Implant for immobilizing cervical vertebrae
View Patent ↗A spinal implant for immobilizing the C1 vertebra with respect to the C2 vertebra of the spine provides controlled coupling between the C1 and C2 vertebrae, and includes a C1 component attachable to the C1 vertebra, two C2 components attachable to the C2 vertebra, and a transverse element. The C1 component has two wings each of which retains a rod holder that rotates and translate for capturing a C2 component rod. Each C2 component has a hook for connection with a side of the C2 vertebra lamina and a rod for attachment to one of the rod holders of the C1 component. Each C2 component receives and secures the transverse connector which holds position of the C2 components relative to one another. Each C2 component may include a plate configured for compression against the C2 vertebra spinous process, with each plate including spikes to aid in preventing construct migration.
1. An implant for immobilizing a C1 cervical vertebra of a spine relative to a C2 cervical vertebra of the spine, the implant comprising:
a C1 component having a hook for attachment to a posterior arch of a C1 cervical vertebra of a spine, a right wing that extends along a right lateral side of the posterior arch of the C1 cervical vertebra when the hook is attached to the posterior arch of the C1 cervical vertebra, a left wing that extends along a left lateral side of the posterior arch of the C1 cervical vertebra when the hook is attached to the posterior arch of the C1 vertebra, a right element holder situated on the right wing, the right element holder free to translate laterally along the right wing and translate rotationally with respect to the right wing until fixed in position and orientation relative to the right wing via a right element holder setscrew, and a left element holder situated on the left wing, the left element holder free to translate laterally along the left wing and translate rotationally with respect to the left wing until fixed in position and orientation relative to the left wing via a left element holder setscrew;
a first C2 component having a body with a plurality of projections extending from a face of the body that is configured to abut a right lateral side of a spinous process of a C2 vertebra of the spine, a first rod holder extending from a first end of the body, and a first post extending from a second end of the body opposite the first end of the body and configured to be received in the right element holder of the C1 component;
a second C2 component having a body with a plurality of projections extending from a face of the body that is configured to abut a left lateral side of the spinous process of the C2 vertebra of the spine, a second rod holder extending from a first end of the body, and a second post extending from a second end of the body opposite the first end of the body and configured to be received in the left element holder of the C1 component; and
a rod configured to be received in and extend between the first rod holder of the first C2 component and the second rod holder of the second C2 component in order to fix position of the first and second C2 components relative to one another and the spinous process of the C2 vertebra.
2. The implant of claim 1 , wherein the right and left wings of the body of the C1 component angle anteriorly from respective right and left sides of a hub of the body.
3. The implant of claim 2 , wherein the hook of the C1 component extends from the hub.
4. The implant of claim 3 , further comprising teeth disposed on an underside of the hub adjacent the hook.
5. The spinal implant of claim 2 , further comprising teeth disposed on an underside of the hub adjacent the hook.
6. The implant of claim 1 , wherein the rod is retained in the first rod holder of the first C2 component via a first rod holder setscrew, and in the second rod holder of the first C2 component via a second rod holder setscrew.
7. The implant of claim 1 , wherein the rod includes a right rod holder on a right lateral end of the rod and a left rod holder on a left lateral end of the rod.
8. The implant of claim 1 , wherein the body of the first C2 component has a bore extending from the face of the body through the body, and the body of the second C2 component has a bore extending from the face of the body though the body.
9. A method of immobilizing a C1 cervical vertebrae of a spine relative to a C2 cervical vertebra of the spine comprising the steps of:
providing an implant for immobilizing a C1 cervical vertebra of a spine relative to a C2 cervical vertebra of the spine, the implant comprising:
a C1 component having a hook for attachment to a posterior arch of a C1 cervical vertebra of a spine, a right wing that extends along a right lateral side of the posterior arch of the C1 cervical vertebra when the hook is attached to the posterior arch of the C1 cervical vertebra, a left wing that extends along a left lateral side of the posterior arch of the C1 cervical vertebra when the hook is attached to the posterior arch of the C1 vertebra, a right element holder situated on the right wing, the right element holder free to translate laterally along the right wing and translate rotationally with respect to the right wing until fixed in position and orientation relative to the right wing via a right element holder setscrew, and a left element holder situated on the left wing, the left element holder free to translate laterally along the left wing and translate rotationally with respect to the left wing until fixed in position and orientation relative to the left wing via a left element holder setscrew;
a first C2 component having a body with a plurality of projections extending from a face of the body that is configured to abut a right lateral side of a spinous process of a C2 vertebra of the spine, a first rod holder extending from a first end of the body, and a first post extending from a second end of the body opposite the first end of the body and configured to be received in the right element holder of the C1 component;
a second C2 component having a body with a plurality of projections extending from a face of the body that is configured to abut a left lateral side of the spinous process of the C2 vertebra of the spine, a second rod holder extending from a first end of the body, and a second post extending from a second end of the body opposite the first end of the body and configured to be received in the left element holder of the C1 component; and
a rod configured to be received in and extend between the first rod holder of the first C2 component and the second rod holder of the second C2 component in order to fix position of the first and second C2 components relative to one another and the spinous process of the C2 vertebra; and
surgically installing the implant onto and between the C1 vertebra and the C2 vertebra of the spine.
10. The method of claim 9 , wherein providing the implant includes providing the implant with the right and left wings of the body of the C1 component angled anteriorly from respective right and left sides of a hub of the body.
11. The method of claim 10 , wherein providing the implant includes providing the hook of the C1 component to extend from the hub.
12. The method of claim 11 , wherein the providing the implant includes providing teeth disposed on an underside of the hub adjacent the hook.
13. The method of claim 9 , wherein the providing the implant includes providing the rod retained in the first rod holder of the first C2 component via a first rod holder setscrew, and in the second rod holder of the first C2 component via a second rod holder setscrew.
14. The method of claim 9 , wherein the providing the implant includes providing the rod with a right rod holder on a right lateral end of the rod and a left rod holder on a left lateral end of the rod.
15. The method of claim 9 , wherein the providing the implant includes providing the body of the first C2 component with a bore extending from the face of the body through the body, and the body of the second C2 component with a bore extending from the face of the body though the body.
16. A spinal implant for immobilizing a C1 cervical vertebra of a spine with respect to a C2 cervical vertebra of the spine, the spinal implant comprising:
a C1 component having a hub with a hook for attachment to a posterior arch of a C1 cervical vertebra of a spine extending anteriorly of the hub, a right wing that extends from a right lateral side of the hub and along a right lateral side of the posterior arch of the C1 cervical vertebra when the hook is attached to the posterior arch of the C1 cervical vertebra, a left wing that extends from a left side of the hub and along a left lateral side of the posterior arch of the C1 cervical vertebra when the hook is attached to the posterior arch of the C1 vertebra, a right element holder situated on the right wing, the right element holder free to translate laterally along the right wing and translate rotationally with respect to the right wing until fixed in position and orientation relative to the right wing via a right element holder setscrew, and a left element holder situated on the left wing, the left element holder free to translate laterally along the left wing and translate rotationally with respect to the left wing until fixed in position and orientation relative to the left wing via a left element holder setscrew;
a first C2 component having a body with a plurality of spikes extending from a face of the body that is configured to abut a right lateral side of a spinous process of a C2 vertebra of the spine, a first rod holder extending from a first end of the body, and a first post extending from a second end of the body opposite the first end of the body and configured to be received in the right element holder of the C1 component;
a second C2 component having a body with a plurality of spikes extending from a face of the body that is configured to abut a left lateral side of the spinous process of the C2 vertebra of the spine, a second rod holder extending from a first end of the body, and a second post extending from a second end of the body opposite the first end of the body and configured to be received in the left element holder of the C1 component; and
a rod configured to be received in and extend between the first rod holder of the first C2 component and the second rod holder of the second C2 component in order to fix position of the first and second C2 components relative to one another and the spinous process of the C2 vertebra; the implant providing controlled coupling between the C1 cervical vertebra and the C2 cervical vertebra.
17. The spinal implant of claim 16 , wherein the right and left wings of the body of the C1 component angle anteriorly from the respective right and left lateral sides of the hub of the body.
18. The spinal implant of claim 16 , wherein the rod is retained in the first rod holder of the first C2 component via a first rod holder setscrew, and in the second rod holder of the first C2 component via a second rod holder setscrew.
19. The spinal implant of claim 16 , wherein the rod includes a right rod holder on a right lateral end of the rod and a left rod holder on a left lateral end of the rod.
20. The spinal implant of claim 16 , wherein:
the rod comprises a cylindrical shape;
the first post comprises a cylindrical shape;
the second post comprises a cylindrical shape.