Minimally invasive spinal fixation system and related methods
This application describes surgical instruments and implants for building a posterior fixation construct across one or more segments of the spinal column. Extension guides are provided that attach to bone anchors implanted within the spine. The extension guides have a guide channel that align with a rod channel in the anchor to help direct the rod to the anchor. Instruments are provided to aid in insertion and positioning or the rod.
1. A method for implanting a fixation construct across a motion segment of a spine, the method comprising:
anchoring a fixation anchor to a vertebra of the motion segment, wherein the fixation anchor includes:
a rod housing having a first arm separated from a second arm by a rod channel, and
an extension guide integrally and removably coupled to the rod housing, the extension guide including a first extension arm having a distal end and a proximal end and a second extension arm having a distal end and a proximal end,
the distal end of the first extension arm being coupled to the first arm of the rod housing by a first breakable joint, and the distal end of the second extension arm being coupled to the second arm of the rod housing by a second breakable joint,
wherein the first breakable joint comprises a first surface groove positioned between the first arm and the first extension arm, the second breakable joint comprises a second surface groove positioned between the second arm and the second extension arm, and
the proximal end of the first extension arm is integrally and removably coupled to the proximal end of the second extension arm by a third breakable joint and a fourth breakable joint, each of the third and fourth breakable joints extending between the first and second extension arms;
flexing the first and second extension arms away from each other to facilitate the inserting of the rod;
inserting a rod through a guide channel of the fixation anchor;
reducing the rod into the rod channel of the rod housing;
locking the rod within the rod housing with a locking cap; and
breaking the first and second breakable joints to sever the connection between one of the first and second extension arms and a corresponding one of the first and second arms of the rod housing.
2. The method of claim 1 , further comprising breaking the third and fourth breakable joints to sever the connection between the proximal ends of the first and second extension arms.
3. The method of claim 1 , further comprising breaking the third and fourth breakable joints using a breaking tool.
4. The method of claim 2 , further comprising attaching a guide cap to the proximal ends of the first and second extension arms to recouple the first and second extension arms and limit further flexing of the first and second extension arms away from each other.