Method and apparatus for performing spinal surgery
Implants, instruments, and methods for performing surgical procedures on the spine, including one or more of creating an operative corridor to the spine, delivering implants to the spine, fusing one or more segments of the spine, and fixing one or more segments of the spine. A method for attaching a fixation system to the spine of a patient, the fixation system including at least two bone anchors and a spinal rod linking the at least two bone anchors.
1. A posterior spinal retractor for a maintaining an access corridor to a site along the posterior spinal column on which a surgical procedure is performed, the surgical procedure including the use of first and second bone anchors anchorable into first pedicle of a first vertebra and a second pedicle of a second vertebra, respectively, comprising:
a retractor having a first arm, a first retractor blade attachable to the first arm and having a distal end and a proximal end, a second arm, and a second retractor blade attachable to the second arm and having a distal end and a proximal end, the first arm and the second arm being movable relative to each other in a first direction,
wherein the distal end of the first retractor blade is temporarily anchorable in position relative to the first pedicle via coupled engagement with the first bone anchor, the coupled engagement permitting angular adjustability of the distal end relative to the first bone anchor and the proximal end of the first retractor blade is pivotable relative to the first arm, and wherein the distal end of the second retractor blade is temporarily anchorable in position relative to the second pedicle via coupled engagement with the second bone anchor, the coupled engagement permitting angular adjustability of the distal end relative to the second bone anchor and the proximal end of the second retractor blade is pivotable relative to the second arm; and
a third retractor blade moveable relative to the first and second retractor blades in a second direction orthogonal to the first direction.
2. The retractor system of claim 1 , wherein an angle of the access corridor created is adjustable by moving a proximal end of the first retractor blade and a proximal end of the second retractor blade in the same direction while a distal end of the first retractor blade remains in coupled engagement with the first bone anchor and a distal end of the second retractor blade remains in coupled engagement with the second bone anchor.
3. The retractor system of claim 1 , wherein the third retractor blade is coupled to a third arm and pivotable relative to the third arm in the first direction.
4. The retractor system of claim 1 , wherein the coupled engagement between the first retractor blade and the first bone anchor occurs through a first hoop member that extends inward from a distal end portion of the first retractor blade, and wherein the coupled engagement between the second retractor blade and the second bone anchor occurs through a second hoop member that extends inward from a distal end portion of the second retractor blade.
5. The retractor system of claim 4 , wherein the the first hoop member is part of a first hoop shim slideably engaged to an interior surface of said first retractor blade and the second hoop member is part of a second hoop shim slideably engaged to an interior surface of said second retractor blade.
6. The retractor system of claim 5 , wherein each of the first hoop shim and the second hoop shim include a shim portion that slideably engages a track along an interior surface the respective first and second retractor blade.
7. The retractor system of claim 5 , wherein the first hoop member has a central aperture and an unlocked configuration that allows passage of the first bone anchor into the central aperture and a locked configuration wherein removal of the first bone anchor from the central aperture is inhibited.
8. The retractor system of claim 7 , wherein the second hoop member has a central aperture and an unlocked configuration that allows passage of the second bone anchor into the central aperture and a locked configuration wherein removal of the second bone anchor from the central aperture is inhibited.
9. The retractor system of claim 4 , wherein the first hoop member engages a partially spherical head of the first bone anchor and the second hoop member engages a partially spherical head of the second bone anchor.
10. The retractor system of claim 1 , wherein the third retractor blade includes a blade extension with a serrated distal end.
11. The retractor system of claim 10 , wherein the serrated distal end of the blade extension curves to form a concave backward facing lip.
12. The retractor system of claim 10 , wherein the blade extension freely slides along an interior surface of the third blade.
13. The retractor system of claim 1 , further comprising an inserter configured to couple to and insert the first bone anchor and first retractor blade simultaneously.
14. The retractor system of claim 1 , wherein the angular adjustability of the distal end of the first retractor blade relative to the first bone anchor encompasses 360 degrees.
15. The retractor system of claim 14 , wherein the angular adjustability of the distal end of the second retractor blade relative to the second bone anchor encompasses 360 degrees.