Implant for immobilizing cervical vertebrae
A spinal implant for immobilizing the C 1 vertebra with respect to the C 2 vertebra of the spine provides controlled coupling between the C 1 and C 2 vertebrae, and includes a C 1 component attachable to the C 1 vertebra, two C 2 components attachable to the C 2 vertebra, and a transverse element. The C 1 component has two wings each of which retains a rod holder that rotates and translates for capturing a C 2 component rod. Each C 2 component has a hook for connection with a side of the C 2 vertebra lamina and a rod for attachment to one of the rod holders of the C 1 component. Each C 2 component receives and secures the transverse connector which holds position of the C 2 components relative to one another. Each C 2 component may include a plate configured for compression against the C 2 vertebra spinous process, with each plate including spikes to aid in preventing construct migration.
1. An implant for immobilizing a first bone relative to a second bone, the implant comprising:
a first component comprising:
a body including a first arm and a second arm;
a first adjustable element operatively coupled to the first arm to translate laterally along and rotationally relative to the first arm, the first adjustable element including a rod holder and a hook configured to engage the first bone;
a second adjustable element operatively coupled to the second arm to translate laterally along and rotationally relative to the second arm, the second adjustable element including a rod holder and a hook configured to engage the first bone;
a second component comprising:
a rod holder;
a hook extending from the rod holder and configured to engage the second bone;
a rod extending from the rod holder to be received in the rod holder of the first adjustable element of the first component;
a third component comprising:
a rod holder;
a hook extending from the rod holder and configured to engage the second bone;
a rod extending from the rod holder to be received in the rod holder of the second adjustable element of the first component;
a transverse rod received in and extending between the rod holder of the second component and the rod holder of the third component in order to fix position of the second and third components relative to one another.
2. The implant of claim 1 , wherein the first arm includes a first slot, the second arm includes a second slot, the first adjustable element includes a first projection that engages and moves within the first slot, and the second adjustable element includes a second projection that engages and moves within the second slot.
3. The implant of claim 1 , wherein the body includes a first notch in a first edge of the body, a second notch in a second edge of the body opposite the first edge, and a third notch in the second edge spaced apart from the second notch.
4. The implant of claim 1 , wherein the first component further comprises a first plate coupled to the first arm and a second plate coupled to the second arm, the first and second arms configured to limit motion of the respective first and second adjustable elements.
5. The implant of claim 1 , wherein the first and second arms of the body of the first component angle anteriorly from respective first and second sides of the body.
6. The implant of claim 5 , wherein the hook on each of the first and second adjustable elements extends from the respective rod holder.
7. The implant of claim 1 , wherein the transverse rod is retained in the rod holder of the second component by a first rod holder setscrew, and in the rod holder of the third component by a second rod holder setscrew.
8. A spinal implant for immobilizing a first vertebra of a spine with respect to a second vertebra of the spine, the spinal implant comprising:
a body including a first arm and a second arm;
a first adjustable element coupled to the first arm to translate laterally along and rotationally relative to the first arm, the first adjustable element including a first rod holder and a first hook configured to engage the first bone;
a second adjustable element coupled to the second arm to translate laterally along and rotationally relative to the second arm, the second adjustable element including a second rod holder and a second hook configured to engage the first bone;
a first component comprising a third rod holder, a third hook extending from the third rod holder and configured to engage the second bone, and a first post extending from the third rod holder and received in the first rod holder of the first adjustable element;
a second component comprising a fourth rod holder, a fourth hook extending from the fourth rod holder and configured to engage the second bone, a second post extending from the fourth rod holder and received in the second rod holder of the second adjustable element;
a rod coupled to the third rod holder of the first component and the fourth rod holder of the second component to fix position of the first and second components relative to one another.
9. The spinal implant of claim 8 , wherein the first and second arms of the body angle anteriorly from a mid-point of the body.
10. The spinal implant of claim 8 , wherein:
the rod comprises a cylindrical shape;
the first post comprises a cylindrical shape;
the second post comprises a cylindrical shape.
11. The spinal implant of claim 8 , wherein the first arm includes a first slot, the second arm includes a second slot, the first adjustable element includes a first projection that moves within the first slot, and the second adjustable element includes a second projection that moves within the second slot.
12. The spinal implant of claim 11 , wherein the body further comprises a first plate coupled to the first arm proximate the first slot and a second plate coupled to the second arm proximate the second slot, the first and second arms configured to limit motion of the respective first and second adjustable elements.
13. The spinal implant of claim 8 , wherein the body includes a first notch in a first edge of the body, a second notch in a second edge of the body opposite the first edge, and a third notch in the second edge spaced apart from the second notch.
14. The spinal implant of claim 8 , wherein the first and second arms of the body angle anteriorly from respective first and second sides of the body.
15. The spinal implant of claim 8 , wherein the first and second hooks on each of the first and second adjustable elements extend from the respective first and second rod holder.
16. The spinal implant of claim 8 , wherein the rod is retained in the third rod holder of the first component by a first rod holder setscrew, and in the fourth rod holder of the second component by a second rod holder setscrew.