Rod reduction assemblies and related methods
This disclosure describes example embodiments of rod reduction instrumentation and other rod and vertebrae manipulation instruments. The rod reducers can be used during the installation of a rod based surgical fixation system to help urge the rod into the fixation anchors. The reducers described provide various configurations delivering large reduction distance capabilities, strong controlled reduction coupled with an ability to quickly advance the reducer if desired, and reduction of bulk through the surgical corridor.
1. A rod reducer for reducing a spinal rod to a rod-capturing portion of a fixation anchor, comprising:
an anchor coupling arm, including:
an outer face opposite an inner face,
a cavity at a distal end of the anchor coupling arm, the cavity having a coupling arm engagement feature configured to releasably fix the fixation anchor to the anchor coupling arm,
a lower central slot above the cavity, and
an upper central slot above the lower central slot;
a translation coupler configured to engage the anchor coupling arm and translate along the upper central slot, the translation coupler including:
an internally threaded ring,
a wing that extends from the internally threaded ring, and
a switch pivotally coupled to the wing opposite the internally threaded ring; and
a translation element configured to engage the translation coupler and drive the spinal rod to the rod-capturing potion of the fixation anchor.
2. The rod reducer of claim 1 , wherein the anchor coupling arm has a partially cylindrical profile.
3. The rod reducer of claim 1 , wherein the translation element includes:
an externally threaded shaft configured to engage the internally threaded ring, and
a foot coupled to a distal end of the externally threaded shaft, wherein the foot is configured to engage the spinal rod and to receive the rod-capturing portion of the fixation anchor therein.
4. The rod reducer of claim 3 , wherein the foot of the translation element includes:
a cylindrical body dimensioned to complement the inner face of the anchor coupling arm,
a cavity within the cylindrical body,
a wing extending from the cylindrical body configured to engage the lower central slot of the anchor coupling arm, and
an aperture in the wing configured to receive a stabilizing bar to limit movement of the foot to translation along the lower central slot.
5. The rod reducer of claim 4 , wherein the foot includes a rod recess configured to engage the spinal rod.
6. The rod reducer of claim 3 , wherein the translation element includes a drive nut coupled to a proximal end of the externally threaded shaft, the drive nut configured to engage a handle to rotate the translation element along a central axis of the externally threaded shaft.
7. The rod reducer of claim 3 , wherein the externally threaded shaft includes a passage extending between the distal end and a proximal end of the externally threaded shaft.
8. The rod reducer of claim 7 , further comprising a locking mechanism disposed within the passage of the externally threaded shaft.
9. The rod reducer of claim 1 , wherein the anchor coupling arm includes a ridge track on the outer face, the ridge track having a plurality of ridges that each slope away from the outer face and down toward the distal end of the anchor coupling arm.
10. The rod reducer of claim 9 , wherein the translation coupler includes a pawl at a distal end of the switch, the pawl configured to engage the ridge track to inhibit proximal translation of the translation coupler.
11. The rod reducer of claim 1 , wherein the translation coupler includes an aperture in the wing configured to receive a stabilizing bar to limit movement of the translation coupler to translation along the upper central slot.
12. The rod reducer of claim 1 , wherein the inner face of the anchor coupling arm includes a lower concave recess and an upper concave recess, wherein the lower central slot is positioned within the lower concave recess, and the upper central slot is positioned within the upper concave recess.
13. The rod reducer of claim 1 , wherein the lower central slot and the upper central slot each extend through the anchor coupling arm from the inner face to the outer face.
14. The rod reducer of claim 1 , further comprising a locking cap disposed within the translation element, the locking cap configured to couple the spinal rod to the rod-capturing portion of the fixation anchor.
15. A rod reducer for reducing a spinal rod to a rod-capturing portion of a fixation anchor, comprising:
an anchor coupling arm having a partially cylindrical profile, the anchor coupling arm including:
an outer face opposite an inner face,
a cavity at a distal end of the anchor coupling arm, the cavity having a coupling arm engagement feature configured to releasably fix the fixation anchor to the anchor coupling arm,
a lower central slot above the cavity, and
an upper central slot above the lower central slot;
a translation coupler configured to engage the anchor coupling arm and translate along the upper central slot, the translation coupler including:
an internally threaded ring,
a wing that extends from the internally threaded ring, and
a switch pivotally coupled to the wing opposite the internally threaded ring;
a translation element configured to engage the translation coupler and drive the spinal rod to the rod-capturing potion of the fixation anchor, the translation element including:
an externally threaded shaft configured to engage the internally threaded ring,
a passage extending through the externally threaded shaft from a distal end to a proximal end,
a foot at the distal end of the externally threaded shaft, and
a drive nut at the proximal end of the externally threaded shaft; and
a locking mechanism disposed within the passage of the translation element, the locking mechanism configured to couple the spinal rod to the rod-capturing portion of the fixation anchor.
16. The rod reducer of claim 15 , wherein the foot of the translation element includes:
a cylindrical body dimensioned to complement the inner face of the anchor coupling arm,
a cavity within the cylindrical body,
a wing that extends from the cylindrical body and configured to engage the lower central slot of the anchor coupling arm, and
an aperture in the wing configured to receive a stabilizing bar to limit movement of the foot to translation along the lower central slot.
17. The rod reducer of claim 15 , wherein the locking mechanism includes a locking cap.
18. The rod reducer of claim 15 , wherein the anchor coupling arm includes a ridge track positioned on the outer face, the ridge track including a plurality of ridges that each slope away from the outer face and down toward the distal end of the anchor coupling arm.
19. The rod reducer of claim 18 , wherein the translation coupler includes a pawl at a distal end of the switch and configured to engage the ridge track to inhibit proximal translation of the translation coupler.
20. The rod reducer of claim 15 , wherein the drive nut is configured to engage a handle to rotate the translation element along a central axis of the externally threaded shaft.