Posterior functionally dynamic stabilization system
A functionally dynamic stabilization unit and system for treatment of spinal instability are provided. Each unit, and collectively, the system, is configured to control flexion, extension and translation of the affected unstable vertebral area, thereby stabilizing the vertebral segments by restoring normal function. This is achieved by providing a unit and system that allow for lateral bending, axial compression, rotation, anterior segmental height adjustment, and posterior segmental height adjustment. The unit and system provide sufficient segmental stiffness, while also limiting, or controlling, the range of motion (i.e., sufficient stiffness in the neutral or active zone, while limiting or preventing motion outside of the active zone) to stabilize the vertebral segments. In use, the system mimics the natural movement of the normal spine. Furthermore, the system includes a rigid, fusion-promoting coupler configured for use in an adjacent level, or as a substitute for the functionally dynamic unit. The modularity of the system allows adjustment over time and easier revision surgery, and is configured for minimally-invasive, delivery or implantation.
1. A flexible coupler for a spinal stabilization unit, the flexible coupler comprising:
a body having a first end and a second end;
a range-of-motion limiting mechanism located within the body and configured to control movement of the coupler, the range-of-motion limiting mechanism comprising a sleeve having proximal and distal openings and extending internally from the first end of the body towards the second end of the body, and a pin extending internally from the second end of the body towards the first end of the body, the pin being configured to extend through the distal opening to be received within and cooperate with the sleeve to form an extension and compression stop within the body; and
a first arm extending from the first end of the body and a second arm extending from the second end of the body, the first arm having a connection end configured to be received within the proximal opening of the sleeve.
2. The flexible coupler of claim 1 , wherein the range-of-motion limiting mechanism is configured to control of an amount of bending, an amount of compression, and an amount of extension of the coupler.
3. The flexible coupler of claim 1 , wherein the range-of-motion limiting mechanism is configured to control rotational movement of the spinal stabilization unit.
4. The flexible coupler of claim, 1 , wherein the range-of-motion limiting mechanism is configured to control translational movement of the spinal stabilization unit.
5. The flexible coupler of claim 1 , wherein the body is flexible.
6. The flexible coupler of claim 1 , wherein the body is extendable and compressible along a longitudinal axis of the body.
7. The flexible coupler of claim 1 , wherein the body is bendable along its long axis.
8. The flexible coupler of claim 1 , wherein the body is cylindrical and includes a plurality of elements forming slots within the body.
9. The flexible coupler of claim 1 , wherein the distal opening of the sleeve is narrowed, and the pin has an enlarged end disposed within the sleeve and dimensioned such that the enlarged end abuts the wall of the narrowed distal opening when the coupler is elongated or bent, and the sleeve abuts the second end of the body when the coupler is compressed.
10. The flexible coupler of claim 9 , wherein the enlarged end of the pin is semispherical.
11. The flexible coupler of claim 9 , wherein the pin further comprises a threaded end opposite the enlarged end.
12. The flexible coupler of claim 9 wherein the pin further comprises a shoulder region.
13. The flexible coupler of claim 1 , wherein movement of the pin relative to the sleeve in a first direction defines a range of extension of the coupler, and movement of the pin relative to the sleeve in a second direction, opposite to the first direction, defines a range of compression of the coupler.
14. The flexible coupler of claim 1 , wherein a length of the coupler is adjustable.
15. The flexible coupler of claim 14 , wherein the connection end of the first arm and the proximal opening of the sleeve form an adjustable connection that permits relative movement of the first arm to the sleeve in order to adjust the overall length of the coupler.
16. The flexible coupler of claim 15 , wherein the first arm is connected within the sleeve at a threaded connection, and the length of the coupler can be adjusted by rotation of the first arm with respect to the sleeve.
17. The flexible coupler of claim 1 , wherein the sleeve has a threaded rim.
18. The flexible coupler of claim 1 , wherein each arm is configured to cooperate with a bone anchor to attach the coupler to bone.
19. The flexible coupler of claim 1 , wherein each arm is configured to cooperate with another coupler.