Orthopedic derotation devices and methods of installation thereof
Embodiments herein are generally directed to derotation systems, apparatuses, and components thereof that can be used in spinal derotation procedures, as well as methods of installation. The derotation systems may include a plurality of derotation towers and clamp members.
1. A method of derotation comprising:
providing a derotation system, the derotation system including:
first and second derotation towers, wherein each derotation tower comprises a proximal derotation tube coupled to a distal engagement assembly that is configured to engage an anchor member;
a clamp member configured to receive the first and second derotation towers, the clamp member having an inner surface including an engagement feature, and the engagement feature is configured to engage an outer surface of the first or second derotation tower, wherein the engagement feature is a plurality of non-deformable, non-movable concave engagement surfaces positioned on the inner surface of the clamp member, and each of the plurality of engagement surfaces is configured to engage an outer surface of the first or second derotation tower,
wherein the clamp member includes a first elongate arm coupled to a threaded rod and a nut, the clamp member further including a second elongate arm having an obliquely angled receiving portion extending therefrom, wherein the first and second elongate arms are pivotably coupled at a first end of the clamp member,
wherein when the threaded rod is received in the obliquely angled receiving portion and the nut is actuated the second elongate arm pivots toward the first elongate arm due to the obliquely angled receiving portion to clamp the first and second derotation towers; and
a handle assembly configured to engage the clamp member,
engaging the first derotation tower with a first anchor member;
engaging the second derotation tower with a second anchor member;
clamping the first and second derotation towers with the clamp member; and
applying a force to adjust a position of at least one of the first and second derotation towers.
2. The method of claim 1 , wherein each derotation tube comprises a longitudinal axis and a variable transverse outer surface thereabout.
3. The method of claim 2 , wherein the variable transverse outer surface comprises a plurality of angled surfaces.
4. The method of claim 2 , wherein at least one derotation tube comprises first and second rotatable members in series along the longitudinal axis.
5. The method of claim 2 , wherein the variable transverse outer surface comprises a knurled surface.
6. The method of claim 1 , wherein the distal engagement assembly comprises an outer sleeve slideably disposed over an inner sleeve, wherein the inner sleeve comprises a distal end configured to engage the anchor member.
7. The method of claim 6 , wherein the outer sleeve comprises at least two concave gripping surfaces.
8. The method of claim 1 , wherein the distal engagement assembly comprises a rod reducer assembly, wherein the rod reducer assembly is configured to reduce a rod engaged with the anchor member.
9. The method of claim 8 , wherein the rod reducer assembly includes:
a connector member;
a clip reducer configured to be reversibly coupled with the connector member and comprising a reduction member and a distal end configured to engage the anchor member; and
a threaded driver configured to actuate the reduction member.
10. The method of claim 8 , wherein the rod reducer assembly includes:
a clip reducer comprising a translatable reduction member and a distal end configured to engage the anchor member; and
a threaded driver configured to actuate the reduction member.
11. The method of claim 8 , wherein the rod reducer assembly includes an inner sleeve comprising a distal end configured to engage the anchor member; an outer sleeve slideably disposed over the inner sleeve and configured to reduce the rod; and a rotatable handle configured to actuate the outer sleeve.
12. The method of claim 1 , wherein an inner surface of each of the first and second elongate arms comprises a retaining feature selected from the group consisting of a knurled surface, a polymeric surface, and a scalloped surface.
13. The method of claim 1 , wherein an actuator assembly is pivotably coupled to the first elongate arm.
14. The method of claim 1 , wherein the derotation system further includes a cantilever spring coupled to the first elongate arm and an actuator assembly.
15. A method of derotation comprising:
providing a derotation system, the derotation system including:
a plurality of derotation towers, wherein each derotation tower comprises a derotation tube;
a plurality of clamp members each having a longitudinal axis, wherein each clamp member is configured to engage at least two derotation tubes, each clamp member having an inner surface including an engagement feature, and the engagement feature is configured to engage an outer surface of the plurality of derotation towers, wherein the engagement feature is a plurality of non-deformable, non-movable concave engagement surfaces positioned on the inner surface of each clamp member, and each of the plurality of engagement surfaces is configured to engage an outer surface of one of the plurality of derotation tubes,
wherein each clamp member includes a first elongate arm coupled to a threaded rod and a nut, each clamp member further including a second elongate arm having an obliquely angled receiving portion extending therefrom, wherein the first and second elongate arms are pivotably coupled at a first end of the each clamp member,
wherein when the threaded rod is received in the obliquely angled receiving portion and the nut is actuated the second elongate arm pivots toward the first elongate arm due to the obliquely angled receiving portion to clamp the plurality of derotation towers; and
a handle assembly configured to engage one of the plurality of clamp members,
engaging each derotation tower with an anchor member;
clamping each derotation tower with one of the plurality of clamp members; and
applying a force to adjust a position of at least one of the plurality of derotation towers.
16. The method of claim 15 , wherein the handle assembly comprises an elongate member rotatably coupled to a plate member, wherein:
the elongate member comprises a proximal handle-engaging portion, a first leg, and a cylindrical body therebetween; and
the plate member comprises a body and a second leg extending orthogonally therefrom.
17. The method of claim 16 , wherein the handle assembly is configured to receive one of the clamp members between the first and second legs.
18. The method of claim 15 , further comprising a counter-torque device comprising an elongate body having first and second prongs extending distally therefrom and defining a cavity therebetween, wherein the cavity comprises a curved section and a linear section.