Systems for attenuation of increased spinal flexion loads post-fusion and associated methods
Implementations described herein include devices and systems for attenuation of increased spinal flexion loads post-fusion that include a transition member. The transition member may have a tension component coupleable to a fused vertebra of a plurality of fused vertebra of a fusion implant and to an adjacent unfused vertebra. The tension component may be tensionable to a selected value. The tension component may modulate a flexion range of motion of the adjacent unfused vertebra as a function of the selected value of tension of the tension component. The transition member may attenuate spinal flexion loads on adjacent unfused vertebra post-operatively.
1. A fusion system, comprising:
a fusion implant couplable to a plurality of fused vertebrae, the fusion implant including two sets of pedicle screws configured for bilateral placement at each fusion level and two connecting rods configured for bilateral placement between the set of pedicle screws on each side of the plurality of fused vertebrae; and
a 2-level transition member comprising a first bilateral set of tension components couplable to a respective one of the bilateral placement connecting rods above a superior fused vertebra of the plurality of fused vertebrae and couplable to a first adjacent unfused vertebra and a second bilateral set of tension components couplable to a respective one of the bilateral placement connecting rods between two of the plurality of fused vertebrae and couplable to a second adjacent unfused vertebra, wherein the first bilateral set of tension components is tensionable to a selected value of tension, and wherein the first bilateral set of tension components and the second bilateral set of tension components modulate a flexion range of motion of the first and second adjacent unfused vertebrae as a function of the selected value of tension of the first bilateral set of tension components,
wherein the first bilateral set of tension components includes two sublaminar tethers configured to couple the first adjacent unfused vertebra and respective ones of the bilateral placement connecting rods, and the second bilateral set of tension components includes two additional sublaminar tethers configured to couple the second adjacent unfused vertebra and respective ones of the bilateral placement connecting rods.
2. The fusion system of claim 1 , wherein the 2-level transition member further comprises a plurality of bilateral clamps securable to the bilateral connecting rods of the fusion implant to receive the two sublaminar tethers of the first bilateral set of tension components and the second bilateral set of tension components.
3. The fusion system of claim 1 , wherein the selected value of tension of the first bilateral set of tension components comprises 200 to 400 Newtons (N).
4. The fusion system of claim 1 , wherein the first adjacent unfused vertebra is cranial to the plurality of fused vertebrae or caudal to the plurality of fused vertebrae, and the second adjacent unfused vertebra is immediately adjacent to the first adjacent unfused vertebra opposite the plurality of fused vertebrae.
5. The fusion system of claim 1 , wherein the first bilateral set of tension components is tensionable to a first selected value of tension, and the second bilateral set of tension components is tensionable to a second selected value of tension.
6. The fusion system of claim 5 , wherein the first selected value of tension is higher than the second selected value of tension.
7. The fusion system of claim 6 , wherein the first adjacent unfused vertebra is immediately adjacent to the plurality of fused vertebrae, and wherein the second adjacent unfused vertebra is immediately adjacent to the first adjacent unfused vertebra.
8. A fusion system, comprising:
a fusion construct configured to fuse a first vertebra and a second vertebra, the fusion construct including:
a plurality of bone screws including medial bone screws implantable into a medial pedicle area of each of the first vertebra and the second vertebra and lateral bone screws implantable into a lateral pedicle area of each of the first vertebra and the second vertebra;
a medial connecting rod couplable to the medial bone screws, the medial connecting rod including a medial extension extending beyond the medial bone screws in a first direction;
a lateral connecting rod couplable to the lateral bone screws, the lateral connecting rod including a lateral extension extending beyond the lateral bone screws in the first direction;
a medial first level transition member including a medial sublaminar tether couplable between the medial connecting rod and a medial lamina of a first adjacent unfused vertebra;
a lateral first level transition member including a lateral sublaminar tether couplable between the lateral connecting rod and a lateral lamina of the first adjacent unfused vertebra;
a medial second level transition member including a second medial sublaminar tether couplable between the medial extension and a medial lamina of a second adjacent unfused vertebra; and
a lateral second level transition member including a second lateral sublaminar tether couplable between the lateral extension and a lateral lamina of the second adjacent unfused vertebra,
wherein each medial sublaminar tether and each lateral sublaminar tether are tensioned to a selected value to attenuate spinal flexion loads on the first adjacent unfused vertebra and the second adjacent unfused vertebra.