Devices and methods for bone fixation
Devices and methods for bone fixation including a bone fixation system including a bone plate or intervertebral spacer including a plurality of apertures dimensioned to receive bone fasteners and at least one polymeric element capable of transitioning from a solid state to a flowable state. The polymeric element transitions to a flowable state as a result of exposure to ultrasonic vibration. The polymeric element is placed on the bone plate or intervertebral spacer adjacent a fastener in an aperture and acts to prevent rotational and/or translational movement of the fastener relative to the bone plate or intervertebral spacer.
1. A bone fixation system, comprising:
a spacer, configured for placement within an intervertebral disc space of a patient between a first vertebral body and a second vertebral body, including a wall having at least one aperture dimensioned for receiving a fastener there through and at least one polymeric element adjacent to the aperture;
at least one fastener configured to extend through the at least one aperture to secure the spacer to one of the first and second vertebral bodies; a sonotrode configured to change a physical state of the at least one polymeric element;
wherein upon introducing the sonotrode to the polymeric element, material of the at least one polymeric element flows into a space adjacent the fastener in the at least one aperture such that the material of the at least one polymeric element is in contact with both the wall of the spacer and the fastener; and
wherein upon removing the sonotrode from the at least one polymeric element, the material of the at least one polymeric element is configured to harden to a solid state, thereby preventing the at least one fastener from moving relative to the wall of the spacer,
wherein the wall includes a plurality of apertures, each dimensioned to receive a fastener therein, and
wherein the wall includes a recess in a surface of the wall that is adjacent to and in communication with at least two apertures.
2. The bone fixation system of claim 1 , wherein the spacer comprises a unitary piece.
3. The bone fixation system of claim 1 , wherein the spacer comprises a body that is detachable from the wall.
4. The bone fixation system of claim 3 , wherein the body is configured to be inserted into the intervertebral disc space separately from the wall.
5. The bone fixation system of claim 3 , wherein the body is generally U-shaped.
6. The bone fixation system of claim 3 , wherein the wall comprises a different material than the body of the spacer.
7. The bone fixation system of claim 1 , further comprising a plurality of fasteners, wherein each fastener of the plurality of fasteners is configured to extend through a respective aperture of the plurality of apertures.
8. The bone fixation system of claim 1 , wherein the recess in the surface of the wall is adjacent to and in communication with each of the plurality of apertures.
9. The bone fixation system of claim 1 , wherein the wall comprises a recess in a surface of the wall, wherein the recess is in communication with the at least one aperture.
10. The bone fixation system of claim 9 , wherein the at least one polymeric element is configured to be installed in the recess prior to positioning the spacer into the intervertebral disc space.
11. The bone fixation system of claim 9 , wherein the recess is in communication with the at least one aperture along at least a portion of the perimeter of the at least one aperture.
12. The bone fixation system of claim 11 , wherein the recess is in communication with the at least one aperture along the entire perimeter of the at least one aperture.
13. The bone fixation system of claim 1 , wherein the at least one polymeric element comprises a thermoplastic material.
14. The bone fixation system of claim 1 , wherein the at least one polymeric element prevents the fastener from translating in a direction opposite of a direction of insertion.
15. The bone fixation system of claim 1 , wherein the at least one polymeric element prevents the fastener from rotating.
16. The bone fixation system of claim 1 , wherein the at least one fastener comprises a shank portion and a head portion having a circumferential surface, wherein the circumferential surface of the head comprises a recess.
17. The bone fixation system of claim 16 , wherein the material of the polymeric element is allowed to flow into the recess of the circumferential surface of the head of the fastener while in a flowable state.
18. The bone fixation system of claim 17 , further comprising allowing the polymeric material to flow in the at least one aperture.