Modular occipital plate
View Patent ↗A system and associated method are provided for mechanically fixating a region of a skull to a portion of a spine. A plate is provided to contact a region of a skull and be secured thereto. A spinal rod is configured to extend from a location adjacent the plate to a location adjacent at least one vertebra. An adjustable housing is provided to secure the rod to the plate, and has a first position wherein the relative position of the rod to the plate can be adjusted and a second position wherein the relative position of the rod to the plate is secured.
1. A system for fixing a region of a skull to a portion of a spine, the system comprising:
a plate configured to contact a region of a skull and be secured thereto, the plate including an upper surface and an elongated slot defined therein, the elongated slot having a transverse dimension measured from a first side surface of the slot to a second side surface of the slot, the plate further including a recessed surface opposite the upper surface, the recessed surface extending along at least a portion of the elongated slot; and
a single piece adjustable housing slidably coupled to the plate, the adjustable housing having a body portion and a base portion, the body portion having a U-shaped channel defined therein to receive a spinal rod, the base portion having a first portion extending from the body portion with a first cross dimension that is less than the transverse dimension of the slot, the base portion further including a flange with a second cross dimension greater than the first cross dimension, the first portion of the base portion located between the body portion and the flange;
wherein the first portion of the base portion of the adjustable housing is positionable in the slot between the first side surface and the second side surface of the slot with the body portion of the adjustable housing facing the upper surface of the plate and an upper surface of the flange facing the recessed surface of the plate;
wherein the upper surface of the flange is a textured surface including a series of extending projections configured to engage the recessed surface of the plate to inhibit relative movement between the adjustable housing and the plate when the spinal rod is secured in the U-shaped channel of the body portion of the adjustable housing.
2. The system of claim 1 , wherein the plate further includes a keyed opening in communication with the elongated slot, the keyed opening having a transverse dimension greater than the transverse dimension of the elongated slot.
3. The system of claim 2 , wherein the flange is sized for insertion through the keyed opening.
4. The system of claim 2 , wherein the plate further includes a raised lip between the keyed opening and the elongated slot.
5. The system of claim 4 , wherein the adjustable housing is movable between a first position and a second position, wherein in the first position the adjustable housing is free to move along the slot in the plate and in the second position the adjustable housing is prevented from moving along the slot in the plate.
6. The system of claim 5 , wherein in the second position the textured surface of the flange is drawn into engagement with the recessed surface of the plate.
7. The system of claim 6 , further comprising a threaded fastener for threaded engagement with a threaded portion of the U-shaped channel of the adjustable housing, wherein securing the spinal rod in the U-shaped channel with the threaded fastener draws the adjustable housing from the first position to the second position, the spinal rod resting on the raised lip.
8. The system of claim 1 , wherein the plate further includes a bottom wall to enclose at least a portion of the recessed surface.
9. The system of claim 8 , wherein the flange is positionable between the recessed surface and the bottom wall.
10. The system of claim 1 , wherein the elongated slot extends to an edge of the plate for forming an opening for positioning the first portion of the base portion of the adjustable housing in the slot between the first and second side surfaces of the slot.
11. The system of claim 1 , wherein the plate further includes at least one aperture to receive a fastener therethrough to secure the plate to the skull.
12. The system of claim 1 , further comprising a threaded fastener for threaded engagement with a threaded portion of the U-shaped channel of the adjustable housing to secure the spinal rod in the U-shaped channel.