwardly from the first body. Also included in the device, a second engagement member including a second body and a threaded extension that extends from the second body. The second body includes a second aperture for receipt of a fastener. Further, an expansion ring including a first end and a second end is included. The first end includes a threaded surface in threaded communication with the threaded extension. The second end is in rotatable communication with the at least one extension of the first engagement member. Where a torque is applied to the expansion ring, the second engagement member moves with respect to the first engagement member.
1. A method for fusing vertebral bodies comprising:
mounting a first engagement member to a first vertebra and a second engagement member to a second vertebra, the first and second engagement members being moveably coupled to each other by an actuation member;
distracting the first and second vertebrae by operating the actuation member to move the first and second engagement members away from each other;
inserting an intervertebral implant between the first and second vertebrae; and
compressing the intervertebral implant between the first and second vertebrae by operating the actuation member to move the first and second engagement members toward each other.
2. The method of claim 1 , wherein distracting includes rotating the actuation member in a first direction about an axis thereof.
3. The method of claim 2 , wherein compressing includes rotating the actuation member in a second direction about the axis.
4. The method of claim 3 , wherein distracting includes engaging the actuation member with a driver and rotating the driver about a driver axis.
5. The method of claim 4 , wherein the driver axis is orthogonal to the axis of the actuation member.
6. The method of claim 4 , wherein engaging the actuation member with the driver includes engaging a first array of teeth disposed about the actuation member with a second array of teeth disposed at an end of the driver.
7. The method of claim 3 , wherein rotating the actuation member in a first and second direction includes rotating the actuation member about a threaded extension extending from the first engagement member such that the actuation member travels along the threaded extension.
8. The method of claim 1 , wherein mounting is performed intraoperatively and the first and second engagement members remain mounted to the first and second vertebrae postoperatively.
9. A method for fusing vertebral bodies comprising:
mounting a first engagement member to a pedicle of a first vertebra and a second engagement member to a pedicle of a second vertebra, the first engagement member having an extension coupled to an actuation member such that the actuation member is rotatable about the extension while being translationally constrained therewith, the second engagement member having an extension coupled to the actuation member such that the actuation member is rotatable about and moveable along the extension of the second engagement member;
distracting the first and second vertebrae by rotating the actuation member in a first direction to move the first and second engagement members away from each other;
inserting an intervertebral implant between the first and second vertebrae; and
compressing the intervertebral implant between the first and second vertebrae by rotating the actuation member in a second direction to move the first and second engagement members toward each other.
10. The method of claim 9 , wherein mounting includes inserting a threaded fastener through the first engagement member into the pedicle of the first vertebra and inserting a threaded fastener through the second engagement member into the second vertebra.
11. The method of claim 10 , wherein mounting includes engaging the first vertebra with serrations of the first engagement member that are disposed between the first and second extensions.
12. The method of claim 9 , wherein distracting includes engaging the actuation member with a driver and rotating the driver about a driver axis.
13. The method of claim 12 , wherein engaging the actuation member with the driver includes engaging a first array of teeth disposed about the actuation member with a second array of teeth disposed at an end of the driver.
14. The method of claim 9 , wherein mounting is performed intraoperatively and the first and second engagement members remain mounted to the first and second vertebrae postoperatively.
15. The method of claim 14 , wherein mounting includes inserting a threaded fastener through the first engagement member into a pedicle of the first vertebra.
16. The method of claim 15 , wherein mounting includes rotating at least a portion of the first engagement member about an axis thereof to locate a first extension of the first engagement member on a superior side of the pedicle and a second extension of the first engagement member on an inferior side of the pedicle.
17. The method of claim 16 , wherein mounting includes engaging the first vertebra with serrations of the first engagement member that are disposed between the first and second extensions.
18. The method of claim 9 , wherein the extension of the second engagement member is externally threaded and the actuation member is internally threaded.
19. A method for fusing vertebral bodies comprising the steps of:
mounting a first engagement member of a fixation member to a pedicle of a first vertebra and a second engagement member of the spinal fixation member to a pedicle of a second vertebra, the first engagement member having a first extension engaged with an expansion ring, the second engagement member having a second extension engaged with the expansion ring;
inserting screws through the first and second engagement members and into the pedicles of the respective first and second vertebrae;
rotating the expansion ring in a first direction, thereby distracting the first and second vertebrae;
implanting an intervertebral implant between the first and second vertebrae after rotating the expansion ring in the first direction; and
rotating the expansion ring in a second direction after implanting the intervertebral implant, thereby compressing the first and second vertebrae.
20. The method of claim 19 , further comprising: engaging the expansion ring with a tool; and
rotating the tool about a tool axis to rotate the expansion ring about a ring axis in the first or second directions.