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 method of positioning a spinal stabilizer comprising:
attaching a first section of a first stabilizer to a first vertebral body of a spinal column of a patient, the spinal column having a long axis;
attaching a second section of the first stabilizer to a second vertebral body of the spinal column; and
arranging a planar spring defining a first plane and coupled to the first and second sections of the first stabilizer so that the first plane of the spring is substantially transverse to the long axis of the spinal column when the planar spring is implanted in an unflexed state, wherein the planar spring has a diameter substantially transverse to a central axis of the planar spring, the central axis being substantially aligned with the spinal column when the planar spring is implanted in its unflexed state, and wherein the planar spring is configured to flex out of the first plane to allow for movement of the first section of the first stabilizer toward or away from the second section.
2. A method of positioning a spinal stabilizer according to claim 1 , wherein the first section is a first coupling and the second section is a second coupling, at least one of the first and second couplings being polyaxially rotatable relative to the planar spring.
3. A method of positioning a spinal stabilizer according to claim 1 , further comprising positioning a first arm of the stabilizer within a center opening formed through the planar spring.
4. A method of positioning a spinal stabilizer according to claim 1 , wherein the planar spring is positioned within a spring casing, the spring casing including a cavity receiving the planar spring and providing a barrier to prevent excessive movement of the planar spring.
5. A method of positioning a spinal stabilizer according to claim 1 , further comprising engaging the first and second sections of the first stabilizer with first and second fixation members attached to the first and second vertebrae, the first and second fixation members each being coupled to a yoke that is polyaxially rotatable relative to the corresponding fixation member.
6. A method of positioning a spinal stabilizer according to claim 1 , further comprising the steps of attaching a rigid connector to the second vertebral body and to a third vertebral body, and positioning the rigid connector at an angle relative to at least one of the first and second sections of the first stabilizer.
7. A method of positioning a spinal stabilizer according to claim 1 , wherein the spring is a planar spiral spring.
8. A method of positioning a spinal stabilizer according to claim 1 , wherein the planar spring is configured to flex out of the first plane in a first direction and in a second opposing direction.
9. A method of implanting a spinal stabilizer comprising:
attaching a first section of a first stabilizer to a first vertebral body of a spinal column of a patient, the spinal column having a long axis;
attaching a second section of the first stabilizer to a second vertebral body of the spinal column; and
arranging a planar spring defining a first plane and coupled to the first and second sections of the first stabilizer so that the spring is configured to remain in an unflexed stationary condition and flex out of the first plane in a first direction transverse to the first plane and out of the first plane in a second opposing direction transverse to the first plane to allow for movement of the first section of the first stabilizer toward or away from the second section, the spring being predisposed to resist flexion out of the first plane in the first and second directions, wherein the first and second directions are substantially aligned with the long axis of the spinal column, and wherein the planar spring has a diameter substantially transverse to a central axis of the planar spring, the central axis being substantially aligned with the spinal column when the planar spring is implanted in its unflexed stationary condition.
10. A method of implanting a spinal stabilizer according to claim 9 , wherein the first plane of the spring is arranged substantially transverse to the long axis of the spinal column.
11. A method of implanting a spinal stabilizer according to claim 9 , wherein the planar spring is selected from the group consisting of a planar spiral spring, a cantilevered leaf spring, and a flexible disc.
12. A method of implanting a spinal stabilizer according to claim 9 , further comprising engaging the first and second sections of the first stabilizer with first and second fixation members attached to the first and second vertebrae, the first and second fixation members each being coupled to a yoke that is polyaxially rotatable relative to the corresponding fixation member.
13. A method of implanting a spinal stabilizer according to claim 9 , further comprising positioning a first arm of the stabilizer within a center opening formed through the spring.
14. A method of implanting a spinal stabilizer according to claim 9 , further comprising:
attaching a first section of a second stabilizer to the second vertebral body of the spinal column;
attaching a second section of the second stabilizer to a third vertebral body of the spinal column; and
arranging a spring coupled to the first and second sections of the second stabilizer so that the spring is substantially transverse to the long axis of the spinal column, wherein the spring is configured to remain in an unflexed stationary condition and flex from the stationary condition in a first direction and in a second opposing direction to allow for movement of the first section of the second stabilizer toward or away from the second section.
15. A method of implanting a spinal stabilizer comprising:
attaching a first section of a first stabilizer to a first vertebral body of a spinal column of a patient, the spinal column having a long axis;
attaching a second section of the first stabilizer to a second vertebral body of the spinal column; and
arranging a planar spring defining a first plane and coupled to the first and second sections of the first stabilizer so that the first plane of the spring is substantially transverse to the long axis of the spinal column when the planar spring is implanted in an unflexed stationary condition, wherein the planar spring has a diameter substantially transverse to a central axis of the planar spring, the central axis being substantially aligned with the spinal column when the planar spring is implanted in its unflexed stationary condition, and wherein the spring is configured to remain in its unflexed stationary condition and flex from the stationary condition in a first direction and in a second opposing direction to allow for movement of the first section of the first stabilizer toward or away from the second section, the spring being predisposed to resist flexion in the first and second directions, wherein the first and second directions are substantially aligned with the long axis of the spinal column.
16. A method of implanting a spinal stabilizer according to claim 15 , further comprising engaging the first and second sections of the first stabilizer with first and second fixation members attached to the first and second vertebrae, the first and second fixation members each being coupled to a yoke that is polyaxially rotatable relative to the corresponding fixation member.
17. A method of implanting a spinal stabilizer according to claim 15 , wherein the spring is a planar spring configured to flex out of the first plane in the first and second directions.
18. A method of implanting a spinal stabilizer according to claim 17 , wherein the planar spring is selected from the group consisting of a planar spiral spring, a cantilevered leaf spring, and a flexible disc.