Systems, apparatus and methods for stabilizing bone structures
A musculoskeletal stabilization system adapted to stabilize spine and SI joint structures. The musculoskeletal stabilization system includes a spine structure stabilization sub-system and a pelvic structure stabilization sub-system. The pelvic structure stabilization sub-system comprising two multi-function prostheses that are adapted to be delivered to and inserted into SI joints of a subject via a posterior trajectory. The multi-function joint prostheses are further adapted to stabilize respective SI joints and cooperate with the spine stabilization sub-system to also stabilize the subject's spine jointly.
1 . A musculoskeletal stabilization system, comprising:
a spine structure stabilization sub-system and a pelvic structure stabilization sub-system,
said spine structure stabilization sub-system comprising a plurality of bone-engaging anchoring assemblies, and first and second elongate stabilizing rods,
each of said plurality of bone-engaging anchoring assemblies adapted to engage vertebral bone structures of said subject's spine,
said first and second elongate stabilizing rods adapted to be positioned on opposite sides of said subject's sagittal plane,
said pelvic structure stabilization sub-system comprising first and second prosthesis systems,
said first prosthesis system comprising a first prosthesis adapted to be inserted into a first sacroiliac (SI) joint of a subject,
said second prosthesis system comprising a second prosthesis adapted to be inserted into a second SI joint of a subject,
said first prosthesis and said second prosthesis each comprising first and second elongated partially cylindrical sections connected to a first bridge section,
said first bridge section comprising first bridge section proximal and distal ends, said first bridge section distal end comprising a first tapered region configured and adapted to disrupt at least first articular cartilage and cortical bone,
said first elongated partially cylindrical section comprising a first elongated partially cylindrical section proximal end, a first elongated partially cylindrical section distal end, and a first internal lumen that extends through said first elongated partially cylindrical section, said first internal lumen comprising first internal threads disposed on said first elongated partially cylindrical section proximal end,
said second elongated partially cylindrical section comprising a second elongated partially cylindrical section proximal end, a second elongated partially cylindrical section distal end, and a second internal lumen that extends through said second elongated partially cylindrical section, said second internal lumen comprising second internal threads disposed on said second elongated partially cylindrical section proximal end,
said first prosthesis system further comprising first spine structure stabilization sub-system engagement means adapted to engage at least said first internal threads of said first elongated partially cylindrical section of said first prosthesis and said spine structure stabilization sub-system,
said second prosthesis system further comprising second spine structure stabilization sub-system engagement means adapted to engage at least said first internal threads of said first elongated partially cylindrical section of said second prosthesis and said spine structure stabilization sub-system.
2 . The musculoskeletal stabilization system of claim 1 , wherein at least said first internal lumen of said first elongated partially cylindrical section of said first prosthesis is adapted to receive a first osteogenic composition therein.
3 . The musculoskeletal stabilization system of claim 2 , wherein said first elongated partially cylindrical section of said first prosthesis further comprises a first plurality of slots in communication with said first lumen of said first elongated partially cylindrical section of said first prosthesis, said first plurality of slots adapted to allow said first osteogenic composition to be dispersed out of said first internal lumen of said first elongated partially cylindrical section of said first prosthesis and delivered to said first SI joint when said first prosthesis is said inserted therein.
4 . The musculoskeletal stabilization system of claim 1 , wherein at least said first internal lumen of said first elongated partially cylindrical section of said first prosthesis is adapted to receive a second osteogenic composition therein.
5 . The musculoskeletal stabilization system of claim 4 , wherein said first elongated partially cylindrical section of said second prosthesis further comprises a first plurality of slots in communication with said first lumen of said first elongated partially cylindrical section of said second prosthesis, said first plurality of slots adapted to allow said second osteogenic composition to be dispersed out of said first internal lumen of said first elongated partially cylindrical section of said second prosthesis and delivered to said second SI joint when said second prosthesis is said inserted therein.
6 . The musculoskeletal stabilization system of claim 1 , wherein said first prosthesis is adapted to be delivered to and said inserted into said first SI joint via a first posterior trajectory, and said second prosthesis is adapted to be delivered to and said inserted into said second SI joint via a second posterior trajectory.
7 . The musculoskeletal stabilization system of claim 1 , wherein said first spine structure stabilization sub-system engagement means of said first prosthesis system is adapted to engage said first elongate stabilizing rod of said spine structure stabilization sub-system, and said second spine structure stabilization sub-system engagement means of said second prosthesis system is adapted to engage said second elongate stabilizing rod of said spine structure stabilization sub-system.