Vertebral support device
A vertebral support device ( 1 ) is disclosed, which in various embodiments comprises at least two osseous anchoring implants ( 2 ), each designed to be anchored to a vertebra, and at least one linking element ( 3 ) fixed to the osseous anchoring implants ( 2 ) by fasteners ( 20 ) that maintain a fixed angle between the longitudinal axis (L) of the linking element ( 3 ) passing through rigid elements ( 34 ) of the linking element ( 3 ) and the insertion axis (DV) of the implants ( 2 ). The linking element ( 3 ) includes at least one elastic dampening element ( 31 ) that that allows the implant-bearing vertebrae some freedom of movement. The dampening element ( 31 ) accommodates the stresses imposed on the linking element ( 3 ) during movement of the vertebrae and tends to return the support device ( 1 ) to its normal configuration.
1. A vertebral support device sized for surgical implantation adjacent to a spine and configured for attachment to plural osseous anchor screws embedded in selected vertebrae of the spine, the support device comprising:
first and second tubes, each of which is rigid and elongated along a first central axis, and each of which has
an exterior cross-section dimension defined by a cross-section transverse to the first central axis, and
an interior cross-section dimension extending along a hollow bore of said tube that extends through said tube along the first central axis from a first end of said tube to a second end of said tube, with the interior cross-section dimension defined by a cross-section transverse to the first central axis; and
an elastic dampening element articulating the first and second tubes, the elastic dampening element having a second central axis, with the elastic dampening element comprising
a central section having an exterior cross-section dimension defined by a cross-section transverse to the second central axis, with the exterior cross-section dimension of the central section being larger than the exterior cross-section dimensions of each of the first and second tubes, the central section comprising
first and second end faces spaced on opposite sides of the central section along the second central axis,
a first recess disposed on the first end face and extending into the central section, the first recess receiving a portion of the first tube extending from the first end of the first tube along the first central axis of the first tube, and
a second recess disposed on the second end face and extending into the central section, the second recess receiving a portion of the second tube extending from the first end of the second tube along the first central axis of the second tube, and
a first elastic protrusion attached to the central section and extending away from the first end face along the second central axis, the first elastic protrusion extending through the first end of the first tube and into the hollow bore of the first tube, and
a second elastic protrusion attached to the central section and extending away from the second end face along the second central axis, the second elastic protrusion extending through the first end of the second tube and into the hollow bore of the second tube,
wherein the second central axis is collinear with the first central axis, the first elastic protrusion has an end that extends outside the second end of the first tube, the second elastic protrusion has an end that extends outside the second end of the second tube and the end of the first elastic protrusion is retained outside the first tube by a stop formed from an enlargement of the first elastic protrusion.
2. The vertebral support device of claim 1 in which the end of the second elastic protrusion is retained outside the second tube by a removable fastener selected from the group consisting of a lock, a staple, a ring, a clip, a pin, and a stitch.
3. The vertebral support device of claim 1 in which the central section, the first elastic protrusion, and the second elastic protrusion are formed unitarily.
4. The vertebral support device of claim 1 in which the central section comprises a bore through which passes a unitary core from which the first and second elastic protrusions are formed.
5. The vertebral support device of claim 1 in which the first recess completely encircles the first end of the first tube.
6. A vertebral support device sized for surgical implantation adjacent to a spine and configured for attachment to plural osseous anchor screws embedded in selected vertebrae of the spine, the support device comprising a central axis and:
first and second tubes, each of which is rigid and elongated along the central axis, and each of which has a hollow bore that extends through said tube along the central axis from a first end of said tube to a second end of said tube;
an elastic central section comprising
generally planar external first and second faces disposed at opposite ends of the central section along the central axis, with the first end of the first tube abutting the first face and the first end of the second tube abutting the second face, and
a central bore through the central section extending along the central axis from an opening on the first face to an opening on the second face; and
an elastic longitudinal core extending along the central axis from a stop outside the second end of the first tube to a stop outside the second end of the second tube, with the core passing through the hollow bore of the first tube, the central bore of the central section, and the hollow bore of the second tube.
7. The vertebral support device of claim 6 in which the first and second faces are parallel.
8. The vertebral support device of claim 6 in which the first and second faces are oriented angularly.
9. The vertebral support device of claim 6 in which a bending stop fully encircles the first end of the first tube.
10. The vertebral support device of claim 6 in which a bending stop abuts a portion of the first end of the first tube.
11. The vertebral support device of claim 6 in which the stop outside the second end of the first tube is selected from the group consisting of a lock, a staple, a ring, a clip, a pin, and a stitch.
12. The vertebral support device of claim 6 in which the first and second faces are generally parallel.
13. A spinal treatment system comprising a support device having a central longitudinal axis and comprising:
a central elastic spacer having a first end face and a second end face disposed at an opposite end of the central elastic spacer along the central longitudinal axis from the first end face, with the first end face comprising a first chamfer and the second end face comprising a second chamfer and with the first chamfer and the second chamfer located to place the first end face and the second end face closer together in a direction parallel to the central longitudinal axis;
a first bending stop extending from a side of the first end face opposite the first chamfer;
a second bending stop extending from a side of the second end face opposite the second chamfer;
a first tube extending from the first end face along the central longitudinal axis with the first bending stop extending adjacent to a first portion of the first tube in a direction parallel to the central longitudinal axis;
a second tube extending from the second end face along the central longitudinal axis with the second bending stop extending adjacent to a first portion of the second tube in a direction parallel to the central longitudinal axis; and
an elastic core extending along the central longitudinal axis through a passage in the first tube, and a passage in the central elastic spacer; and further comprising
a first osseous anchor screw comprising a first conduit and a first clamp and a second osseous anchor screw comprising a second conduit and a second clamp, with the spinal treatment system having an assembled configuration in which a second portion of the first tube is secured in the first conduit by the first clamp and a second portion of the second tube is secured in the second conduit by the second clamp, the elastic core extends out of the second portion of the first tube, the elastic core is secured in the first tube by a removable retainer, and the elastic core is secured in the second tube by an expansion of the elastic core disposed outside the second tube adjacent to the second portion of the second tube.