Flexible spinal stabilization system and method
Devices, methods and systems for stabilizing at least a portion of the spinal column are provided. Devices include anchors and coupling members for engaging an elongate member. Systems include an elongate member sized to span a distance between at least two vertebral bodies and being at least partially formed of a flexible material. A number of anchors and coupling members are used to secure the elongate member to each of the vertebral bodies. The anchors can be compressed towards one another and the elongate member secured thereto and/or the elongate member can be tensioned to provide corrective forces to the spine.
1. A method for stabilizing a spinal motion segment, comprising: providing an elongate member having a length extending between at least two vertebrae and being at least partially formed of a flexible material;
engaging a first anchor and a second anchor to respective ones of a first vertebra and a second vertebra;
compressing the first and second anchors toward one another;
attaching the elongate member to each of the compressed first and second anchors so that the elongate member is crimped at least at first and second locations with respect to each of said first and second anchors; and
completely penetrating the elongate member to attach it to the first and second anchors,
wherein attaching the elongate member to each of the compressed first and second anchors comprises positioning the elongate member in a U-shaped passage of each of the compressed first and second anchors.
2. The method of claim 1 , further comprising:
engaging a third anchor to a third vertebral body adjacent the second vertebral body;
compressing the third anchor towards the second anchor; and
attaching the elongate member to the third anchor.
3. The method of claim 1 , further comprising tensioning the elongate member before attaching the elongate member to the first and second anchors.
4. The method of claim 1 , wherein attaching the elongate member to each of the compressed first and second anchors comprises engaging a coupling member with each of the compressed first and second anchors and threadingly advancing the coupling members until the coupling members engage the elongate member.
5. The method of claim 1 , wherein attaching the elongate member to each of the compressed first and second anchors comprises engaging a coupling member with each of the compressed first and second anchors and threadingly advancing the coupling members until a penetrating element of each of the coupling members extends completely through the elongate member.
6. The method of claim 1 , wherein:
the compressed first and second anchors each have a penetrating element extending from a bearing surface; and
attaching the elongate member to each of the compressed first and second anchors comprises positioning the elongate member over the penetrating elements and advancing the elongate member until the penetrating elements extend completely through the elongate member and an outer surface of the elongate member engages the bearing surfaces.
7. The method of claim 6 , further comprising threading a coupling member into each of the compressed first and second anchors such that bearing surfaces of the coupling members bear against the outer surface and the penetrating elements each extend through a hole in one of the coupling members.
8. The method of claim 1 , wherein:
each of the compressed first and second anchors includes a cannulation; and
attaching the elongate member to each of the compressed first and second anchors comprises positioning coupling members in the cannulations.
9. The method of claim 1 , wherein attaching the elongate member to each of the compressed first and second anchors comprises engaging a coupling member with each of the compressed first and second anchors and threadingly advancing the coupling members until a protrusion of each of the coupling members engages the elongate member.
10. The method of claim 9 , wherein the coupling members each include a plug body and one of the protrusions, the protrusions being rotatable relative to the plug bodies such that the protrusions will not rotate when in firm contact with the elongate member and the plug bodies are rotated.
11. The method of claim 9 , wherein the protrusions each include a plurality of pyramid shaped extensions.
12. The method of claim 9 , wherein the protrusions each include a grid of plurality of pyramid shaped extensions.
13. The method of claim 1 , wherein:
attaching the elongate member to each of the compressed first and second anchors comprises engaging a coupling member with each of the compressed first and second anchors and threadingly advancing the coupling members until the coupling members engage the elongate member; and
the method further comprises severing a break-off portion of each of the coupling members from a plug body of each of the coupling members.
14. The method of claim 1 , wherein the flexible material is resorbable.
15. The method of claim 1 , wherein the flexible material is compressible.
16. The method of claim 1 , wherein the flexible material comprises a superelastic metal or alloy.
17. A method for stabilizing a spinal motion segment, comprising:
providing an elongate member having a length extending between at least two vertebrae and being at least partially formed of a flexible material;
engaging a first anchor and a second anchor to respective ones of a first vertebra and a second vertebra;
compressing the first and second anchors toward one another; and
attaching the elongate member to each of the compressed first and second anchors so that the elongate member is crimped at least at first and second locations with respect to each of said first and second anchors,
wherein attaching the elongate member to each of the compressed first and second anchors comprises positioning the elongate member in a U-shaped passage of each of the compressed first and second anchors, and
wherein attaching the elongate member to each of the compressed first and second anchors comprises engaging a coupling member with each of the compressed first and second anchors and threadingly advancing the coupling members until a penetrating element of each of the coupling members extends completely through the elongate member.
18. A method for stabilizing a spinal motion segment, comprising:
providing an elongate member having a length extending between at least two vertebrae and being at least partially formed of a flexible material;
engaging a first anchor and a second anchor to respective ones of a first vertebra and a second vertebra;
compressing the first and second anchors toward one another; and
attaching the elongate member to each of the compressed first and second anchors so that the elongate member is crimped at least at first and second locations with respect to each of said first and second anchors,
wherein attaching the elongate member to each of the compressed first and second anchors comprises positioning the elongate member in a U-shaped passage of each of the compressed first and second anchors,
wherein each of the compressed first and second anchors includes a cannulation, and
wherein attaching the elongate member to each of the compressed first and second anchors comprises positioning coupling members in the cannulations.