Posterior spinal prosthesis
View Patent ↗A posterior spinal prosthesis is configured to cover exposed portions of a spinal column especially, but not necessarily, as a result of a medical spinal procedure and particularly, to provide posterior coverage of an exposed spinal cord, soft tissue, Foramen and/or adipose tissue, associated with one or more vertebrae as a result of the removal the spinous processes and/or the spinous process and laminar hoods from the one or more vertebrae of the spine as a result of a spinal decompression procedure or other reason. A plate forming the prosthesis is connectable to spine rod constructs implanted on lateral sides of the vertebrae and projects in the posterior direction relative to the connection. The plate is generally curved in the superior/inferior direction to provide either a lordotic or kyphotic curvature depending on the portion of the spine to which the prosthesis is utilized. As such, the posterior spinal prosthesis may be used on any portion of the spine such as the cervical vertebrae, the thoracic vertebrae and/or the lumbar vertebrae. The present posterior spinal prosthesis also provides posterior stabilization of the associated vertebrae as well as aiding in preventing post operative soft tissue cavitation at the decompression site.
1. A posterior spinal device coupled to a first lateral posterior side of a plurality of vertebrae and to a second lateral posterior side of the plurality of vertebrae, the posterior spinal device comprising:
a first spinal fixation assembly coupled to the first lateral posterior side of the plurality of vertebrae;
a second spinal fixation assembly coupled to the first lateral posterior side of the plurality of vertebrae;
a plate sized to extend between the first and second lateral posterior sides of the plurality of vertebrae, the plate defining a first height and having a first lateral edge and a second lateral edge;
a first flange configured for connection directly to the first spinal fixation assembly coupled to the first posterior lateral side of the plurality of vertebrae, the first flange extending alongside the first lateral edge of the plate at a second height that is offset from the first height in an anterior direction, the first flange comprising a first elongated slot extending through the first flange;
a second flange configured for connection to the second spinal fixation assembly coupled to the second posterior lateral side of the plurality of vertebrae, the second flange extending alongside the second lateral edge of the plate at the second height that is offset from the first height in an anterior direction, the second flange comprising a second elongated slot extending through the second flange;
a first side member connecting the first flange to the first lateral side of the plate;
a second side member connecting the second flange to the second lateral side of the plate;
a plurality of first connectors extending through the first elongated slot to couple the plate to the first spinal fixation assembly at a plurality of positions along the first flange;
a plurality of second connectors extending through the second elongated slot to couple the plate to the second spinal fixation assembly at a plurality of positions along the second flange;
wherein the plate is located between the first flange and the second flange and generally parallel to the first flange and the second flange across a lateral direction to at least partially cover the plurality of vertebrae.
2. The posterior spinal device of claim 1 , wherein:
the first spinal fixation assembly comprises a first spinal rod coupled to at least one connector/screw head, and the plurality of first connectors are coupled directly to the first spinal rod; and
the second spinal fixation assembly comprises a second spinal rod coupled to at least one connector/screw head, and the plurality of second connectors are coupled directly to the second spinal rod.
3. The posterior spinal device of claim 1 , wherein:
the first first spinal fixation assembly comprises a spinal rod coupled to at least one connector/screw head, and the plurality of first connectors are coupled directly to the at least one connector/screw head of the first spinal fixation assembly; and
the second second spinal fixation assembly comprises a spinal rod coupled to at least one connector/screw head, and the plurality of second connectors are coupled directly to the at least one connector/screw head of the second spinal fixation assembly.
4. The posterior spinal device of claim 3 , wherein:
the first longitudinal slot that is parallel with the first lateral side of the plate; and
the second longitudinal slot that is parallel with the second lateral side of the plate.
5. The posterior spinal device of claim 1 , wherein:
the first set of retention connectors comprising a first connector and a second connector;
the second set of retention connectors comprising a third connector and a fourth connector;
the first flange further comprises a first longitudinal groove on an underside thereof configured for receipt of the plurality of first connectors; and
the second flange further comprises a second longitudinal groove on an underside thereof configured for receipt of the plurality of second connectors;
wherein the plurality of first connectors engage the upper-side of the first flange and extend through the first elongated slot and the first longitudinal groove to couple the first flange to the first spinal fixation assembly;
wherein the plurality of second connectors engage the upper-side of the second flange and extend through the second elongated slot and the second longitudinal groove to couple the second flange to the second spinal fixation assembly.
6. The posterior spinal device of claim 1 , wherein:
first flange includes a first longitudinal groove on an underside thereof configured for receipt of a component of the first spinal fixation assembly; and
the second flange includes a second longitudinal groove on an underside thereof configured for receipt of a component of the second spinal fixation assembly.
7. The posterior spinal device of claim 1 , wherein:
the first longitudinal groove extends from a superior end to an inferior end of the first flange; and
the second longitudinal groove extends from a superior end to an inferior end of the second flange.
8. The posterior spinal device of claim 1 , wherein the plate, the first flange and the second flange have a superior/inferior curvature.
9. The posterior spinal device of claim 1 , wherein the plate, the first fixation element and the second fixation element each define a superior end and an inferior end, and the superior/inferior curvature is a lordotic curvature.
10. A posterior spinal device attached to a first lateral posterior side of a plurality of vertebrae and to a second lateral posterior side of the vertebrae, the posterior spinal system comprising:
a first spinal fixation assembly coupled to the first lateral posterior side of the plurality of vertebrae;
a second spinal fixation assembly coupled to the first lateral posterior side of the plurality of vertebrae;
a plate having a first lateral side, a second lateral side, a superior side, and an inferior side, the plate sized to provide a surface between the first lateral side, the second lateral side, the superior side, and the inferior side, and to extend between the positioned first and second posterior lateral sides of the plurality of vertebrae, the plate at a first height;
a first flange substantially co-planar to the plate at a second height that is lower in an anterior direction than the first height, the first flange having a plurality of first connectors that attach the first flange to the first spinal fixation assembly anchored to the first posterior lateral side of the plurality of vertebrae, the first flange comprising a first elongated slot extending therethrough; and
a second flange the inferior side and substantially co-planar to the plate at the second height, the second flange having a plurality of second connectors that attach the second flange to the second spinal fixation assembly anchored to the second posterior lateral side of the plurality of vertebrae, the second flange comprising a second elongated slot extending therethrough;
a first curved side member having a first end formed as a generally 90 degree bend in a first direction and a second end formed as a generally 90 degree bend in a second direction opposite the first direction to connect the first flange to the first lateral side of the plate
a second curved side member having a first end formed as a generally 90 degree bend in a first direction and a second end formed as a generally 90 degree bend in a second direction opposite the first direction to connect the second flange to the second lateral side of the plate;
a plurality of first connectors extending through the first elongated slot to couple the plate to the first spinal fixation assembly at a plurality of positions along the first flange;
a plurality of second connectors extending through the second elongated slot to couple the plate to the second spinal fixation assembly at a plurality of positions along the second flange;
wherein the first direction of the first end of the first curved side member is opposite the first direction of the first end of the second curved side member, and the second direction of the second end of the first curved side member is opposite the second direction of the second end of the second curved side member.
11. The posterior spinal device of claim 10 , wherein the plate is sized to extend between first and second posterior lateral sides of plurality of vertebrae to at least partially cover the vertebrae.
12. The posterior spinal device of claim 10 , wherein the plate, the first flange and the second flange have a superior/inferior curvature.
13. The posterior spinal device of claim 10 , wherein the plate, the first flange and the second flange each define a superior end and an inferior end, and having a superior/inferior lordotic curvature.
14. The posterior spinal device of claim 10 , wherein:
the first flange has a first longitudinal groove on an underside thereof that extends from a superior end to an inferior end of the first flange; and
the second flange has a second longitudinal groove on an underside thereof that extends from a superior end to an inferior end of the second flange;
wherein the plurality of first connectors engage the upper-side of the first flange and extend through the first slot to couple the first flange to the first spinal fixation assembly;
wherein the plurality of second connectors engage the upper-side of the second flange and extend through the second slot to couple the second flange to the second spinal fixation assembly.
15. The posterior spinal device of claim 10 , wherein the plate is formed of a biocompatible plastic.