Post-operatively adjustable spinal fixation devices
A system for spinal fixation with a non-rigid portion at least one of the caudal or cephalad terminus. Various devices and techniques are described for transition from a rigid fixation construct to a less rigid support structure applied to a “soft zone” that helps share the stress created on the spinal levels caused by the fixed levels below. In some embodiments, the soft zone is provided by terminating the construct with one of a flexible tether or a dampening rod.
1. A system for spinal fixation comprising:
a first bone anchor configured to be anchored to a first vertebra of a subject, the first bone anchor comprising a first bone fastener attached to a first rod housing;
a second bone anchor configured to be anchored to a second vertebra of the subject, the second bone anchor comprising a second bone fastener attached to a second rod housing;
a third bone anchor configured to be anchored to the first vertebra, the third bone anchor comprising a third bone fastener attached to a third rod housing;
a fourth bone anchor configured to be anchored to the second vertebra, the fourth bone anchor comprising a fourth bone fastener attached to a fourth rod housing;
a first rigid spinal rod seated in the first rod housing and the second rod housing;
a second rigid spinal rod seated in the third rod housing and the fourth rod housing,
a first flexible tether connected to each of the first rigid spinal rod and the second rigid spinal rod and configured to be wrapped at least partially around a third vertebra of the subject to exert tension between the third vertebra and the first and second rigid spinal rods;
a second flexible tether configured to encircle a portion of the third vertebra and a portion of a fourth vertebra of the subject; and
an adjustable tensioner coupled to the first rigid spinal rod, the second rigid spinal rod, and one or both of the first and second flexible tethers, the adjustable tensioner comprising a magnet that rotates in response to an external force.
2. The system of claim 1 , wherein the adjustable tensioner further comprises a tension modulation mechanism configured to convert rotation of the magnet to a change in tension on one or both of the first and second flexible tethers.
3. The system of claim 2 , wherein the tension modulation mechanism comprises a threaded first end coupler and a second end coupler, wherein the magnet is coupled to the threaded first end coupler such that the threaded first end coupler rotates about its longitudinal axis in response to rotation of the magnet.
4. The system of claim 1 , wherein the adjustable tensioner comprises a spool about which one or both of the first and second flexible tethers is wound, and wherein rotation of the magnet drives rotation of the spool.
5. The system of claim 4 , wherein the spool further comprises a locking mechanism configured to maintain tension on one or both of the first and second flexible tethers engaged with the spool.
6. The system of claim 4 , wherein the spool further comprises a locking mechanism that comprises a set screw configured to inhibit rotation of the spool.
7. The system of claim 1 , wherein one or both of the first and second flexible tethers comprises a non-absorbable biocompatible material.
8. The system of claim 1 , wherein the external force comprises an electromagnetic signal or a spinning magnetic field.
9. The system of claim 1 , further comprising a cross connector unit fastened to the first and second rigid spinal rods.
10. The system of claim 9 , wherein the cross connector unit is configured to rigidly engage with the first and second rigid spinal rods.
11. The system of claim 9 , wherein the cross connector unit further comprises a first rod connector attached to the first rigid rod, a second rod connector attached to the second rigid rod, and one or more support arms extending from a respective one of the first and second rod connectors for attaching to a housing of the adjustable tensioner.
12. A system for spinal fixation comprising:
a first bone anchor configured to be anchored to a first vertebra of a subject, the first bone anchor comprising a first bone fastener attached to a first rod housing;
a second bone anchor configured to be anchored to a second vertebra of the subject, the second bone anchor comprising a second bone fastener attached to a second rod housing;
a third bone anchor configured to be anchored to the first vertebra, the third bone anchor comprising a third bone fastener attached to a third rod housing;
a fourth bone anchor configured to be anchored to the second vertebra, the fourth bone anchor comprising a fourth bone fastener attached to a fourth rod housing;
a first rigid spinal rod seated in the first rod housing and the second rod housing;
a second rigid spinal rod seated in the third rod housing and the fourth rod housing,
a first flexible tether connected to each of the first and second rigid spinal rods and configured to be wrapped at least partially around a third vertebra of the subject to exert tension between the third vertebra and the first and second rigid spinal rods;
a second flexible tether configured to encircle a portion of the third vertebra and a portion of a fourth vertebra of the subject;
an adjustable tensioner coupled to the first rigid spinal rod, the second rigid spinal rod, and one or both of the first and second flexible tethers, the adjustable tensioner comprising a magnet that rotates in response to a spinning magnetic field; and
a cross connector unit fastened to the first and second rigid spinal rods.
13. The system of claim 12 , wherein the cross connector unit is configured to rigidly engage with and extend between the first and second rod connectors.
14. The system of claim 12 , wherein the cross connector unit further comprises a support arm attached to a housing of the adjustable tensioner.