Segmental correction and spondylolisthesis reduction
An assembly for correcting spinal deformities may include at least lateral rods extending across adjacent vertebrae to be retained at either end by pedicle screws. A cross-coupler may be coupled to each lateral rod, and a longitudinal rod may run along the spine and be coupled to the lateral rods by the cross-couplers. The assembly may be used to correct spinal deformities by manipulating the pedicle screws or cross-couplers to rotate about the lateral rods or the longitudinal rod.
1 . A method of treating a spinal deformity, the method comprising:
driving a pedicle screw into each pedicle of at least two adjacent vertebrae;
retaining lateral rods within retaining features of the pedicle screws, each lateral rod having a cross coupler positioned thereon, such that each lateral rod and cross coupler is fastened to one of the vertebrae by a pair of pedicle screws;
placing a longitudinal rod through each cross-coupler on each of the lateral rods; and
after the longitudinal rod is retained within the cross-couplers, rotating either the cross-coupler fastened to a selected vertebra or a first of the pedicle screws driven into the selected vertebra about the lateral rod fastened to the selected vertebra by engaging a distal end of a manipulator to either the cross-coupler fastened to the selected vertebra or a head of the first of the pedicle screws driven into the selected vertebra and applying a force to a proximal end of the manipulator that is transverse to a proximal-distal axis of the manipulator.
2 . The method of claim 1 , comprising treatment of a sagittal spondylolisthesis by rotating the cross-coupler fastened to the selected vertebra about the lateral rod fastened to the selected vertebra.
3 . The method of claim 2 , wherein rotating the cross-coupler fastened to the selected vertebra rotates the longitudinal rod, thereby moving another vertebra relative to the selected vertebra in either an anterior or posterior direction.
4 . The method of claim 2 , wherein a cross-coupler set screw is in a loosened state while the cross-coupler is rotated relative to the lateral rod, the method further including tightening the cross-coupler set screw against the longitudinal rod after the cross-coupler is rotated relative to the lateral rod.
5 . The method of claim 1 , comprising rotating the first of the pedicle screws driven into the selected vertebra about the lateral rod fastened to the selected vertebra relative to a second of the pedicle screws driven into the selected vertebra.
6 . The method of claim 5 , wherein a pedicle screw set screw is in a loosened state within the first of the pedicle screws during rotation of the first of the pedicle screws, the method further including tightening the pedicle screw set screw within the first of the pedicle screws against the lateral rod fastened to the selected vertebra after the first of the pedicle screws is rotated about the lateral rod.
7 . The method of claim 5 , comprising rotating the second of the pedicle screws driven into the selected vertebra in an opposite direction about the lateral rod fastened to the selected vertebra from the first of the pedicle screws driven into the selected vertebra.
8 . The method of claim 7 , wherein a pedicle screw set screw is in a loosened state within each of the first and second pedicle screws driven into the selected vertebra during rotation of the first and second pedicle screws, the method further including tightening the pedicle screw set screws within the first and second pedicle screws against the lateral rod fastened to the selected vertebra after the first and second pedicle screws are rotated about the lateral rod.
9 . The method of claim 1 , comprising rotating the cross-coupler fastened to the selected vertebra about the longitudinal rod after the longitudinal rod is retained within the cross-couplers.
10 . The method of claim 1 , wherein the placing the longitudinal rod includes the longitudinal rod extending through a channel of each cross-coupler on each of the lateral rods.
11 . A method of correcting a spinal deformity, the method comprising:
driving a pedicle screw into each pedicle of at least two adjacent vertebrae;
retaining lateral rods within retaining features of the pedicle screws, each lateral rod having a cross coupler positioned thereon, such that each lateral rod and cross coupler is fastened to one of the vertebrae by a pair of the pedicle screws;
placing a longitudinal rod through each cross-coupler on each of the lateral rods; and
after the longitudinal rod is retained within the cross-couplers, rotating the cross-coupler fastened to a selected vertebra about a longitudinal axis of the longitudinal rod with a manipulator.