Apparatus and method for dynamic vertebral stabilization
A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension.
1. A method for controlling relative motion between a first vertebra and a second vertebra, the method comprising:
attaching a first end member of a first stabilizer to the first vertebra;
attaching a second end member of the first stabilizer to the second vertebra;
engaging a first stabilization rod with the first end member and the second end member; and
permitting movement of the first end member with respect to the second end member along a first axis extending along a longitudinal axis of the first stabilization rod, while preventing movement about a second axis.
2. The method of claim 1 , wherein the attaching steps include placing a first fixation member through a first opening in the first end member and placing a second fixation member through a second opening in the second end member.
3. The method of claim 2 , wherein the first and second fixation members can be placed at a plurality of angles relative to the first and second openings.
4. The method of claim 1 , wherein the first and second end members are cannulated.
5. The method of claim 4 , wherein the first and second end members are telescopically engaged with one another.
6. The method of claim 4 , wherein the engaging step includes placing the first stabilization rod within the first and second end members.
7. The method of claim 1 , wherein the engaging step includes placing a first pin through an elongated slot in the first end member and an aperture in the first end of the first stabilization rod.
8. The method of claim 1 further comprising, engaging a resilient member with the first and second end members.
9. The method of claim 8 , wherein the resilient member is cannulated and the first stabilization rod is placed within the resilient member.
10. The method of claim 9 , wherein the resilient member is a helical spring.
11. The method of claim 1 further comprising, inserting a first locking component to lock the first stabilizer to substantially prevent movement of the first end member with respect to the second end member along the first axis.
12. The method of claim 1 further comprising,
attaching a third end member of a second stabilizer to the first vertebra;
attaching a fourth end member of the second stabilizer to the second vertebra; and
engaging a second stabilization rod with at least one of the third and fourth end members.
13. The method of claim 12 further comprising, inserting a second locking component to lock the second stabilizer to substantially prevent movement of the third end member with respect to the fourth end member along the first axis.
14. The method of claim 13 , wherein the first and second locking components can lock the first and second stabilizers at different relative positions.
15. The method of claim 14 , wherein a plurality of locking components are provided.
16. The method of claim 1 further comprising,
connecting a first end of a crosslink to the first stabilizer; and
connecting a second end of the crosslink to something other than the first stabilizer to prevent axial rotation of the first vertebra with respect to the second vertebra.
17. The method of claim 16 , wherein the second end of the crosslink is connected to a second stabilizer.
18. The method of claim 16 , wherein the second end of the crosslink is connected to one of the first or second vertebrae.
19. The method of claim 16 , wherein the crosslink is a spinal rod.
20. A method for controlling relative motion between a first vertebra and a second vertebra, the method comprising:
attaching a first end member of a first stabilizer to the first vertebra;
attaching a second end member of the first stabilizer to the second vertebra;
positioning a first stabilization rod between the first end member and the second end member; and
permitting movement of the first end member with respect to the second end member along a longitudinal axis of the first stabilization rod, while preventing movement about a second axis.