Polyaxial pedicle screw locking and derotation instrument
View Patent ↗A pedicle screw locking and derotation instrument, comprising: an elongate actuation mechanism, wherein the elongate actuation mechanism comprises a pair of elongate arms that are pivotably hinged to one another and comprise a pair of handle portions; and a pair of clamp members coupled to the elongate actuation mechanism and deployed by actuation of the elongate actuation mechanism; wherein each of the pair of clamp members comprises a retention portion configured to selectively and securely engage a threaded shaft of a pedicle screw and a portion configured to selectively and securely engage a head body of the pedicle screw, thereby holding the threaded shaft and the head body in rigid alignment; wherein each of the pair of clamp members comprises a retention portion that is configured to be selectively disposed beneath the head body of the pedicle screw and about the threaded shaft of the pedicle screw.
1. A pedicle screw locking and derotation instrument, comprising:
an elongate actuation mechanism; and
a pair of clamp members coupled to the elongate actuation mechanism and deployed by actuation of the elongate actuation mechanism;
wherein each of the pair of clamp members comprises a portion configured to selectively and securely engage a threaded shaft of a pedicle screw and a portion configured to selectively and securely engage a head body of the pedicle screw, thereby holding the threaded shaft and the head body in rigid alignment;
wherein each of the pair of clamp members comprises a retention portion that is configured to be selectively disposed beneath the head body of the pedicle screw and about the threaded shaft of the pedicle screw; and
wherein the retention portion is disposed at an angle to the remainder of each of the pair of clamp members and defines a half-circle interior portion that is configured to engage the threaded shaft of the pedicle screw.
2. The instrument of claim 1 , wherein the elongate actuation mechanism comprises a pair of elongate arms that are pivotably hinged to one another and comprise a pair of handle portions.
3. The instrument of claim 2 , further comprising a ratcheting mechanism coupling the pair of elongate arms.
4. The instrument of claim 2 , wherein the pair of clamp members are pivotably hinged to the pair of elongate arms.
5. The instrument of claim 1 , wherein the pair of clamp members are pivotably hinged to one another.
6. The instrument of claim 1 , wherein the pair of clamp members collectively define a void that is disposed about and substantially conforms to the head body of the pedicle screw.
7. The instrument of claim 1 , wherein the elongate actuation mechanism is operable for imparting rotational motion to the pedicle screw and an individual vertebra in which the pedicle screw is implanted.
8. A pedicle screw locking and derotation instrument, comprising:
an elongate actuation mechanism, wherein the elongate actuation mechanism comprises a pair of elongate arms that are pivotably hinged to one another and comprise a pair of handle portions; and
a pair of clamp members coupled to the elongate actuation mechanism and deployed by actuation of the elongate actuation mechanism;
wherein each of the pair of clamp members comprises a retention portion configured to selectively and securely engage a threaded shaft of a pedicle screw and a portion configured to selectively and securely engage a head body of the pedicle screw, thereby holding the threaded shaft and the head body in rigid alignment;
wherein each of the pair of clamp members comprises a retention portion that is configured to be selectively disposed beneath the head body of the pedicle screw and about the threaded shaft of the pedicle screw; and
wherein the retention portion is disposed at an angle to the remainder of each of the pair of clamp members and defines a half-circle interior portion that is configured to engage the threaded shaft of the pedicle screw.
9. The instrument of claim 8 , further comprising a ratcheting mechanism coupling the pair of elongate arms.
10. The instrument of claim 8 , wherein the pair of clamp members are pivotably hinged to the pair of elongate arms.
11. The instrument of claim 8 , wherein the pair of clamp members are pivotably hinged to one another.
12. The instrument of claim 8 , wherein the pair of clamp members collectively define a void that is disposed about and substantially conforms to the head body of the pedicle screw.
13. The instrument of claim 8 , wherein the elongate actuation mechanism is operable for imparting rotational motion to the pedicle screw and an individual vertebra in which the pedicle screw is implanted.
14. A pedicle screw locking and derotation method, comprising:
implanting a pedicle screw in an individual vertebra of a spine;
rigidly securing a head body of the pedicle screw to a threaded shaft of the pedicle screw using a pedicle screw locking and derotation instrument; and
displacing the instrument laterally such that the pedicle screw is rotated about an axis of the spine, thereby rotating the individual vertebra about the axis of the spine;
wherein the instrument comprises:
an elongate actuation mechanism; and
a pair of clamp members coupled to the elongate actuation mechanism and deployed by actuation of the elongate actuation mechanism;
wherein each of the pair of clamp members comprises a portion configured to selectively and securely engage the threaded shaft of the pedicle screw and a portion configured to selectively and securely engage the head body of the pedicle screw, thereby holding the threaded shaft and the head body in rigid alignment;
wherein each of the pair of clamp members comprises a retention portion that is configured to be selectively disposed beneath the head body of the pedicle screw and about the threaded shaft of the pedicle screw; and
wherein the retention portion is disposed at an angle to the remainder of each of the pair of clamp members and defines a half-circle interior portion that is configured to engage the threaded shaft of the pedicle screw.
15. The method of claim 14 , wherein the elongate actuation mechanism comprises a pair of elongate arms that are pivotably hinged to one another and comprise a pair of handle portions.
16. The method of claim 15 , further comprising a ratcheting mechanism coupling the pair of elongate arms.
17. The method of claim 15 , wherein the pair of clamp members are pivotably hinged to the pair of elongate arms.
18. The method of claim 14 , wherein the pair of clamp members are pivotably hinged to one another.
19. The method of claim 14 , wherein the pair of clamp members collectively define a void that is disposed about and substantially conforms to the head body of the pedicle screw.