Occipital plate for spinal fusion
View Patent ↗Plate devices are provided for mounting to bone and receiving one or more spinal rods. The devices may include coupling members or rod receiving members coupled to the plate member and configured to have multiple degrees of adjustability in order to accommodate elongate connecting members of various orientations. The plate devices may also include quick locking features or locking devices that secure multiple points of articulation simultaneously.
1. A posterior spinal stabilization system comprising:
a plate body including a plurality of apertures for receiving anchor members;
a track member of the plate body including an elongate guide slot;
at least one rod receiving member for receiving a spinal rod;
a swivel base slideably disposed in the track member guide slot and having an arcuate head portion pivotally connected to the rod receiving member so that the rod receiving member is operable to slide along the guide slot with the arcuate head portion being spaced from the track member to allow pivoting of the rod receiving member about a plurality of different axes extending through the head portion; and
a clamping member operable to fix the swivel base against sliding in the guide slot;
wherein the clamping member is coupled to the track member by a locking actuator operable to shift the clamping member between an unlocked configuration, wherein the swivel base is slideable along the guide slot, and a locked configuration, wherein the swivel base is fixed against sliding in the guide slot.
2. The posterior spinal stabilization system of claim 1 , wherein the plate body includes a bone engaging portion having the plurality of apertures and the guide slot is oriented in a plane transverse to the bone engaging portion of the plate body.
3. The posterior spinal stabilization system of claim 1 , wherein the arcuate head portion of the swivel base has a spherical configuration.
4. The posterior spinal stabilization system of claim 1 , wherein the arcuate head portion includes a compression gap for providing a snap-lock connection between the head portion and the rod receiving member.
5. The posterior spinal stabilization system of claim 1 , wherein the guide slot includes an access end opening to allow the swivel base to be slid into the guide slot; and
a shiftable stop member associated with the track member operable to block the end opening of the guide slot to keep the swivel base from exiting the guide slot.
6. The posterior spinal stabilization system of claim 1 , further comprising a locking member operable to simultaneously fix the spinal rod to the rod receiving member and fix the rod receiving member relative to the arcuate head portion of the swivel base.
7. The posterior spinal stabilization system of claim 1 , wherein the track member includes an upper side and a lower side, and the arcuate head portion of the swivel base is spaced from the upper side of the track member.
8. The posterior spinal stabilization system of claim 1 , wherein the track member comprises a second elongate guide slot; and
a second rod receiving member for receiving an additional spinal rod;
a second swivel base slideably disposed in the second track member guide slot and having an arcuate head portion pivotally connected to the second rod receiving member so that the second rod receiving member is operable to slide along the second guide slot with the arcuate head portion being spaced from the track member to allow pivoting of the second rod receiving member about a plurality of different axes;
wherein the clamping member is operable to fix each swivel base against sliding in the respective guide slots.
9. A posterior spinal stabilization system comprising:
a plate body including a plurality of apertures for receiving anchor members;
a track member of the plate body including an elongate guide slot;
at least one rod receiving member for receiving a spinal rod; and
a swivel base slideably disposed in the track member guide slot and having an arcuate head portion pivotally connected to the rod receiving member so that the rod receiving member is operable to slide along the guide slot with the arcuate head portion being spaced from the track member to allow pivoting of the rod receiving member about a plurality of different axes extending through the head portion;
wherein the track member is connected to the plate body by an arm member configured to space the track member from a patient's skull and toward the patient's spine when the plate body is mounted to an occipital region of the skull.
10. The posterior spinal stabilization system of claim 9 , wherein the arm member has a curved configuration to space the track member from the patient's skull and toward the patient's spine when the plate body is mounted to an occipital region of the skull.
11. A posterior spinal stabilization system, comprising:
a plate body including a plurality of apertures for receiving anchor members;
a track member of the plate body including an elongate guide slot;
a yoke member for receiving a spinal rod; and
a slideable connection between the yoke member and the track member configured to allow the yoke member to slide in the guide slot and to shift polyaxially with respect to the track member for receiving the spinal rod in the yoke member in a selected one of a plurality of different orientations with respect to the track member;
wherein the track member is connected to the plate body by an arm member that is configured to position the track member spaced from a patient's skull and toward the patient's spine when the plate body is mounted to an occipital region of the skull.
12. The posterior spinal stabilization system of claim 11 , further comprising a clamping member operable to fix the yoke member relative to the guide slot, wherein the yoke member is operable to shift polyaxially with respect to the track member when the yoke member is fixed with respect to the guide slot by the clamping member.
13. The posterior spinal stabilization system of claim 11 , wherein the arm member has a curved configuration to space the track member from the patient's skull and toward the patient's spine when the plate member is mounted to an occipital region of the skull.
14. The posterior spinal stabilization system of claim 11 , wherein the slideable connection includes a swivel base slideably disposed in the guide slot and connected to the yoke member to allow the yoke member to shift along the guide slot, the swivel base including a spherical head portion configured to matingly engage with the yoke member to allow the yoke member to pivot polyaxially with respect to the spherical head portion.
15. The posterior spinal stabilization system of claim 14 , further comprising a locking member operable to simultaneously fix the spinal rod to the yoke member and fix the yoke member relative to the swivel base.
16. The posterior spinal stabilization system of claim 11 , wherein the guide slot includes an access end opening to allow the yoke member to be slideably connected to the guide slot; and
a shiftable stop member associated with the track member operable to block the end opening of the guide slot to keep the yoke member from exiting the guide slot.
17. A posterior spinal stabilization system, comprising:
a plate body including a plurality of apertures for receiving anchor members;
a track member of the plate body including an elongate guide slot;
a yoke member for receiving a spinal rod;
a slideable connection between the yoke member and the track member configured to allow the yoke member to slide in the guide slot and to shift polyaxially with respect to the track member for receiving the spinal rod in the yoke member in a selected one of a plurality of different orientations with respect to the track member;
a clamping member operable to fix the yoke member relative to the guide slot, wherein the yoke member is operable to shift polyaxially with respect to the track member when the yoke member is fixed with respect to the guide slot by the clamping member; and
a locking actuator operable to shift the clamping member between an unlocked configuration, wherein the yoke member is shiftable along the guide slot, and a locked configuration, wherein the yoke member is fixed with respect to the guide slot.
18. A posterior spinal stabilization system, comprising:
a plate body including a plurality of apertures for receiving anchor members;
a track member of the plate body including an elongate guide slot;
a yoke member for receiving a spinal rod;
a slideable connection between the yoke member and the track member configured to allow the yoke member to slide in the guide slot and to shift polyaxially with respect to the track member for receiving the spinal rod in the yoke member in a selected one of a plurality of different orientations with respect to the track member;
wherein the slideable connection includes a swivel base slideably disposed in the guide slot and connected to the yoke member to allow the yoke member to shift along the guide slot, the swivel base including a spherical head portion configured to matingly engage with the yoke member to allow the yoke member to pivot polyaxially with respect to the spherical head portion; and
an insert member engaged with the spherical head portion within the yoke member for forming a ball and socket connection with the spherical head portion, the insert member being configured to engage the spinal rod.