Expandable laminoplasty device
An expandable laminoplasty device has a superior plate, an inferior plate, threaded or racked gear post having external threads or gear teeth, the post affixed to one of the superior plate or the inferior plate, and a gear nut or pinion gear, the gear has internal threads or external gear teeth configured to engage external threads or gear teeth of the post. The gear is held in one of the superior plate or inferior plate not affixed to the post and wherein the superior plate or inferior plate not affixed to the post has an end with a slot or channel to receive the post and a side opening to receive and hold the gear.
1. An expandable laminoplasty device comprising:
a superior plate;
an inferior plate;
a racked gear post having a plurality of gear teeth, the racked gear post affixed to one of the superior plate or the inferior plate;
a pinion gear, the pinion gear having a plurality of gear teeth configured to engage the gear teeth of the racked gear post, the pinion gear being held in one of the superior plate or inferior plate not affixed to the racked gear post, wherein the superior plate or inferior plate not affixed to the racked gear post has an end with a slot or channel to receive the racked gear post and a side opening to receive and hold the pinion gear;
wherein the rotation of the pinion gear engages the gear teeth of the racked gear post thereby coupling the superior plate to the inferior plate to form the expandable laminoplasty device, rotation of the pinion gear causes relative movement of the superior plate and inferior plate from contracted to expanded positions wherein stopping the rotation of the pinion gear fixes an amount of linear expansion between the superior and inferior plates; and
wherein the assembly includes a second post spaced from the racked gear post, wherein the racked gear post has the gear teeth facing inwardly and the pinion gear is positioned in an central location on one of either the superior plate or inferior plate to expand or contract the assembly.
2. The expandable laminoplasty device of claim 1 , wherein the second post has a rectangular or square cross section.
3. The expandable laminoplasty device of claim 1 , wherein the second post has four flat sides.
4. The expandable laminoplasty device of claim 1 , wherein the second post and the racked gear post are received within the slot or channel of the inferior or superior plate and prevents rotation of the two plates while allowing linear movement by the rotation of the pinion gear.
5. A method of performing a laminoplasty comprises the steps of:
preparing a cervical vertebra by cutting through a lamina and partially cutting through the lamina at a spaced second location;
providing an expandable laminoplasty device having:
a superior plate;
an inferior plate;
a racked gear post having a plurality of gear teeth, the racked gear post affixed to one of the superior plate or the inferior plate;
a pinion gear, the pinion gear having a plurality of gear teeth configured to engage the gear teeth of the racked gear post, the pinion gear being held in one of the superior plate or inferior plate not affixed to the racked gear post, wherein the superior plate or inferior plate not affixed to the racked gear post has an end with a slot or channel to receive the racked gear post and a side opening to receive and hold the pinion gear; and
wherein the assembly includes a second post spaced from the racked gear post, wherein the racked gear post has the gear teeth facing inwardly and the gear is positioned in an central location on one of either the superior plate or inferior plate to expand or contract the assembly;
wherein the rotation of the pinion gear engages the gear teeth of the racked gear post thereby coupling the superior plate to the inferior plate to form the expandable laminoplasty device, rotation of the pinion gear causes relative movement of the superior plate and inferior plate from contracted to expanded positions wherein stopping the rotation of the pinion gear fixes an amount of linear expansion between the superior and inferior plates;
positioning the expandable laminoplasty device in a contracted position with a hooked end of the superior plated on the cut lamina and the inferior plate on the lateral mass of the vertebra;
fastening ends of both superior and inferior plates to the cut lamina and the lateral mass respectively using fasteners; and
rotating the pinion gear to expand the expandable laminoplasty device to a location enlarging a spinal canal opening of the vertebra completing the laminoplasty.